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Neil Thakrar

@neil-thakrar

🩺 Internal Medicine Trainee | πŸ‘¨πŸ»β€πŸ« Honorary Fellow in #MedEd | πŸ“š Clinical Reasoning https://le.ac.uk/people/neil-thakrar #MedSky @medsky.social

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26.11.2024
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Latest posts by Neil Thakrar @neil-thakrar

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Mrs Smith, 78, hip fracture patient, described as "confused & aggressive"

Ward round note: "?UTI. Start antibiotics." No mention of "delirium"

My reaction: What about her distress - untreated pain? Dehydration? Medication review? Telling the family the diagnosis? Etc.

Why we need Delirium 8 πŸ‘‡

04.03.2026 21:02 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Great work, Vikas!

04.03.2026 21:13 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Great piece!πŸ‘ŒπŸ½

01.03.2026 08:47 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Understanding medical students’ intercalation decisions to preserve the clinical academic pipeline: a mixed-method survey - BMC Medical Education Introduction Clinical academics are pivotal in advancing innovations by integrating clinical practice with education and research. The clinical academic workforce in the UK has struggled with a persis...

⚠️The clinical academic pipeline is at risk - why are fewer med students intercalating❔

πŸ’Έ Cost-of-living crisis deters many
πŸ“‰ Removal of application points cuts motivation

New in @bmc.springernature.com BMC #MedEd πŸ‘‡ πŸ”— doi.org/10.1186/s129...

24.02.2026 16:28 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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RCP elections – senior censor and vice president for education and training (VPET)

It's election time again for @rcphysicians.bsky.social!

I am running for Vice President of Education and Training.

Major changes are coming in U/PGME, including the Medical Training Review. Vital that the argument is made for doctors and doctoring.

tinyurl.com/22j7nypk

17.02.2026 10:11 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Very best of luck, you deserve it!

17.02.2026 10:51 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

A poignant message, delivered so eloquently.
Great TEDx talk by @jessmorgan.bsky.social - encouraging us to reconnect with our inner child.

#medsky @medsky.social

10.02.2026 11:59 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Literally ignored a 360 feedback request once thinking it was spam 🀣

05.02.2026 18:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Wonderful piece, @kamranabbasi.bsky.social πŸ‘ŒπŸΌ

#clinicalreasoning #medsky

05.02.2026 18:29 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
How to talk about suicide safely. Read here: bit.ly/PHNavigationGuide

How to talk about suicide safely. Read here: bit.ly/PHNavigationGuide

How to talk about suicide safely. Read here: bit.ly/PHNavigationGuide

How to talk about suicide safely. Read here: bit.ly/PHNavigationGuide

This #TimeToTalkDay, it's safe to talk about suicide. For more information on navigating conversations about this topic, have a read of 'Touched by Suicide: Practitioner Health's Prevention and Postvention Guide': bit.ly/PHNavigation...

03.02.2026 18:00 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Super work as ever, Grace πŸ™ŒπŸΌ

03.02.2026 15:42 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

You're going to see me posting a lot about Radiopaedia 2026 over the next few months!

We've just opened abstract submission for rPosters.

The deadline is 22nd March - all the details are in the post below.

Good luck!

31.01.2026 08:54 πŸ‘ 5 πŸ” 4 πŸ’¬ 1 πŸ“Œ 0
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Let's look at delirium and dementia:

Episodes of delirium: more rapid progression of dementia.

Delirium survivors: x3-fold higher risk of future dementia.


➑️ We really need the support of dementia charities in helping improve delirium care.


#delirium #dementia #medtwitter

30.01.2026 16:41 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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#Delirium treatment is much more complex: treat the cause(s) - usually more than 1, optimise physiology (e.g. hydrate), detect & treat distress, prevent complications (e.g. falls, pressure sores, aspiration), communicate with family, rehabilitate, etc.

