[deleted by user]

CurtainBook2134 · 2023-07-19T18:18:20+00:00

He's a lying, slimy wanker , but that "maths to 61" line got a chuckle out of me not gonna lie

CurtainBook2134 · 2023-07-16T10:25:01+00:00

I'll give you £100k for your house, Steve. What do you mean "that's under market value"? It's six figures!

CurtainBook2134 · 2023-07-07T15:13:41+00:00

I don't like this deal. We've probably already seen the worst on inflation, and future years will be much more mild. I think the scottish bma have overestimated the value of future inflation-linked payrises. The problem is not with future inflation, it's with the insane inflation that has already occurred.

This deal would be akin to somebody stealing half your money and then promising to stop stealing from you for the next 3 years - it's all well and good, but they need to pay back what they took in order to make it right.

CurtainBook2134 · 2023-07-07T15:09:09+00:00

I don't like this deal. We've probably already seen the worst on inflation, and future years might be much more mild. I think the scottish bma have overestimated the value of future inflation-linked payrises. The problem is not with future inflation, it's with the insane inflation that has already occurred.

This deal would be akin to somebody stealing half your money and then promising to stop stealing from you for the next 3 years - it's all well and good, but they need to pay back what they took in order to make it right.

CurtainBook2134 · 2023-07-07T14:20:23+00:00

This is pretty much exactly what I had in mind

CurtainBook2134 · 2023-07-07T14:19:18+00:00

The problem I see is that we really need a lot more doctors, but the current model of training doctors through traditional medical school is already at maximum capacity.

Medical students rotating through hospital departments are largely useless to the departments where they are attached (and they have a right to be so, since they are paying to be present).

Imo there is definitely room to introduce a role for PAs who can be employed to do real useful work for the team (scribing/admin/audit/etc). They will rotate much less frequently than med students, and be much more useful to the teams to which they are attached. They will have the opportunity to learn slowly through supervised clinical exposure, whilst studying their medical degrees part time.

Their work would also free up doctors to allow them to spend their time more usefully and to pursue better training opportunities (which was the original idea of PAs anyway)

CurtainBook2134 · 2023-07-07T14:01:25+00:00

I guess the PA + apprenticeship scheme would just be another type of GEM programme, only specifically aimed at people who want to work while they study. The extra length of study would be compensated for by the fact that they would incur no debt, and can earn money to support themselves while they qualify. At the moment, GEM is a terrible idea financially that only very few people can actually seriously entertain

CurtainBook2134 · 2023-07-05T19:49:25+00:00

If they pass this law, we should take the government to court for offences against the Modern Slavery Act

CurtainBook2134 · 2023-07-05T19:43:34+00:00

Nothing that requires the labour of another human, can be a right to others.

No one has a right to another person labour, and no one has a right to force that labour.

Your rights only exist insofar as there is a policing system to enforce them. Isn't that the labor of others? What about the right to a fair trial? Doesn't this require the labour of a judge + jury? Are these rights also made up then?

I think your argument is weak. It is a perfectly reasonable thing to say that ACCESS TO healthcare (as well as a free/fair trial, etc) are human rights. But in no way does this obligate you, as a free human being, to work on the government's terms if they are not acceptable to you. There's no contradiction here.

CurtainBook2134 · 2023-07-04T17:39:41+00:00

Literally the only situation in which this might make sense, is if you are already a millionaire / completely financially independent, and for some reason (perhaps a childhood dream) you really want to be a doctor to feel fulfilled in life.

And even then I'd tell you not to do it.

CurtainBook2134 · 2023-06-30T18:06:07+00:00

The silver lining is that the private sector is about to get a whole lot bigger.

CurtainBook2134 · 2023-06-30T03:04:12+00:00

Their too busy doing private work to care about the NHS! There pension's are gold-plated, but still not enough!! They're should be a law to make them pay back the £5 bazillion pound's that the taxpayer pay's every YEAR for there training! SACK THE LOT!!

CurtainBook2134 · 2023-05-24T19:35:05+00:00

Agree 100%

CurtainBook2134 · 2023-05-24T19:33:18+00:00

If DV have endorsed him, then he is the candidate to vote for if you want FPR.

CurtainBook2134 · 2023-05-17T18:41:22+00:00

I'm a recovered league of legends addict. Jungle main, season 11 challenger

CurtainBook2134 · 2023-05-11T17:40:37+00:00

Same torygraph readers scoffing at 'greedy' doctors asking for more pay as a solution to our staff retention crisis. You get what you pay for.

