You are certainly NOT nursesโฆโrolls eyesโ.,
Nurses have accredited clinical training and are valued members of the MDT. They are also proud to state their profession for which they are professionally accountable. No- youโre not nurses.
Iโm a senior nurse and I strongly defend the doctors on this. As a patient, I refuse to have PAs involved in surgery, anaesthesia or invasive procedures. I recognise a medical degree. ACP/CNSs have extensive clinical experience and have an important role in the MDT.
@caspertown42
@nohandsup
@caroll_ste87889
'Not just PAs in their sights'
It is fairly disconcerting to see valid concerns being raised by doctors in the interests of patient safety being diminished by people like yourself by using dismissive language and purposefully refusing to consider context.
Jo attended for cervical smear. Nurse complained about fat making it difficult so said she should lose weight before she returned. She didnโt return. I nursed her at the end with her extensive cervical cancer with secondaries . She died aged 32
#LivingWithObesity
Patient came for random BP check. Bad breath. Had seen PA 4 months earlier c/o difficulty swallowing (not pain) and weightloss. Was advised it was a virus and to drink plenty.
Why do doctors, nurses and AHPs have to do extensive training to extend their roles (often after 5 yearsโ practice) yet PAs (unregulated) can do these after 2 years and get paid team lead salary? NHS is in big trouble
This is:
Scapegoating
Elitism
Protectionism
This has NOTHING to do with patient safety.
This is:
You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club.
You can't sit with us.
Punching down. Nothing to be proud of.
#RCPEGM
@rupert_pearse
@djnicholl
@Prof_Marciniak
I am an NHS nurse specialist. I am COVID19 vaccinated, which protects my patients, my colleagues, my family, and myself. Vaccines are proven to be safe and highly effective at preventing hospitalisation or death
@benn_elisbenn
What do I bring to the MDT? 23 years in my specialty with considerable experience and further training. Iโm professionally registered, regulated and accountable following a robust, accredited training set nationally. I bring the nursing perspective. No steth though
Unprofessional? -I donโt recall any doctors posting videos of themselves on their beds consulting patients remotely. I also donโt recall many getting excited about cardiac arrests and dying patients.
See reposts, quotes and comments for exceptional examples of elitism, protectionism, toxicity, bullying culture, hierarchical power dynamics in healthcare settings, and unprofessional behavior.
Leave the country if it will make you happy but don't expect the taxpayer to fund you, sign a non disclosure agreement and leave the titles that would bring the BRF into disrepute when you use them for marketing
#meghanharry
Unsure what point you are trying to make here? You probably had an on call room, subsidised mess and hospital accommodation. Itโs likely you could buy property by the age of 30. Dog walkers get paid more than FY1s and 2. Do you think thatโs ok?
@iDrSunny
@DrANChekroud
๐กwtf. Try starting Friday 0630 , 24hr hospital shifts all weekend on the trot until 1830 Monday as junior drs did circa 1990! Even manually evacuated a rectum because nurses wouldnโt do it!!!!
@Nigel_Farage
They pay their own training fees yet get paid far less than a pseudo professionals who doctors need to supervise because they only do a 2 year course! Wouldnโt you leave too?
You do realise that practice nurses are highly skilled with extensive clinical experience? Iโm unclear what PAs can offer above that of GPNs (many prescribe too).
@HRHPWales
@10agapanthus
Having to cope with recovery from cancer and all of this scrutiny must be awful. Wishing a stress free recovery to all- whatever their circumstances
@SafeSENCOSaeed
I disagree. Parents actively choose that school knowing the rules and that it is secular. Many are very much against organised religion. If you want to have faith involved, choose a faith school. The rule affects all not just the muslims
@KirkwoodEinir
@muddy_gas_doc
Former midwife here. I met a few clinicians I didnโt rate but Iโm professional and wouldnโt slag off a whole prof group to sound witty. Attended many home and Hosp deliveries. All had their merits
โFollowing a redesign of our junior doctor rota we are looking to appoint a Physician Associate to rotate every 6 months through Neurology, Neurology Day Care Unit, and Strokeโ
@IVfacts
The vast majority of posts are challenging the covert change from assistants to associates and how the PAs are put into medical roles when they are not suitable trained or qualified. Other concerns about the adverse effect on medical training. โฆ..
