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@drpatrickmackle.bsky.social

Doctor concerned by UK Physician Associate (PA) role. (@PatrickMackle4 on “X”)

17,801 Followers  |  12,285 Following  |  197 Posts  |  Joined: 18.11.2024  |  2.0412

Latest posts by drpatrickmackle.bsky.social on Bluesky

Fantasy Medicine and the PA role.

3 years of some “science” subject and 2 years of “PA studies” is not Medicine.

3 years not studying Medicine plus 2 years not studying Medicine = 0 years studying Medicine.

21.12.2024 06:15 — 👍 97    🔁 22    💬 3    📌 0
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Your Drs are being stolen from you.

Across the NHS, a role taught 2 years of "PA studies” is substituting for Drs trained for 10 to 15 years.

This is about cutting training and safety. It is not about care.

20.11.2024 22:04 — 👍 956    🔁 401    💬 33    📌 11

The PA role is under trained for the tasks it is deployed to meet.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

21.12.2024 06:18 — 👍 15    🔁 2    💬 0    📌 0

Fantasy Medicine and the PA role.

3 years of some “science” subject and 2 years of “PA studies” is not Medicine.

3 years not studying Medicine plus 2 years not studying Medicine = 0 years studying Medicine.

21.12.2024 06:15 — 👍 97    🔁 22    💬 3    📌 0

Yes.

There have been extensive concerns.

These concerns led to the issue of formal guidance in October 2023 to occupants of the PA role on how to introduce themselves to ensure patients knew their role was not that of a doctor.

06.12.2024 17:14 — 👍 16    🔁 3    💬 1    📌 0

Thank you.

I’d agree that no prior degree can substitute for Medical school and a degree in Medicine.

07.12.2024 01:35 — 👍 0    🔁 0    💬 1    📌 0
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Your Drs are being stolen from you.

Across the NHS, a role taught 2 years of "PA studies” is substituting for Drs trained for 10 to 15 years.

This is about cutting training and safety. It is not about care.

05.12.2024 11:09 — 👍 384    🔁 188    💬 12    📌 1

Yes, obfuscation to direct questions. One said he was a ‘physician’ I asked for clarification & it took a little coaxing to get to PA.
He’d just proved dangerous lack of knowledge regarding difference between NJ & NG tubes.
2nd said ‘it doesn’t matter, I know what I’m doing’ & really didn’t.

06.12.2024 16:55 — 👍 12    🔁 1    💬 3    📌 0

The PA role is under trained for the tasks it is deployed to meet.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

06.12.2024 17:15 — 👍 2    🔁 1    💬 0    📌 0

Yes.

There have been extensive concerns.

These concerns led to the issue of formal guidance in October 2023 to occupants of the PA role on how to introduce themselves to ensure patients knew their role was not that of a doctor.

06.12.2024 17:14 — 👍 16    🔁 3    💬 1    📌 0

The PA role is under trained for the tasks it is deployed to meet.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

06.12.2024 13:01 — 👍 12    🔁 1    💬 0    📌 0

This 👇🏻

bsky.app/profile/doro...

06.12.2024 13:00 — 👍 47    🔁 20    💬 4    📌 0

This 👇🏻

bsky.app/profile/doro...

06.12.2024 13:00 — 👍 47    🔁 20    💬 4    📌 0

As an ex nurse, if I’ve got a health concern I’ll see someone who knows more than me, a Dr.

28.11.2024 13:50 — 👍 18    🔁 2    💬 0    📌 0

I don’t understand why PAs themselves are not protesting against the BMA & the govt about their role & jurisdiction.

I would - and have been - mortified when asked to perform tasks which are outside my remit & for which I am NOT qualified & had insufficient training for.

25.11.2024 09:25 — 👍 20    🔁 4    💬 2    📌 1

IMHO individual PAs are well meaning people who have been misled.

The PA role is under trained for the tasks it is deployed to meet.

