Rota monkey #555 (@justpaydrs) profile picture

Angriest doctor in the NHS. Screaming into the void. Pro Doctor. PGY8 and counting

3rd left past Hope
Joined September 2022
Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)Photo by Rota monkey #555 (@justpaydrs)
In the words of Dr Ronnie Coleman MBenCH PR(Ess) 'Everybody wanna be a doctor but don't nobody wanna read no heavy ass textbooks' - Reddit
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Sick to the back teeth of following a consultant plan at the start of a shift, a second consultant coming along and tacking potshots at both the plan and me. Especially as an end stage trainee it’s monotonous
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As a doctor, I don’t think non-doctors should be doing my job xoxo
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Caroline Flint is off her head
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Non-medical “consultants” supervising resident doctors is a fucking disgrace. TPDs should not be standing for this
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Rota monkey #555 retweeted
It's wild that paramedics, nurses, and physios have been openly bragging for years about replacing Doctors Then when it's called out they play the victim card The real victims are the patients
"I think it is scandalous that the NHS is allowing the substitution of doctors by individuals without sufficient medical knowledge instead of the obvious response to doctor shortages: hiring more doctors." Dr Mel Ryan, BMA lead on preventing doctor substitution. Advanced practitioners are being used to cover doctor rota gaps across the NHS. Read more: theguardian.com/society/2026…
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Rota monkey #555 retweeted
US match day: So excited to be starting specialty training! 🌞🌈 UK NHS: lol whoops, probably still your fault tho see you next year
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I gave my best years to medicine. Missed birthdays, bedtime stories, first steps, last moments. Swallowed the lie of our ‘indispensability.’ The truth? Medicine will take everything if you let it. And it will never love you back. Don’t regret it like me.
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Latest ACP research in the EMJ is useful if anyone needs an emetic
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Rota monkey #555 retweeted
Speechless yet again. Tier 3 ST3 has 5 or 6 years at medical school, 2 years as FY , and then ST1 and ST2 where they will have done 6 months medicine, 6 months ED, 6 months of ITU and 6 months Anaesthetics and likely passed 2 out of 3 MRCEM exams.
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I have been sent excerpt of case notes of a “Left Frontal Bolt External Ventricular Drainage” Done by a PA Supervised by a PA Assisted by a Registrar Using Consent Form 4 (As documented) Who do I send this to investigate on safety grounds? @CareQualityComm @NHSEngland @gmcuk
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Rota monkey #555 retweeted
🔴 This is the anti-doctor NHS at its finest. They are spending millions of pounds on services such as Pharmacy First, putting patient safety and pharmacists' registration at risk. ⭕️ What you see as “simple medical conditions” might be manifestations of underlying serious health issues: • Earache (mastoiditis/brain abscess) • UTI (bladder/prostate cancer/PID) • Infected insect bite (Lyme disease ☠️) ⭕️ Why not let pharmacists focus on what they were trained to do, and allow GPs to get on with their jobs by increasing funding? They seem to promote any role to increase competition in primary care. This is mainly to humble salaried GPs and force them to accept shambolic rates.
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Replying to @gloshospitals
@gloshospitals has been operating an SDEC lumbar puncture service since early this year. Alarmingly, a single PA has conducted at least 54 LPs without any oversight from a GMC-registered doctor. The Standard Operating Procedure lacks any requirement for direct supervision.
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Rota monkey #555 retweeted
Some of you are really not ready to have the discussion that although the replacement of doctors with PAs is important; it’s not the whole story It’s been happening and is being promoted to happen by RCEM. Tiered rotas are replacement.
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A bit insulting to think you can take someone from basics to advanced level in not just ONE but TWO radiological modalities over the course of a couple of lectures. Thoroughly impressed by the fitting response of this consultant.
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Also nice to see the “Queen’s nurse” pissing and moaning again about how doctors are holding the MDT to account.
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Offer is dogshit, we shouldn’t settle
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You won’t remember, but in 2006/7 you threatened to kick me out of medschool at the end of the 4th year. My crime? I failed the cardiology module following a head injury which meant I missed a significant part of the clinical teaching. I was awarded NO sympathy. I was told you either retake & pass, or on your bike. Fast forward to now, & here you are advocating PAs as a “route into medicine”. Many of whom have NOT passed the PANE nor the PAVMR exam yet are replacing doctors on medical rotas in trusts up & down the country. Oh the nerve… I had no intention of making this story public, but seen as you keep replying to my posts (& I don’t follow you), I felt the general public should know.
Replying to @Dr__Sarmy
No it isn’t. Why do you think it is? Come on, explain yourself please. Fully, chapter and verse. Not just anecdote or assertion. Happy to receive direct argument: polite only please. At [email protected]
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Med X’s own QN and arbiter of outrage has been keeping tabs on anon accounts… did you make the most wanted list? Apparently outside of “GMC scrutiny” whilst PAs and AAs operate in the grey areas outside of safe scope of practice PS - I am not a doctor nitter.gq/callumtgray1/status/17…
This video of an AA at a @gmcuk event about the loopholes in their scope of practice, apparently allowing AAs to provide remote site anaesthesia (IR) with distant supervision and up to 4:1 supervision, deserves more views. Obvious patient safety risk! youtu.be/VQjrDFIvvg8?si=ln5y…
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Still waiting to know what specific skills an ACP brings over an ED reg. No waffle, just a clear "they can do this, the registrar can't"
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