You won't find many Physician Associates or Doctors who appreciate and support the role of PAs willing to speak here. Many have deleted the app due to the pervasive bullying and harassment. This platform is toxic and detached from reality.
There are like 8 pro PA accounts here.
@LukeAmos__
@ItsnotrightUK
It is at that level (7) because on afc that is where a masters level qualification required job sits. Your preoccupation with another roles pay, and wanting it cut rather than focussing on your own professions poor pay is sick and shows what an awful human you are.
@debbiebarnes66
Iโm far from woke and wouldnโt take a knee but I couldnโt care less about who they feature in ads. Iโve recently seen people with disabilities on adverts. They are in a minority but still exist so why not feature them? I live in a diverse area so maybe I donโt see the issue?
Ahh, this scares the hell out of me, or to put it politely perturbs me like mad! PAs are โEndoscopistsโ now? What on earth? ๐ฎ ๐ถ AAs are a bad enough idea, but it is too risky and unethical (I feel) to have PAs doing endoscopies. Why? Because Iโve had one, and itโs not minor.
@SandyofSuffolk
My (late) mother had to retire from teaching because the stress and work ruined her health. Donโt believe everything about the holidays. She was always working
@JaneyGodley
@toryman1979
I donโt get people who are obsessed with people they donโt know. There must be something special about you (there is!) for you to live rent free in his head
@khadijapodd
@Miss_Snuffy
The complaints are vexatious. Most of the troubles in the world are related to religion and so this has been removed from the school so that children can learn without melodrama. Iโm RC and support the school removing religion. There are many other options available
@LittlePersonDoc
@IncogAssociate
I met my first UK PA about 12 years ago. Iโd never seen them in the NHS (somehow we muddled through before). I asked about the role and was impressed and thought what a great support to doctors to free them to do clinical work. There was no suggestion of clinics and procedures
@DrJessMRCVS
Iโm so sorry but I believe every word. Iโve had 8+ stones (stopped counting) and now keep meds at home. Write to PALS because this is a issue requiring further education. Not just pain but you feel so ill. I hope you feel better soon
Isnโt it time to return to health job titles that specify the profession? People seem to be desperate to be practitioners and lose the title nurse etc. Iโve been in my speciality since 2001 and introduce myself as a specialist nurse. Misleads patients
They are overpaid for a role that they shouldnโt be doing. Many of the activities should be only done by MBBS holders. It is an issue of patient safety.
Nurses and paramedics generally have 6 years clinical experience (post qualifying) to get a band 7. Many are prescribing on a band 6. They work around the clock and often isolated. They then refer to a PA? Itโs perverse and the rest of the world are baffled.
Iโm sorry if you were sold an easy route into the nice bits of medicine. Clinicians and patients are absolutely entitled to raise the concerns. Patients deserve better. Ex PA doctors has highlighted the differences.
Trusts exploiting loopholes to hire refugee doctors as PAs
Why does it always get worse?
@NHSE_WTE
/
@gmcuk
- You have lost complete control of this situation
Source:
#bariatricsurgery
saves lives. I have lost 70kg but small C19 regain. No metabolic disease. No asthma. I can buy clothes anywhere and survive long haul flights. Services should be available as needed. Hard work but worth it
Shame on you. They donโt even have a professional recordable qualification. You are damaging the safety of the public by deceiving them-and abusing the true professional doctors that have to pay you to regulate them. Despicable
๐งตThe updated
#GoodMedicalPractice2024
uses the term โmedical professionalsโ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the
Grandad John Wilkens who was telegrapher who HMS Starfish when she was hit. 2 escapes from POW camps saw him sent to Colditz (far right). RIP
#FestivalOfRemembrance
Patients are coerced into seeing PAs (often unaware) and may wait months to see a hospital specialists only to be seen by a PA instead who has less K&S than the referring GP.
