Matty A

OOPR IMT/ Diabetes & Endocrine Resident Doctor👨🏼‍⚕️• PhD student 🎓• Novo Nordisk & JDRF research fellow 👁️ • 23 yrs T1D💪🏼 • 🇬🇧🇹🇷🌈

[David Ouyang, MD @David_Ouyang]

Humbled and honored to present my meta-framework.

[Matty A @matt_anson]

@lukejcr A 0.2% reduction in interest on £100k+ does absolutely nothing, and will not make it quicker to pay off over the term of the loan, a meaningless gesture, if you can even call it that

[Matty A @matt_anson]

@qatarairways This is getting ridiculous. I’ve had to book alternative refundable flights for April just in case Qatari air space does not re open as I want to avoid paying extortionate fares at the last minute. You need to extend your refund window

[Matty A @matt_anson]

Whole thing needs reform re-branding as a graduate tax, so anger can be re-focussed at the stealth freezing of the threshold which repayment begins, not tinkering about with interest rates when the sums involved are vast.

[Matty A @matt_anson]

Total borrowed: £71,539 (medical school in London)
Interest accrued whilst still at uni: £24,012
In continuous full time employment as a doctor
Current balance: £106,098

Is the whole thing a racket? Yes

Are the numbers involved and interest rates ultimately meaningless: Yes

[Politics UK @PolitlcsUK]

🚨 NEW: The Tories have pledged to scrap the "unfair" additional interest on Plan 2 student loans

[Matty A @matt_anson]

AI misuse exists across the social media platforms you are retreating to. To be so called leaders of doctors in the UK you need to actually show up to the debate and not pretend it doesn’t even exist. This just screams performative and jumping on a bandwagon when convenient 😴

[Royal College of Physicians @RCPhysicians]

Following review by RCP Council, we are stopping activity on X for the foreseeable future.

Read our full statement: https://t.co/54Zy5Qk4G4

[Matty A @matt_anson]

This old (annoying and infuriating) chestnut again. Reducing the frequency of insulin scripts in T1D, perfection 🙌🏼

[Dr Robert Laurenson @RobLaurensonD4P]

It's always weird to see these bizarre claims that the committee is "hard left" or "corbynistas".

This is a wave of young people aged typically between 23-35 who see Broken Britain for what it is.

Raising rent, raising house prices, raising energy prices, raising leisure prices, raising taxes.

Meanwhile they look around and get told "not my job", "can't help you", "that exam's gonna be £1000", "cool wedding date, I'm still gonna need you to work", "sorry to hear your dad died... see you 9am".

None of them want any of that.

They want purchasing power comparable to the stake they should have in society.

They want to thrive.

And whilst money is frittered away to other causes, doctors have decided not to wait for the illusionary pot of gold at the end of the rainbow because there has always been another crisis and excuse to erode our pay and conditions to afford the next vanity project.

They're willing to use the mechanisms available to do so.

It's high time that other industries and young professionals re-invent the unions and political parties. Fucking grasp the nettle and take the power that can give them capital.

Re-invent the social contract.

And the media have a responsibility to be honest instead of their ludicrous spin. This 22-29% malarkey is another example of how the country is in a perpetual death spiral borne of tall-poppy syndrome. That figure was over 2-3 years and is actually approximately only ~2-4% in real terms.

Because if you're against the people who go through enormous competition, who focus on upskilling themselves for decades, and who actually go to work, over a ~2-4% real terms increase over 3 years (on a backdrop of 15 years of ~30% erosion) then you need to have a very fucking hard look at yourself and think what do you stand for and what do you want your country to be?

Do you hate aspiration?
Do you hate hard work?

If you do and if hard working doctors' anger fizzles out then next comes the toxic, contagious, corrosive, country destroying cloud of apathy that appears to be so pervasive today throughout the rest of society.

Because what will be the fucking point.

https://t.co/mcpj85ZWbV

[Matty A @matt_anson]

Ultimately will anything fundamentally change? Absolutely not

[Professor Chris Whitty @CMO_England]

Training is central to doctors providing the best care for patients.

The Medical Training Review, out today, is a diagnostic report with input from many doctors, medical students and patients.

