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I am a technically average surgeon… And the odds are so are you… It’s not an insult. It’s the truth. I firmly believe in the 90/5 philosophy 5% of us are amazing 5% of us are horrible 90% of us are average… In my lifetime, I have observed only a couple surgeons that are true

As a candidate for President of the RCP, Dr Asif Qasim MA PhD FRCP has been highly recommended to me by someone with good judgement - I can't vote for him myself as I am of the anaesthetic persuasion, but those who can, should! Here's a video of him at the EGM dissecting the College on PAs:

Aortic Valve Replacement for Asymptomatic Severe Aortic Stenosis—The Time Has Come? "This paradigm shift is anticipated to yield improved patient outcomes, public health, and resource utilization. It is time to act" jamanetwork.com/journals/jamac…

The British Cardiovascular Society is restarting their fantastic free webinar series for medical students and foundation doctors! This was exceptionally popular last year - see more details on the flyer below, including the QR code to sign up!

Reports from Financial Times show 6k+ applicants for just 1700 training posts last year. Doctors are being left in limbo, without posts and unable to progress in their career. In an understaffed NHS this is a scandal. Government must urgently increase training posts. ft.com/content/ddb51e…

Looking forward to a great day of training in all things coronary and structural at Imperial Valve & Cardiovascular Course with Iqbal Malik, Neil Ruparelia, Arif Khokhar et al Millbrook Medical Conferences

Following years of work, and months of rigorous preparation, London's Air Ambulance Charity in close support and collaboration with Barts Health launches the UK’s first Pre-Hospital #ECMO CPR Capability!

The social contract between doctors and the NHS is dying. You can't have over a decade of wage restriction, unsafe role substitution (and associated gaslighting), crap training and the loss of merit/excellence as a path to career progression - and expect things as they were.

An Excellent meeting discussing the latest advances in mitral and tricuspid valve therapies. Bringing together a stellar multi-disciplinary international faculty! Register here: viewstripo.email/000a6938-83ac-…

Really important editorial in Heart_BMJ on the state of cardiology training at the moment in the UK, by Jonny Pok-Tin Tang & Kazem Rahimi. #CardioX #cardiotwitter #cardiology BJCA 📊 BJCAstarter British Cardiovascular Society heart.bmj.com/content/111/6/…

Just off the Leng Review call. Once again it strikes me just how existential the issue of workforce substitution is and what is at stake. The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough 1/

Often I don't comment on twitter, BUT the UK high court ruling today saying there is no confusion between doctors/physicians and PAs (Physician Associates) by misspelling on the first page Royal College of Physicians calling them the Royal college of PAs is embarrassing beyond belief!

This State-of-the-Art review article focuses on the complications, their prevention, and treatment following transcatheter aortic valve implantation, mitral transcatheter edge-to-edge repair, and transcatheter mitral valve replacement. eurointervention.pcronline.com/article/manage…

In this large, propensity-matched cohort of TAVI patients, only invasively measured postprocedural aortic gradients—not echocardiography-derived gradients—were independently associated with 30-day, 1- and 2-year mortality. These results suggest that invasive assessment may

Applying to IMT next year? I scored 80/80 in the interview this year and ranked 29th nationally—here’s what I wish I’d known before starting, and the tips that helped me most! 🧵👇 #IMT #MedTwitter

This article presumes that public support is necessary for successful strike action. I'm not aware the RMT, ASLEF and other rail/tube unions have ever enjoyed a majority of public support for strikes. Yet their pay has pretty much kept up with inflation. thetimes.com/uk/healthcare/…

When you're on call overnight but forget your toothbrush it's time to get creative

This is a chart I'm saving to teach medical students about the dangers of statistics without the awareness of context. Hint: What key change to the terms & conditions of Resident Doctors in England occurred in 2016 that Lucina Rolewicz and @shaunlintern failed to mention?

Fantastic day of talks in all things mitral at #LondonMitral

This person destroys any logic for Physician Assistants in 40 seconds