Toast @toast36742904 Twitter profile

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@DianaCousminer

@ricchan_2127

@who_is_bridget

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@toast36742904

1 year

@Dr_Done_ Lol. Ladder of opportunity Masters ( really a 1/2 of a bachelor's ) They aren't well trained. And the NHS isn't there to be a comfort blanket and help the academically needy.

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@toast36742904

10 months

@DrAsifQasim We should have clear guidance to say nobody should be discussing medical care with unregulated health care workers. Can't see how it can be argued against really. We always have to think about who we are talking to and why. Can't really justify involving a PA

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@toast36742904

10 months

@TheSalariedPA We sometimes had a locum PA during COVID. To say waste of space would be being too kind During COVID there was no real need for them. We had a surplus of drs. So if ever there was a time to highlight how pointless the role is. COVID was that time If anything more nurses needed

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@toast36742904

9 months

@bmj_latest @eabhaaa So some second rate uni Will teach some second rate "degree". Sure, Of course these students will be seen as being just as good.

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@toast36742904

1 year

@nimus_dr @jasaunders90 I love how ALS is held up by non medics as some significant qualification when it's the most basic assessment ever. Rock up without any prep or reading source material and you can easily cruise through. But they make out like they've just got their MRCP

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@toast36742904

10 months

@Dr_Done_ @VictoriaAtkins PA salary really needs to be hammered home to make the point about FPR The only way they can justify not paying drs would be to say PAs are on too much. And that's not going to happen. When your assistants are paid more you can't really use the "noone is getting that" line

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@toast36742904

1 year

@nandwics Highly skilled suggests that there are people who are adequately skilled but not to that great a level. I don't think they are even skilled to do the minimum but even more intrigued by who they are highly skilled compared to

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@toast36742904

9 months

@EDPractitioner What do you mean by "include" ANPs and ACPs should also not be seeing undifferentiated patient such as in GP /ED/Acute medicine. Same principle applies - no medical degree then you don't practice medicine. All are welcome to do it and the route is med school.

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@toast36742904

1 year

@Xeon4f145d96s1 @DudleyGroupNHS Wow wow wow. I mean at least that means all on calls and nights are taken away to allow for recovery Right Right?

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@toast36742904

10 months

@Lily90682317492 @TheSalariedPA That's fine if you then stick to being an assistant. It's not fair or moral to treat patients with inadequate training because it suits your lifestyle. Backdooring to practicing medicine is not on. It's sad if you felt this way but pts shouldn't suffer to suit you

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@toast36742904

2 years

@Xeon4f145d96s1 @take__AIM Why do PAs even need to go to this. It sounds like it's outside of their profession and scope.

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@toast36742904

2 years

@floshiiiekn @DrrDentist @em_jenksPA @DoctorPonglenis There's no such thing as an alternative career to medicine to practice medicine. That's by definition not medicine It's quackery

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@toast36742904

2 years

@WM37981 @cwt_news If you're 6 ft 1 and 128kg Then 1800 is less than your bmr So you would have lost weight Add on 6 miles of walking and you definitely would have lost weight I can't think of anything else. Even the most severe pathologies wouldn't change this.

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@toast36742904

2 years

@karanpnj Because the PA has feelings. Be nice. They want to feel important without the hard work. And goddamit if it isn't their right to do so. Don't be elitist, they are just as good as anyone else. You can be whatever you want. People are sick of experts after all.

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@toast36742904

2 years

@floshiiiekn @DrrDentist @em_jenksPA @DoctorPonglenis Your existence is literally to do what you're told. Whatever that is. The FY1s do as they're told. Why do you think you should be "sharing " the workload. Not how a hierarchy works. If you enjoy and wanted to do med then you should have studied that. For admin PAs are ok.

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@toast36742904

1 year

@Xeon4f145d96s1 They've done a good job at making people forget that their job is to do TTAs, bloods and admin as an assistant for doctors. Let's not normalise a PA providing any medical care whatsoever. Patients don't deserve this. I would refuse and tell everyone to refuse. #saynotopas

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@toast36742904

1 year

@rcpsychPA I didn't understand the narrative Patient sees psychiatrist who misses any need for physical health intervention This is picked up by the PA who is awesome. Directs patient to see GP because they have a physical health issue GP does the needful

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@toast36742904

10 months

Comments off always suggests you have a good point.

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@toast36742904

10 months

@DrAsifQasim Still possible to say no. I'm not a cons. But I refuse to discuss accept or discuss any cases with PAs Can't see why a strong consultant body can't make it known that this will be the case. Legally easy to explain we don't deal with unregulated non healthcare professionals

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@toast36742904

1 year

@danny_mercer And a huge money saving opportunity Scrap PAs - redundant job role really Hire doctors assistants Frees medics up to do the medical work. It's not rocket science

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@toast36742904

9 months

@drmattuk What confuses me is that we do t want PAs and AAs. So unionising as if the withdrawal of their labour would be a detriment to society makes no sense. Happy to let them go on indefinite strikes when they don't like something. We will have achieved the goal

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@toast36742904

1 year

@Xeon4f145d96s1 @BMA_JuniorDocs Could pick this apart. Each line is more egregious than the previous. Reeks of arrogance. Particularly like " I know what course to take" And thankfully I didn't do a foundation year .

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@toast36742904

1 year

@DrEilidhMaria @helencrimlisk There's also a part that says they are "Key" can you self proclaim this without explaining why you are key. Also says they are trained in medicine. They aren't. This is purposefully misleading. They have not studied medicine.

