You put it to me? There's nothing comfortable about either option. And they're not mutually exclusive. The 'system' does need fixing, but mustn't be allowed to become the sole focus of blame just because it conveniently avoids individual accountability.https://twitter.com/c7rky/status/1053582542694244352?s=21 …
I'm not sure how it frustrates, but I can see first hand how it has frightened. However, the risk to doctors has been overblown imho & I've found some of the claims to be opportunistic/inflammatory. Causing the fear in many ways. Did you catch my exchange of letters with Gordon?
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Putting aside own opinions whether reactions justified or overblown, etc, it‘s worth acknowledging that reactions have happened, fear exists. and then ask why- far more complicated and deeper-seated than a single case, and influenced by far more than fear of ‘it could be me’
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What you have observed is only the public face, the straw that broke the camel’s back- but that was only the latest trigger, behind which lies tonnes of other baggage that has been piled on behind the scene for years
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Now that makes far more sense to me. The emotional reaction has been impossible to ignore, so there's no denying it. I just happen to think those behind the scenes backed the wrong poster child for the cause and have allowed the cause to become far too protectionist in its focus.
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Increasing evidence that Revalidation and appraisal have made little/no difference to safety, no additional ‘unsafe’ Drs found vs pre-Revalidation despite huge financial cost to implement, and personal cost re: added workload for individual Drs
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No additional benefit to safety and distracts from patient care. It's created a huge industry in selling appraisals to doctors at more than £600 a pop and over £1500 for revalidation for no discernible gain.
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Doesn't sound like the sort of evidence-based intervention we've been led to believe underpins the medical world's every undertaking, does it? But somebody's making money...
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Exactly. There are many things in healthcare, as in many walks of life, that are not evidence-based.
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But because of the EBM wave that has overtaken medical culture it is no longer safe to admit it
even harder to prove against it because have to admit there was no evidencein 1st place, which nobody wants to admit...and round and round it goes. - 1 more reply
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Yes, some while back if I remember. Can’t remember details though
Thanks. Twitter will use this to make your timeline better. UndoUndo
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