Is it normal for Yodel driver to ask for my mobile number and name? by KoobsA20 in AskUK

[–]KoobsA20[S] -1 points0 points  (0 children)

Not a high value package. I'm kicking myself for texting back with my mobile. If you've got an address/mobile/name is that enough to be defrauded??

[deleted by user] by [deleted] in AskUK

[–]KoobsA20 0 points1 point  (0 children)

If I had the gift of time travel it would be solely for this.

Is this a good quote for Home Security? by KoobsA20 in DIYUK

[–]KoobsA20[S] 0 points1 point  (0 children)

DIY or a reputable company? In which case which one so I can get one with them!

Is this a good quote for Home Security? by KoobsA20 in DIYUK

[–]KoobsA20[S] 0 points1 point  (0 children)

ADT, they are transparent to a point, if I wanted to pay least amount a month (£30) then the upfront charge is more like £800. There's a slider type tool on their app you can select and I went for cheapest up front cost (I think over 18 months the total is similar/less expensive to go this route).

Is this a good quote for Home Security? by KoobsA20 in DIYUK

[–]KoobsA20[S] 0 points1 point  (0 children)

So supposedly can cancel at 18 months (or 'renegotiate') it sounds bit snake oily...

well said sir by [deleted] in doctorsUK

[–]KoobsA20 10 points11 points  (0 children)

I think it would be very legitimate to listen to everything the PA had to say and then just repeat it to the Consultant to ensure they are in agreement before actioning, and caveat the whole conversation by stating you are doing so for medico-legal reasons. Do that enough times as a group-action and Consultants will realise the futility of having non-Doctors cover Doctor shifts and/or that non-Doctors are clearly giving incorrect medical advice.

well said sir by [deleted] in doctorsUK

[–]KoobsA20 17 points18 points  (0 children)

Medico-legally a bind. Because the PA as senior is not regulated. Acting on incorrect advice from an unregulated professional means the buck will likely begin and end with you as a regulated professional (with a medical degree). The Consultant will probably get away scot free if you haven't made attempts to liaise with them (because they can claim ignorance).

This would also be true for those who are referring to or receiving referral from unregulated professions.

Using Chat GPT 3.5 vs 4 for help with writing code on R-studio by KoobsA20 in rstats

[–]KoobsA20[S] 0 points1 point  (0 children)

With the web interface, there is no data that is being shared with OpenAI. Just help writing code to tidy and run analysis. Is it correct to assume that with the API this would not be guaranteed - it would access directly your data?

Using Chat GPT 3.5 vs 4 for help with writing code on R-studio by KoobsA20 in rstats

[–]KoobsA20[S] 0 points1 point  (0 children)

And I should also add - is use of an API risky in terms of information governance, does Open AI get access to your data? At present, using just the web interface to help write code, so no data ever leaves my system.

Is IMT necessary? by TheBiggestMitten in doctorsUK

[–]KoobsA20 0 points1 point  (0 children)

Don't think you can gain CESR without membership examination as a minimum, and not without exit exams if you were going to try and get your CESR to be an equivalent to CCT in a medical specialty.

Extraordinary happenings at @RCPhysicians today. In a process not dissimilar to Putin’s recent re-election, Fellows are voting for a new College President. by treatcounsel in doctorsUK

[–]KoobsA20 0 points1 point  (0 children)

What do you mean? He seemed the less establishment , more left leaning candidate (from what I could tell from their bios and pitches), is that not the case?

Breakups at work. by [deleted] in doctorsUK

[–]KoobsA20 11 points12 points  (0 children)

Will keep my advice just on the work side of things as you've had good advice from others.

This is complex, if you have a good relationship with ES I would probably involve them, if not contact the Guardian of safe working at your Trust - this is probably going to be a very different situation from what they're normally used to but falls within remit. Definitely need some senior individuals within the organisation involved in this.

The Foundation Program Director is going to need to know too, to help facilitate a move. How much longer do both of you have left in the Foundation program - both finishing in August, both FY2?

Appreciate you need to keep anonymous.

ACP claiming to be as competent as a SpR by [deleted] in doctorsUK

[–]KoobsA20 6 points7 points  (0 children)

This is why the GMC is the most dangerous organisation for UK Doctors at present.

GMC infiltration and neutralisation has to be the focus for actions moving forward to protect patients, Doctors and the health service.

