Andrew Vickers Boussageon Rémy Vinay Prasad MD MPH Doug McKechnie Paul Pharoah (R soul) 🇪🇺🇵🇬🇿🇦🇬🇧 Ash Paul Susan Bewley Steven Laitner Naser Turabi Do you include me as an unserious scientist? You may not have been born when I established the very first clinical trials unit in the UK. It was funded by CRUK and opened at Kings College Hospital in 1981.

We welcome GMC action aimed at reducing the number of minor complaints that go to a hearing. Our research indicates 40% of GPs investigated by the GMC reported suicidal thoughts, and even more considered quitting medicine. Reducing this impact is essential pulsetoday.co.uk/news/regulatio…

Incredible that unconsented intimate examinations still going on in USA 32 yrs after I pointed out illegality in UK jstor.org/stable/29715933 The BMJ Kamran Abbasi RoyalCollegeObsGyn Andrew H Shennan OBE Jim Thornton thehastingscenter.org/news/new-feder…

What's changed causation argument is we now know 70% reduction in death/brain damage in <34/52 prems waiting >2mins. If no documentation of timing or indication for immediate/early how can any case be defensible? NHSResolution The MDU Medical Protection pubmed.ncbi.nlm.nih.gov/37977169/

Witnesses to ongoing Parliament Enquiry drew attention to this. Will charities advise members to consider litigating? Courts will have to sort out the 51:49% liability dates Bliss Baby Charity Sands - baby loss charity 💙🧡 Andrew H Shennan OBE Jim Thornton AvMA RoyalCollegeObsGyn Royal College of Midwives 💙 parliament.uk/business/lords…

This is now a MAJOR liability question. When was it negligent to clamp early (or at all), given there's no clinical indication (just staff habit/ kit convenience)? Since Rabe 2012/ 2019 or 2013 CG190? NICE Don Berwick Donna Ockenden FRSA, Hon DLitt Professor Stephen Powis James Titcombe Andrew Weeks

This is now a MAJOR liability question. When was it negligent to clamp early (or at all), given there's no clinical indication (just staff habit/ kit convenience)? Since Rabe 2012/ 2019 or 2013 CG190? NICE Don Berwick Donna Ockenden FRSA, Hon DLitt Professor Stephen Powis James Titcombe Andrew Weeks

Chandrima Biswas Yana Richens OBE PhD MPhil MSc BSc RN RGN Liverpool Women's Asma Khalil Dr Tamara Kubba (she/her) Alison Wright 💙 This is brilliant. If some can do it - why can’t all? If we achieved the rates in the trials, an additional 60 babies would have survived in 2021 BAPM National Neonatal Audit Programme (NNAP) Baby Lifeline 💙

Prof Jenny Gamble Andrew H Shennan OBE Cochrane Declan Devane Here's the Cochrane interpretation of the Prof Jane Sandall CBE et al study
'Are midwife continuity of care models versus other models of care for childbearing women better for women and their babies?'
cochrane.org/CD004667/PREG_… Susan Bewley Jim Thornton

Good news is rare enough, but a dramatic drop in paid lobbying is interesting... what's next on the influencers' playbook? tortoisemedia.com/2024/04/10/uk-…

10 doctors on U.S. FDA panel for Abbott heart device had financial ties to the company: The FDA didn’t disclose the payments. nbcnews.com/health/health-… via David Hilzenrath et al Mamas A. Mamas Susan Bewley Benoy Shah MD

My letter in the Times has generated a lot of interest so I thought it might help if I described the time line for reaching this frame of mind. I attach a copy of the letter and then run through a series of tweets to tell the story.

One for you Susan Bewley Paul Pharoah (R soul) 🇪🇺🇵🇬🇿🇦🇬🇧 Steven Laitner Naser Turabi .
Spot on comments by Prof Michael Baum ⬇️
IMO, all cancer clinicians, epidemiologists and commissioners shud read the 2007 classic by #ChristianOestreicher
'A history of chaos theory'
ncbi.nlm.nih.gov/pmc/articles/P…

The most common number of children a British or American woman has by her mid-thirties is now ZERO
archive.ph/ElU0g via John Burn-Murdoch Joyce Harper Susan Bewley

If you missed Consilium talk by Margaret McCartney last Thursday, watch here: youtu.be/AY1KiEv0mGo?si… Susan Bewley HealthSense The BMJ Francois Maignen Bishal Gyawali David Colquhoun 🇺🇦 💙 Kevin Knopf Richard Lehman Dr. Nancy Olivieri

Conclusions interpretation: a poor estimate (comparison with another study) of an unhelpful parameter (stage shift) combined with inadequate power to detect anything useful suggests the money spent on this trial would have been better spent on many other things.

If only we could see what's happening in UK & link it to automatically to publicly available DOI registers. As recommended for GMC by Review Tweets but hasn't happened. HealthSense Margaret McCartney RoyalCollegeObsGyn Sling the Mesh

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Where are we now? Medical education is dangerous - see the conversation about the 'finger food' of industry influence ww.bmj.com/content/384/bm…

This Thursday - Margaret McCartney at Consilium! Sign up here mailchi.mp/consilium-scie… HealthSense Eric Low John A Hickman Susan Bewley Aaron Mitchell Kevin Knopf Martin Kaiser The BMJ Kim Witczak 💜 Richard Lehman