Mamas A. Mamas@mmamas1973
Professor of Cardiology @KeeleUniversity. Research: CV Epidemiology. Associate Editor @CircIntv. @TCTMD. EAPCI board. @BCIS_uk audit lead. Views my own. United Kingdom Joined February 2017-
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Dark days for RCP London My new BMJ comment bmj.com/content/384/bm…
It’s been fractious times for @RCPhysicians As the dust settles post the #RCPEGM - where to next? @DrLKVaughan and I give some views as Elected Councillors ‘The legacy of the senior leadership sits in them listening to the members’ Via @bmj_latest bmj.com/content/384/bm…
All the focus has been on the RCP EGM. But what needs to happen next to ensure patient safety with regard to the expansion of PAs? @parthaskar and I outline some ideas. bmj.com/content/384/bm…
@mmamas1973 Eugene Brauwald in JACC: “I am very disappointed with what is happening to our profession, which has largely changed into a business. The idealism that existed when I trained and during the first thirty years after I graduated from medical school is disappearing.”
***** BREAKING NEWS **** GPs in England have overwhelmingly rejected the govt contract offer. ‘Do you accept the contract’ YES 0.8% NO 99.2% Turnout 61.2% Over 2500 GPs joined @TheBMA in just 5 weeks. Incredible. Thank you. The committee is meeting now to discuss next steps
48/F, Diabetic (Uncontrolled) AWMI Diffuse LAD disease Strategy? #CardioTwitter #CardioX @ESC_Journals @ESC_Journals @JAMACardio @cardio73 @mmamas1973 @nadig_cardio @DrRajeshG1 @ACCmediacenter @PCRonline @MountSinaiHeart @SVRaoMD @ziadalinyc
It seems obvious but it has taken sustained pressure from many people and organisations to get agreement that: >>> PAs are not doctors >>> PAs must not replace doctors Those PAs who have been left exposed in place of GPs and on hospital rotas need to be supported into… x.com/i/web/status/1…
Simply fab keynote speech by @trishgreenhalgh to summarise what we know and what we need to know about #LongCovid.
As a country we need to ask ourselves who do we want to look after us in the NHS? And what sort of services do we want. Do we want individuals with no medical training (PAs), no nursing training (nurse assistants) or no pharmacy training (pharmacy technicians) replacing… x.com/i/web/status/1…
As a country we need to ask ourselves who do we want to look after us in the NHS? And what sort of services do we want. Do we want individuals with no medical training (PAs), no nursing training (nurse assistants) or no pharmacy training (pharmacy technicians) replacing… x.com/i/web/status/1…
The GMC was founded to protect patients from non-drs practising medicine. Now it is to regulate non-drs practising medicine to provide the public with confidence that it is safe. Can anyone make this make sense?
GP partners You now have the BMA and NHSE saying you cannot allow PAs to independently see patients and all work must be supervised and reviewed ALL WORK This will land squarely at your feet when something goes wrong Some PA partners are going to have to check their egos
GP partners You now have the BMA and NHSE saying you cannot allow PAs to independently see patients and all work must be supervised and reviewed ALL WORK This will land squarely at your feet when something goes wrong Some PA partners are going to have to check their egos
NHS says : ‘ALL work undertaken by PAs MUST be supervised and debriefed with their supervising GP’ Why is @NHSEngland paying PAs £43k to do work which needs to be re-done by a GP anyways ? Why are we wasting GPS valuable time ? Time for PAs to be removed from GP altogether
❌ Juniors doctors can’t get training posts ❌ Senior doctors can’t get consultant posts ❌ GPs made redundant It’s the JOBS for drs that aren’t there NHSE have deliberately manufactured a “shortage of doctors” to GIVE them a reason to introduce PAs This is all pre-meditated
Occupational Hazard of Radiation☢️ in Cardiology. It shouldn’t be “out of sight, out of mind”. Join us for this insightful discussion at #ACC24 led by @EstefaniaOS @KTamirisaMD @jennifer_rymer @loridanielsmd @MRazminia @DrJCheungEP @ACCinTouch #ACCFIT #CardioTwitter #ACCWIC
It's hard not to see Medicine being assailed from all sides. Even from those who are supposed to promote the highest standards of care and professionalism. Here is what @mancunianmedic and I think about the GMC's proposed changes to Medical Education. bmj.com/content/384/bm…
What’s in a name? Associate Specialist- DOCTOR Physician Associate- NOT doctor The name change from “Physician Assistants” is DELIBERATE to blur the lines b/w PAs & Drs In spectacular irony, @gmcuk whose purpose is to protect pts from NON-doctors are refusing to heed concerns
LOOK AHEAD trial failed to show intensive lifestyle changes reduced mortality relative to placebo in those with T2DM & obesity. diabetesjournals.org/care/article/4… via @BrownUniversity 's Prof #RenaWing et al @trishgreenhalgh @TomPMarshall @mmamas1973 @kamleshkhunti
Experienced amazing Sri Lankan authentic villege life and home cooking today Made a variety of vegetarian dishes - my favourite was fresh coconut salad 👌
Thank you @SCAI for the recognition- 30 in their 30s! Wonderful to share the stage with many friends @Babar_Basir @RhianEDavies1 @KhanjanShahMD
Thank you @SCAI for the recognition- 30 in their 30s! Wonderful to share the stage with many friends @Babar_Basir @RhianEDavies1 @KhanjanShahMD https://t.co/PLJGAgXBny
Dr G Rajesh (Gopalan ... @DrRajeshG1
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7 Followers 127 Following Regarding my story, it’s better to listen to me🌸@mmamas1973 @MoledinaSM Congratulations Dr Moledina.
