Usman Ahmed 🦴🔨
@OrthopaedicOz
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MBBS PhD FRCS(Tr&Orth) Orthopod, NHSEWTE Midlands Virtual Learning Lead, BOA EdCar Committee, (RT≠endorsements, own views)
Birmingham, UK
Joined September 2017
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Pinned Tweet
I love a bit of the old pane-spotting
@bhx_official
#sheldoncountrypark
#familyfun
.
@brettellis1982
you know you love it.
#SuperNerd
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I buried my wife today - she was the beating heart of our family, the bright star that guided us home, the one whose smile melted the iciest of hearts. She laughed so much & smiled like she did knowing that the end was near. Forever will remembered for her dimples & smile. ❤️💕
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My wife battled cancer privately for 4 yrs so our kids didn’t have to carry the burden. She did everything she could to maintain a normal home and the kids didn’t know until 3 months before she passed.
“Lesser mortals”! Screw you
@AllisonPearson
✍️ 'When lesser mortals would have stayed at home, Catherine proved that the show goes on' | Writes
@AllisonPearson
Read the comment in full here ⬇️
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Inna lillahi wa inna ilayhi raji'un
After 4 years & 3 months of fighting metastatic lung cancer, my wife
@dimplesticks
, has gone. The flame at the centre of our lives has been extinguished.
May you be at peace my angel
I’ll see you in my dreams.
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Just over 4yrs ago my wife
@dimplesticks
was diagnosed with metastatic lung cancer. She fought it for 4yrs before it became palliative & we finally had to tell the kids. She went into the hospice yesterday. Those of you who know her know how dignified she has been through this.
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It’s nearly 3 months, I’ve held it together for the kids but I still find myself drifting between happy memories & emptiness at night.
I had to sell her car yesterday. Watching it drive away brought a lump to my throat.
I miss you
@dimplesticks
See you in my dreams
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So mum thought she spoke with a GP today & said “thank you doctor”. The clinician she spoke with didn’t correct her. The clinician she spoke with was an ACP (quick Google check). my mum felt misled. I’ve said to my mum that asking for a GMC is not impolite.
Honesty is needed 😡
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My past two weeks have involved telling my kids that their mother has terminal cancer, signing a RESPECT form and managing pain medications.
She has been amazing through dealing with this 4yrs.
I pray every day for one more night, and every night for one more day.
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@dawnashley13
@NTeesHpoolNHSFT
@MADEinHEENE
This is somewhat inappropriate. Hannah’s professionalism and achievement can be recognised but to award her Doctor of the week is not right. First and foremost she is not a doctor…how does your trust consolidate this fact? Have you considered the impact on your doctors?
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“Let the tears flow but let the smiles show”
The response to my tweets about my wife
@dimplesticks
has been overwhelming. Thank you all.
I buried my wife today - she was the beating heart of our family, the bright star that guided us home, the one whose smile melted the iciest of hearts. She laughed so much & smiled like she did knowing that the end was near. Forever will remembered for her dimples & smile. ❤️💕
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I started my consultant career just after my wife was diagnosed with metastatic lung cancer. At one point a vexatious anonymous complaint was made criticising every aspect of me but the most upsetting part was the claim that I overstated my wife’s illness just to score time off
“More than 70% have witnessed discrimination in the workplace. In T&O, the type of discrimination most experienced is racism followed by gender discrimination”
DMs and door always open. Let’s shine the disinfectant of sunlight on this sorry state
#hammeritout
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If you have the NHS logo and the term Dr and/or Consultant - then it is a guarantee that everyone will assume you are a medically qualified doctor.
I’m afraid the PhD is irrelevant. Good achievement but irrelevant
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What is the world coming to?
@gmcuk
will come after doctors who receive anything more than fruit as a gift but no comment of PAs on consultant rotas doing Interventional radiological procedures
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From FY1 to ST2 I did a generalist set of jobs for 5 years
Gen Med - 4 mts
Gen Surg - 14 mts
Urology - 4 mts
Intensive Care - 10mts
T&O - 20mts
Research - 4mts
Plastics - 4mts
I’m getting bored of hearing that drs are specialists & PAs are “generalists”…
Framing "work-life balance" and "being a generalist" as main reasons to choose PA over MBBS in interviews as a golds standard answer hints at deeper system issues.
They also know doctors can work in any speciality and what a GP is, right?
