Response in The BMJ from Louella Vaughan and I in response to Prof Colin R Melville defence of @GMCuk 'vision' for medical education and training

bmj.com/content/384/bm…

Long thread about how NHS England will do just about anything other than appropriately increase GP training and posts.

There were 10500 doctors who wanted to train to be GPs in 2023, only 3900 posts.

Chris Hopson explains there is money, just not for GPs. Pushing PAs instead

Sick notes are usually assessments made by healthcare professionals. Restricting it to occupational health doctors has a political agenda to have people back at work. There simply aren’t enough of those specialist doctors and it probably won’t bring more people back to work in

So, GMC, your definition of freedom of speech for doctors allows them to claim that vaccines killed people they didn't kill, but doesn't allow them to hold up a 'just stop oil' sign? You make me sick.
[with apologies to the car company @gmc I tagged in error earlier]

Glucocorticoids (GC), like dexamethasone and prednisolone, are widely used in medicine, but how do they actually work?

This is really impressive work (Auger et al.), which figured it all out

There are two mechanisms: a slow, broad response, which depends on transcriptional

Regarding anonymous accounts like platinumpizza™ Dr Done ExplosiveEnema on #MedTwitter - they have primarily been used in the sphere of whistleblowing, raising concerns and advocating for doctors and patients. Do we agree with everything they say or the wording? Absolutely

💥 NHS STAFF 💥

Please consider signing this open letter to Victoria Atkins & Amanda Pritchard at NHS England expressing your dismay at their extraordinary decision to cut NHS Practitioner Health funding for hospital staff.

Please share widely 🙏

Letter here:

forms.gle/YmXpi8dxSbW7UR…

In a UK-first, OUH have performed a heart procedure where a new valve is delivered through a leg vein under light anaesthetic to treat severe heart valve disease.

This means patients can avoid open heart surgery, and they can go home after just a few days!

I had no idea the FAMOUS Brad Spellberg talk was online for all to watch!

Want to know why Oral is the new IV? Then this is the talk for you!

Oral Antibiotic Therapy for Osteomyelitis, Bacteremia, and Endocarditis ... youtu.be/BiN0Fd0NuEI?si… via YouTube

🚨 Great to see this published 🚨

An International Survey of the Management of Atrial Fibrillation in Critically Unwell Patients

Ingeborg Welters Danny McAuley Stephanie Sibley

Critical Care Explorations journals.lww.com/ccejournal/ful…

Happy to share my lived experiences in the BMJ's article, 'How doctors’ real purchasing power has declined substantially over the past 15 years', alongside other medical residents like Penny Sucharitkul

Full text link: bmj.com/bmj/section-pd…

So now the results from the Royal College of Physicians’ Fellows vote are out, when are the officers going to resign? 9pm? midnight? Or will they hang on like a failed government? Do we need to bring popcorn to watch the #RCPEGM hash tags tonight? Also: thank you, FRCPs,

A week on and still no ownership of that shocking presentation of data

What an appalling statement from Sarah Clarke

Apologising for confusion caused is not the same as apologising for causing confusion

BMA junior doctor members in England have voted by over 97% in favour of extending our mandate for industrial action, and to provide us with a mandate for action short of strike (ASOS).

A huge thank you to all of those who voted.

Read the full results 👇
bma.org.uk/juniorspay

Thank you British Society for Immunology, NDORMS and University of Oxford for a great conference day and talks! Highlights were CAR-T cells, Ebola and the inflammasome talks

Now that the Registrar has resigned - the rest of the senior team including the president needs to go from the Royal College of Physicians.

They have lost the confidence of their members and have destroyed the reputation of a 500-year-old institution. There is no way back from this.

We

Dear 🇬🇧,

Please read - this NHS scandal potentially affects you all.

🧵 Having studied the data, just released, from the Royal College of Physicians members' survey on PAs, I couldn't be more disgusted by the lack of probity, honesty & fairness of those who lead my Royal College. 1/n

BREAKING
The senior officers of the Royal College of Physicians commissioned a survey of MRCPs’ views on physician associates (PAs). They have today released the actual findings, but the back story is shocking. I’ll link to the raw data at the end of this 🧵.
1/

I will just leave this table here to do the talking. The Royal College of Physicians leadership has attempted to mislead its Fellows at the #RCPEGM .

🔗 rcp.ac.uk/news/rcp-publi…

Hang on a second? This tells a completely different story to what was presented, To mishandle data on something so important is unforgivable for the RCP leadership.