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Ebrahim Mulla

  • GMC 'can't lawfully stop appealing fitness-to-practise tribunal decisions'

    Ebrahim Mulla's comment 21 Dec 2018 10:54pm

    Well said Azeem!

    Isn't it interesting how the GMC are going about rebuilding trust with the profession they regulate?

  • BMA and Government reopen junior doctor contract negotiations

    Ebrahim Mulla's comment 14 Sep 2018 12:48pm

    Can the BMA do something about the mileage expenses for GP trainees which has been removed under the 2016 contract? I'm out of pocket by ~£1000/y and I imagine a lot of trainees nationally are losing out in some way.

    "GP trainees who use their cars to conduct home visits during their placements are entitled to claim mileage expenses. The journey to and from work (up to 10 miles in each direction) can also be claimed, but only if a home visit is made that day." BUT this only applies under the 2002 contract and not the 2016 contract.

    https://www.bma.org.uk/advice/employment/gp-practices/gps-and-staff/reminbursement-of-gp-trainee-travel-expenses-for-your-practice

    I would think there would be a lot of benefit if the BMA made it's position REALLY CLEAR BEFORE THEY START, to NHS Employers (and it's members) about the stick it will use if it simply ignored like in the initial negotiations? Maybe also consult the membership about sticking points and priorities? It's not all that hard with the internet.

    Good luck BMA negotiating team, the medical profession is counting on you! Don't let us down.

  • Minister blames 'counsel of despair' GPs for poor training uptake

    Ebrahim Mulla's comment 28 Mar 2018 11:39pm

    If more GPs felt like they had more things to be positive about, would this issue not sort itself out?

    So rather than complain about 'negativity' on the front line, why don't those in positions of power do something TANGIBLE to increase positivity on the frontline.

  • GMC chair apologises to doctors for ‘fear and anguish’ caused by Bawa-Garba case

    Ebrahim Mulla's comment 16 Mar 2018 6:25pm

    So he's apologising for our feelings and not for his mistake? What an insincere person.

    A real apology starts with an admission that something YOU did was an ERROR. Followed by acknowledging the impact on victim, then stating you won't do the action again and the things you'd do to make the action won't happen again.

    This 'apology' is just another slap in the face of the profession. Please can those doctors in the limelight and with the biggest voices respond to this appropriately. As a profession, we need a regulator. But, how can we continue to work with a regulator which demonstrates so clearly they have no respect for those they regulate?

  • Health Education England to consider extra year of GP training

    Ebrahim Mulla's comment 13 Dec 2017 11:54pm

    An extra year has merits, but the exact details need to be clarified. GPSTs need to spend far more time in the clinics of Primary-care relevant specialities and not 'more of the same'.

    As a GP registrar, my most productive learning experiences have been in the emergency ENT/Rheum/Derm clinics or clerking in A&E and paediatrics. I came away with practical learning points that I apply when in the community. Unfortunately, the current GP training set up means opportunities for this were limited. Usually only available from my own personal time or during the 7 non-allocated days we have for study leave annually.

    The whole hospital ward based training needs looking at. I've just spent 4 months working on a specialist non-invasive ventilation (NIV) ward I'm now an expert in performing an ABG and then interpreting it to change NIV settings, but this has very little application towards my future career in GP. I've had limited opportunity to leave my ward when outpatient clinics ran due to the sheer intensity of ward work and staff shortages.

    I feel very exposed in specialities which have not been covered in my training like Dermatology, ENT, Orthopaedics or Urology.

    How about trailing different types of additional training? Maybe an optional 4 month extension to training where you are based in GP, but for 2 days of your week you are in relevant hospital outpatient clinics. We need to get the balance between service provision and training right as with the limited hours of the new contract and the strain in the NHS, we are at a significant risk of producing GPs unprepared for independent practice.