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Sunday is Mother’s Day. Yesterday my lad joined in with school activities to make Mother’s Day cards. He was making one for his nan. He was offered an opportunity by the school to do something else but he didn’t want to be left out, he thought he could handle it. He couldn’t. 😞
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Facebook keeps showing me memories with my wife. Nostalgic, happy and sad at the same time…..complex emotions for me. It’s been a month since she left us 😢
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@dr_merritt
As a trainee I experienced being sent to the ward while the PA was scrubbed in cases.
As a trainee I was spoken to by an ANP who accused me of “stealing” cases
Plenty of anecdotes - you need to acknowledge legit concerns
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Ok who would like me to look into creating an alternative to the GMC? I’m sure we could do a better job ourselves…..happy to collaborate if anyone has the idea - DMs are open
So we heard today at the select committee debate
@gmcuk
will be charging £221 per annum for PA/AA registration.
Why do I as a doctor have to pay £433?
I would much rather pay £221 as well, and come to think of it, I just might cancel my direct debit right now. 🙂
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Thank you to everyone who has got our fundraiser to £3000.
#JustGiving
we will continue to raise money in
@dimplesticks
memory for
@brumshospice
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So proud of my mum today. She took my lad to the GP and was clear she was expecting my lad to be seen by a GP……she did have to emphasise that I was a surgical consultant though & anything less than a GP would be awkward 😂
Recommend initial introduction from PA:
‘Hello, my name is [Forename, Surname], and I am one of the physician associates working in [specialty]. Physician associates are commonly referred to as PAs. I work alongside the doctors, but I am not a doctor.’
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@amxxny97
This is what a PA should be doing…..Ward round, admin, ward jobs, the whole concept of the PA was to ease this particular burden
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I first met a PA student in 2015. At that point I was in my 8th PG yr (13 if inc medschool)
The PA student had 3yr biochem degree & 1.5yrs of PA studies.
He had the audacity to claim he’d be doing my job the minute he graduated. Either he didn’t understand or he was missold
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5yrs medschool
11yrs PG training inc PhD
1yr
@CavendishHip
fellowship
Dozens of papers, audits, QI projects
£££££ on courses, exams, CPD, PhD
Guess all of that was a waste of time & money since anyone can jump into the doctor role….
@georgebellstarr
@Exhausteddoc67
@Xeon4f145d96s1
@donotcallmemike
I don't for one moment think I could pass right now. But I think I have the ability. I'd love to be able to work towards an attempt, and it would certainly improve governance if those PAs / ACPs who were working on a medical rota had been examined to the same standard.
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5yrs medschool & 12yrs postgrad training taught me the following key things
1. Do the simple things well
2. Common things are common
3. Escalate asap if necessary
4. Personal feelings of embarrassment are irrelevant when patient safety is concerned
This stuff just gets worse.
Attempted to hide identities as much as pos. Sent this and found it too damning not to share.
PT presents around 3pm. A doctor doesn’t appear to be contacted for support or help, and instead a Facebook group of PAs (PAAUK) consulted instead. PT in HB sent to a&e not until 6pm.
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It’s amazing that since
@dimplesticks
left my kids have been as much of an inspiration & source of strength for me as I have been for them. Eid Mubarak everyone
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@DiddlySquat51
@AllisonPearson
Thank you, but she passed away last year 😢
I buried my wife today - she was the beating heart of our family, the bright star that guided us home, the one whose smile melted the iciest of hearts. She laughed so much & smiled like she did knowing that the end was near. Forever will remembered for her dimples & smile. ❤️💕
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@Royallo38787061
@AllisonPearson
She should’ve just written positive things about Kate instead of alluding to & denigrating everyone else…..any form of bullying is unacceptable & Kate is doing what she needs to but after seeing the amazing
@dimplesticks
keep her head down & plough on I won’t accept any trash
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There is a reason why medschool
- entry is dependent on excellent academic track record
- is a solid period of study going into tremendous breadth & depth
- has difficult assessments
There is a reason why PG training is long, difficult & demanding. There is no equivalence…
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It’s been one week since
@dimplesticks
passed. Her funeral was well attended & today a memorial service was also superbly attended. The depth of the love has been evident the whole week with the messages & support from our professional & social groups. Thank you everyone. ❤️
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This time last year my wife had a CT & we flew to Spain whilst waiting for results.
When we got back we were told her cancer had spread & she needed more chemo.
My mouth said - “same again sweetie, let’s keep going” & she was a trooper
My head knew that 2023 would be crap
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3 months to the day. Nearly the end of term for the kids. I’m so proud of how they’ve made it through. But holiday season approaches & everyone is wobbling.
