Respiratory Med Reg🫁 | @MMPhDHP fellow @UofGlasgow & @MEIRU_Malawi 🇲🇼 | @JMultimorbidity fellow | @RCPEdinTrainees T&MC | @EADTMH 🇹🇿🇺🇬 | @AHPdoctors 🇿🇦
Malawi 🇲🇼
Joined December 2009
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I need a new social network like I need a hole in the head (I am trying to wean off them in general) - but engagement is an important part of science, so you can now find me over at BlueSky @benedictwarner.bsky.social 🦋 see you there!
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Exploring KFRE performance in frailty, use of cystatin C based eGFR and competing mortality risk
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Dr Giannoudi speaks with Dr Schoeman about the genitourinary medicine (GUM) clinic. They discuss the prevalence of STI's, approaching patient's sexual health and interesting cases from Dr Schoeman's clinical experience.
Listen now: podcasts.rcpe.ac.uk/show/cli…
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At our #rcpeEMU on Respiratory Medicine Prof Charlotte Summers will discuss ‘Case-based discussion: Putting the NCEPOD CAP Report into practice.’ For the full programme, visit: events.rcpe.ac.uk/respirator… #rcpeEMU
ALT Graphic with event title and date.
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At our EMU on Respiratory Medicine on 22 Oct, Dr Tom MacKay will discuss ‘Non-clinical: Setting up a virtual Respiratory ward.’ More info and booking: events.rcpe.ac.uk/respirator… #rcpeEMU
ALT Graphic with event title and date.
In danger of losing my coffee in my enthusiasm. Honestly, it was great to share some of our work from @MEIRU_MALAWI - I find discussing it always helps clarify my thinking on what we are actually doing. It was also inspiring hearing all the other research going on in Malawi!
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So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo.
1/
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Dr @CharlotteMSnead , a PhD student at @LSTM, doing a secondary analysis with MEIRU data, is presenting on 'Association between impaired kidney
function and all-cause mortality in rural,
Northern Malawi." #3rdKUHeSRDC
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Dr @Owen_Nkoka our Cohort Manager, is presenting a preliminary analysis from our NCD longitudinal population study; which shows a rapid rise in diabetes in our cohort, with adult all-cause mortality for those with diabetes now comparable to HIV. #3rdKUHeSRDC
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Dr @benedictwarner PhD Fellow at @UofGlasgow and MEIRU is presenting on the association of multimorbidity with physical activity levels in a rural and an urban site in Malawi.
I don’t this is quite fair-more likely offer of a free PA via ARRS seen as a lifeline to save overwhelmed practices. But it does show how the workforce landscape is consciously shaped by ARRS scheme & not primarily by choices of practices responding to needs of their communities
#askforadoctor GP partners are in part responsible for the mess we are in.
Each PA they employ saves £100k in paying a GP.
The partner gets the PA for free via ARRS.
Unlimited scope is a product of the Partners greed.
I suspect if practices were offered the salary of a PA to spend as they choose, many partners might have taken a pay cut to supplement it enough to employ a salaried GP instead - opposite of greed
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Oof. The @RCPEdin is not pulling its punches here, calling for:
- legislation regarding PA regulation to be delayed in its implementation.
- @gmcuk not to regulate PAs until clear, nationally-agreed scope & ceiling of practice protocols are in place.
Thank you @RCPEdin 🙏
We have today published a further statement on our position on Physician Associates.
Please read in full on our website: rcpe.ac.uk/college/further-p… #PhysicianAssociates
The bottom line here is the government (and by extension health workforce planners) have decided we as the UK cannot for everyone that wants to see a doctor, to see a doctor. I don’t think there has been enough public conversation about this.
Optimal interventions are made by shifting the physician-patient-contact to the earliest process. myemail.constantcontact.com/…
The choices boil down to whether public want:
a) to spend same £ on healthcare & continue to struggle for timely 1’ care appts
b) spend same £ on healthcare + get timely 1’ care appoints, but potentially not w/a Dr
c) spend more on healthcare & get timely 1’ care appts w/ a Dr
Excited to be at the #3rdKUHeSRDC @KUHeS_mw Research Dissemination Conference in Blantyre, along with the wonderful @MEIRU_MALAWI team. So much great health research work on display - looking forward to finding out what other #multimorbidity research is happening in Malawi