benedictwarner.bsky.social 🦋

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benedictwarner.bsky.social 🦋

benedictwarner.bsky.social 🦋

@benedictwarner

Respiratory Med Reg 🫁; dad to two. He/him. @MMPhDHP fellow @UofGlasgow & @MEIRU_Malawi 🇲🇼 | @EADTMH 🇹🇿🇺🇬 | @AHPdoctors 🇿🇦 | @RCPEdinTrainees T&MC

Malawi 🇲🇼 Katılım Aralık 2009
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
I need a new social network like I need a hole in the head (I am trying to wean off them in general) - but engagement is an important part of science, so you can now find me over at BlueSky @benedictwarner.bsky.social 🦋 see you there!
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Heather Walker
Heather Walker@h_j_walker·
Exploring KFRE performance in frailty, use of cystatin C based eGFR and competing mortality risk
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RCPEdin Trainees
RCPEdin Trainees@RCPEdinTrainees·
Dr Giannoudi speaks with Dr Schoeman about the genitourinary medicine (GUM) clinic. They discuss the prevalence of STI's, approaching patient's sexual health and interesting cases from Dr Schoeman's clinical experience. Listen now: podcasts.rcpe.ac.uk/show/clinical-…
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RCPEdin Trainees
RCPEdin Trainees@RCPEdinTrainees·
At our EMU on Respiratory Medicine on 22 Oct, Dr Tom MacKay will discuss ‘Non-clinical: Setting up a virtual Respiratory ward.’ More info and booking: events.rcpe.ac.uk/respiratory-me… #rcpeEMU
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RCPEdin Trainees
RCPEdin Trainees@RCPEdinTrainees·
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
In danger of losing my coffee in my enthusiasm. Honestly, it was great to share some of our work from @MEIRU_MALAWI - I find discussing it always helps clarify my thinking on what we are actually doing. It was also inspiring hearing all the other research going on in Malawi!
Kamuzu University of Health Sciences@KUHeS_mw

The last poster session featured 111 posters covering diverse themes, including Maternal, Neonatal, and Child Health, Infectious Diseases, Non-Communicable Diseases, Clinical Management, Epidemiology and Public Health, and Environmental, Climate Change, and One Health.

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Dr Jackie Sham
Dr Jackie Sham@JackieSham·
So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo. 1/
Dr Jackie Sham@JackieSham

I have the misfortune to see a PA today for my hospital appointment. The clinic nurse introduced them as a doctor, he never said he is not a doctor. I am naturally unimpressed, but feel trapped in the situation. I will be writing to PALS and the consultant team.

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MEIRU MALAWI
MEIRU MALAWI@MEIRU_MALAWI·
@Owen_Nkoka Dr @CharlotteMSnead , a PhD student at @LSTM, doing a secondary analysis with MEIRU data, is presenting on 'Association between impaired kidney function and all-cause mortality in rural, Northern Malawi." #3rdKUHeSRDC
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MEIRU MALAWI
MEIRU MALAWI@MEIRU_MALAWI·
Dr @Owen_Nkoka our Cohort Manager, is presenting a preliminary analysis from our NCD longitudinal population study; which shows a rapid rise in diabetes in our cohort, with adult all-cause mortality for those with diabetes now comparable to HIV. #3rdKUHeSRDC
MEIRU MALAWI tweet mediaMEIRU MALAWI tweet media
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
But we can’t know how that money would have been spent, because the decision had already been made centrally how to spend it - on anyone but doctors
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
I suspect if practices were offered the salary of a PA to spend as they choose, many partners might have taken a pay cut to supplement it enough to employ a salaried GP instead - opposite of greed
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
I don’t this is quite fair-more likely offer of a free PA via ARRS seen as a lifeline to save overwhelmed practices. But it does show how the workforce landscape is consciously shaped by ARRS scheme & not primarily by choices of practices responding to needs of their communities
The NHS Whistleblower@ItsnotrightUK

#askforadoctor GP partners are in part responsible for the mess we are in. Each PA they employ saves £100k in paying a GP. The partner gets the PA for free via ARRS. Unlimited scope is a product of the Partners greed.

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Dr Rachel Clarke
Dr Rachel Clarke@doctor_oxford·
Oof. The @RCPEdin is not pulling its punches here, calling for: - legislation regarding PA regulation to be delayed in its implementation. - @gmcuk not to regulate PAs until clear, nationally-agreed scope & ceiling of practice protocols are in place. Thank you @RCPEdin 🙏
Royal College of Physicians of Edinburgh@RCPEdin

We have today published a further statement on our position on Physician Associates. Please read in full on our website: rcpe.ac.uk/college/furthe… #PhysicianAssociates

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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
I guess the question - which should be answered by research - are why/when do people want to see a doctor (rather than eg a physio, pharmacist, or PA) and how do outcomes differ when people are seen by another professional where previously they’d have seen a doctor?
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
The choices boil down to whether public want: a) to spend same £ on healthcare & continue to struggle for timely 1’ care appts b) spend same £ on healthcare + get timely 1’ care appoints, but potentially not w/a Dr c) spend more on healthcare & get timely 1’ care appts w/ a Dr
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benedictwarner.bsky.social 🦋
benedictwarner.bsky.social 🦋@benedictwarner·
Also, I am sure my dad would have been delighted that this scientific conference is being opened by two poets - adding a powerful human dimensions to all the stats and methodologies to follow
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Keşfet

@MEIRU_MALAWI @Owen_Nkoka @CharlotteMSnead @LSTM @UofGlasgow @RCPEdin @gmcuk @KUHeS_mw