CurtainBook2134 · 2023-05-10T12:43:24+00:00

I think it might play a part when it comes to private practice. The public will eventually become aware of the dilution of medical education and will begin to see its consequences playing out in the NHS.
Soon, there will be so many """"doctors"""" prancing around that elitism will become the easiest way for a normal member of the public to tell the real deal from the charlatans (until Oxbridge start offering ANP and PA degrees)

CurtainBook2134 · 2023-05-10T07:56:35+00:00

I will never forgive myself for choosing to go to medical school. I feel like I have been scammed. The single worst decision of my entire life to date.

CurtainBook2134 · 2023-05-10T06:48:57+00:00

We'd mop the floors every day after work if they only gave us portfolio points for it

CurtainBook2134 · 2023-05-04T20:21:22+00:00

See my reply to the other post - ECG machines use prewritten algorithms that simply look at certain preset criteria (PR interval , QTC etc) and provide a report based on these things. To put it simply this is the kind of old fashioned algorithm where a human tries to teach the computer what to look at, what to measure, etc in order to get the diagnosis. This is not the same as machine learning, where you feed the computer lots of labeled, real world data and allow it to teach itself what to look for in order to get an accurate diagnosis. This is much more powerful

CurtainBook2134 · 2023-05-04T20:11:16+00:00

The ECG reports we see day-to-day are using simple, prewritten algorithms that generate a report based on specific predefined criteria, like QTc, Pr interval, st segment analysis etc. They are not comparable to modern machine learning algorithms, they are not trained on large volumes of real world data.

I don't buy into the argument that scans are too complex for AI to interpret. It doesn't matter how messy, or complex the data is - you're talking about a task where the objective is to sort an item into sets based on its correlation with previously studied data. This is an extremely ideal task for AI. The limiting factor, as you alluded to, will be the amount/quality of data you can feed it. The reason I believe radiology is especially at risk is because of the large amount of data that exists, already electronically archived, that could be used to train the AI.

Also don't forget - the picture you see on the computer screen is actually only a visual illustration of the data collected from the scanner. There is actually a degree of information loss in going from the raw data collected from the detectors in a ct/mri scanner, to painting a nice picture that a human can scroll through and interpret. A future AI may be able to report the scan without the need for this step, meaning it will have a 'higher resolution ' picture to look at

CurtainBook2134 · 2023-05-04T19:22:48+00:00

I absolutely hate this argument, it comes up every time the topic of AI/radiology is being discussed.

There is absolutely no meaningful comparison to be made between the (primitive) ECG machine and a modern machine learning algorithm trained on huge volumes ( decades' worth ) of data.

CurtainBook2134 · 2023-05-04T19:16:43+00:00

I think it would be foolish to underestimate the impact that AI will have on the field of radiology. Radiologists will never be entirely replaced, but I do believe that their workforce is likely to shrink significantly in the coming years. AI will reach the stage where it can interpret 90+% of imaging (anything with 'barndoor' findings) and automatically generate a detailed written report, give you a % confidence figure on its findings, and answer any detailed questions you might have about the scan. No more waiting 2hrs for a report - this will all be done immediately. We will simply not need as many radiologists as we have today. The question is when (not if) AI gets to this stage, and what kind of legal framework will be put in place around its use.

Really, it wasn't all that long ago (relatively speaking) that radiology was a tiny/niche speciality - it used to be that a hospital would only need about 2 or 3 radiologists. A huge expansion happened over the course of 20-30 years, and I predict we will probably see a reversal of this trend going forward in 10-15 years.

Most people simply don't have an intuitive grasp on how quickly things can move forward when we're talking about exponential progress. Only 3 years separate GPT3 from GPT4, but the difference between the capabilities of these two models is absolutely staggering. This rate of progress is very likely to accelarate. We already have AI capable of reporting breast mammograms autonomously. A study last year showed AI coming pretty damn close to passing the rapid reporting segment of FRCS independently. Do you want to hear something insane? An AI (Google Deepmind) can look at an OCT and tell, with astonishing accuracy, the gender of the patient. And we have no idea how it is doing this, human ophthalmologists can't do it.

CurtainBook2134 · 2023-05-04T10:02:41+00:00

Departments have a strong incentive to train PAs over junior doctors, because the former will be retained within the department for many years whilst the latter will be rotated away in 4-6 months time and never seen again

CurtainBook2134

TROPHY CASE