T Chapman

Consultant Anaesthetist in the Winchester. Film fanatic! Lover and (perhaps) connoisseur of gin. 🍸LEGO fan too!!

[T Chapman @ChapmanDoctor]

@clare_angela_ @PippaK10 @drvikaz On calls are prospective cover and so do not count in AL calculations. Therefore one is working only 80% of the ‘basic hours’ and hence getting 80% of the AL.

[T Chapman @ChapmanDoctor]

@clare_angela_ @PippaK10 @drvikaz I think that as full time on an average 48 hour rota, there is the basic hours which count as 40 hours with out of hours/on calls/enhancements making up the other 8. As 80%, one gets 80% of the basic hours but also 80% of the on calls.

[T Chapman @ChapmanDoctor]

@oli_m_sims @Dr_DeanS Our policy for giving IV meds is that it needs to be prescribed, have a second person check and meds can only be drawn up and administered once at a time. Anaesthetists therefore have a clause to exempt us from that as it’s not feasible otherwise.

[T Chapman @ChapmanDoctor]

@MiloKostusiak Whilst things do need to change, comparing to the US is not meaningful where residents work about 80 hours/week (often logging far more than 100 hours/week), with little to no annual leave.

[T Chapman @ChapmanDoctor]

@Dr_BellaR @PharmacistExpat When k was interviewing for ST anaesthetics, we asked about should anaesthetists be on EMRT teams. Everyone answered differently from mine and my fellow interviewers opinion. They still scored well.

[T Chapman @ChapmanDoctor]

@Dr_BellaR @PharmacistExpat Generally if questions are asked at CT/ST level where they are asking for your opinion; as long as you are coherent and reasoned, the side you choose doesn’t matter.

[T Chapman @ChapmanDoctor]

@doctorhelgi I’m surprised places are still stopping fluids for hours on end. I think we’ve being allowing sips until coming to theatre for at least 5 years. To my knowledge we’ve not had any problems.

[T Chapman @ChapmanDoctor]

@DrEilidhMaria I don’t know what your hospital is like but mine it isn’t a disciplinary process, it’s a return to work review where often things can be changed in working to help prevent being off sick again. I’ve known people come off on calls or a change to working pattern.

[T Chapman @ChapmanDoctor]

@ERunswickBMA @Jo_McGinn @PeterRobson29 @EduMed_UK @TheBMA @BMA_James_Steen I read it as entitled AL for life changing events as you say. But AL requires that shifts attracting a pay premium are swapped as per para 10 and so if that is done, then the AL cannot be rejected for a life changing event.
If that isn’t correct, the wording needs altering.

[T Chapman @ChapmanDoctor]

@PeterRobson29 @Jo_McGinn @EduMed_UK @TheBMA @ERunswickBMA I think that if it is a shift which has enhanced pay, then for annual leave to be approved it needs to be swapped. If it is for a life changing event then the shift still needs swapping but then they can’t reject AL.
Either way, they should be helpful and considerate.

[T Chapman @ChapmanDoctor]

@drkeithsiau And do you introduce nurses/physios/other allied health professionals as Miss/Mrs/Mr etc and their surname?

[T Chapman @ChapmanDoctor]

It’s that time of year again. Have sorted out and wrapped presents for the residents in the department. Think I’ve done quite well, all 45 delivered to work to be collected. 🎄

[T Chapman @ChapmanDoctor]

@ben_hock @AudiOfficial @AudiUK @Apple Interesting, mine has been fine all of the time…

[T Chapman @ChapmanDoctor]

@TomStocks1982 @theveindoc Each to their own, but a hard disagree here for white coats. They very rarely ever got washed, they get dumped in cupboards or the floor when not wearing them.
In some ways doctors have made themselves blend in by wearing scrubs outside of theatres.

[T Chapman @ChapmanDoctor]

@anaes_spr I’m not a high court judge and comparing the two is nonsensical. I introduce myself as Tom their anaesthetist, or consultant anaesthetist; I’m not sure which part of that leaves a patient unsure of who I am. Having a badge saying doctor isn’t needed for that.

[T Chapman @ChapmanDoctor]

When the ‘hello my name is’ started I wasn’t sure since I always introduce myself to patients. But as time has gone on, I quite like the badge. It’s clear and I’m terrible with names so makes it easier for me when speaking to people!

[T Chapman @ChapmanDoctor]

@anaes_spr I completely disagree with you there. A badge saying Dr Chapman does not make patients listen more to when I’m explaining risks to them. I introduce myself as Tom and my role, that’s all I think that is needed.

[T Chapman @ChapmanDoctor]

@mattspx If you had vaccines and boosters at the appropriate times, you shouldn’t need anything. It is felt that a total of 5 (initial vaccines and boosters) should give lifelong immunity.

[T Chapman @ChapmanDoctor]

@DrBenLovell It’s amazing isnt it. I have it on Apple TV (think k paid for it)