permanentlyexhaustedpigeon

A litmus test: can trust a PA when they tell you they are competent? You: Is a 2yr non-medical degree sufficient to be seeing undifferentiated acute patients? PA: YES! You: This PA is unsafe, and I cannot supervise them as I cannot trust their insight in my professional opinion.

And yet a paramedic or nurse can step into a GPs shoes with a part-time online 'masters' assessed using an open book exam

From a financial point of view, efficiency point of view and simply having the option of recruiting the gold standard I cannot see the justification in employing a non-GP when there are GPs available

Whatever else, it’s pretty hilariously stupid to broadly accept the findings of a review before you’ve read it, only to do this 4 days later:

Mr Nash, are you stating that the Leng Review is illegitmate because it did not find a patient safety risk? And that people quoting the Review recommendations are spreading malicious falsehood? Please confirm so there can be no misunderstanding on my part?

To me, the gift Leng gave to the doctors is that further advance by and credentialling for advanced PAs need the support of RCs. If RCs say “computer says no”, then further advance is potentially dead in the water 👇

If you pour water in to wine to broaden the batch, it doesn't make the wine better

Proper research, with conclusions that are supported by the data and its analysis. Unlike the original paper....

I wrote this up as an academic paper and submitted it the @bmj_latest . To their credit they reviewed and responded quickly but rejected the paper. They felt serious methodological issues in the original study meant any re-analysis would be limited and not generalisable.

What’s not reasonable is to pay them less than PA. And if the work PA do is worth that much, then surely, the work a doctor does is worth more? See the difference in training, abilities and responsibilities.

I think Prof Leng’s recent comments have been interesting, certainly. GMC says ask your PA what they can do, yet Leng says PAs lack insight. Nash says he has irrefutable evidence of PA safety, Leng says she hasn’t found any. Curious times.

But you can’t set or measure your own competence. Engineers, doctors, pilots - do they set their own competence?

A message to resident doctors from the 44th President of the United States of America, President Barack Obama. #JoinStrikeWin

Otherwise, it begs the question, why do we need doctors to do medical degrees at all? If it’s possible to work in the shoes of a doctor w/out it, what’s the point? Well the point is to maintain standards. It is regulated proof of competence.

Good evening @lengreview. I am the “troll” mentioned by @scothepburn and also one of the original whistleblowers on the MAP circus. The reason I’m not well liked amongst the AA circle is because my ability to present my evidence leaves them with nowhere to hide. See below.

There’s an effort to frame this as a basic industrial dispute, when it goes much beyond that. People have asked questions re why the PA situation has inflamed doctors and why it spills into the pay dispute. I want to start with explaining PAs compared to doctors’ training: 1/

What total rubbish, there are PAs working as GPs. Post ridiculous statements then block to avoid having it pointed out

Apparently, an F1 is only any use to take bloods and fill out paperwork! x.com/AlBonDeega/sta…

Genuinely about patient access to care? Without Drs patients would not be treated Whilst no one wants to see strikes, it is important to understand the issues For every appt ‘lost’ to strikes many more were provided for ‘free’ by under paid Drs, or cancelled for other reasons

Just give the money back to GP practices and let them spend it on the staff that work best for their patients. Most practices are aware pts want GPs and other staff do not reduce workload pulsetoday.co.uk/news/workforce…