  • ​Anger as GMC tries to overrule its own tribunal and strike off junior doctor

    Ebrahim Mulla's comment 08 Dec 2017 9:36pm

    Scapegoating

    Pure and simple scapegoating. I really hope the judges see through this for what it is and throw this out, admonishing the GMC. An "excellent" trainee makes the wrong diagnosis in good faith in a challenging environment (multiple system failures) and then makes a genuine mistake with a DNACPR.

    Imagine if she looked a bit different- no scarf and her skin was not so dark, would she be persecuted like this. Who are the GMC exactly 'protecting the public' from- the 'competent' trainee making genuine and understandable errors in a tough set of circumstances leading to a tragic death OR the dangerous foreign doctor caricature?

    See Lavinia Woodward.

    Food for thought?

    Please could our 'spokespersons' speak more forcefully about this disgraceful situation and stand up and confront this disgusting injustice, however inconvenient it is.

  • Tribunal 'wrong' to allow doctor to continue to practise, GMC tells High Court

    Ebrahim Mulla's comment 08 Dec 2017 9:33pm

    Scapegoating

    Pure and simple scapegoating. I really hope the judges see through this for what it is and throw this out, admonishing the GMC. An "excellent" trainee makes the wrong diagnosis in good faith in a challenging environment (multiple system failures) and then makes a genuine mistake with a DNACPR.

    Imagine if she looked a bit different- no scarf and her skin was not so dark, would she be persecuted like this. Who are the GMC exactly 'protecting the public' from- the 'competent' trainee making genuine and understandable errors in a tough set of circumstances leading to a tragic death OR the dangerous foreign doctor caricature?

    See Lavinia Woodward.

    Food for thought?

    Please could our 'spokespersons' speak more forcefully about this disgraceful situation and stand up and confront this disgusting injustice, however inconvenient it is.

  • The real conspiracy of NHS England

    Ebrahim Mulla's comment 11 Aug 2017 1:20am

    It seems like your article has attracted a lot of antibodies Nishma! I a fellow GP trainee too and doing one of the fellowship programmes.

    I'd like to offer you my viewpoint. I hope you appreciate I'm a bit of an outsider compared to the other commentators; I've spent in total 8 months in GP land 4 as a Foundation trainee and 4 in ST1. I don't think I represent the 'groupthink' cynical GP mentality.

    It is already quite clear to me General Practice has been burdened under increasing pressure. Us trainees are not immune to this. I'm sure you will appreciate the intricacies of the hoop-jumping e-portfolio (is there any evidence-base this improves training?) and the CSA exam (which is likely to unfairly discriminate against non-whites and males).

    Is there light at the end of the training tunnel? It doesn't seem like it given the general mood of all levels of grass-roots GPs I've experienced.

    From all the many things which I've heard, I believe the underlying frustration within the GP profession is with 1) The current state of GP 2) More importantly, the direction of travel.

    Our 'leaders' are telling us everything is okay, when it is obviously not. There is a shitstorm of factors contributing to this: Funding not increasing with patient demand, CQC, GMC, streamlining, efficiency savings and Indemnity to name a few. There's a German word 'Verschlimmbesserung' which basically means an attempted improvement that makes things worse than they already were. GPs are fed up with the poorly thought out 'improvements' which essentially making things worse both by the disruption of change and the long term. For example, I believe the move towards large scale groupings is decreasing doctor-patient satisfaction and increasing stress by destroying the relationship a patient has with 'their doctor'(See the InnovAiT podcast 21 for further info).

    Leaders don't need to be representative, but they do require a follower-ship. The growing frustration/alienation of grass roots GPs needs to be acknowledged and the causes dealt with by our leaders. See Jeeves articles recently- I agree the main priority needs to be urgent funding to the core GMS. The sarcasm, critical comments and cynicism will continue to grow if those in leadership positions put their hands in their ears and whilst the people are crying out for real leaders. The crying will eventually stop- but that's because there's no one left cause they've retired or left the country!

    I hope this feedback serves as a reminder that sometimes we have to self-reflect on our beliefs if the evidence and everyone is telling you otherwise. Good luck!