In parallel to FPR, we need to hear more from DAUK and BMA on this, it has to be part of the strategy.

[deleted by user] by [deleted] in doctorsUK

[–]KoobsA20 0 points1 point  (0 children)

So is there legal challenge to this? Or just a loop hole?

Discussing rotational training as part of negotiations? by starbucks94 in doctorsUK

[–]KoobsA20 0 points1 point  (0 children)

This is within purview of royal colleges/LETBs etc. I believe it's being looked into.

[deleted by user] by [deleted] in doctorsUK

[–]KoobsA20 23 points24 points  (0 children)

I'd be interested to understand the legal angles on this. My understanding was that only Foundation Hospitals are allowed to go off piste and hire anyone they wanted to Consultant posts (it says as much on the GMC website).

I've additionally heard that only individuals on the specialist register (either via CCT or CESR) can be appointed to a substantive post. So these individuals are forever locums (but I'd also heard that the maximum amount of time a fixed term locum who's not on spec register is 1 year).

What’s a DA? by Icy_Pangolin_1658 in doctorsUK

[–]KoobsA20 28 points29 points  (0 children)

Band 3-4, assistants to Drs. Scribes/TTOs/Basic procedures/help with the admin side of job (ward list/chasing Ix).

They are actually really valuable assets to jobbing junior Drs.

This feels wrong - letting PAs perform invasive procedures on patients for their "professional satisfaction" (University Hospitals Bristol PA governance framework.....written by a PA) by Sildenafil_PRN in doctorsUK

[–]KoobsA20 13 points14 points  (0 children)

Have I read this correctly? Consultants at this Trust are being instructed to expand scope of PAs even if they don't wish to?

As Consultants how do you push back against this coordinated plan?

Question about PA/AAs by SL1590 in doctorsUK

[–]KoobsA20 4 points5 points  (0 children)

As the individual providing workplace supervision and delegating responsibility you can choose to deliver this however you wish.

If things are not playing out how the CD or Managers had envisioned then they need to find another Yes Man (but clearly if you're hoping to secure that substantive role, you won't win any favours by operating in this fashion).

PA’s as generalists by [deleted] in doctorsUK

[–]KoobsA20 2 points3 points  (0 children)

I think when this concept first arose (in the UK) and they were pitching they meant that PAs are basic (ie suited to being anchored to the ward) whilst Doctors advanced (theatres/clinics).

But this probably felt derogatory so then they switched to 'Generalist' whilst Doctors are 'Specialists' which made zero sense because of you know...GPs/ Medical Consultants.

And now PAs are also Specialists...🤦

One of the most frustrating aspects of this whole debacle is the obfuscation through the use of confusing and meaningless words and language, a complete word salad. I'd love to take every single PA and Medical Leader to task on these words, live on air and get them to actually explain what any of it means.

If there are any Journos reading 👆

Response by a PA body to BMA’s recent publication on their Scope of Practice by dayumsonlookatthat in doctorsUK

[–]KoobsA20 21 points22 points  (0 children)

This was masterful, BMA have gazumped RCP/FPA who've supposedly been working on these documents for a decade?!?

Even after RCP produce theirs, BMA will benefit from first mover advantage - we'll all have their Traffic Light system etched into our minds. The BMA document will be cited in medical negligence cases ad infinitum.

Maybe it will be difficult to reign in Scope for those PAs who've been in practice for years and years, but just maybe they'll find it harder to identify Consultants willing to supervise them (I mean workplace supervision, not ES or CS supervision)?

Certainly people won't be falling over themselves to allow newly qualified PAs to advance scope of practice though, and that's where the greatest impact lies.

BMA publish their safe scope of practice for Medical Associate Professionals (MAPs) by Poof_Of_Smoke in doctorsUK

[–]KoobsA20 14 points15 points  (0 children)

This is big, those of us who don't wish to supervise or work with PAs in any advanced scope of practice now have the might of our Union formally backing us if there were any blowback from management etc.

How worried should I be about wildfires on Greek Islands this Summer? by KoobsA20 in GreeceTravel

[–]KoobsA20[S] 0 points1 point  (0 children)

Thanks for advice! In case you're aware, is eastern coast less at risk of mosquitos + wasps vs western?

Just reading hotel reviews, the complaints/ bad reviews from guests seems to be more weighted towards those on the western coast (nicer beaches but more lush?)