Sarj Athwal
@sarjuathwalOphthalmologist | Tech geek | Amateur coder | Aspiring carpenter | @OphthConvergent
Are you a final year trainee or a locum consultant with a substantive NHS consultant interview coming up in the next 6 months? If so join my FREE LIVE training on Wednesday 8th May at 8pm UK: 7 Steps To Ace Your Consultant Interview: medicalinterviewprep.com/webinar
Having seen it again this week, a reminder that using someone's divorce status as a character slur is lazy and offensive. Especially as many cultures still stigmatise women with it. If you truly dislike someone's character, I'm sure you can find an actual reason to do so.
Welcome statement from @RCOphth highlighting the key issues facing ophthalmology, and providing a clear recommendation for a sustained year-on-year increase in training places - an extra 55 per year over the next 7 years Shortage of doctors❌ Shortage of training posts ✔️
Today we've published our three-step plan to future-proof NHS #ophthalmology. We're calling on #politicians & #policymakers to follow our recommendations for a sustainable and comprehensive #eyecare service for people across the UK. Take a look rcophth.ac.uk/news-views/col…
Interesting points raised on both sides. Have to say, from the a surgical POV the loss of anaesthetic rooms would absolutely shred attempts at surgical efficiency. Though I can see the rationale of anaesthetising high risk cases in theatre.
🔓Anaesthetic rooms are no longer needed. 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an… 🔓You don't know what you've got 'til it's gone: why anaesthetic rooms should stay. 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an… Who won the argument? @VirtueOfNothing or @amit_pawa? You decide!
"39 more of these and we can call it a day" "Well, we never specified the new hospitals would be life-sized ones" "I did think it was a bit on the nose when NHSE called their productivity website the Model Hospital"
We are building 40 new hospitals to help make our NHS fit for the future. Great to visit @HillingdonNHSFT in Uxbridge to see the building work underway and to thank staff for everything they do.
I always highlight that there are several benefits to digital transformation: Data quality☑️ Safety☑️ Efficiency (eventually)☑️ But these things take time. So making things faster is never going to be a selling point.
We are building 40 new hospitals to help make our NHS fit for the future. Great to visit @HillingdonNHSFT in Uxbridge to see the building work underway and to thank staff for everything they do.
Two aspects of digital transformation and the transition to EPR that frequently get overlooked: 1. Digital clutter 2. Increasing transference of admin burden from admin staff to clinicians newyorker.com/magazine/2018/…
Agree with this, but it depends what you mean by rotating Rotating between teams/specialties? Great! Rotating 50-100 miles between opposite ends of the deanery? Only reason that "worked" was the unspoken assumption it was necessary. We've now been told it isn't (and never was)
Absolute tosh. You are more useful BECAUSE you rotate. Drs arrived in my team knowing stuff I could not gave possibly taught them - or not in the time available. So what if the IMT2 had limited experience of NIV? I could teach that. But they already knew loads about IBD and DM
Rotational training was really rough. Damaged my personal life and mental/physical health. But there was no choice - it was either that or leave. If I was just starting out now and was being told I was less useful because I rotate - through no choice of my own? I'd be fuming.
🧵/ The government doesn’t want you to know it, but it is currently conducting a massive, un-evidenced, cost-cutting experiment in the NHS, replacing doctors with so-called physician associates. 1/n theguardian.com/society/2024/j…
As an ophthalmologist, I *know* this isn't true. And yet I really want to offer this as an explanation to my patients.
Not sure what's making me more envious - the desk, or the number of people replying to agree this is indeed a consultant perk - a deskless consultant whose bag still lives on the floor
The biggest perk of being a consultant is I have my own desk and a place to store my belongings It’s nothing fancy and I share my office but after 12 years of leaving my bag on the floor it makes me happy. Ironic this is what l get excited about - a desk! NHS working for you 🤦🏽
"At least we've eradicated sexism in the NHS"🙄 Healthcare remains a bastion of sexism, for staff and patients. Had a clinic patient recently who was shocked I spent the whole consultation talking and listening to her, and not her husband as is usual🤯 bma.org.uk/advice-and-sup…
I grew up on these streets
PSA: Lest there be any doubt, this is an absolutely 1000% terrible idea. High risk of chronic inflammation, glaucoma and likely vision loss. For no reason other than vanity. Don't do it. x.com/Gidi_Traffic/s…
This surgery requires your cornea to be cut open and then a permanent implant is placed over your iris. It’s illegal basically everywhere but India and Columbia. Why? Because almost everyone who has had this surgery has gone blind. Completely fucking blind.
Ophthalmologist, 100%. Sleeping with contact lenses is the only one of the three that can cause life altering complications after just a one-off event, as opposed to cumulative damage over time with the others. Wish people were more aware of the dangers of contact lenses.
A dentist, ophthalmologist, and dermatologist walks into a bar. All 3 end up drunk. At home, the dentist forgets to brush their teeth, the ophthalmologist forgets to remove their contact lens and the dermatologist forgets to remove their makeup. Who committed the worst sin?
Or - and I'm borrowing someone else's words here - PA/AAs will be highly sought after in medical management given their clinical experience (to whatever level that might be) and this whole situation is creating a future cohort of managers hostile to drs. Perhaps part of the plan?
My prediction - PA/AA relationships with doctors will worsen, partially due to bungling by Colleges/GMC. Docs will refuse to supervise to collapse the project. In response only option will be to remove the need for doctor oversight and give independence.
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