huckfinne

3.3K posts

huckfinne

huckfinne

@huckfinne

Katılım Haziran 2009
2.6K Takip Edilen345 Takipçiler
Dr Gordon Caldwell
Dr Gordon Caldwell@doctorcaldwell·
What on earth would make retired Doctors return to work for the #NHS? I retired out of frustration that Doctors could not Doctor any longer, teams no longer existed, targets and £s mattered over patients and quality and its getting worse. @WilliamHayesWo1 @DrGrumble
Dr Gordon Caldwell tweet media
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huckfinne
huckfinne@huckfinne·
@IbrahimGenedy2 Correct. All nations are a defined group of people. In 2026 UK we typically use citizenship + ILR. If you are not in those categories - I'm not - then you are not part of the collective. If you propose the collection of people is those on a given soil, sell that to the voters.
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Ibrahim
Ibrahim@IbrahimGenedy2·
With all respect, when Nick mentions his concern about “doctors here out of work” he is only talking about UKG. IMGs are also doctors here, some are actually British, or people with family here for years. But Nick and his colleagues do not consider IMGs part of the doctors here.
Partha S Kar 🇮🇳🇬🇧🏏🎥@parthaskar

Me? Does it matter? May write a BMJ blog on it- I would change CREST, tighten rules- accept there is a compromise to be had for those not on ILR but 2-3 years working in NHS - and avoid retrospective application of rule- as well as honouring the grandfathering agreement But? It’s irrelevant now. Politics is about choices The BMA made it There is now collateral damage- which doesn’t matter to many- bar those whose lives are affected

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huckfinne
huckfinne@huckfinne·
@OrthopodReg I would be happy to help any anaesthetist interested in the US. Several universities are keen to hire FRCAs without USMLEs.
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Simon Fleming 🛠
Simon Fleming 🛠@OrthopodReg·
In the last 5 days, I have received at least 15 enquiries from surgeons keen to move to 🇦🇺. I expect more. Both from those who have completed their training, and those who plan to finish & then immediately leave These are some of the hardest working, highly trained folk I know - and they’re planning to leave the #NHS “you don't know what you've got 'til it's gone" may be a cliche, but resident doctors and specialists are already in short supply in 🇬🇧. It’s only going to get worse now. Anyway, it’s autumn here, 30° and I just cooked dinner on the BBQ. just saying.
Simon Fleming 🛠 tweet mediaSimon Fleming 🛠 tweet media
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huckfinne
huckfinne@huckfinne·
@UgWrites The GMC should suffer the death penalty. Not the people; just the organization. Completely raze it. Everyone who works there should have nothing to do with medicine.
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𝕌𝕘 🥀
𝕌𝕘 🥀@UgWrites·
The GMC should pause PLAB exams for at least 5 years. Let’s call a spade a spade. Fix whatever is going on with the system first before opening the floodgates to IMGs. Because right now, paying for PLAB feels like throwing money into a well. The fees are increased too? 😭 You pay. You pass. And then what? No job. No return on investment. Just false excitement and false hope. There are too many IMGs stuck in this exact position. The problem isn’t passing the exams, it’s what comes after. If you have the resources, seriously consider other pathways like USMLE. At this point, one year grinding for USMLE Step 1 might do more for you than passing both PLAB 1 & 2. IMGs, make a choice.
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huckfinne
huckfinne@huckfinne·
@DearRebelAda We had a case like this in NYC of a EM doctor. He got two years in the slammer.
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Rebel Ada
Rebel Ada@DearRebelAda·
How disgusting - a nurse can ejaculate over a sick woman in A&E and NOT go to jail. No remorse. “Ah, his family would suffer”. “Out of character.” What else has Sunil Mushtaq done? Opportunistic harm/negligence against patients he disliked? I expect a care home will have him
Rebel Ada tweet mediaRebel Ada tweet mediaRebel Ada tweet media
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huckfinne
huckfinne@huckfinne·
@peterboghossian The state, by failing to enforce the law, is ceding their monopoly on violence. For example, what should a father do when the police participate in the rape of his daughter? Just allow the wheels of justice to grind?
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Peter Boghossian
Peter Boghossian@peterboghossian·
Many right leaning accounts are now openly advocating vigilante justice and denial of trials for suspects who commit heinous crimes. While the urge for vengeance is understandable, extra legal violence has no role in civil society.
Will Tanner@Will_Tanner_1

He should get a medal, and a battle axe with which to finish the job Or at least he would in a justice oriented society But the West is ruled by communists who revel in anarchotyranny, so the citizen will be punished by the state for defending his daughter and the migrant criminal who abused a little girl will face no consequences

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huckfinne
huckfinne@huckfinne·
@SeeFisch Do American voters have the right to control who does and does not coming into their country? If I was a Syrian doctor, 100% I would be coming to the US. The one Syrian I work with in the UK has been to my house for dinner. However, countries get to have borders.
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Conrad Fischer
Conrad Fischer@SeeFisch·
Is it YOUR place to tell free people where they should live and work? Is it YOUR place to lock Syrians up some place because YOU do not like where people are striving to be free?
Ghazal@Ghazal__Sy

@AmrAAdib1 @SeeFisch هوعم يقول get the best brains for free!! بدو العقول السورية والأطباء السوريين لتستفيد منهم امريكا بوقت سوريا بأمس الحاجة لإلهم، مع إحترامي لمواقفه السابقة بس ليش نشكره على هاد الموقف بالتحديد؟ سوريا طول عمرها محرومة من كفاءاتها و بعد أكتر من مليون شهيد صار وقت تحتفظ فيهم.