90 days since she went
91 days since we last saw her smile.
How she will be etched in our memory for ever.
@dimplesticks
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As a consultant if I’m expected to supervise anyone then I need to know my liability. I can supervise junior doctors, I know the process, expectation, scope of practice & what my responsibility is. I also know what responsibility/liability my trainees have…for anyone else….
NHS Employers acknowledges that today’s BMA guidance on scope for another professional group was developed without input from FPA or MAPs. MAPs are not BMA members. Employers responds to BMA guidance on the role of MAPs | NHS Employers
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Despite everything, she still smiles at me every time I walk into her room. Everyday it is taking a little bit longer but the smiles are still there….😔💔
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@LauraMStuart9
@Dr_BellaR
Let me just check my logbook from when I was a junior……well would you look at that….thousands of operations….
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In the olden days if you wanted to be something you worked hard for it. Nowadays you just change your title and claim parity….. standards being watered down in the name of equality & accessibility is not good
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@SurgicalTutor
Well that incident cemented the need for me to leave and my new Trust
@WorcsAcuteNHS
welcomed me with open arms and have been absolutley phenomenal. My wife recently passed & my colleagues (most who never got to meet my wife) came to the funeral/memorial. Couldn’t ask for more
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I sat down with my FY1 before we scrubbed for a case & had a chat about how he should look at things despite all the negative experiences being shared on here & I started with “FY1 will feel like rubbish but it is a matter of perspective”. I’ll take a risk and share on here 🧵
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I think every organisation in NHSE needs to consider that most complaints by doctors are now made publicly through anonymous accounts on social media because despite the official pathways they all either lead to inaction, worsening and potential negative repercussions.
Response from Dudley group about concerns raised on social media:
▪️Be kind
▪️No addressing of the actual concerns including reports of PA on a consultant rota
▪️Generic corporate-speak and well-being links
…
🔸We see through you and this doesn’t work anymore
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The word consultant in healthcare has been completely diluted……
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I’ve heard the term “clinical doctorate” being used.
Can someone explain it to me?
As I see it you are either a Dr by PhD/DPhil or a Dr by medical degree
One is relevant in hospital when dealing with patients. One isn’t.
Disclosure - I have both MBBS & PhD
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Just saw this & it made my blood boil. My wife was in the midst of chemo when one of the speakers started, along with their crew, making overtures about me being the owner of a blunt anon account. My wife saw the tweets & saved them as the idiots tried dragging me…/n
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#jeremyvine
why accept 6% when they could leave and go into high paying private sector jobs or go overseas…shocked at some members of the public who expect servitude…
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I’ve advised all friends and family members to ensure that when they go and see a doctor that they get a name and a gmc number.
I don’t think the GMC should be regulating PAs at all.
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It’s nearly 6 months & the strength they have shown to carry on is weighing on them. Their strength & resilience is inspiring, but heartbreaking when they occasionally have to cry themselves to sleep. All I can do is hug them. That lump in my throat feeling permanent.
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Getting used to this single dad malarkey…..my lad tells me that he has no pants at 8pm the day before school….first time I’m doing laundry in the evening
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Ok, so I’ve had a little play and built a trial version of a new voluntary register.
Looking to put together a team to test it and hopefully improve it. Please DM or reply and I’ll give you the site details - lots to iron out.
Ok who would like me to look into creating an alternative to the GMC? I’m sure we could do a better job ourselves…..happy to collaborate if anyone has the idea - DMs are open
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So in between writing protocols & policies I took a time out to bake a birthday cake for my daughter who hit 8 today......it tastes awesome but could do with a touch of Insulin
@Ahmed742Iqbal
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Xmas day was 100 days since
@dimplesticks
left. For 3 months everyone soldiered through but the Xmas break gave us a stark realisation of the emptiness we would feel at every significant moment moving forward. Birthdays, celebrations, anniversaries.
Forever in our dreams 😢💔
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@SwearySister
@ollieburtonmed
I don’t think it is segregation. The drs mess used to be the same as the nurses break room on the ward. It gave a quiet space to complete tasks, share resources, talk to colleagues in other specialties about cases etc.
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“Nitty-gritty science of medicine”
Comments like this demonstrate how many might see becoming a PA as a shortcut into medicine….they seem so proud of the loophole they’ve found
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@LittlePersonDoc
My mum was concerned at appearing rude when asking for a GMC number. I told her that she was entitled to know who she was seeing & she should get these numbers for her records.
