Patrick Mackle. DOCTOR. @PatrickMackle4 Twitter profile

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Patrick Mackle. DOCTOR.

1 day

“We are trained in the medical model to practice general medicine” Really? In 2 years of PA studies? Instead of 10 - 15 years of Medical Training? Nonsense: Noun. Spoken or written words that have no meaning or make no sense.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

This young person has just become a doctor. 😊👍👏👏👏👏👏👏👏👏👏👏👏👏 She worked hard from the age of 12 to achieve this. She was required to get perfect or close to perfect grades in her GCSEs and then her A Levels. She was then required to gain competitive admission to

Sophie Page💙

@SophieSpicer9

2 months

Dr Sophie Spicer, MBChB, BSc (Hons), FRSPH🩺✨ Per Ardua ad Alta - ‘through hard work, great things are achieved’

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

A person may wear scrubs. A person may have a lanyard. A person may have a stethoscope. But none of these make them a doctor. A doctor is made by 10 - 15 years of training, not by a few easily bought accessories.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

10 days

A person may wear scrubs. A person may have a lanyard. A person may have a stethoscope. But none of these make them a doctor. A doctor is made by 10 - 15 years of training, not by a few easily bought accessories.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

Was it a conflict of interest for Prof. Watkins of Swansea University to write academic papers promoting the role of Physician Associates whilst at the same time having a shareholding and Exec. Directorship in a commercial recruitment agency for Physician Associates ?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

8 days

UK people. Your doctors are being stolen from you. Across the NHS, a role taught 2 years of "PA studies” is substituting for Doctors trained for 10 to 15 years. The use of PAs is about money. It is not about care. (Thx @19MW98 )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

29 days

UK people. Your doctors are being stolen from you. Across the NHS, a role taught 2 years of "PA studies” is substituting for Doctors trained for 10 to 15 years. The use of PAs is about money. It is not about care.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

People are sick of it.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Is PA role like Dr role? Stethoscope - Yes Lanyard - Yes Scrubs - Yes Claimed “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 & lasts 2 years.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

Is PA role like Dr role? Stethoscope - Yes Lanyard - Yes Scrubs - Yes Claimed “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 & lasts 2 years.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

BBC regurgitates: "PAs take histories......" NO. Actually. They don't. A safe Medical history cannot be taken by a person with 2 years of "PA studies". Taking a safe history is most of what Medicine is. It takes 10 to 15 years. We need to respond.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

People are sick of it.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

9 days

PA Leadership: “We are training people in 2 years to be able to give medical care” Sorry, but endlessly repeating this sweeping and dangerous claim does not make it true. Drs train for 10 - 15 years.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

20 days

Incumbents of the PA role have “fresh eyes” apparently. This is transparent, self-serving drivel from @MFTnhs Children have fresh eyes. pets in cute dog movies have fresh eyes. Professionals have training and standards. (Thx @iDrSunny )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

The NHS really is paying more for lesser trained people. The NHS really is doing this - Now Physician Associates are paid more money than middle grade resident doctors. The priority appears clear. The question is why?

GenSurgGunner

@Gastrografin1

2 months

Physician associates get paid more than speciality registrar surgeons.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

Was it a financial conflict of interest for Prof. Watkins of Swansea University to write academic papers advocating for the PA role whilst at the same time holding an Exec. Directorship & shareholding in a commercial recruitment agency for PAs.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

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.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

We are told that 2 years of PA studies produces a “generalist” For comparison: 5 years Medical School. 2 years Foundation training. A Dr spends 7 years completing their foundation in general Medicine. After those 7 years, a doctor is considered ready to make a competitive

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

“Assistant” was the promise that got the PA role signed off by @RCPhysicians & @RCGP in 2006. An assistant offered the promise of a role that could help doctors. But the assistants developed other ideas. They rebranded themselves “Associates” and began to make wild claims.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

22 days

Advocates for the PA role make the claim it somehow offers “generalists” after 2 years of PA studies. Drs spend 7 years building a general foundation before they even begin specialty training. Drs train for 10 to 15 years in total.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

Are PAs and Drs peers? Hopes & dreams - Yes Bills to pay - Yes Adult responsibilities - Yes 5 yrs Med School - No 2 yrs Foundation Training - No 3 - 8 yrs Higher Training - No PAs are fellow human beings, but 2 yrs of PA studies is not 10 - 15 yrs of Medical Training.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