#meded

25.01.2026 15:41 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Amazing - congratulations and all the best! ✨

13.01.2026 17:40 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Ever applied to UK Core Surgical Training? I'd love to discuss it with you for my PhD. I've analysed all applications ever(!) & now it's time to speak to real people! All help gratefully received.
Please RT! Register interest here: forms.cloud.microsoft/e/yj89m1HBJz

09.01.2026 14:51 πŸ‘ 10 πŸ” 14 πŸ’¬ 2 πŸ“Œ 1
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🌎 How do we prepare clinicians for a global healthcare system?

Our new paper shares 9 practical tips for building global learning networks across borders:
🌐 designing global curricula
🀝 fostering international collaboration
πŸ§‘β€πŸŽ“ developing culturally competent learners

#Meded #HPE #Medicine

08.01.2026 15:29 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Amazing work, Sonia! Wishing you a happy, healthy and successful 2026! ✨

06.01.2026 15:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Great work, Jun!

05.01.2026 16:52 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Promoting or pressurising participation? A discourse analysis of online patient information resources about prehabilitation before cancer treatment Prehabilitation aims to improve outcomes by optimising health before treatment. Interventions typically target diet, physical activity and/or mental health. Communicating the benefits of prehabilitati...

Sharing some work from the past year that was published in @plosone.org just before Christmas - looking at cancer #prehabilitation patient information resources πŸ“„

journals.plos.org/plosone/arti...

30.12.2025 09:48 πŸ‘ 2 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Great work, Sophie - so glad to see you doing so well 🌟

30.12.2025 15:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Of course.
Indeed, they do resonate with me.
Thank you for taking the time to articulate them and share with us all.

20.12.2025 08:51 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Alpha-Stim AID Cranial Electrotherapy Stimulation (CES) for Anxiety in Chronic Breathlessness A Qualitative Exploration of Feasibility, Usability, and Acceptability Background: Anxiety is common in people living with chronic breathlessness. Cranial Electrotherapy Stimulation (CES) with the Alpha-Stim Anxiety, Insomnia, Depression (AID) has evidence of effectivene...

⭐ New Paper Alert! ⭐

Alpha-Stim AID Cranial Electrotherapy Stimulation (CES) for Anxiety in Chronic Breathlessness: A Qualitative Exploration of Feasibility, Usability, and Acceptability www.scirp.org/journal/pape...

06.11.2025 13:15 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Absolutely fantastic book and brilliantly written - thank you so much πŸ‘ŒπŸΌ

19.12.2025 22:51 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Medical education at the crossroads. Part I: undergraduate education and the erosion of professional identity - Louella Vaughan, Martin McKee, 2025

What's the future for Undergraduate Medical Education in England?

@martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications.

We think there is significant risk of the proposals devaluing degrees and the Profession.

journals.sagepub.com/doi/10.1177/...

26.11.2025 11:20 πŸ‘ 7 πŸ” 7 πŸ’¬ 2 πŸ“Œ 0

Excellent piece πŸ‘ŒπŸΌ

11.12.2025 22:05 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Great paper, Andrew. Would have been nice to see more of "shared-decision making" incorporated into the background to management reasoning, but glad it came through in the focus group quotes πŸ˜€πŸ‘

08.12.2025 19:32 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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How do trainees learn to manage patients? @acadmedjournal.bsky.social Thanks so much to my collaborators and #PhDSky supervisory team #ClinicalReasoning #MedSky #MedEdSky #ClinEd #HPE #MedEd #AcademicSky academic.oup.com/academicmedi...

06.12.2025 20:11 πŸ‘ 9 πŸ” 4 πŸ’¬ 2 πŸ“Œ 0
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Thank you to the #ClinEd department and all staff/students who nominated me for the Most Inspiring Role Model Award at the University Hospitals of Leicester Educators Day 2025 for my clinical reasoning based teaching! #MedSky #MedEdSky

@ukcreme.bsky.social

27.11.2025 17:53 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Thank you @gerisoc.bsky.social for The Kate Granger Poster Prize at the Geriatrics for Juniors conference 2025 for dedication to improving standards of care for older people! #BGSconf

@pops-sup.bsky.social @nhselect.bsky.social @jkdhesi.bsky.social @jsmhoughton.bsky.social @lbeishon.bsky.social

17.11.2025 20:23 πŸ‘ 8 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0