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They weren’t always so secretive: Look at the published dates. Where was Royal College of General Practitioners or any college when this was proposed? In 2017 HEE approved 30% cuts to its running costs to prioritise developing the non-medical workforce over training support. Link: pulsetoday.co.uk/news/practice-…

⚠️ For those working with PAs MPTS case published 2017 where a ST3 Junior Doctor was suspended for failure to adequately supervise a physician assistant’. The PA was known as ‘Dr G’. There may have been other issues too - irrelevant. Read the following: gmc-uk.org/api/gmc/lrmpdo…

Does having a physician associate on your team impact on training opportunities for Doctor colleagues on your team? 58.24% across all grades state PAs limit (to some degree) 71.77% for registrars! 79.59% for IMTs!!

🚨Another day, another dangerous PA This time coming to you from Aberdeen I’m told there is a PA, wife of a prominent consultant, who has been placed on a CONSULTANT Respiratory rota Begging for someone to tell me this is a misunderstanding Comments NHS Grampian? ☠️ ☠️ ☠️

Sadly so many real life Shrutis. Remember their names. Vaish Kumar. Rose Polge. Rebecca Ovenden. Tom Oakland. The latter all trainees in my region. Perhaps it’s time to fix toxic training. Be kind to your juniors. Look after each other.

8/9 year ago Sir Jeremy Hunt MP told drs he would only give them a pay-rise if they agreed to work weekends - leading to a series of #iminworkjeremy tweets! Now Wes Streeting says he will only give the NHS more £££ if medics agree to work weekends… Well guess what? #iminworkwes

The system doesnt care. The public dont know the absolute ridiculousness doctors deal with. NOBODY else has this happen every year. NO-ONE

8 million career earnings. And here's the UK wanting an extra £5-10 an hour 🤣🤣 #MedTwitter #ortho

Dale Benkenstein trying to mastermind an 18th consecutive match without a win having failed upwards from Gloucs to Lancashire #bbccricket

Letter to the editor in response to laparoscopic cholecystectomies performed by an SCP: a review of outcomes. Makes for excellent reading.

I can't help but think if all these wise men and women that rubbished me then had listened, how different it may have been. Again, a shame on all their houses. But remember guys:"They (PAs) will just see the easy Asthma patients in A+E" - Prof Dame Jane Dacre, ex PRCP 2015 3/3

MND truly is just pure shit. RIP Rob

The student loan interest fiasco is going to be a major issue for any doctors who started from 2012- no one is going to do consultant overtime to pay a marginal rate of over 70%

Mersey ortho take over BMA #arm2024

Lovely day out for possibly Jimmy's last Lancs match Southport & Birkdale Cricket Club Lancashire Lightning #thelastdance

The boss is away wedding dress shopping for the weekend- means one thing. WALL TO WALL OLYMPICS. #2012throwback

The problem with acknowledging that the student loan system is closer to a graduate tax, is that this turns it explicitly into a tax on aspiration. "Study hard and you too could win a 71% marginal tax rate" is not a message that any politician - left or right - wants to send.

I have gone straight into training from F2. This is my current student loan trajectory(wage inflation unable to accurately work on). If i go straight to cons i'll have £82k STILL left after my 30 years! DO NOT FORGET FPR #MedTwitter platinumpizza™ Resident Doctors