And in a moment it was done: 2014 PA leadership asked 135 Physician assistants if they felt their title should change to Physician Associate and 135 agreed. This title change was inflicted on 65 million UK people by the leadership of 135 PAs. No public consultation.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

19 days

This is pleasant after dinner talk Jim. But you have 3 PAs in your department. And you feel for their humanity as I do and as we all should. But doctors who have worked from the age of 12 to win a place at Med School have humanity too. And from a patient perspective,

Jim Crawfurd 💙 🇺🇦

@jim_crawfurd

19 days

@timricketts_ @ollieburtonmed @PatrickMackle4 @zx_sci_john @HealthFirstAK @Burnt2020 @tess1728 @RCEMpresident @bicmyhead @Mary_Tom11 @medicalmodelbri @gloshospitals @RCPCHtweets @RCPhysicians @KatherineRCEM @parthaskar @LittlePersonDoc 5/5 Would be interested if anyone knows of an “official” definition, or has a good one?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

10 days

Some things in life take time. Physician Associate Leadership claim: "We are training people in 2 years to be able to give Medical care" Doctors train in Medicine for 10 to 15 years. Not 2 (Thx @dieracg @ExplosiveEnema2 )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

And in a moment it was done: 2014 PA leadership asked 135 Physician assistants if they felt their title should change to Physician Associate and 135 agreed. This title change was inflicted on 65 million UK people by the leadership of 135 PAs.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

. @gmcuk @drcolinm Two separate legal actions and now a concerned coroner. I cannot imagine that these do not weigh heavily upon you? May I ask you please - what will it take for @gmcuk to change tack?

Nicola Cooper

@Cooper00Nicola

1 month

Coroner issues Regulation 28, saying: ‘There is no national framework as to how Physician Associates should be trained, supervised and deemed competent. This is placing both patients, Physician Associates and their employers at risk.’ ⁦⁦⁦⁦

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

The GMC claims PAs study “Medicine” just with less time & less content than Drs. What? PAs complete 2 years of PA studies. Drs train in Medicine for 10 - 15 years. Sorry @gmcuk , but 2 years ain’t it.

Dr Sandeep Bansal

@iDrSunny

2 months

We have an answer from the GMC According to them, PAs study medicine, just not the same as a doctor who studies it for 5 years. Whats different? The time and the content.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

This photo of a “doctor” has been proudly celebrated on the official PA website for the past 4 years. This "doctor" completed 2 years PA studies. Your actual Dr trained in Medicine for 10 - 15 years. Stop trying to palm us off with fake “doctors” please. (Thx @Dr_Done_ )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

The 2 year PA studies role is being deployed into clinical situations beyond it’s competence. 10 - 15 years of Medical Taining cannot be replaced by: PA role leaders word salads. Uni courses magical thinking. Supervision🧑‍🦯🧑‍🦯 Regulation 🤣🤣 Being a good egg. Trying hard.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@ClareGerada @edinfringeguide @RCSEd @drphilhammond Thank you Dr Gerada Patients, grassroots doctors and National organisations are concerned by the minimal training of the PA role & the resulting safety issues. If you have a coherent argument to make then please do make it. The concerns need a response, not a defence.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

23 days

As the skins of the onion are peeled back the, lies of the PA project are revealed. The 2 year PA studies role is a dependant role that exists under the supervision of doctors. Now this crash course assistant role appears to be training its’ own supervisors?

Dr Sandeep Bansal

@iDrSunny

24 days

A core trainee put under the supervision of AAs. The 'assistants/associates' have become the supervisors. If that is not basically a reg level or above then what is? This is outright dangerous NoT rEpLaCiNg DoCtOrS

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

2014 Was it OK for the leaders of 135 Physician’s assistants to unilaterally impose their new self-awarded Physician Associate title on 65 million UK people? Or should Physician assistant leadership have sought wider consultation with the UK public first?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@gmcuk @Molly2323232323 Thank you @gmcuk So, a doctor would need the PA studies qualification to register as a PA? And PAs don’t study Medicine, but can work as doctor replacements without a Medical degree? And doctors do study Medicine but can’t work as PA replacements without the PA studies course?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

Saying something again and again does not make it true. 2 years of PA studies is not 10 - 15 years of Medical Training. Wishful thinking is wishful thinking. (Thx @implausibleblog )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

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.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

Following the self-awarded dropping of the assistant title, PA leaders now insist the 2 year PA studies role works: "In conjunction with doctors" “Alongside doctors” Doctors train for: 5 yrs Medical School 2 yrs Foundation Training 3 - 8 yrs Higher Training

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Patrick Mackle. DOCTOR.

