The_MehMedic

aspiring to be a happy '?ologist' - a disillusioned F2 who uses this place to rant.

[The_MehMedic @myeggbrain]

🧵Of things I wish I knew before starting medical school (as someone with no medical background in my family).

I went to a PBL school, so some of my tips may not match up with other traditional schools, however, I hope they help.

[The_MehMedic @myeggbrain]

Sometimes I get really frustrated at the lack of cohesiveness (probably not the right term) between specialities. Tell each other why a referral is terrible? Don't just shirk responsibility because you can't be asked to work a patient up. Sigh.

[James Steen @BMA_James_Steen]

Woeful from the NHS AfC pay review body.

The DDRB must know this kind of recommendation will make doctors’ strikes practically inevitable.

Further, their credibility, efficacy, further and deeper reforms, and their continued existence will all rightly be called into question.

[Iona Collins.DOCTOR. @Doc_IonaCollins]

PAs are approved to do what? Take medical histories (with supervision), make medical judgements (with supervision), initiate supporting investigations (with supervision) and treatment (with supervision)? Like the supervising doctor, whilst not a doctor? https://t.co/LRVhZwyRqz

[Dr Luke Craddock @DrLukeCraddock]

F2 doctors purposely delaying their own progression in order to stay employed as there is no work for them.

Similar stories about GP registrars who are going LTFT to delay progression as there are no GP jobs post CCT.

Medicine in the UK in 2025. Shambles.

[The_MehMedic @myeggbrain]

Hello, does anyone have any resources for interpreting VBGs?

Thank you :(

[@medicalmodelwithabriochebun @medicalmodelbri]

Grow some backbone man .

Doctors where are you? Stand up to this nonsense .

In my profession I promise you I’d be damned if I let our assistants

1) tell me what to do
2) be paid more than me to do my job which they ARE NOT trained to do
3) allow @The_HCPC to endorse it

[@medicalmodelwithabriochebun @medicalmodelbri]

The @gmcuk has told drs to use @CMAPs_UK guidance- written by PAs who have NOT studied medicine and who can’t even be bothered to register with the @gmcuk to supervise MAPs, instead of the guidance set by the EXPERTs in medicine at the Royal Colleges

And you’re sitting there?

[Dr Melissa Ryan 🦀 @Melissa_S_Ryan]

We need an urgent solution to the rising competition ratios.

Patients want to see more doctors.

Doctors want to be trained.

Surely the solution is obvious?

Do proper workforce planning.

And while training posts remain scarce, prospectively prioritise UK graduates

[NHS2Tier @nhs2tier]

The GMC is not a patient safety focussed independent regulator. It is a PA/AA focussed propaganda arm of the government. In answer to the question why, simply #followTheMoney 💷💷💷

[ExplosiveEnema @ExplosiveEnema2]

Fully agree

Time for the BMA and Royal Colleges to stand together and face the GMCs attempts to deregulate medicine

Gloves off

Endorse a vote of no confidence in the GMC

[Parody RCGP @Parody_RCGP]

Maybe it's time to start a College of Anon accounts to prove how ridiculous it all is.
I'll be President (obvs). Who is getting the other roles?

Shoot!

[em @emily_oconnelll]

the way the gym is so busy at 10am needs to be studied. like yeah I’m not at work but why are YOU ALL not at work

[vintendo BS @VincentVanGrump]

Refuse to supervise. We didn't sign up for this. We haven't been trained to supervise non-medical professions and we aren't paid for the extra medicolegal liability so why should residents take on the risk?

Should the BMA/RCP publish guidance on formally declining to supervise?

[Valerie (Val) Humphreys @valhumphreys51]

Just catching up with what your friendly regulator @gmcuk has been up to. It seems it’s gone full regulatory capture with its latest genius move.
A couple of thoughts before I decide to come out of retirement and dig out my notes on medical negligence:
-this is a
1/3

[Jamie Murphy @Microbedoc2]

Resident doctors placed in this position of supervision of PAs should contact BMA & refuse. You are responsible for their decisions and this has been confirmed in MPTS hearings.
Do not accept being the liability sponge for NHS trusts trying to make savings.

[Nuwan Dissanayaka @nuwandiss]

How come good medical practice is decided by people who aren’t doctors?

[Peter Brennan @BrennanSurgeon]

Just had large study of >2000 UK medical students accepted for publication

>50% of respondents felt the allocation system for newly qualified (FY) doctor posts was unfair

46% noticed negative impact on physical/mental health

Up to 48% are considering career outside the NHS

[The_MehMedic @myeggbrain]

AND HAVE NO SHAME GOING LESS THAN FULL TIME IF YOU CANT AFFORD A CAREER BREAK

[Raja Adnan Ahmed @drraja_]

Normalise taking break from medical careers.

Don't stigmatise & question people who take career breaks.

Doctors take career breaks for all sorts of reasons

- Caring responsibilities
- Travelling
- Gaining skills outside medicine
- Recovery
- Spending quality time with family
- No specific reason

This should be encouraged.

This expectation of continues uninterrupted practice with pressure of exams & assessments can lead to serious burnout.

[The_MehMedic @myeggbrain]

Also, medicine would be a much nicer job if seniors turned around and said "good job" once in a while.

And defended you.

[The_MehMedic @myeggbrain]

Officially do not like physicians associate. Saw me go ogling multiple drug doses and went "so you doctors don't know everything?"

What is wrong with you! The GMC have created people who don't even know the risks in what they're doing.