Tim Lloyd ретвитнул
‘My main goal is that I wanted to practice medicine, and I don’t think you need to become a Doctor for that’
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Tim Lloyd
2K posts
Tim Lloyd ретвитнул
If people haven't seen, the author Q&A response to the 'SCP performing lap choles' case series is out.
doi.org/10.1308/rcsann…
As a very junior aspiring surgeon, the answers raise as many further questions as they solve.
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@mancunianmedic By ‘generalists’. Current drive to produce more generalists will be/is at the expense of specialists and may suit your front door older patient with multiple co-morbidities but they aren’t the only patients we treat in the health system, not by a long way.
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@mancunianmedic Aware of the fact that the vast majority of patients (on an extensive W/L) I am referred now have a specific need that you can’t satisfy by training more generalists. Those patients you describe who need my input or the input of other ‘ologists’ can’t have that provided 2/3
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@mancunianmedic Anecdotal for sure but most patients who see me in clinic are grateful because they have ‘seen someone who does this everyday/is a specialist in this area’. A lot of them have already seen people who ‘give it a go’ and hedge their bets unsuccessfully.
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@mancunianmedic The threshold for people referring to my specialty for example has noticeably plummeted over my training. Legal action over mistreatment continues to rise. What we need is more of all specialties so that when required patients have expert input when required 2/3.
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Tim Lloyd ретвитнул
The other key element to all of this is those that sought some version of 'a role like a doctor, without all the bad stuff that doctors have to go through - geographical instability, long training etc' - we need to be introspective about this as doctors
Shaun Lintern@ShaunLintern
"Physician associates have a role to play in a modern NHS" says @wesstreeting but adds "legitimate concerns over substitution and safety have been ignored by previous Govt leading to a toxic online debate". He says he is taking concerns raised seriously #lab24
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@ShaunLintern This really isn’t helpful. Clearly there have been unacceptable failures with this surgeon and the wider response from management including the board but to recklessly cast aspersions on the entire institution and the clinicians within it is just insane.
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So many London based clinicians getting in touch with me today to say that GOSH has a poor reputation among medics in the capital. Toxic culture raised by them all.
It's always known. Except to the patients and their families.
Shaun Lintern@ShaunLintern
🚨 INVESTIGATION: 721 children treated by a @GreatOrmondSt surgeon are being reviewed after a damning internal report, leaked to The Sunday Times, exposes serious safety concerns about the world famous children's hospital. READ: thetimes.com/article/9ec915… 1/4
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Tim Lloyd ретвитнул
Early start for the Leeds to Nottingham train. This service connects the West Yorkshire, South Yorkshire and East Midlands conurbations which have a combined population of £6.3m and 3 core cities along a 70 mile corridor. The journey time is around two hours. Ave speed: 36mph 🧵
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Tim Lloyd ретвитнул
Article via @AdeleWatersRx in @bmj_latest
Illustrating the nightmare @NHSE_WTE are walking themselves into re training
Where are the trainers?
An unsustainable unplanned model from leadership concerned
Views from @mancunianmedic @Cooper00Nicola et al
bmj.com/content/386/bm…
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@TicketmasterCS Ok doing all that - still won’t let me login lads so what chance do I have of getting tickets when I’m going to need to sign in during the 3 minute mad rush.
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@TDML7 Please make sure you are only using one tab, clear your cookies, and ensure you aren't using any VPN software on your device.
discover.ticketmaster.co.uk/hq/how-to-impr…
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What’s the story morning glory? Tickets for @oasis are on sale at 09:00 today right here >> bit.ly/4cCpcVG
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@TicketmasterUK @oasis Any chance of letting me log into my account to have a go at these tickets then?
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@TicketmasterCS @OliversSherbs Also cannot login to my account online or on the app
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Tim Lloyd ретвитнул
A revolt over patient safety and declining expertise is tearing the medical establishment apart.
🖊️ @pwhitakerwriter #Echobox=1724857233" target="_blank" rel="nofollow noopener">newstatesman.com/long-reads/202…
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@Wilful_Realist @sam_bidwell But further increasing MS places (which btw have increased substantially since 2008 anyway) is really not the crucial bit of policy you think it is.
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@Wilful_Realist @sam_bidwell So again - we increase medical school places and we still will end up in the same position without meaningful increases in PG places. Also we need new hospitals/depts for people to then work in on top. I agree that there is inertia in long term planning.
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@sam_bidwell So you can produce plenty of FY1s if you want but you aren’t going to produce any more consultants who lead the bulk of delivery of care without increasing postgraduate numbers. The BMA limited MS places because of the postgraduate issue which hasn’t been resolved over many years
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@sam_bidwell Unfortunately this thread belies a superficial understanding of medical training. Feel free to increase medical school places (PS we have no space for them in hospitals) but on top of that you have to increase postgraduate specialty training places - not been done for years.
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