@PatrickMackle4

18 days

How about the assistants stop associating and assist? Then the assistants can assist and the doctors can doctor?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

Does @gmcuk still feel that delegating scope of the PA role to local organisations is safe?

Peter Stefanovic

@PeterStefanovi2

1 month

Coroner issues Regulation 28 saying: ‘There is no national framework as to how Physician Associates should be trained, supervised and deemed competent. This is placing both patients, Physician Associates and their employers at risk’ Cc @wesstreeting

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@drcolinm @parthaskar @doctor_oxford @ollieburtonmed @TheBMA @BMA_JuniorDocs @mmamas1973 @DrLKVaughan @UKGastroDr @DrAsifQasim Thank you Professor Melville. Any engagement by @GMCUK is appreciated. Can you please explain how @GMCUK does not consider PAs to study Medicine, but at the same time does consider PAs to be Medical Professionals?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

PA project: How about the assistants stop associating and assist? Then the assistants can assist and the doctors can doctor?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@JoOgidi Hi Jo You work as a PA. Do you feel your post could have mislead any readers about your role please?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

“Supervision” was the weasel word that got the PA role signed off by @RCPhysicians & @RCGP in 2006. It remains the number one enabling pretext when the PA role is deployed. “Supervision” sounds familiar, reassuring, safe. Which is why it’s such an effective weasel word.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

23 days

. @RCEMpresident Dear Dr Boyle On 07/06/24 @RCollEM stated that the college does not currently support the expansion of the PA workforce in Emergency Medicine. What is the point of crafting this policy if @RCollEM neither advocates for it nor challenges breaches of it

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

. @StGeorgesUni @ASA_UK @RCPhysicians The screenshot below is from your PA course website today @StGeorgesUni . Do you feel it’s appropriate to suggest to your potential & existing students that your fee paying 2 year PA studies course will make them a “specialist” please?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

This is it 👇🏻 Why the PA role is unsafe when facing the same situations doctors face. Even if genuine supervision is happening. cc @wesstreeting

DocMelbourne

@D__Melb

1 month

@pulsetoday Even this isn’t safe. How do they know the PA has asked the right questions, read the cues properly and elicited appropriate findings on examination?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

PA role backed in Wales despite patient safety concerns.

Welsh Government backs use of 'unqualified doctors' despite safety ...

Found on Google from nation.cymru

www.google.com

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Patrick Mackle. DOCTOR.

@PatrickMackle4

10 days

“Supervision” was the weasel word that got the PA role signed off by @RCPhysicians & @RCGP in 2006. It remains the number one enabling pretext when the PA role is deployed. “Supervision” sounds familiar, reassuring, safe. Which is why it’s such an effective weasel word.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Are PAs like Drs? Human beings - Yes Try their best - Yes Hopes & dreams - Yes Bills to pay - Yes Young PAs & Drs were in Primary School when the PA role was signed off in 2006. Neither are responsible for the reckless ambition of the PA role. This comes from the top.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

27 days

Whatever the reasons for kids turning away from a career as a doctor it’s a concern a growing number don’t feel it’s worth the commitment.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

"Specialist diagnostic generalists" ? The tide of irresponsible, incoherent nonsense PA "leadership" and PA studies courses have immersed PA students in has been one of the most reckless aspects of the PA project We need a reset to PAs being given safe, realistic expectations

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Patrick Mackle. DOCTOR.

@PatrickMackle4

30 days

@Dr_BellaR Check situation with admin first to ensure not just one of those NHS things. Establish if a general title omission policy or limited to doctors. Discuss with BMA best approach to raise concerns. Raise concerns.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

“Supervision” was the weasel word that got the PA role signed off by @RCPhysicians & @RCGP in 2006. It remains the number one enabling pretext when the PA role is deployed. “Supervision” sounds familiar, reassuring, safe. Which is why it’s such an effective weasel word.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

There is a posting on your website referring to a PA as a doctor @RCPhysicians . This posting (below) is factually incorrect. Are you able to remove this please?

Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

This photo of a “doctor” has been proudly celebrated on the official PA website for the past 4 years. This "doctor" completed 2 years PA studies. Your actual Dr trained in Medicine for 10 - 15 years. Stop trying to palm us off with fake “doctors” please. (Thx @Dr_Done_ )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

6 months

Is it a conflict of interest for a University Professor to write academic papers advocating for the role of "Physician Associates" to hold a Directorship in a recruitment agency for "Physician Associates"?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

8 days

This happened. This really happened.

Janet Eastham

@JanetEastham

7 months

🔴NEW: Physician associates accused of‘illegally’ prescribing at dozens of NHS trusts and missing life-threatening diagnoses, dossier claims. @TheDA_UK ’s survey of 600+ medics comes as @TheBMA says “still time” to stop “dangerous” PA regulation 🧵

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

How it works: NHSE create new roles on paper. They specify that the roles must achieve the impossible. E.G an OT managing medical complexity. Universities queue up to get their hands on the £. People say to Uni’s this is unrealistic and dangerous. Uni’s look at NHSE

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

What are @RCGP doing about management of financial conflicts of interest involving deployment of the PA role in GP surgeries please? @KamilaRCGP @VictoriaTzB @Mike_H0lmes @ChrisAskewCE @natalieben @wesstreeting @ChtyCommission @TheBMA

Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@mgtmccartney Agree 100% Margaret. Management of COI is as important as declaration of COI. In my view, this includes full recusal where needed. Unfortunately @RCGP feel silence is an acceptable response to conflict of interest concerns expressed to them. For example, I have written

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Hello @GMCUK Would you agree please that Dr Sinha deserves a reply to his question? If a person does not study Medicine then how can anyone consider that person to be a “Medical Professional” as you claim @GMCUK ?

Devan Sinha

@DevanSinha

2 months

@iDrSunny If the GMC position now fully clarified is that PAs don't "study medicine" then how can they simultaneously claim PAs are "medical professionals" given they have not studied medicine?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

These amazing people have raised £85,000 to take the General Medical Council to court. If you want to fight for patient safety, please give what you can.

Stop misleading patients - Physician Associates cannot replace doctors

We are a group of anaesthetists (doctors trained in anaesthesia) that are unhappy with the way the medical establishment is selling patients and the profession short.

www.crowdjustice.com

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Is PA role like Dr role? Stethoscope - Yes Lanyard - Yes Scrubs - Yes Claimed “Medical” - Yes Accredited course - No Medical School - No 10 - 15 years training - No Taught by Drs - No PA studies (see below) is an unaccredited course, mostly taught by non Drs & lasts 2 years.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

I’m taking some time off from this fight.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

The word “supervision” is the red flag to watch for in an exchange about PAs. The instant the reassuring “supervision” word is deployed, please engage all scepticism. If any organisation or person in the exchange has any self-interest, that is were the nonsense will start.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

22 days

@AmandaPritchard Dear Dr Pritchard I hope my daughter does not join the NHS: 1. I love her and I want her to be happy. 2. I try to show her how to respect other people and how to respect herself. 3. She already has a good measure of common sense and I hope she would not betray that.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

29 days

@BMA_James_Steen Matron is part of the permanent staff. Doctors are not. Doctors rotate to different hospitals throughout training and lack local support and influence because of this. This leaves them vulnerable to being marginalised and not involved in decisions

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Patrick Mackle. DOCTOR.

@PatrickMackle4

22 days

@timricketts_ You have it easy Tim: When I was a new doctor we had to work in a septic tank in the middle of a dual carriageway and our Consultant used to kill us twice a day and dance on our graves.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

4 months

1/6 To UK public: Have your say on minimally trained PAs seeing vulnerable patients in GP surgeries. You can lobby now on any of the local X accounts below. Deadline is GP National meeting 23-24 May.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@HelenRSalisbury I agree the incumbents of the PA role have been misled. However PAs are adults, and as a role, some collective reflection is now overdue.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

3 months

@PeterStefanovi2 @AnaesUnited Hi Peter This year Gov’t funding of free-to-employer PAs became CONDITIONAL upon PAs seeing undifferentiated illness in GP surgeries. In other words, if the PA is not seeing the SAME risky patients as GPs, there will be no desperately needed funding. Safety be damned🤦‍♂️

Patrick Mackle. DOCTOR.

