James Gooding

GP, dad, wannabe professional golfer/ the next Jamie Oliver

[James Gooding @gooding89]

@bluesauce @BenObeseJecty @colinmcfarlane It’s actually not that reliable. Can only feel a small portion of the prostate and a lot of prostate cancers grow in different portions of the prostate

[James Gooding @gooding89]

@BMA_GP @amyismall If you signed a contact back in June to start as salaried but don’t start the new post until 1st October would it still apply or not?

[James Gooding @gooding89]

@Dr__Sarmy But there are probably more practices not running it like this and actually doing a good job.

[James Gooding @gooding89]

@Neuro_Matt Would start at 0700 or earlier if i could, first patient at 0800 now but in before to try and make the mountain of paperwork more manageable

[James Gooding @gooding89]

@JonnyBlackwell @t0uchgrasss @GMCharlatan @Cray_tweets1 @pandamonidad @Shamz_141 @IBDUKTEAM @ShomronH Anything specific you would ask/ look for in the history or examination to help not miss these kind of patients?

[James Gooding @gooding89]

@andy_murray Indoor use the GC quad, I don’t find the trackman picks up the spin and if not aimed up right gives slightly off readings indoors

[James Gooding @gooding89]

@fhussain73 @iDrSunny @DrRichardPile Exactly apply to post graduate medicine if you want to study medicine. I don’t see your logic in comparing 10+ years of training to 2 years in seeing undifferentiated patients?

[James Gooding @gooding89]

@theveindoc @RRS73122257 Which is why we don’t employ them. I don’t think they have a role in primary care.
In hospitals potentially as an assistant role but even you can agree 2 year degree, 1-2 years of routine 9-5 work and then going onto a reg role doesn’t seem particularly safe?

[James Gooding @gooding89]

@theveindoc @RRS73122257 Their current role creates more work than relieve pressure

[James Gooding @gooding89]

@theveindoc @toast36742904 I’m sure there are some good ones, but still don’t think they have enough training and they shouldn’t be in 1ry care. You can only say what is a “simple
“ case in hindsight

[James Gooding @gooding89]

@Norfolkforever @DrAnimeshSingh But I’ve heard of countless GP’s committing suicide due to stress of the job/ complaints etc which all go with it as you take ultimate responsibility

[James Gooding @gooding89]

@Norfolkforever @drhjefferson @DrAnimeshSingh Many are paid part time but work far more hours than paid. Also a lot don’t just do pure clinical work they do other roles outside of clinical medicine. I do 8-10 clinical sessions a week and will be reducing as it’s mentally exhausting

[James Gooding @gooding89]

@Norfolkforever @drhjefferson @DrAnimeshSingh They’re wrong. We’ve read the article

[James Gooding @gooding89]

@Norfolkforever @Alison6123 @DrCarolineMWF Always shows you haven’t got a clue when you just respond swearing

[James Gooding @gooding89]

@SteveBarclay Quoting false numbers is pretty poor from yourself? Expecting a retraction and apology?

[James Gooding @gooding89]

@grumpymunster @jabberwock951 @ShaunLintern We get to retire at 68? If I retire my late 50s I wipe off 50% off my pension?
Don’t earn anywhere near £135k, don’t earn 6 figures and I work full time as a GP? For the amount of training/ debts accumulated it’s not on par with other countries/ professions

[James Gooding @gooding89]

@PPaauk @Statsjamiefact @pa_StephenNash @Adam_Skeen I don’t know how can claim this. Dentists who go on to do MaxFac do a 4 year course. They’ve already done a 5 year degree and studied physiology but still need 4 years. You can’t cover enough detail and claim to be a “generalist” in 2 years and genuinely believe this to be true

[James Gooding @gooding89]

@AFCLee_ @DocDoLi I don’t know anyone earning that money as a full time partner not even close. Most consultants I know take home more from nhs and that’s before private

[James Gooding @gooding89]

@AFCLee_ @DocDoLi I wouldn’t go self employed we have to pay 26% towards pension it’s a huge cut in your pay.
GPs don’t earn more than consultants with the pension contributions it’s a big difference

[James Gooding @gooding89]

@anish_k_patel We should really be in a job for life. Though I think it could help as locums didn’t always provide the best care at least if salaried might actually care a bit more.