Iโve spoken to two amazing colleagues today who both missed out on getting an interview for internal medicine training. Theyโre both now looking for new jobs next August.
I donโt know who these bottlenecks in training posts is supposed to benefit, but it certainly isnโt patients
Today we learned the cutoff for IMT is 15 this year.
This is an increase from last year AFTER they dropped total points from 40 to 30.
Come this August, 100s if not 1000s of doctors unemployed.
This is a national scandal.
@MedicMolly22@timricketts_ @hannahmillana Yeah feel free to DM me if youโve got any questions! Exeterโs great - Nice city, friendly hospital with a lot of good teaching opportunities :)
I feel a bit of a fraud watching #BREATHTAKING given Iโm a GP not a hospital medic. But on watching the first 20 mins the feelings of anxiety I remember from back then are there. I remember standing in the surgery corridor telling a senior colleague this was going to be bad after
Got sad news today. After 7 years of medical training, my good friend has been struck off after one minor indiscretion. He slept with one of his patients & now can no longer work in the job he loves. What a waste of time, training & money. A genuinely nice guy, and a great vet.
When I told my team I was thinking about speaking tonight about the fiscal drag, Iโll be honest, there was some concern about the viewing figures
But are we ok with this much public spending being funded by a tax rise that nobody is really talking about?
Evacuation orders by Israel to hospitals in northern Gaza are a death sentence for the sick and injured
As the @UN's agency responsible for public health, the World Health Organization (WHO) strongly condemns Israel's repeated orders for the evacuation of 22 hospitals treating more than 2000 inpatients in northern Gaza. The forced evacuation of patients and health workers will further worsen the current humanitarian and public health catastrophe.
The lives of many critically ill and fragile patients hang in the balance: those in intensive care or who rely on life support; patients undergoing hemodialysis; newborns in incubators; women with complications of pregnancy, and others all face imminent deterioration of their condition or death if they are forced to move and are cut off from life-saving medical attention while being evacuated.
Health facilities in northern Gaza continue to receive an influx of injured patients and are struggling to operate beyond maximum capacity. Some patients are being treated in corridors and outdoors in surrounding streets due to a lack of hospital beds.
Forcing more than 2000 patients to relocate to southern Gaza, where health facilities are already running at maximum capacity and unable to absorb a dramatic rise in the number patients, could be tantamount to a death sentence.
Hospital directors and health workers are now facing an agonizing choice: abandon critically ill patients amid a bombing campaign, put their own lives at risk while remaining on site to treat patients, or endanger their patientsโ lives while attempting to transport them to facilities that have no capacity to receive them.
Overwhelmingly, caregivers have chosen to stay behind and honor their oaths as health professionals to โdo no harm,โ rather than risk moving their critically ill patients during evacuations. Health workers should never have to make such impossible choices.
Additionally, tens of thousands of displaced people in northern Gaza are seeking refuge in open spaces in or around hospitals, treating them as havens from violence as well as to protect the facilities from potential attacks. Their lives, too, are at risk when health facilities are bombed.
There are verified reports of deaths of health care workers and destruction of health facilities, which denies civilians the basic human right of life-saving health care and is prohibited under International Humanitarian Law.
WHO calls for Israel to immediately reverse evacuation orders to hospitals in northern Gaza, and calls for the protection of health facilities, health workers, patients, and civilians.
WHO also reiterates its calls for the immediate and safe delivery of medical supplies, fuel, clean water, food, and other humanitarian aid into Gaza through the Rafah crossing, where life-saving assistance, including WHO health supplies that arrived earlier today, is currently awaiting entry.
The change to cancer targets is a big deal!
The issue is the 28-day to diagnosis versus the 2-week wait target.
That is, if your GP suspects cancer, from the point of referral, 75% of patients should be diagnosed or given the all clear in 28 days
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The first time I was assaulted, I was a 3rd year medical student, and a psych patient handcuffed to a gurney rail in the ER fought so hard, the entire metal rail (still cuffed to his arm) separated from the bed.
The 6ft piece of heavy steel wouldโve gone flying into my skull had my former-linebacker attending not thrown me back, where I safely hit the wall instead, and he and two officers and two burly nurses wrestled the patient back down.
I never felt unsafe in medicine, even after that, because it wasnโt a targeted assault โ I was just there as a victim of his pathology, which he couldnโt control either.
But times have changed.
People are angrier, in healthcare and in the world.
Compounded with the pressure cooker of the circumstances that land people in the ER, we exist in an explosive and violent world every day.
Healthcare has more non-fatal workplace violence than any other professionโฆand weโre supposed to be the field of healingโฆ
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Ignoring the actual cash value doctors are paid for a minute, we hear the argument โeveryoneโs pay is downโ
Yes- nobody should have their pay cut
But we are not in the same boat
Doctors have lost far more pay compared to almost all
Pay eroded 10x more than the average worker
Our survey of UK medical students shows an already overcrowded medical education system under significant strain. Behind the headline of the doubling of medical school places...
@SteveBarclay@RishiSunak @NHSEnglandNMD
#NHSWorkforcePlan
Quite an admission from Matt Hancock at yesterdayโs @covidinquiryuk - not picked up by any other media - which called in to question the Conservative Partyโs entire economic model for the NHS.
It went as followsโฆ
1/4
Australiaโs health boards are actively advertising on #DoctorsStrike picket lines.
Pay us, or lose us.
Will @RishiSunakโs legacy be securing Australiaโs healthcare future while decimating the NHS workforce by refusing to give Doctors Full Pay Restoration???
@ShaunLintern
Fascinating thread - The final graph should be a stark warning ahead of the NHS workforce plan being released. Training more doctors remains an issue, but retaining them is a far greater one.
Why is it so hard to get a GP appointment? ๐ฉบ
Doctors say that primary care is at โbreaking pointโ.โฏ
Here are four charts to understand why ๐
@SteveBarclay yet again blaming the BMA for the breakdown of negotiations on @bbclaurak this morning. Interesting that there was no mention of the 14.5% pay rise offered to junior doctors in Scotland? #BBCLauraK