Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews If surgeons don't learn operating & cardiologists don't learn TAVIs in medical school, would you be okay with anyone learning those too?

If they can learn it on the job, why not anyone else?

Do they even need medical school to take out an appendix?

Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews The question isn't about intelligence to learn those skills.

What separates intubation & care of the critically unwell patient from surgery or doing a TAVI that you're so happy to claim anyone can learn the former, but not the latter?

It's a simple question you keep dodging.

Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews No, that's not the crux.

You're not discussing in good faith.

You're not answering very simple questions I've asked, instead like a politician you give a completely different statement & act like it all makes sense.

Yes or no, do you need medical school to do your job?

Balazs Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews Not discussing the point and instead falling back on trying to force the topic into being about emotive 'ACPs are brilliant'. This is an intentional trap: if you go against that you & your argument can be negated as 'bad anti-MDT doctor' without having to address your points.

Reddical Medge Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews I'd almost understand his reply if he was giving a TV interview on behalf of the trust.

But this is twitter & he can't switch off the politician in him to robotically repeat the same phrase as if we're too stupid to notice he can't answer a basic question.

Balazs Matt Nash Jan Hansel Dr Huw Matt Burton Dr Done FICMNews I think sadly we do have a generation or two of consultants whose identity is part of, and sense of duty is to, NHS and their trusts - as opposed to the medical profession - and so their genuinely held beliefs and answers are the same as TV interview answers on behalf of a trust.

Matt Nash Balazs Jan Hansel Dr Huw Matt Burton Dr Done FICMNews See the problem I have entering this as a tangent is that you have regurgitated a load of NHS management sound-bites that are of little substantive value. I don't necessarily think you're dishonest, I wonder if you even have insight into how vapid what you just wrote is. 1/2