My mum has me, I worry for those who may not have as much advocacy
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It gives me great pleasure to announce that I’ve joined
@sathNHS
as a Consultant T&O Surgeon. It is a tremendously welcoming and encouraging department, and I am looking forward to what the future holds.
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I may not have
@dimplesticks
to buy flowers for anymore, so I guess I’ll just buy them for my daughter…..
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A recent f/u with patient who was told they didn’t have an infection but was given antibiotics & then told they had organ damage when they didn’t. The worst part was explainin why I was correct & the “clinician” they previously saw wasn’t. Hard to do without noting qualifications
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@Dr_Done_
Stories like this are very worrying. I look at my training (17yrs inc 5yr undergrad, 11yr postgrad & super specialist fellowship
@CavendishHip
, not to mention a PhD thrown in for giggles) there cannot be an expectation of parity, unless it is with full accountability & liability
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Fighting a losing battle really takes its toll, but seeing the the glimmers of determination, the occasional flickers of resilience & the smiles of recognition keep you going…
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So I previously highlighted that an active SM user tried to suggest that I was an anon account. They have subsequently apologised via email. I do believe that public errors warrant public apologies but with this I am happy to put this to rest. I expect them to leave me be.
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@NHSDDICB
No one “orders” anything, you can request….I assure you that with me you can request a something but you will have a tough time ordering me to do anything…..
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My ideas of what strength and resilience are have changed.
There is an absolute warrior in my house and it is isn’t me.
@dimplesticks
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An important email sent out after 4pm on a Friday is one of the most ridiculous things a human can do........
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@madmedicalman
1.She received care, probably appropriate, but anecdotally many issues being flagged elsewhere
2.Regardless she should’ve known who she was seeing. ACP should’ve been crystal clear. Especially when called a Dr which highlighted that my mum was unaware.
3. Malice is irrelevant
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@RoshanaMN
@uhbtrust
The single biggest reason for poor reporting is a poor reporting process. Punishing those who are off sick is ridiculous.
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@jabberwock951
@Ret_DrAliSmith
Also begs the question if future emergency medicine clinicians should all just do ACP course instead of medicine and the financial burdens that come with it
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On Mother’s Day when I think how lucky I am to still have mine when my kids don’t have theirs. Holding back tears all day as those little troopers plough on…
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@Dr_BellaR
The most important thing for me is to keep things normal. Most of us are well used to it so you just keep things as normal as you can including getting your lunch etc. at most if you can hold the bleep if they need to pray that would be grand….thank you for asking :)
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@Dr_Done_
Most doctors will try to simplify complicated things. Not complicate simple things…
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Reflecting on this tweet. These “procedures” start from clinic, decision making, risk stratification, consent, pre-op optimisation, procedure, post-op management, complication management, accountability/liability.
Just being able to “do the procedure” is not enough….
Can we go back to advising MEDICAL SCHOOL for those who want to play Doctor please?
I’d want my invasive cardiology procedures performed by a… you guessed it, Cardiologist‼️
No patient deserves less than that
Tweet now deleted -
@UHLRRCV
can’t stand by your practices?
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This is a shame. The DHSC should not be taking a political stance that will alienate a huge section of the NHS workforce and many millions of patients. The situation in the Middle East is awful but this is divisive.
🇮🇱 We are flying the flag of Israel at the Department of Health & Social Care in London.
We stand in solidarity with the people of
@Israel
.
🇬🇧✡️
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Things I’ve done over past 4 yrs:
- Full time NHS consultant
- Built and manage
@PGVLE
- Manage a team of amazing fellows doing MedEd work
- Nurse my wife during her cancer
Things I didn’t do
- get involved with SoMe drama between anon group & self-righteous group
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Oh my word
So much wrong with this tweet.
“Delving” into healthcare
Training rotations not “feasible”
Not inspiring confidence…
@Janeajnet
Not everyone has a clear career plan in their early years espicially during GCSE/A-levels. People in their 30s and 40s might want to delve into the healthcare field. However, committing to a 4-5 year course, followed by several years of rotations, isn't always feasible for them.
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@lisa_dinsdale
My family will remember
- how busy I was
- how stressed I got
- how many hours I worked
- the real term erosion in pay
- the issue with pensions
- the hard work I put in to get to this position.
