You know the shit sandwich thing you're supposed to use when delivering bad news at work? Imagine being his poor supervisor.
"ah, Adrian, please sit down.
Nice to see you. Your dimples are particularly lovely today.
Now, about twitter. I see your language and actions continue to be grossly unprofessional. This is, clearly, not compatible with being part of our GP training scheme. We HAVE chatted about this in the past, and, now you are being suspended.
I do really like your use of emojis though. Prolific. Better than my 10 year old. Well done."