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huckfinne
huckfinne@huckfinne·
@Xeon4f145d96s1 I know of a Brit who went to the US for IC fellowship. 6 weeks of case volume in the US equaled one year of UK case volume. UK training is designed ti extract as much labour as possible at the lowest wage.
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huckfinne
huckfinne@huckfinne·
@LittlePersonDoc @wesstreeting Doctors are one of the most mobile professions in the world. Given falling TFRs, all countries are now competing for human capital. The Yookay has only managed so far sucked doctors from other countries while hemorrhaging its own.
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Jen Johnston
Jen Johnston@LittlePersonDoc·
Tonight I had dinner with 2 friends. Both surgeons. Both leaving the UK for consultant posts where “Our skills are actually valued.” Continue treating Drs as replaceable commodities and soon there will be very few Drs. @wesstreeting We need their skills here.
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huckfinne
huckfinne@huckfinne·
@ProfAliceS Sorry to break it to you but normies have already lost all trust in universities. The coming economic crisis will see most people choose heating and food over continued funding of the universities.
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Professor Alice Sullivan
Professor Alice Sullivan@ProfAliceS·
This is a must-read story for anyone who cares about the integrity of academia. The REF exercise is used to allocate research funds to universities. If REF promotes ideological bias, trust in universities and in research evidence is undermined. It took courage for @runthinkwrite to whistleblow against a colleague. And I know he'll get flack for it. But if academics don't get our own house in order, the consequences will be serious.
Professor Alice Sullivan tweet media
Jon Pike@runthinkwrite

timeshighereducation.com/news/gender-cr…

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huckfinne
huckfinne@huckfinne·
@Xeon4f145d96s1 All nations have the right to prioritize their own people unless, of course, you are a global citizen who thinks nations shouldn't exist. That is a valid opinion with which I disagree. In 2026 the UKGs are plenty non-white, so allegations of racism are flawed.
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consultantplatinumpizza™
consultantplatinumpizza™@Xeon4f145d96s1·
So seems IMGs have started getting training posts despite UKGP. Will we now stop with the racism and xenophobia claims or…?
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huckfinne
huckfinne@huckfinne·
@DeptVetAffairs Is the cost savings of contracting out my claim to @IntlSOS really worth having PRC ally Mauritius do it. Does the PRC subsidize the cost to the US taxpayer. BTW I can't afford to keep all of March free. I have a family and a job.
huckfinne tweet media
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huckfinne
huckfinne@huckfinne·
@JAMASurgery Every single labor shortage is, in fact, a wage shortage.
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huckfinne
huckfinne@huckfinne·
@JAMASurgery The statement "The prohibitive ... fees (now $100 000 per surgeon) poses a substantial threat to surgical care access" is not supported by the facts. The $100K fee is peanuts compared to the money that woukd be necessary to recruit a US surgeon, i.e. it's NOT prohibitive.
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JAMA Surgery
JAMA Surgery@JAMASurgery·
Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/4rQVVhC
JAMA Surgery tweet media
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huckfinne
huckfinne@huckfinne·
@WilliamHayesWo1 @mattster This book is so great. I had gleaned a fair amount of the persistent failures, and this book succinctly outlines it all in one place. It will be read hundreds of years from now as calamitous story on the end of British greatness.
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William Hayes-Wood
William Hayes-Wood@WilliamHayesWo1·
@mattster I was on the medical register then licensed for 49 years between 1976-2025. By the end of that time I had come to utterly despise the GMC. The GMC had been hijacked by government as a tool to undermine the medical profession at every turn. I wrote a book about it. Amazon £7-99
William Hayes-Wood tweet mediaWilliam Hayes-Wood tweet media
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Dr Matt Kneale (🦋drmk.link)
Dr Matt Kneale (🦋drmk.link)@mattster·
The draft GMC Order 2026 consultation just dropped. Buried in it is a fundamental change to who can be awarded a Certificate of Completion of Training (CCT). This matters enormously. Let me explain why.
Ramey Assaf@ramey999

The new GMC Order is undergoing consultation. The GMC is seeking to remove the speciality register and decide by themselves who should be issued a CCT. This right is currently protected in law. This is the last hurdle before the GMC will be able to issue CCTs to PAs.