This is very
much a policy and system issue, and not an individual PA issue.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

24.11.2024 12:54 — 👍 107    🔁 20    💬 4    📌 1

I am sure the PA I saw was actually a vet! He knew more about reindeer than he did about me!

06.12.2024 12:00 — 👍 13    🔁 2    💬 1    📌 0

Is the PA role like the Dr role?

Stethoscope - Yes
Lanyard - Yes
Scrubs - Yes
Claims “medical” - Yes

Accredited course - No
Medical School - No
10 - 15 years training - No
Taught by Drs - No

"PA studies" is an unaccredited course, mostly taught by non Drs and lasts 2 years.

24.11.2024 12:53 — 👍 540    🔁 244    💬 20    📌 6

This is the first step toward privatization. Wait a few years and you'll hear them yelling "The system isn't working" without ever acknowledging they were the ones who broke it.

05.12.2024 13:36 — 👍 30    🔁 7    💬 1    📌 0

I’ve been urging all my friends and work colleagues to ask any person giving them medical advice/treatment if they’re a qualified doctor, real Drs never mind, PAs are a lot less keen. I tell them ‘Accept no substitute, your life may depend upon it.’

05.12.2024 17:53 — 👍 71    🔁 22    💬 2    📌 2

The PA role is under trained for the tasks it is deployed to meet.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

02.12.2024 08:04 — 👍 25    🔁 5    💬 0    📌 0
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PA role concerns.

"It would be cavalier to have people [ PAs ] released into the workforce, who we know don't have the same training as doctors, trying to do the work of doctors."

Chief Exec. of Patient Safety Hub, speaks to Senior Cardiologist Dr Asif Qasim about safety concerns over the PA role.

25.11.2024 06:54 — 👍 234    🔁 93    💬 8    📌 3

BBC journalist regurgitates:

"PAs take histories......"

NO. Actually. They don't. A safe Medical history cannot be taken by someone following 2 years of “PA studies”

Taking a safe history
is most of what Medicine is. It takes 10 to 15 years of knowledge, skills & exams.

We need to respond.

26.11.2024 04:58 — 👍 438    🔁 118    💬 9    📌 4

PA leadership claim:

The PA role is "trained specifically to work in Medicine.”

The 2 year “PA studies” course is not Medicine.

Entry to Medicine is by competitive admission to Medical School. Then training for 10 to 15 years.

01.12.2024 21:26 — 👍 173    🔁 63    💬 5    📌 3

Completely accidental of course

05.12.2024 22:33 — 👍 12    🔁 3    💬 0    📌 0

Unfortunately becoming like the US system with NPPs (non-physician providers). The business of healthcare has become about profit margin. Quite a pity.

05.12.2024 20:20 — 👍 12    🔁 1    💬 0    📌 0

The National Medical Director for NHS England appeared on @BBCBreakfast on 14/11/24 to claim that:

The PA role has been "an integral part of clinical teams in the NHS for over 20 years”

?

20 years ago there were barely a handful of PAs working in the entire NHS

A decade ago, there were only 135

29.11.2024 02:48 — 👍 156    🔁 59    💬 10    📌 1

PA Prof. Watkins - In my research for the PA role, I forgot to declare my financial conflict of interest.

I forgot once.
I forget twice.
I forgot 3 times.
I forgot 4 times.
I forgot 5 times.

I forgot for 5 years.

My role as exec Director and shareholder in PA recruitment Co.

05.12.2024 12:27 — 👍 43    🔁 18    💬 2    📌 2

The PA role is under trained for the tasks it is deployed to meet.

Patients, ordinary PAs, grass roots doctors and public have all been misled.

05.12.2024 12:28 — 👍 5    🔁 1    💬 0    📌 0

PA Prof. Watkins - In my research for the PA role, I forgot to declare my financial conflict of interest.

I forgot once.
I forget twice.
I forgot 3 times.
I forgot 4 times.
I forgot 5 times.

I forgot for 5 years.

My role as exec Director and shareholder in PA recruitment Co.

05.12.2024 12:27 — 👍 43    🔁 18    💬 2    📌 2

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