I recently had a serious health scare and received excellent care from Drs, nurses and AHPs. I was constantly concerned that I would have to see a PA without the K&S and something would be missed. Itโs a safety issue
Do you get upped and sent all over the UK for training posts? If raiding these issues is bullying then Iโm sorry for you. If you want to practice medicine do GEM. Patients are very scared. Return the role to assistant with appropriate pay
@amnerisuk
Royal college of Physicians oversees the national examination and osce element. Perhaps stop formulating your opinion of a 200 question paper and 14 station osce, based on a couple of Twitter screenshots you absolute melt.
@TomKat56184663
I may have had the brains but my ADHD meant medical school not an option for me. Iโm not jealous of doctors and respect their role. I always introduce myself as a nurse to patients
There is no absolute entry criteria and courses are unregulated so there is no guarantee of knowledge or skills. Drs have to do extensive work to become GPs yet PAs can take GP roles with no experience โฆ.
So if a PA (ex nurse) prescribes and there is an adverse outcome, are they referred to NMC? Assume they have to keep registration up to date etc? How do they get enough nursing hours?
@NHSEmployers
@WestSuffolkNHS
Once prescribing and requesting ionising radiation is allowed for them , the world is their oyster . THIS is what they really want . Sod the patients .
Unlike other qualifying/registering HCPs, there is no guaranteed standard for PAs. You canโt assume because entry requirements vary and courses unaccredited. The same as Twitter/X posters- you canโt assume knowledge, insight or reasoning skills
@guidelinexpert
@WolfienotFoxy
Absolutely. Iโm not a doctor. I missed the essential years at med school and Iโm happy to refer when outside of my professional sphere
If you graduated a complex course with major debt, you want want a career full of hurdles where you had to oversea someone paid much more with a fraction of your K&Ss working nice hours? Then you carry the can when it goes wrong.
@LBC
@TomSwarbrick1
Return the role to that of assistant rather than associate with appropriate pay. If the role is beneath them, they can go to medical school as graduates
Iโm not an ANP but have been working on my specialty for longer (23 years) than many of my medical colleagues have been qualified doctors. I am still not a doctor and would refer on especially with co-morbidities. My colleagues and I know my limits and worth within the MDT. That
Daily I get sent stuff like this on twitter.
These days itโs always there just bubbling under the surface, it doesnโt take long for the sharks to circle.
I donโt work with a single ANP that thinks theyโre more knowledgable than a Dr (unless itโs on the topic of 4 layer)
@ADHDFoundation
@DHSCgovuk
@NHSEngland
@rcgp
@rcpsych
I think there was careful editing. No mention of waiting to start titration of drugs and the ongoing care. No mention of long delays before GP may take over prescribing. They made it sound like 45 mins and a script. So untrue
If my (highly experienced) GP sends me for a specialist consultation, they assume the clinician will have knowledge, skills and experience beyond their own. Itโs just not logical
@gmcuk
Do you honestly believe that you can learn everything required in 4 years? Maybe it will be easier to promote PAs when you post that they train for 5 years (even though the first 3 may be in Geography)?
@KatiePennick
My Dublin flight was delayed into LHR. All trains and tubes had stopped running although we all struggled downstairs to see the signs. Massive queues for few buses. No help for disabled in wheelchairs
@Doctor_Erin_
@Fioretweets
Iโm a nurse of 38 years and I didnโt take offence. I thought your comments were reasonable. Your level of responsibility is higher than that of a band 5 nurse. That doesnโt mean they donโt work super hard or have lots of responsibility.
Heโs an idea. Have your professional background on your badge and make it compulsory to tell a patient your ROLE rather than โIโm a member of the surgical team) or just using practitioner title
Old nurses and rose tinted specs.(1)I was paid to train (84-87). Subsidised rent. In charge on nights as a 3rd year student (wrong!). Most students lived in so no parking or travel expenses. Valued by Hospital โฆ.
Every single PA and PA student needs to be marched out of
@RBNHSFT
the consultant , managers and Lead PA suspended until this PA disaster is sorted . How are PAs and STUDENT PAs diagnosing , taking histories formulating treatment plans in Emergency medicine on DOCTORS ROTAS?