Dr Trefor Roscoe

Professional cynic, Retired GP, amateur genealogist, foodie medical IT consultant

[Dr Trefor Roscoe @TreforR]

@teshytarah @Dr__Sarmy But the minimum to become a pharmacist prescriber is to be a registered pharmacist then do 4 hours a week for 6m distance learning, you have lots of experience and qualifications but not years of f2f experience so you can see undifferentiated patients

[Dr Trefor Roscoe @TreforR]

@Parody_RCGP Sorry, 26 days not hours. It’s a minimum of 90 hours. So four hours a week for six months.

[Dr Trefor Roscoe @TreforR]

@Parody_RCGP Interesting that they use Miller’s triangle, which says they have to “demonstrate competence in a limited way” (page 2 of the standards).

Six months distance learning of a minimum of 26 hours. Then they are able to act as the “equivalent of a GP.”

Dear God, what have we done?

[Dr Trefor Roscoe @TreforR]

@gji1964 @omgsidewalks Me too

[Dr Trefor Roscoe @TreforR]

@Burnt2020 @gold103x @ExplosiveEnema2 @ConorGogarty Of course. And why not? There will only be a few deaths before the decision is reversed. A few dead mad people isn’t a huge waste.

[Dr Trefor Roscoe @TreforR]

@braddercaster @ShaunLintern But if we introduce widespread screening without looking at the evidence that would be a looming tide of incontinent impotent men who would spend the rest of their lives in misery.

[Dr Trefor Roscoe @TreforR]

@Tristan27856485 @Parody_RCGP @zubirahmed @doctor_katie @BBCHughPym It is the old problem of hindsight. GPs often refer things because there’s something they can’t quite put their finger on. It’s only after the relevant investigations have been done that you know whether they were right or not.

[Dr Trefor Roscoe @TreforR]

@doctor_katie @BBCHughPym @zubirahmed I have been involved in medical computer records for over 30 years. The idea of a single record has been proposed as the holy Grail for all of that time. It will create more problems than it solves. The last attempt to do it cost billions. This is going to end badly.

[Dr Trefor Roscoe @TreforR]

@Parody_RCGP @zubirahmed @doctor_katie @BBCHughPym This needs discussing in the health informatics community, which I will do next week.

[Dr Trefor Roscoe @TreforR]

@Parody_RCGP @zubirahmed @doctor_katie @BBCHughPym 3/n
Currently difficult to argue, it’s their job not ours because they plead lack of information. Can’t do that if they can see the full picture. If it’s clear, it’s not GP Work, they’ll have to sort it.

[Dr Trefor Roscoe @TreforR]

@Parody_RCGP @zubirahmed @doctor_katie @BBCHughPym But it will speed up the time and make it easier for the GP to say “no consultant to fix”.

[Dr Trefor Roscoe @TreforR]

@kcisc @lascapigliata8 There’s not enough rooms. To get rid of the smell of malaena could take hours. It’s one of the diagnosis that can be made from the end of the bed.

[Dr Trefor Roscoe @TreforR]

@anaesthetic_spr And intention to understand what the Dunning Kruger effect is

[Dr Trefor Roscoe @TreforR]

@DrGoblin3 @Parody_RCGP No GP referral to secondary care is pointless. We deal with undifferentiated presentations that are the most part trivial. Some could be seriously rare and only unravelled after months of secondary care investigation. I diagnosed Ewings sarcoma at first presentation.

[Dr Trefor Roscoe @TreforR]

@Melissa_S_Ryan @gold103x @rodrig39386 @ParaPaul78 @Anisocyte @F18826973 @cannula_service We Doctors are more importantly being sold short by a variety of people who should know better

[Dr Trefor Roscoe @TreforR]

@DrShanHussain @GPDrYvetteDoc Very sad to hear this, Shan. Are you able to give any more detail about why?

The great loss to the world of medical politics.

[Dr Trefor Roscoe @TreforR]

@MedRegoncall1 @DailyMail So all patients in ED should insist that their ET tube is taken out so they can ask these questions. It is already gone too far and people are dying as a result of this.

[Dr Trefor Roscoe @TreforR]

@mickm115 @DawnSunrise1 I agree. They’re doing their best, but it’s clear from Threads like this, we are reaching the end of the road. Most of what’s being reported is fuelled by depress being fed by government agendas. It’s so very sad.