@mmamas1973 @MoledinaSM Werhey congrats Saadiq!!
This is absurd and I’m glad not a requirement in my trust now are you supposed to treat patients if you can’t add on or request guidance with their blood results
This is absurd and I’m glad not a requirement in my trust now are you supposed to treat patients if you can’t add on or request guidance with their blood results
At my trust I’ve been shouting to high heavens about this. It actually makes my blood boil. Doctors can’t speak to Micro, but non-prescribers can. 🤦 Microbiology SORT it out!
At my trust I’ve been shouting to high heavens about this. It actually makes my blood boil. Doctors can’t speak to Micro, but non-prescribers can. 🤦 Microbiology SORT it out!
trusts doing this is actually crazy... that's why so many patients end up having inappropriate abx prescribed that needs to be challenged later on, possibly after patients have already had it. Limiting access to micro like this is very detrimental to patient care
trusts doing this is actually crazy... that's why so many patients end up having inappropriate abx prescribed that needs to be challenged later on, possibly after patients have already had it. Limiting access to micro like this is very detrimental to patient care
To all those dosa fans here’s a 100 + feet dosay ( dosa) by MTR @mmamas1973
To all those dosa fans here’s a 100 + feet dosay ( dosa) by MTR @mmamas1973
@mmamas1973 @DrAsifQasim If they are good enough and resilient enough they will get into medical school in the normal way, which is extremely rigorous for a good reason!
Perhaps also revisit why declarations of interest are kept private as well
RCP London College Day has come around…annual election of President (by statute)…I predict some interesting developments, one way or another, before the day is out and I will be posting later #RCPEGM
Voting for academic vice president and council members of RCP closed at midday today. Thank you to all those that voted. Now the election is closed, I will be tweeting something further once the results have been announced.
Dark days for RCP London My new BMJ comment bmj.com/content/384/bm…
A strong message from GPs that we need proper funding to run effective GP services
A strong message from GPs that we need proper funding to run effective GP services
It’s been fractious times for @RCPhysicians As the dust settles post the #RCPEGM - where to next? @DrLKVaughan and I give some views as Elected Councillors ‘The legacy of the senior leadership sits in them listening to the members’ Via @bmj_latest bmj.com/content/384/bm…
@HolgerNef @kaschenke @GhanemAlexander @m_leistner @dscharpfMD @MarcVorpahl @mmamas1973 @alaide_chief @mirvatalasnag 1) Best possible‼️‼️ 2) #Access = 7.5F Sheathless PB radial 3) #ImageFirst 4) PCI dependening on Imaging: My Oracle➡️ #DKC (LAD/LCX); Trissing Ramus
@mmamas1973 @DrAsifQasim I agree. Suitable ones could go to medical school, and those who are not, or do not wish to, can become doctor's assistants (as originally intended) on a Band 5 salary. Anyone saying that reducing pay is not acceptable... remember that AfC reduced many salaries.
All the focus has been on the RCP EGM. But what needs to happen next to ensure patient safety with regard to the expansion of PAs? @parthaskar and I outline some ideas. bmj.com/content/384/bm…
@mmamas1973 Thanks Prof! Really appreciate all your help. It's been a fun journey!
@mmamas1973 If we had Political Associates replacing MPs, I’m sure we would have an end to this issue instantly!!!
@siegel_c @mmamas1973 Anyone who goes through the rigmarole of getting into medicine still has got that passion thank god. That’s why we must all fight for them to be valued and respected whether they are at med school, junior doctors, FY1/2 and so on.
@mmamas1973 @MoledinaSM What a wonderful time to celebrate👏🏻👏🏻👏🏻 Congradulations to you both🧿🙏🏻🧿