If anyone knows Graham’s wife or daughters (which I hope he doesn’t have), can you please check they are ok? Or put him in touch with some men’s mental health charities?
'If you're so patriotic, why wouldn't you be cheering on the Lionesses?'
'Because I can't stand women's football.'
@HenryRiley1 is in disbelief, as caller Graham says the sport is being 'thrown down his throat'.
Today’s resident doctors probably wouldn’t strike either if like you:
🔸Pay wasn’t cut 22%
🔹They didn’t have £100k student loans
🔸They weren’t being replaced by “associates”
🔹They had free accommodation early on
🔸A house was 3x rather than 8x salary
🔹They had job security
🚨Patient Safety🚨
I’m not sure people really understand why doctors are up in arms about this government trying to substitute doctors
Why we think it will affect patient care?
So let me explain to you what it has taken me to train to become an NHS consultant, necessary to uphold the standards, as per our Royal Colleges:
🔴 Competitive selection to Medical school - 5 years
🔴 Competitive selection to Intercalated Degree - 1 year
🔴 Competitive selection to Academic foundation programme (first two years of training once you graduate as a doctor) - 2 years - Moved city a few times due to distances
🔴 Multiple papers published, in my own time, paid for myself
🔴 Multiple courses attended, on my own time, paid for myself
🔴 MRCS exams and study materials and courses (entrance exam for surgeons), in my own time, paid for myself
🔴 Competitive Selection to Core Surgery training (2 years, another move for most, I managed to stay in same city)
🔴 Multiple courses attended, paid for by self
🔴 Surgical portfolio kept, paid for by self
🔴 More projects, audits and published papers, in my own time
🔴 Very competitive selection to Trauma and orthopaedic speciality training - Moved city again
🔴 Rotated around 5 hospitals, majority of time have had 2 children and 4 hour commute. Childcare hours don’t fit NHS Rotas or working patterns - huge debt because of childcare
🔴 Attended countless courses, paid for by self
🔴 More papers, portfolio and audits in own time (research time we get doesn’t cover extent we have to do)
🔴 FRCS (consultancy exam) paid for by self, revised in own time
🔴 Cannot count how many times have attended extra unpaid lists just to ensure getting what is needed
19 years on. Multiples of tens of thousands of pounds later. I’m still not finished, though nearly there
This is what it takes to become a consultant in the NHS, different timings for different specialties but equally gruelling. GPs highly trained generalists with similar expectations in competency
Is it any wonder your doctors are incensed that doctor-substitutes are suddenly being paid more than them and being allowed to see patients LIKE A GP, after 2 years of training?
There are many MDT highly trained specialists like ANPs, physios and pharmacists who are upskilled to see differentiated or skills aligned patients, they are excellent, but their scope is well defined
Physician Associate however have been let loose unregulated and unscoped, to create a two tier health system. This is unsafe.
The majority of ones I’ve worked with have been enthusiastic, knowledgable of local logistics, helpful and proactive. However, this does not = medical training.
There are plenty of things doctors would welcome help with. Things to reduce the burden of the job. But doing the job of a doctor without the proper training is not it.
Stand up for the quality of your healthcare
We are
@wesstreeting@Keir_Starmer
@caffeinemedic Having started as a CT1 just this year, there isn’t anything specific anyone expects you to know on Day 1, we had an amazing @imperial_novice course to teach us the basics. Best way to impress on Day 1 is turn up on time, know where you’re going and get the cannula in!
Now more than ever let's get behind & support these young people. We can all see what's happening & who's being set up to be the face of defeat. We are going to be gas lit with explanations & justifications, but those deciding who goes on the back pages know what they’re doing. Let's keep our energy focused on giving these players pure love & support throughout the tournament.
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The Gov, despite opposition from doctors, is pressing ahead with regulating PAs & AAs under the GMC. @hammersmithandy, as my MP, please oppose the draft Anaesthesia Associates and Physician Associates Order 2024 to protect patient safety. @TheBMA