Tim Lloyd

[Dr Who @Cleverclog67596]

‘My main goal is that I wanted to practice medicine, and I don’t think you need to become a Doctor for that’

@medicalmodelbri
@parthaskar
@Xeon4f145d96s1
@Dr_Done_
@Doc_IonaCollins
@DrNeenaJha
@LittlePersonDoc

[Ollie Burton @ollieburtonmed]

If people haven't seen, the author Q&A response to the 'SCP performing lap choles' case series is out.
https://t.co/g4cs3ddfbt
As a very junior aspiring surgeon, the answers raise as many further questions as they solve.

[Tim Lloyd @TDML7]

@mancunianmedic By ‘generalists’. Current drive to produce more generalists will be/is at the expense of specialists and may suit your front door older patient with multiple co-morbidities but they aren’t the only patients we treat in the health system, not by a long way.

[Tim Lloyd @TDML7]

@mancunianmedic Aware of the fact that the vast majority of patients (on an extensive W/L) I am referred now have a specific need that you can’t satisfy by training more generalists. Those patients you describe who need my input or the input of other ‘ologists’ can’t have that provided 2/3

[Tim Lloyd @TDML7]

@mancunianmedic Anecdotal for sure but most patients who see me in clinic are grateful because they have ‘seen someone who does this everyday/is a specialist in this area’. A lot of them have already seen people who ‘give it a go’ and hedge their bets unsuccessfully.

[Tim Lloyd @TDML7]

@mancunianmedic The threshold for people referring to my specialty for example has noticeably plummeted over my training. Legal action over mistreatment continues to rise. What we need is more of all specialties so that when required patients have expert input when required 2/3.

[Ollie Burton @ollieburtonmed]

The other key element to all of this is those that sought some version of 'a role like a doctor, without all the bad stuff that doctors have to go through - geographical instability, long training etc' - we need to be introspective about this as doctors

[Tim Lloyd @TDML7]

@ShaunLintern This really isn’t helpful. Clearly there have been unacceptable failures with this surgeon and the wider response from management including the board but to recklessly cast aspersions on the entire institution and the clinicians within it is just insane.

[Tom Bridges @bridges_tom]

Early start for the Leeds to Nottingham train. This service connects the West Yorkshire, South Yorkshire and East Midlands conurbations which have a combined population of £6.3m and 3 core cities along a 70 mile corridor. The journey time is around two hours. Ave speed: 36mph 🧵

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Article via @AdeleWatersRx in @bmj_latest
Illustrating the nightmare @NHSE_WTE are walking themselves into re training

Where are the trainers?

An unsustainable unplanned model from leadership concerned

Views from @mancunianmedic @Cooper00Nicola et al

https://t.co/g2FkQbQZUg

[Tim Lloyd @TDML7]

@TicketmasterCS Ok doing all that - still won’t let me login lads so what chance do I have of getting tickets when I’m going to need to sign in during the 3 minute mad rush.

[Tim Lloyd @TDML7]

@TicketmasterUK @oasis Any chance of letting me log into my account to have a go at these tickets then?

[Tim Lloyd @TDML7]

@TicketmasterCS @OliversSherbs Also cannot login to my account online or on the app

[The New Statesman @NewStatesman]

A revolt over patient safety and declining expertise is tearing the medical establishment apart.

🖊️ @pwhitakerwriter https://t.co/kt0eUGxUq5

[Tim Lloyd @TDML7]

@Wilful_Realist @sam_bidwell But further increasing MS places (which btw have increased substantially since 2008 anyway) is really not the crucial bit of policy you think it is.

[Tim Lloyd @TDML7]

@Wilful_Realist @sam_bidwell So again - we increase medical school places and we still will end up in the same position without meaningful increases in PG places. Also we need new hospitals/depts for people to then work in on top. I agree that there is inertia in long term planning.

[Tim Lloyd @TDML7]

@sam_bidwell So you can produce plenty of FY1s if you want but you aren’t going to produce any more consultants who lead the bulk of delivery of care without increasing postgraduate numbers. The BMA limited MS places because of the postgraduate issue which hasn’t been resolved over many years

[Tim Lloyd @TDML7]

@sam_bidwell Unfortunately this thread belies a superficial understanding of medical training. Feel free to increase medical school places (PS we have no space for them in hospitals) but on top of that you have to increase postgraduate specialty training places - not been done for years.