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@thomaswoodcock
@Cray_tweets1
@BucksHandExpert
@D__Melb
@IncogAssociate
@Alison6123
@BBCBreaking
Your lack of insight is astounding. Being a surgeon is not just about operating & learning a technique….
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@Dilek807
My mum assumed it was a dr and there was no formal introduction. Apparently the term “clinician” was used in the intro. My mum understands clinician to mean MD after nearly 25yrs of doing research with actual MDs. The onus is on the practitioner to be clear and not mislead
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There are two types of people in this world, 1. those who actively help in a crisis and 2. those who actively take someone else’s crisis and make it about them.
Type 1 appreciated
Type 2 shoo
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@devisridhar
It was never a science based decision but a political one. It was always doomed to fail when the decision makers were concerned about their own power, position and agenda
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Pleased to announce that I’ve joined
@SpOrthopod
and
@prscraig
at
@WorcsAcuteNHS
as part of the surgical team. Looking forward to working with these guys and delivering orthopaedic care to patients in the region :)
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@parthaskar
@drmattuk
@DrLKVaughan
@UKGastroDr
@djnicholl
@Xeon4f145d96s1
@dr_shibley
@Dr_Done_
@ExplosiveEnema2
@mouseter_chef
@iDrSunny
@AlisonGeorge10
@Adam_Skeen
@DrEilidhMaria
@BMA_James_Steen
@TomStocks1982
@RobLaurensonD4P
@HelenRSalisbury
@JanetEastham
@mmamas1973
I’m against any pile on but the voting members need to be named and have all their potential conflicts reviewed.
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If any trainee/student suggested I was a clown then I would completely disengage from them.
In order to maintain focus on my clinical commitments I would request that said trainee/student not be in my clinics/theatres/meetings/ward rounds.
@medicalmodelbri
@ClinOncDoc
@ExplosiveEnema2
Thank you for forwarding this.
Let’s get one thing straight.
I am FURIOUS at being called a clown as it undermine team ethos.
There is a clear lack of understanding of what it means to be part of the MDT and an arrogance that I have never seen in medical students.
I called
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From complete independence to complete dependence in a matter of months. This is horrid to watch….
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See you in my dreams
@dimplesticks
…..roof terrace, candles, setting sun, cushions….just like 2009
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@dangrimes1980
Great thread but doesn’t change some of the important factors of organisation such as
- workforce planning & management inc. appropriate remuneration
- organisational culture - colleagues being treated with respect & empowered
- capacity - please advocate for an increase in beds
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This week I reached a milestone in my career. I hit a certain number of specialist operations. This is despite spending my entire consultant career dealing with significant personal challenges. I am grateful to all my colleagues for their continuous & unwavering support.
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Today is the first birthday in my house since
@dimplesticks
passed….the smiles are there, but the resoluteness in celebrating has been pierced on more than one occasion by the void left behind.
It’s been 4 months, 1/3 of a year already, slowly moving forward..
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It is important for trainees to realise that a lot of teaching sessions are being delivered in a consultants own time. Know that this person is there only for your benefit. Absorb this before you try to make life awkward for them. They will refuse further invites if disrespected
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@MENnewsdesk
This wasn’t a meal for 4 when almost £30k was on three bottles of alcohol. The outrage is unnecessary. They went to a pricey venue and spent money without looking at prices. No doubt trying to live the high life…
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So I’ve had a busy few months & I’m slowly trying to rebuild in the new “normal” environment. One of my colleagues
@Tahirkhaleeq
kindly nominated me as a role model &
@bmj_latest
obliged. Raising up trainees: the consultant trauma and orthopaedic surgeon
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All done
@ExeterHipUnit
@Osteotomb
@DominicMarley
@Bloch_ortho
@rkh_md
@StressHoop
@generalorthomd
@RoshanaMN
@OrthopodReg
@OrthoBanter
@jointdocShields
@davembmd
full details in the blog but here it is
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I will be happy to take an apology from said moron. My DMs are open
#DEMEC2023
A paltry donation to her just giving account won’t cut it.
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Today my daughter was one of a handful of primary school children in Westminster Abbey celebrating
#CommonwealthDay
so immensely proud of all the hard work she put into her school career to be selected for this 🥹🥹
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Oh dear…..And I’m seeing a lot of people accusing doctors of elitism.
I met a PA recently - on a more social level - it was a fucking disaster. In the time I spoke with them I was told
1. Getting into PA training is more demanding than medicine
2. PA training just like medicine but condensed
3. No one cares about doctors
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