@PatrickMackle4

3 months

@tonihazellgp @ArunBaksi @NHSHEE_SWest The worst thing about ARRS funding is the new stipulation that PAs MUST see undifferentiated illness in GP surgeries. This is beyond irresponsible - it is consciously and deliberately engineering a decrease in patient safety. Shame on you @VictoriaAtkins

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

. @StGeorgesUni @ASA_UK @RCPhysicians On your PA course website today @StGeorgesUni you claim "fantastic graduate employment" on completion. Given current uncertainties over the PA role, do you feel it’s appropriate to make this claim to people giving money & time to you?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Thank you for standing up ⁦ @Adam_Skeen ⁩ From physician associate to medical student | The BMJ

From physician associate to medical student

The debate around physician associates (PAs) has grown from being confined to the shadows of social media and occasional remarks on wards, to a seismic debate which has brought the standing of a...

www.bmj.com

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Patrick Mackle. DOCTOR.

@PatrickMackle4

28 days

@IncogAssociate @UMAPsUK Thank you Incog. The PA role is a dependent role working under the supervision of the doctor role. Of course the supervisory role makes the decisions about the scope of the supervisee role. Does that not seem appropriate to you?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

25 days

. @WEBylines Please see the thread below that starts with Gloucestershire Hospital attempting to silence patient safety concerns.

Gloucestershire Hospitals NHS Foundation Trust

@gloshospitals

25 days

We take targeted harassment and bullying towards any of our staff or services seriously. Our house rules provide various routes for anyone who would like to raise genuine concerns about our social media content:

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Patrick Mackle. DOCTOR.

@PatrickMackle4

4 months

To UK people: Your doctors are being stolen from you. Across the NHS, a role taught 2 years of "PA studies” is substituting for doctors trained for 10 to 15 years. Use of PAs is about money. It is not about care. (Thx @19MW98 )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

So @StGeorgesUni @ASA_UK @RCPhysicians when you are marketing your £20,000 PA studies product do you feel you have any responsibility to make potential buyers aware of what they are actually buying please? Do you tell them that national organisations have called for recruitment

Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@TheBreakster @StGeorgesUni @ASA_UK @RCPhysicians So @StGeorgesUni is it the case please that you have no duty of care to students in this specific context? That being asked, do you feel, in less technical terms, that it is acceptable to market your PA course by claiming “fantastic graduate employment” ? This question is

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Patrick Mackle. DOCTOR.

@PatrickMackle4

17 days

The amazing people @AnaesUnited have raised £85,000 to take the General Medical Council to court. Both @RCPhysicians and @rcgp bear huge moral responsibility for the unsafe deployment of the PA role. Will they repay their debt?

Stop misleading patients - Physician Associates cannot replace doctors

We are a group of anaesthetists (doctors trained in anaesthesia) that are unhappy with the way the medical establishment is selling patients and the profession short.

www.crowdjustice.com

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Supervision is a component of Medical Training, not a replacement for it. Medical Training is the knowledge, skills and experience acquired over 10 to 15 years. The notion of supervising PAs offers the false reassurance that an untrained role can be made safe by supervision.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

25 days

. @WEBylines Concerns expressed this Month by HM Coroner over Physician Associate Role following patient death.

Beloved gran died after 'associate' left treatment in for 16 hours too long

'They are are not doctors, and we have seen the tragic consequences of what happens when this is not made clear to patients'

www.manchestereveningnews.co.uk

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Patrick Mackle. DOCTOR.

@PatrickMackle4

29 days

Supervision is a component of Medical Training, not a replacement for it. Medical Training is the knowledge, skills & experience acquired over 10 to 15 years. The notion of supervising PAs offers false reassurance the 2 year PA studies role can be made safe by supervision.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@DrEilidhMaria Good. 👏👏👏👏👏👏👏👏 Not a small thing at all. Unclear labelling is wrong on many levels. It’s wrong for patients. And yes, it’s wrong for doctors who have worked very hard since the age of 12 to become a doctor. Hard work and competence does not equal elitism.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