It shows we need to rethink many aspects of training.

https://t.co/hlpO4O9Msb

[Luke Mordecai @Shr_Nottingham]

This response is almost Trumpian

@RCollEM has championed the tiered rota developed specifically, as far as I can see, to allow doctor substitution

Twitter is bristling with receipts & many are in the🧵below

I might have some respect if leaders could just be honest about it

[Reddical Medge @ReddicalMedge]

The whole system is completely unfit for purpose, and I am angrier than ever even though I personally am securely in a HST programme with CCT approaching in the next few years.

🟡From the catastrophe of rotational training and portfolio-tickbox-assessment as a core concept of 'training' itself...

🔴to the MSRA as a low-effort way of filtering out applications without reference to their aptitude for the specialty...

🔴to the nonsense points-based assessment of applications, scoring largely meaningless criteria such as QI, presentations, publication-mill dross papers that have no bearing on candidate suitability...

🔴to the deeply unserious super-short interviews where we pretend we can select the best candidates from very short and rigidly 'marked' scenarios with no scope to actually delve into the candidate...

🔴to the ludicrous worldwide-open recruitment for non-UKGs and unconstrained mass importation of doctors to cheapen the medical jobs market by over-supply and undermine the collective bargaining power of the medical profession...

🔴to the ridiculous numbers of doctors now being churned out by medical schools, packed into placements like sardines with noticeably reduced curricula and rigour of training & assessment... Now doing 5-year degrees in PassMed cramming...

As usual we - by which I mean the Colleges and a whole generation of consultants - have not just accepted this quietly, but have actually facilitated and supported this catastrophe. And here we are, still arguing amongst ourselves still about whether our liberal ideology permits us to 'discriminate' against non-UKGs even as the situation is now literally an existential one of mass unemployment and career devastation for UK-trained medical doctors.

Get a grip, medical 'leaders' and Royal Colleges. We - residents and medical students - cannot afford your luxury beliefs and complacency with this system (that has been broken all along) any longer; radical action is needed, not a little tweak in position.

Show some leadership for once, because it's not your esteemed careers, livelihoods, and future on the line in your ivory towers. It's your members' and prospective members'.

@RCPhysicians @rcpsych @RCSnews @RCSEd @RCoANews @RCPCHtweets @RCollEM @RCPEdin @rcpsglasgow @RCPath @RCRadiologists @RCObsGyn @DoctorsVoteUK @BMAResidents @BMAstudents

[Matty A @matt_anson]

@TheSnoozeDoctor Shame on the consultants who have allowed this, naturally a uniquely British phenomenon where consultant nurses ‘supervise’ doctors, in no other country in the world would this be seen as normal or allowed

[Matty A @matt_anson]

@NICEComms Why should treatment stop? You wouldn’t stop someone’s anti hypertensive when they are normotensive?

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

🔴Side A:
The total number of Physician Associate or Assistant jobs available on NHS Jobs -at the moment- is Zero

Locally trained PAs have no jobs to go to
And we have an open market for Kenya to come and compete

🔵Side B:
Locally trained Doctors don't have jobs
Thus, IMGs are to be second line for jobs

Somone someday will tell me what kind of tomfoolery this country engages in when it comes to workforce planning in healthcare.

Absolute clown show- can't even decide whether to have qualified people or demonise foreigners or both.

Outstanding.

[Matty A @matt_anson]

@JimBethell Are taxpayers entitled to subsided lunches too or is that just for peers and members of parliament?

[Jonathan @jabberwock951]

You can bet the med reg, anaesthetist, ortho, paeds etc. being assigned extra duties here haven't been consulted about it.

This is what happens. Management decide they won't pay to fill a gap, consultants decide who should pick up the pieces (not them) and juniors get f*cked.

[Matty A @matt_anson]

@drmattuk @parthakar Signed

[Matty A @matt_anson]

@LukeJohnsonRCP @TheBMA The NHS pension scheme runs a surplus…

[Matty A @matt_anson]

@JReinerMD 1 out of the 14 died from a cause which immunosupression would have contributed significantly to. A mortality of 7% in 1 year… just some context

[Matty A @matt_anson]

@DanielSokol9 @TomStocks1982 So the alternative is not to be factually accurate, turn a blind eye and keep quiet for the sake of not ‘offending’ people? It’s from doctors repeatedly highlighting the ineptitude of regulators that we have the Leng Review and the GMC having to defend its position in court.