Ellen Meredith

ENT trainee

[Rhea Liang @LiangRhea]

These examples collected in just 2 hours from asking 6 random colleagues!

If you work in surgery and *don't* see (or hear about) #SexualHarassment, perhaps think about why that is. Hint: it is happening where you are. Yes, really.

From @RCSnews Bulletin-
https://t.co/YBkgQ3q4Wr

[NHS England @NHSEngland]

Know the signs of mouth cancer.

We have partnered with @Asda to put cancer awareness messaging on oral hygiene products.

The new labels encourage people to contact their GP or dental practice if they spot potential symptoms of mouth cancer.

➡️ https://t.co/vtEsAea71A

[Ellen Meredith @EllenLMeredith]

@ivymycin If this is ENT OSCE - the op note is in the typed part of the exam!

[Ellen Meredith @EllenLMeredith]

@Dr_Leo_SA Wow mic drop

[Ellen Meredith @EllenLMeredith]

@DeepikaAnbu_ 👏🏻👏🏻👏🏻 so pleased for you!

[Roshana 🦴 @RoshanaMN]

🚨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

[Dr Jahangir (Jingy) Alom BEM @Jingstar]

Ramadan starts at the end of this week and this is my annual plea to fellow healthcare workers:

Your Muslim patients decision to fast with a health condition isn’t an easy one for them. Respect that.

Please accommodate this despite your recommendation not to fast.

Avoid TDS/QDS prescriptions where possible.

Avoid non urgent outpatient appointments during Ramadan.

Avoid non urgent investigations during Ramadan.

For urgent appointments/ investigations afternoons are better than early morning. Explain why it can’t wait until after Ramadan.

If a patient attends to your GP practice / emergency department with symptoms caused by fasting (dehydration/ hypoglycaemia/ electrolyte imbalance etc), then be sensitive. They really did not want to see you.

Recommending not to fast should be a last resort. Where possible involve their faith leader which could be your trust chaplain.

Small interactions like this will build strong trusting relationships between you and your muslim patients.

#RamadanKareem

[Dr Jahangir (Jingy) Alom BEM @Jingstar]

This morning I ran the #TokyoMarathon in solidarity with the people of Palestine.

As a doctor, I will continue to advocate for the oppressed.

I stand against the bombing of hospitals, children and pregnant women. There is very little medical aid going through to Gaza and some doctors are performing surgery with little to no anaesthesia.

Gaza is in a public health crisis with a famine looming. There is little access to clean water and nutritious food. Let’s not even begin to talk about the mental health impact of the Palestinians. #CeasefireNOW

[Ellen Meredith @EllenLMeredith]

@MarkBoyleTweets Congrats mark!

[Ellen Meredith @EllenLMeredith]

Come and join the Imperial ENT team as the SIM fellow!

https://t.co/E2SADceR5W

🦻🏻👃🏻👅
#ENT

[ENT UK @ENT_UK]

REMINDER: only ONE WEEK to go to the BSHENT Annual Meeting on 30 November at @RoySocMed so make sure to register your place now: https://t.co/huApRgL8iT

[OM 🇪🇬 @ZizoMostafa98]

Honestly bleeping me 4 times back to back will not help, if I don't answer my bleep straightaway it is one of two things: either I am dead or I am with a patient

[JAMA Otolaryngology – Head & Neck Surgery @JAMAOto]

A healthy teenager presented to the emergency department with high-grade fever, neck pain, and a foreign body sensation in the throat after eating chicken 3 days prior. What is your diagnosis? https://t.co/E1dS66CQxT

[James Arwyn-Jones 💙 @jarwynjones1]

📢 Calling all ENT trainees! 📢

This is a fantastic PhD opportunity with Great Ormond Street's Airway team 🫁 in cutting-edge translational science 🧬🔬 for children with airway epidermolysis bullosa. Have a look and get in touch!

@GreatOrmondSt @socialmediaAOT @BACO_ENTUK

[The Royal College of Surgeons of England @RCSnews]

How can surgeons help transgender patients and colleagues feel welcome?

We welcome this #Bulletin article by @AlexAshman, R Folkers & @PhillipaBurns2 in which they offer useful information and advice to help surgeons be transgender inclusive: https://t.co/uZeMm5ubeQ

[Julia McGovern @JuliaMcGovern2]

Pleased to see the result of another Northern collaborative research project come to fruition with @nostrasurgery publishing its recent work in @Journal_AHBPS today 🎉

Congratulations to all the collaborative authors on their hard work 👏🏻

https://t.co/h9JeO3iQZw

#medtwitter

[Ellen Meredith @EllenLMeredith]

@MarkBoyleTweets @RoySocMed Congratulations!!

[Ellen Meredith @EllenLMeredith]

@JuliaMcGovern2 @nostrasurgery @Journal_AHBPS Great to see this has been published! 🙌🏻

[William Rayfet Hunter @willhunterr]

Just 48,000 people in the UK identify as trans women. In September, the number of people waiting over a year for hospital treatment was 390,000.

The biggest threat to NHS patients - be they male, female, cis or trans - is the Tory government.