IMG Resident Doctor
Joined September 2025
- Tweets458
- Following124
- Followers127
- Likes909
Surgical Resident Doc retweeted
Todays job ad for a PA to work on the SHO /Registrar rota at the @royalmarsdenNHS
@wesstreeting £56 - 63k for a PA WITH NO EXPERIENCE IN ONCOLOGY. To clerk , assess , examine , initiate/ interpret investigations for cancer pts
@RCPhysicians @Mumtaz_Patel_1 is this safe ?
Surgical Resident Doc retweeted
Cancer care is complex and life changing. Yet in this case the “consultant” is not medically qualified and not on the GMC register, despite using the title Dr on the hospital website. Full transparency about professional background should be standard. See below 👇🏼
Surgical Resident Doc retweeted
Are there some senior RCP folks who might be able to advise which types of staff fall into which Tier? Explicit reference to medical registrar level at Tier 2, in Feb 2026. I fear we have not learned very much. – at Bickleigh, England
🚨NEW @NHSEngland POLICY 🚨
"Patients aged over 65 presenting to hospital as an emergency should be assessed by a competent clinical decision-maker within 30 minutes of arrival’’
@RCPhysicians @acutemedicine @GeriSoc who are the ‘ competent clinical decision makers ?’
Surgical Resident Doc retweeted
A senior surgeon found to have sexually and racially harassed trainees over years, even during live operations, is back at work after a 12 month 'time out'
Courts say striking him off was 'disproportionate'. Disproportionate to who?
independent.co.uk/news/healt…
Surgical Resident Doc retweeted
Cancer services are being told they can’t hire doctors while patients face long waits and doctors are left unemployed.
Doctors who want to diagnose and treat cancer are being stopped at multiple stages from helping patients.
The Government caps how many doctors are allowed to train as specialists like radiologists and oncologists (specialists who read and diagnose from scans and treat cancer). Thousands apply each year, and many are rejected because there simply aren’t enough training jobs.
Last year, 4,011 doctors applied for clinical radiology training. Only 356 were accepted.
For the few who do manage to specialise, it doesn’t get easier.
In 2025, half of the UK’s specialist cancer centres were banned from recruiting oncologists, and over a third of radiology departments were blocked from hiring radiologists due to recruitment freezes, despite rising demand and high waiting lists.
So we now have an under-doctored country where:
- Doctors are turned away from specialist training
- Qualified cancer doctors are prevented from working due to recruitment freezes
- Patients wait longer for diagnosis and treatment
This is not an accident. It’s the result of government caps and cost cutting as well as poor workforce planning.
And the jobs crisis is one of the reasons why resident doctors have recently voted to extend their strike mandate.
This is not a workforce mystery. It is the predictable result of government caps and NHS cost cutting.
Surgical Resident Doc retweeted
Look at what @GSTTnhs are offering PAs compared to the real doctors @BMAResidents @fletchjack @thomasdolphin
CT 1 Dr £49k
Newly qualified PA with no surgical experience £ 56-63k
And you want @BMAResidents to be happy with this @wesstreeting ?
Can someone at @GSTTnhs explain how this job ad for a physician ‘ associate’ in T&O aligns with the @lengreview recommendations and @RCPhysicians @BritOrthopaedic scope of practice for PAs ?
@BritOrthopaedic were you aware of this advert? Will you be contacting @GSTTnhs ?
Surgical Resident Doc retweeted
🏴☠️ This is the value of nursing as a profession these days:
Just qualified as a nurse and unsure if to do ACP or Graduate entry medicine.
⭕️ A Couple of ACPs I spoke to said they do all things even the consultants do including even surgery in ENT but they just don't get the same wages.
⭕️ ACP is around 60k whereas eventually reaching consultant level is 140k.
⭕️ It's not about the money but you wouldn't have to work full time so would be less stressed overall on higher pay.
Absolutely shambolic.
Surgical Resident Doc retweeted
It’s explicitly asking them to make diagnoses (despite not being medically qualified), and asking them to replace a consultant histopathologist in MDTs where we deliberate on cancer diagnosis
I think using “consultant” in medical settings while being non-medical is misleading
1/
Surgical Resident Doc retweeted
There have been some conversations around how ACPs are supposedly safer than PAs, and are better trained, and so can work at ST3 level even if PAs are <F1 level as per Leng.
I thought it’d be useful to compare the ACP courses to the PA courses
1/
Surgical Resident Doc retweeted
The urology consultant nurse will do your prostate biopsy.🤡
@RoyalFreeNHS Urology Dept service for prostate cancer referrals is unsafe.
ANPs making Independent clinical decisions, investigations, autonomous biopsies leading to diagnosis for patients referred on 2WW pathway for possible prostate ca?? @TheBMA
Surgical Resident Doc retweeted
@BAUSurology who decided that ANP/ ACPs in urology are ‘responsible for clinical decision making at the same level
as a registrar Dr ? ‘
@alisonleary1 why are urology nurses replacing registrars?
@BAUNPresident where is the evidence for this ?
@BMAResidents @fletchjack
Surgical Resident Doc retweeted
Urology is a mess my friend . The royal colleges allow it . I don’t know what else to say. Until they stand up and say something ? This will continue
Consultant radiographer in Urology and palliative trt
@RCRadiologists this is dangerous for cancer patients .
@DrLKVaughan @Anisocyte @john_brittenden @ABarotchi1 @ClinOncDoc what was the point in Med school and post grad training ?
beta.jobs.nhs.uk/candidate/j….
@RoyalFreeNHS Urology Dept service for prostate cancer referrals is unsafe.
ANPs making Independent clinical decisions, investigations, autonomous biopsies leading to diagnosis for patients referred on 2WW pathway for possible prostate ca?? @TheBMA
Surgical Resident Doc retweeted
I would love to continue the fight on doctor substitution for situations like this.
Sadly, I have been abruptly removed from the BMA working group on this with very little notice.
Surgical Resident Doc retweeted
There would be no need to make any luck at all if training was treated as a critical activity in that scenario, but it's not, and thus the weird workarounds develop, with more 'successful' people being the ones who are able to push their luck further and 'escape better'.
Surgical Resident Doc retweeted
Basically by refusing to protect training from other stuff, we're actually selecting people who are better at avoiding or escaping from 'other stuff', or that care less about the consequences of doing so - up to a point where that balancing act tips or fails.
Surgical Resident Doc retweeted
It's a bit disturbing that if you as a consultant are failing to train your residents that the answer *must* be that they're not plucky enough, or not making their own luck. Intervene, speak to the management and get them off the ward rota, then train them.
Surgical Resident Doc retweeted
It's the same argument all the way down resulting from taskification and separating cognition from task (as per Dr Vaughan). The consultant surgeons in this case need to be insisting that the residents are off the ward and in theatre *much* more, and train them!