Giles

Acute Med SCF

[Giles @Neal94G]

@DocPriyamMD And yet, “admit medics”.

[Giles @Neal94G]

@Delilah15707758 @SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I don’t follow.

I saw 1-2 CXRs in my MRCP exams, and probably about the same n. of ECGs.

I have seen 1000s since FY1 (and 100s before). I still ask for help on some from colleagues if particularly odd/ not sure.

There is no sign off for “reg level CXR/ ECG interpretation”

[Giles @Neal94G]

@SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM But this is redundant: they don’t want to act in a registrar equivalent role, because it is very different to the actual role they have now.

They bring a lot to the team.

But that is by virtue of their decades of supervised experience, not just because they passed an MSc.

[Giles @Neal94G]

@SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM … is very different to just MRCP standard of knowledge. For example, I frequently encounter non-“medical” cases being referred, and have the extra knowledge and non-medical experience to redirect them to a more appropriate service. I have no idea if my ANP colleague has that.

[Giles @Neal94G]

@jfdwolff @ElshadKarbasi @doctorsforjobs “Are you medics?” is basically how I’m addressed as first on reg.

[Giles @Neal94G]

@zaynhasn @LynnBraben This specific topic may become more widespread with climate change/ planetary health joining the syllabus in some medical schools.

It’ll likely become a role for AI to fill; no human can memorise every S/E of the large number of drugs we prescribe, let alone the time it takes.

[Giles @Neal94G]

@zaynhasn @LynnBraben There should be public health messaging on managing in heat waves. So many drugs can impair thermoregulation (https://t.co/awohMrYtyL). GPs could play a role in that. But it’s yet another thing they’d be expected to add to their infinite workload.

[Giles @Neal94G]

@GoOnFlogMe @Lizardwizarde @Xeon4f145d96s1 Anecdotes from gossip but “sure there’s evidence, probably”.

Excellent.

[Giles @Neal94G]

@DrGoblin3 The current ME/ MEO system, albeit quite a bit after Shipman’s crimes highlighted a glaringly obvious need for it.

[Giles @Neal94G]

@williams2mark @timricketts_ Firms were indeed a very good model. We now have to adapt to worse patient continuity and worse training continuity.

But suggesting we work any less hard because we were born after you and work in a different model we didn’t design is frankly wrong and rude.

[Giles @Neal94G]

@williams2mark @timricketts_ Well that’s an unusual take when the majority of work out of hours has no direct consultant oversight whatsoever.

I’ll wake my consultant up as the med reg on tonight dealing with everything and anything, because Mark Williams wrote a tweet about me not wanting to work hard.

[Giles @Neal94G]

@donalmurray2002 @Microbedoc2 @DrNeenaJha @thecsp It’s bizarre that we feel the need to preface such statements with something to “soften the blow”.

There are lots of soon to be out of work FY2s who can’t just do a top up course and walk into a physiotherapy job, and no one would even think to say “I mean no disrespect”.

[Giles @Neal94G]

@DrJoFranklin @valhumphreys51 @Jean_Jeannie1 @medicalmodelbri @Burnt2020 @DavidMulvey5 @HillsBekki15323 @PaulaMc007 @alexander_minh May just be my time in anaesthetics, but I use increasingly longer needles to infiltrate the lidocaine and then insert the LP needle at the same entry point. One single entry point.

It would be strange to have so many infiltration points for two attempts. Maybe three…

[Giles @Neal94G]

@HaQ_mAn I get ED are shat on a lot and that must be frustrating, but you’ve taken your personal grievance with a local AIM Consultant and an anon and are now publicly making comments like the people you’re bemoaning.

We all have anecdotes to use in response.

Rise above it.

[Giles @Neal94G]

@cochranereturns @Anisocyte @DrJoFranklin @DrHuw

[Giles @Neal94G]

@cochranereturns @Anisocyte @DrJoFranklin @DrHuw This is a non-sequitur: you can see the relevant statement from Wes in the original post without even opening the article.