Adam Smith Podiatry & Healthcare

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[Adam Smith Podiatry & Healthcare @AdamPodiatry]

Have you seen our clinic?! 😍

#Podiatry #EastLothian

https://t.co/wiLAiun1YR

[Tranent & Preston Village Cricket Club @TPVcricket]

New season new weekend kit. @Shabeer_Ludiz

[Tranent & Preston Village Cricket Club @TPVcricket]

New season new midweek kit. @Shabeer_Ludiz

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 I never had to go through FCP or anything like that to have the GP's in the surgery I worked in ask me for advice or consult on patients. When I ran a acute ward service the doctors on most wards listened and followed care plans I set up.

You are either out of touch of elitist

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 I'm not. You haven't read the HEE plan which is 5 years POST GRADUATE

The only way to progress faster is exceptional and requires band 7, which is typically a 3 year process at least.

The fact you don't think your colleagues in medicine are "medically trained" is shameful

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 Under supervision. My point is you seem be drawing a like where it suits

Let's roll on back to you admitting that FCP isn't just a year. Want to say anything there?

Pods don't either but all the arguments are "not medically trained" when we are, within our skills etc and remit

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 No, you've been misinformed: https://t.co/5Rzmx0eNfQ

- 3/4 years undergrad
- typically 5 years post grad working at high level
- a year course or portfolio and theory route

HEE set this out

So does Junior doctor not count then? Where are you drawing this line?

There is

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 Sorry but that's the argument you are making

It wouldn't be "1 year working as a podiatrist", it is the undergraduate training, and any additional training for FCP, which is required.

Advanced practice is regulated as any other treatment and practice is. There is regulation

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@Molly2323232323 @Cartermill65675 They all have the experience in their fields, are regulated to their professional standards and competence, including as first contact practitioners. There are times AHP's are better able to diagnose or deal with a patient. We have had adult patients sent with severs diagnosis 🤦‍♂️

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@anaesthetic_spr You do realise every ACP - physio, podiatrist, nurse, etc. - has a story of a doctor "happy to have a crack at any case"?

Adults treated for severs disease, abysmal nail surgeries, trying to enucleate verruca,not reducing pressure on ulcers or dressing appropriately
Time to stop

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@anaesthetic_spr @m4ggiesimpson So they do a course which meets at least the equivalent criteria and pharmacology requirements of medical professionals, and the nurses, podiatrists, whoever, already have an understanding of physiology, anatomy, and often medication handling or POM's supply.

So no

[Ari Reddy MD @AriReddy]

1️⃣
Most people don’t realize how unusual the UK’s doctor-training model is until they compare it internationally.
France, Germany, Australia, the Netherlands — all move doctors to independent practice years faster.

The UK isn’t the norm. It’s the outlier.

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@DrHuw @cjsnowdon I don't disagree. We see it in Podiatry and AHP with the influx of unregulated "assistants" and "providers" as we get encouraged to work at higher levels

Fully agree. Wasn't needed

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@DrHuw @cjsnowdon The 2 tier system is largely created by the clinicians. NHS has had above inflation funding every year except 2012/13, and since Covid the headcount, WTE frontline staff, wages, funding, and growth have grown exponentially, yet productivity fell. That's unacceptable

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@DrHuw @cjsnowdon Scope should be limitless. We should be developing and encouraging people to be better, deliver more, and gain more skills.
Criteria for entry has been similar for a while, but those who can't manage don't make it. Could have zero requirements and only get capable people

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@DrHuw @cjsnowdon Happy to call them grifters. Managers do need training as it doesn't come naturally and I had some abysmal managers

Then what? Advanced? The same push back comes against Podiatric Surgeons

Simple solutions for wages would be lower pension top up in early years and more salary

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@DrHuw @cjsnowdon Despite training, there are some abysmal Dr's. We can see the malpractice reports
Those "grifters" are colleagues upskilling, DO have the qualifications, regulatory frameworks & skills to deliver appropriate care to patients
Scrap DEI, well being crap. Whole system needs reformed

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@ATTay38411784 @DrLKVaughan AHP training has been degree courses for over 20 years (Podiatry anyway, sure Physio). The training is NHS integrated with hands-on patient care.
There are now apprenticeships making a comeback in some AHP roles.

[Adam Smith Podiatry & Healthcare @AdamPodiatry]

@gaitandmotionuk @consultphysio Can we play about with this and test it at the conference?

[Tranent & Preston Village Cricket Club @TPVcricket]

Long list of TPV Michelle's again this year.

TPV are sponsored by @AdamPodiatry

[Tranent & Preston Village Cricket Club @TPVcricket]

Thank you @GrangeCC for your hospitality yesterday. Great way to finish the season and a huge thanks to Robin for umpiring the complete game and offering guidance to our inexperienced team. 💚💛