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huckfinne
huckfinne@huckfinne·
@Louise_m_perry @bindelj @realzoestrimpel Boys love scars even if not from actual battle. I was surprised to see how much white hair was in the audience. Any idea on the demographics of your followers?
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Louise Perry
Louise Perry@Louise_m_perry·
I’m so sorry not to have been able to join @bindelj and @realzoestrimpel at the Oxford Literary Festival this afternoon. Our youngest fell over and injured his face badly enough to require emergency plastic surgery. Fortunately it went well and we’re all home safely now. Zoe will be joining me on MMM next week so I’ll get my opportunity to tell her how wrong she is, never fear.
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huckfinne
huckfinne@huckfinne·
@DrHuw Although we see these issues in medicine, they exist throughout the UK. Maximum admin burden and regulation while still allowing crazy cowboys to harm people. The country is properly cooked.
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Dr Huw
Dr Huw@DrHuw·
We are only just uncovering the tip of the iceberg in terms of what harm non-medically trained healthcare workers have been inflicting on UK patients This is a ‘clinical endoscopist’ acting way outside any acceptable scope of practice 8mg midazolam & 175mcg of fentanyl FFS
Dr Huw tweet media
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huckfinne
huckfinne@huckfinne·
@nickmmark I agree with many critiques of the match, and after learning a far amount about how training selection works in several other countries, the US has things so great. I want to give the @acgme an award for how awesome they are. We need to be very careful trying to "fix" it.
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Nick Mark MD
Nick Mark MD@nickmmark·
Even when the GOP manages to do something right they are doing it for the wrong reasons. Residency isn’t a government funded jobs program. It’s important life or death clinical work. It demands the best doctor for each position. 98% of US grads eventually match. That part of the system is working fine. The issue is that the match is an anti-competitive cartel that keeps resident wages low & blocks negotiating.
Rep. Scott Fitzgerald@RepFitzgerald

The Match, shielded by a medical residency antitrust exemption, controls where future doctors train and what they’re paid. This monopoly leaves thousands of qualified applicants without a residency slot each year. ⬇️

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huckfinne
huckfinne@huckfinne·
@Funminz @jijingiUter Few people are blaming immigrants for ALL the problems. I blame immigrants for the problems they cause like grooming gangs in Oldham. I blame British politicians for excessive immigration contrary to the voters' clear desires. When we lose democracy, we will know why.
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Funmi
Funmi@Funminz·
@jijingiUter They are blaming them for all their problems currently.
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huckfinne
huckfinne@huckfinne·
@BBMD2A @AhmadRehanKhan Even a purely merit based system would suck the world's best and brightest young doctors to America. Do not their own countries deserve to retain the talent? I love helping IMGs and the situation is not straightforward by any means. Lots of competing issues.
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BBMD2A
BBMD2A@BBMD2A·
As someone who actually works with residents and understands how programs function, this is missing a key reality. No one is arguing these IMGs aren’t qualified. Many are outstanding. But let’s not pretend the playing field is equal. A subset of foreign grads come in without the same debt burden and can afford to spend years in low-paid or unpaid research roles to “prove themselves” inside a system. That creates a structural advantage for programs that benefit from highly productive, low-cost labor—often before residency even starts. Of course program directors value that familiarity. Of course it builds trust. But that’s not the same as a purely merit-based system—it’s a pipeline shaped by incentives. Meanwhile, U.S. graduates—who are trained within and financed by this system—don’t always have the same ability to pause for years of underpaid research to compete on those terms. So the question isn’t whether these candidates are excellent. Many are. The question is whether a publicly subsidized training system should prioritize those already embedded in it and likely to serve within it long-term. That’s not anti-IMG. It’s a discussion about fairness, incentives, and who the system is designed to serve.
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Dr Ahmad Rehan Khan
Dr Ahmad Rehan Khan@AhmadRehanKhan·
Painfully ironic. Let’s look at the facts behind the noise. Two of the five “IMGs” everyone is upset about: Elena Ahrens — 43 peer reviewed publications, 400+ citations, Research Fellow in the department of Anesthesia at Harvard. Dr Adil Manji — 25 publications, over 1,000 citations, h-index 8, postdoctoral fellowship at Harvard Medical School. Both of them trained and worked at Harvard before residency. Ask any Program Director, they will tell you the same thing, when someone has already worked within your system, proven their competence, and demonstrated strong work ethic firsthand, they become a far more reliable and desirable candidate. This isn’t favoritism, it’s informed selection based on direct experience. But that nuance is lost on those who don’t even understand the fundamentals of graduate medical education. These are not “average” applicants. These are elite, globally competitive physicians who would be top choices in residency programs anywhere in the world. Residency selection is not about passports. It is about merit, performance, and potential. The real question isn’t who is “US-born” vs “IMG.” The real question is: Do patients deserve the most qualified physicians available? Because when the bar is this high, the answer is obvious. And for the record, anesthesiology is not some closed door specialty, many IMGs match into it every year.
Mary Talley Bowden MD@MaryBowdenMD

Over 1500 medical students applied for anesthesiology residency at Harvard. 5 of the 18 coveted spots (28%) were filled by foreign medical students.

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Keşfet

@doctorcaldwell @ShiYunZhao @grainneisbusy @WilliamHayesWo1 @lascapigliata8 @Oxfordite @Oldboatie @DrJoFranklin