18 days

@pa_StephenNash Thank you Stephen. My reading is that it is a collective organic response to a project that seeks to deploy the PA role into clinical contexts it is not qualified to safely work in.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@Ask_foradoctor The PA role is a dependant role. The scope and ceilings of the role are not set by the role. I have never witnessed a role so imbued with an opportunistic sense of mission to challenge and expand. Given the dependant status, I don’t feel this is appropriate.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@Xeon4f145d96s1 @iDrSunny @gmcuk This is an extraordinary statement by @gmcuk . @drcolinm do you concur with this statement by @gmcuk please?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@medicalmodelbri @HullHospitals @tiktok_uk Agree. Running to attend a neonatal respiratory emergency is just not a time to be making selfie movies. Really best to just focus on getting there safely and mentally preparing for the potential scenarios. Concentrating on making a movie selfie whilst running just

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@iDrSunny @rcgp Thank you Sandeep for taking the time and care to write to @RCGP It is sad and perplexing that @RCGP simply ignore considered written concerns It is hard not to interpret this pattern as discourtesy or even contempt for the views of others Please try to do better @RCGP

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

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.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

20 days

@EllesseSaich Thank you Elle Doctors spend 10 to 15 years of formal training learning to diagnose. Do you think pharmacists are trained to diagnose please?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

25 days

. @bristol_citizen Please see HM Coroner’s Section 28 Statutory Notice to avoid future deaths sent to Department of Health & Social Care, General Medical Council & Faculty of Physician Associates.

Dr Sandeep Bansal

@iDrSunny

29 days

This is the regulation 28 document from the coroner of Susan Pollitt The @NHSEngland , @CareQualityComm @gmcuk , @DHSCgovuk @RCPhysicians @rcgp have some interesting questions to answer with regards to a national framework which the coroner (rightly) suggests should exist Side

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Patrick Mackle. DOCTOR.

@PatrickMackle4

25 days

@danielgoyal Whatever is it sounds inappropriate.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

The PA role is not medically trained. Writing that it is will not make it so. (Thx @medicalmodelbri )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

5 months

This PA project needs to be challenged from sentence one: "PAs take histories......" NO. Actually. They don't. A history cannot be taken by someone with a 2 year postgrad course under their belt. Taking a safe history is most of what medicine is. It takes 10 to 15 years.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@pa_StephenNash @ClinOncDoc @ramey999 @Cleverclog67596 @Adam_Skeen Indeed - the PA role does not study Medicine, hence cannot practise Medicine.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

Your doctors are being stolen from you . Across the NHS, a role taught 2 years "PA studies” is substituting for doctors trained for 10 to 15 years. Were you asked about this?

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

@sparklysister @moribunddr Thank you Amber I agree about the pressures of course. And I’d agree that any role in that context needs to be mindful of that legitimate pressure. I’d add that there are other legitimate, less obvious, pressures the Dr has to deal with that need to be prioritised at the

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Patrick Mackle. DOCTOR.

@PatrickMackle4

1 month

@AnaesUnited Done. Money sent. Thank you for your incredible work standing up for standards when @gmcuk will not👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

The “toxic anon“ accounts: @gmcuk @NHSE_WTE @DHSCgovuk @rcgp @RCPhysicians Contrast the above anon accounts to those of defenceless individuals, without institutional support For ordinary individuals, anonymity can be the only shield when speaking truth to power

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Patrick Mackle. DOCTOR.

@PatrickMackle4

2 months

The: “Generalist healthcare specialist trained to a medical model” Will see you now. The quote above is an NHS Trust description of the PA role. Drs take 10 - 15 years to train. PAs complete 2 years of “PA studies”. Language doesn’t bridge that gap. (Thx @ESHTNHS )

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Patrick Mackle. DOCTOR.

@PatrickMackle4

23 days

@RobLaurensonD4P @RCEMpresident @RCollEM Thank you Rob Huge powerful interests at play of course. A Government stratum hell bent on disenfranchising patients, tearing standards down and undermining safety. No consent for this. The double think language advocating for the PA role flows from this illegitimacy.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

3 months

@PeterStefanovi2 @AnaesUnited @gmcuk Thank you Peter - an important issue with a pressing need for increased awareness for all.

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Patrick Mackle. DOCTOR.

@PatrickMackle4

8 days

. @RCGP @RCGP signed off the PA project in 2006 along with @RCPhysicians . It’s not too late for either college to grow a conscience and make some financial recompense for the damage @RCGP and @RCPhysicians have caused.

Anaesthetists United

@AnaesUnited

9 days

When it comes to deciding who sets the rules about what Physician Associates can (and cannot) do to patients, the law expects the GMC to do exactly what it says on the tin. Please support our crowdjustice appeal, challenging their refusal to do so.

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