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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Bid‏ @BidC1 Feb 7
      Replying to @jim_crawfurd @C7RKY and

      That is the case for most protocols. Many believe they are the norm everywhere, and yet most places have very different policies. This is challenging for agency nurses. Until March 31 2017 50% of Nurses worked for an agency

      1 reply 3 retweets 1 like
    2. mark taylor‏ @marktaylor18 Feb 7
      Replying to @BidC1 @jim_crawfurd and

      This is why induction is so important (including for locums)

      1 reply 0 retweets 2 likes
    3. Grumpy Old Doc‏ @GrumpyOldDoc Feb 7
      Replying to @marktaylor18 @BidC1 and

      Our juniors don't invent new mistakes to make We made the same ones years ago But if we don't point out to them how they can be avoided they will happen again and again Induction is a crucial stage of that process

      1 reply 5 retweets 10 likes
    4. mark taylor‏ @marktaylor18 Feb 7
      Replying to @GrumpyOldDoc @BidC1 and

      This.... I spend a lot of time telling my juniors how to avoid errors that I have seen or made. They tell me no-one else makes the effort...

      1 reply 4 retweets 9 likes
    5. John Clarke‏ @C7RKY Feb 8
      Replying to @marktaylor18 @GrumpyOldDoc and

      No one else makes the effort? How can we expect new doctors to avoid the pitfalls, if they're not being told what they are? That sounds like madness.

      2 replies 0 retweets 3 likes
    6. Jim Crawfurd‏ @jim_crawfurd Feb 8
      Replying to @C7RKY @marktaylor18 and

      Yup. Sharing learning from complaints and mistakes is one of the best tools we have for education. But the short duration of junior doctor placements is a challenge, particularly in “generalist” specialties.

      1 reply 1 retweet 1 like
    7. Jim Crawfurd‏ @jim_crawfurd Feb 8
      Replying to @jim_crawfurd @C7RKY and

      With juniors spending as little as 3 or 4 months in Emergency Medicine or Paeds, where the range of casemix is huge and the potential pitfalls are many, it is hard to cover everything early on, which is when it is needed.

      1 reply 2 retweets 0 likes
    8. Jim Crawfurd‏ @jim_crawfurd Feb 8
      Replying to @jim_crawfurd @C7RKY and

      Solutions are either: 1)having enough cover/slack in the system to allow them to actually have several days of “classroom induction” before they start seeing patients, which requires having enough seniors or other clinicians to a) deliver that training and b) cover the shop floor

      2 replies 2 retweets 0 likes
      John Clarke‏ @C7RKY Feb 8
      Replying to @jim_crawfurd @marktaylor18 and

      Considering that the consequences of an error in medicine are so extreme, we really do seem to run everything on a shoestring sometimes. Hard to imagine anything more important to properly fund.

      2:11 AM - 8 Feb 2018
      • 3 Retweets
      • 4 Likes
      • Bid mark taylor Grumpy Old Doc Jim Crawfurd Anne Murphy
      2 replies 3 retweets 4 likes
        1. New conversation
        2. mark taylor‏ @marktaylor18 Feb 8
          Replying to @C7RKY @jim_crawfurd and

          It is worse than this all suggests. Once being oncall, study days and holidays the trainees are with ward team about 40-45% of time. I will be away some of this time. Also my timetable has only some of time on ward. So direct contact for passing on experience limited

          1 reply 2 retweets 3 likes
        3. John Clarke‏ @C7RKY Feb 8
          Replying to @marktaylor18 @jim_crawfurd and

          And they wonder why negligence claims have gone through the roof? I'm not surprised. We should be putting the money into this, rather than paying far more out later for failing to do so. Ridiculous!

          1 reply 0 retweets 3 likes
        4. mark taylor‏ @marktaylor18 Feb 8
          Replying to @C7RKY @jim_crawfurd and

          There is more classroom teaching than before, but education/supervision needs to be taken more seriously. Job plans for seniors need to have genuine time for supervision. It is suggested 1 hr per trainee per week for 1 to 1 supervision (this is in addition to on the job/ward)

          1 reply 1 retweet 4 likes
        5. John Clarke‏ @C7RKY Feb 8
          Replying to @marktaylor18 @jim_crawfurd and

          Interesting, thank you Mark. Classroom time is important in any subject, but even patients realise passing your driving theory test doesn't mean you can drive. That particular transition to reality comes with L plates and a qualified driver at all times for a reason. It matters.

          1 reply 0 retweets 3 likes
        6. Anne Murphy‏ @DrAnneMurphy Feb 8
          Replying to @C7RKY @marktaylor18 and

          The taxpayers choose to staff acute hospitals with relatively inexpensive junior staff, holding dubious employment contracts. For this reason, a trainee *community* paediatrician (a whole different specialty) get left in charge of all acutely unwell kids in a hospital. Scary.

          2 replies 2 retweets 5 likes
        7.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 9
          Replying to @DrAnneMurphy @C7RKY and

          People on this thread may find this #LearnwithDrDog short film on #GrossNegligenceManslaughter of interest. http://learnwithdrdog.blogspot.co.uk pic.twitter.com/gNruaZxMsV

          1 reply 7 retweets 7 likes
        8. Anne Murphy‏ @DrAnneMurphy Feb 9
          Replying to @4AdsthePoet @C7RKY and

          My goodness. Thank you so much. What a fabulous (and scary) learning resource. This slide really surprised me. http://learnwithdrdog.blogspot.co.uk/2018/02/learn-with-dr-dog-series-2-basic.html?m=1 …pic.twitter.com/D6gHnxLeeh

          3 replies 5 retweets 5 likes
        9.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 9
          Replying to @DrAnneMurphy @C7RKY and

          Yes agree it is an interesting and unexpected feature of professional negligence. Glad you found Dr Dog helpful

          1 reply 0 retweets 3 likes
        10. 3 more replies
        1. New conversation
        2. Joanne Fraser‏ @JFr4ser Feb 8
          Replying to @C7RKY @jim_crawfurd and

          And lots of people get truly world class care despite it all

          1 reply 0 retweets 2 likes
        3.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 8
          Replying to @JFr4ser @C7RKY and

          There are but it doesn’t work like that, 100 people getting 1st class care does not cancel out 1 person receiving appalling care.

          2 replies 0 retweets 3 likes
        4. mark taylor‏ @marktaylor18 Feb 8
          Replying to @4AdsthePoet @JFr4ser and

          Agree no patient should get poor CARE. However in cost restricted systems and rationing, it may be CARE without best (but cost “inefficient”) treatment

          0 replies 1 retweet 2 likes
        5. End of conversation

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