Rufaro N

@drzaf_pic @ChainofHopeUK @MorrisonRacha @KatHolls @michelleeparker @RCPCHtweets @cooperella @jvc2006 @DavidEl76548379 What a wonderful team!

A privilege to support @ChainofHopeUK team @MorrisonRacha @KatHolls @michelleeparker et al, charity trip to 🇯🇴,treating refugee children from 🇵🇸 🇾🇪 🇸🇾 & training local team, but time to head home for @RCPCHtweets conference @cooperella @jvc2006 @DavidEl76548379 #pedsicu

@nazwarner @Plyons251 I remember this so well!

@Plyons251 Happened to me as *an orthopaedic f2* Who ever fast bleeps the ortho f2? And it wasn’t even my ward!!

@cooperella I've considered watching it. But since I only ever got through chapter 1 of "This is going to hurt", I'm not sure this one is for me. It's a really rough time to be reminded of.

I will be so sad to see #evidentlycochrane go. I was so honoured to write blogs with an amazing team.

@SarahChapman30 @DrRebeccaGould @jamie_garr @CochraneUK @cochrane @cochranecollab I so enjoyed writing with and for you @SarahChapman30. Such a loss.

@DrRebeccaGould @jamie_garr @CochraneUK @cochrane I loved it too and it will be available on a @cochranecollab page still. Thanks so much for your blogging & all the knowledge you’ve shared Becky. Always such a pleasure to work with you. Thanks @NdokeraR too for that webinar, blogs, & clinical insights.

We are recruiting for CATS fellows to start this spring: jobs.nhs.uk/candidate/joba…

@DrNickTwit @KateBurkeNHS This is almost always the issue. Where there is a will, there's a way.

@KateBurkeNHS This is all entirely within our gift. It wouldn’t even cost that much, in fact it would probably save loads in the long run. It just needs people to have the will to do it. I’m unsure of accreditation though, if you make me do e-learning to keep managing the roster I might cry.

Hey UK #MedTwitter, is there a way for junior doctors to invoice study leave events directly to the hospitals/PGME, so they’re not out of pocket waiting for a reimbursement? @BMA_JuniorDocs @NHSEngland @NHS_Education @HEIW_NHS

@AbbieSBrooks Fancy seeing you here!

When my work colleagues think it’s hilarious people recognise me from Twitter 😂 Fab early birthday present. I’ve made some amazing connections on this app - shame it’s not the same as it was, but always grateful ❤️

@ADC_BMJ Important information indeed, however, ideally, one would refer to the ethnicity that people are, as opposed to what they aren't.

Fetal single ventricle journey to first postnatal procedure Nearly 20% of intention-to-treat fetuses die before procedure Most risk factors well known, but non-white babies significantly higher risk Two centre cohort study 🇬🇧 fn.bmj.com/content/early/…

@CJ_PICU Huge congratulations! Well done you!

After 13 years, an MD, two fellowships, a diploma, working across 6 major PICUs in the world, Finally received the CCT. Dr Chinmay Joshi MD, IDPCCM, MRCPCH, CCT (PAEDS), CCT(PICM) Fellowship in Paediatric and Cardiac Intensive care ( Narayana Bangalore, Birmingham UK) #outcome6

The General Medical Council has approved a new MSF tool for use from next Monday, 4th December 2023. This has been developed with and tested by paediatric doctors in training. Read more about it here! rcpch.ac.uk/news-events/ne…

Great opportunity for anyone interested in Paediatric Intensive Care Medicine.

@picucat My mother always recommends a 2 mentor approach. One who recognises/has experienced any specific characteristics that you have. May not have to be PICU, just medical. Another who is someone who is PICU and has the job/role you one day hope to have.

How does one find a mentor -every time I think I have a direction a few weeks later something just crops up to make me believe I’m going the wrong way. A little tiring when I just want to feel purposeful in my work/life. #mentoring #medics #howto

Job Vacancy: Clinical Fellows Paed. Critical Care- PICU, NICU, CICU, CATS (ST6+), Great Ormond Street Hospital for Children NHS Foundation Trust, London. Within this advert, PICU, NICU, CICU 6-24 months and CATS 4-6 months posts are also available healthjobsuk.com/job/UK/London/…

This is great! My rebellious days are gone, but I'll keep this in mind ☺️

A brilliant session with Andy Tagg on writing articles.. sign up by emailing us!

"Medicine has come so far in allowing doctors to have emotional responses ... But the realities of the hospital mean that we must often postpone our grieving until a more convenient time." Nap time is not the time. Excellent article, read when you truly have time.

Thinking of applying for GRID? (paediatric sub-speciality training). Here are five things to consider: 1. GRID vs. SPIN 2. How many jobs to rank 3. Get rid of perceived barriers 4. Specialty-specific examples 5. Distinguish audit/QIP/research 1. Be crystal clear about the difference between working as a sub-specialist (i.e. via GRID) vs. paediatrician with specialist interest (i.e. via SPIN). Make sure your application conveys an understanding of why you want to work as a sub-specialist long-term. 2. Think carefully about which job(s) to rank nationally. The more you rank, the greater your probability of getting an offer, brings more uncertainty (i.e. “will we move to Scotland, Devon, or Cardiff?”). If you rank only one or two posts then it is much harder. (You can be an excellent candidate, come 2nd, and not get the job. There is always some randomness in the application process.) It is difficult and important to weigh up 2-3 years relocation against a different subsequent career for 20-30 years. Also, be aware that there is general expectation you will work as a sub-specialist after finishing GRID (though you can also do general paeds), which may limit where you would ultimately work. For example, for hepatologists, Leeds, Kings’, and Birmingham are the only places we can work. There are more centres for things like tertiary neonates, of course. 3. If you want to, apply! Do not let perceived barriers stop you applying. [For example “I can’t apply, I haven’t got a PhD / publications / done an IMD job / know any of the consultants” - none of these stop you applying.] Just go for it and the worst outcome is a ‘no’. 4. Fill your application with sub-specialty examples. You will have lots of relevant experience from core paediatrics training, even if you haven’t done a post dedicated to that sub-speciality. Even if you can’t come up with a subspecialty-relevant example, link it back to the topic. For example, under ‘practical procedures’ I put: "[talking about PICCs and neonatal transfers]...These are transferable skills that are underpinned by the principles of teamwork and communication, which will be useful for managing liver-related emergencies such as variceal bleeds." 5. Be careful to separate audit/QIP, research, and management as per the questions. Sometimes audit/QIP can sound like research projects if you’re not careful how they are phrased. Similarly, it is possible to use a research project as a management example, but you need to make it very clear about the management skills acquired during that time. If you do use the same example/experience twice, don’t just say “as discussed above” as the questions are marked separately and you need to separate the points you make. I realise I come from a specific perspective of only one job when applying and few long-term centres where we could work. The experience may be different for those doing things like PEM and Neonates with more potential places to work when grown-up. Tagging a few GRID trainees for their thoughts. @DrKidneyAsh @dralexscrivens @ChrisCourse @DrSheena_Guram @lauraamkelly @sunitha_varan @AssimJavaid @EmmaMDyer @WMPaeds @Paedsoftlanding

Still as relevant as ever. Such a lovely thread.