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@toast36742904

1 year

@FPARCP @TorbaySDevonNHS I thought autonomy isn't allowed for PAs I thought progression isn't a thing for a PAs You've pushed so far now. The only way is to rid the NHS of PAs. Unfortunately reasoned roles for them aren't possible. Eradication of the role is the only way to protect the health service

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@toast36742904

1 year

@NatashaAght I would advise relatives in the same position to explain to the GP that they would expect to see a doctor (or depending on case maybe a nurse) and are not willing to compromise on quality of care.

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@toast36742904

1 year

@r1chardf1tzg3r1 @RCSnews @TMitchellFRCS @AoMRC @RCSEd @rcpsglasgow @TheBMA @ASiTofficial @bota_uk @asgbi @BritOrthopaedic @the_mdu @MPS_Medical @AvMAuk @PatientsAssoc @WhichUK @bmj_latest @bbchealth I think just ignoring these guys has to be one of the best options. "Hi we want to discuss a patient" "Sure, happy to speak to a doctor about them" Easy On the ward : here's comp to scribe on wr. All jobs produced are yours unless prescribing or requesting scans. FY1 will help

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@toast36742904

1 year

@rcpsych Why have PAs? What has a physician got to do with psychiatry? Why not use a psychiatric instead ? Why do patients have to suffer a drop in quality ? Will they be told they are not seeing med qualified individuals And why did you refer to PAs as "doctors" in your first release?

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@toast36742904

10 months

@TheSalariedPA If they want to practice medicine - become drs. It really isn't difficult to understand

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@toast36742904

9 months

@UKGastroDr @RCPhysicians The college allowed a faculty for PAs to be established when it's completely beyond comprehension why they would sully the institution in such a way. They've also been the major problem with PAs and allowing name changes etc. So you can see how concern arises here.

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@toast36742904

1 year

@RCPhysicians Will you start by clarifying that PAs are not a prof currently recognised by the govt. That they don't practice medicine & that they should never be allowed to prescribe & shouldn't manage pts. Advocate for Dr pay to be more than PAs too @parthaskar @UKGastroDr

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@toast36742904

1 year

@UKGastroDr And what are the doctors on the wards doing ? Why doesn't she do the pile of admin that they have to do. Perfectly frees the doctors up for drains

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@toast36742904

9 months

@TheSalariedPA I have seen no evidence to suggest the majority to support PAs I can also say anecdotally that the support in the doctors mess is non existent other than for an assistant role. I think twitter is more representative then you would like to think.

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@toast36742904

2 years

@FPARCP @KateStraughton @RCPhysicians This is completely degrading to the medical profession. What a sad day. How can this be justified and how can PAs and the society feel no shame with this?

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@toast36742904

1 year

@Xeon4f145d96s1 Can I comment. This is obviously ridiculous. But extra ridiculous that this salary is even offered to a PA. Don't buy the "PAs are paid correctly " narrative. It's a grotesque amount for their skill, responsibility etc.

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@toast36742904

1 year

@mariamichle29 @DrEilidhMaria She's looking for examples of issues and going trust by trust. If she finds multiple issues across multiple trusts it would suggest a big problem and prove her point. Why is it a witch hunt. I'd say it's good research.

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@toast36742904

1 year

@Dr_Done_ There's always a very specific vibe isn't there.

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@toast36742904

1 year

@mariamichle29 @DrEilidhMaria I think she cares about patients Surely you'd welcome this

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@toast36742904

1 year

@Xeon4f145d96s1 @BMA_JuniorDocs PAs conceived to - be assistants - do admin and support work - help on wards - not progress - not hold senior positions - not work independently - not prescribe or manage patients Now play bingo and see if you can spot any contradictions to this in the article. Disgusting

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@toast36742904

10 months

@DrNeilStone I welcome PAs to assist with admin work such as scribing to free Drs up to see more pts. This solves the shortage of Dr problem and ensured patients see medically qualified staff. Not a difficult concept. Do you take issue with it ?

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@toast36742904

1 year

@ExplosiveEnema @Dr_Done_ @Xeon4f145d96s1 @FPARCP It's ok. Once regulated the GMC will have a good time with this I'm sure. Purposefully misrepresenting your job role for egotistical and personal gains.

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@toast36742904

2 years

@MahyarTousi What happened to you as a child ?

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@toast36742904

1 year

@helencrimlisk What is the subject "physician associate". If you do a master's in this. What actually is the subject? And how can you be providing treatment plans when not qualified to prescribe treatment ? Following this backwards how can you be involved in diagnosis and ix also ?

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@toast36742904

1 year

@Dr_Done_ Regs need to be taking control here. Lay down the law PAs listen to FY1 PAs not to review sick patients or do ward round or procedures or clinic above and beyond a doctor (depending on how clinic is set up) This is all pretty doable for a reg looking after a ward

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@toast36742904

2 years

@floshiiiekn @DocAnonX @DrrDentist @em_jenksPA @DoctorPonglenis Me me me! But what about the patients? How do you get through applications for PA degrees when your desire comes from - I want to feel like and pretend to be a doctor for good money, no work and shortcuts. If you are what is getting in , what's getting rejected.

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@toast36742904

2 years

@floshiiiekn @DrrDentist @em_jenksPA @DoctorPonglenis PAs don't specialise or do further training PA manages TIA clinic on a shared rota with consultant Which is it. Whichever you fancy for your argument at the time. Disingenuous or you haven't even got a coherent argument.

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@toast36742904

1 year

@jimmy_jone388 @LizDavenportNHS @TorbaySDevonNHS And progression from junior to senior talked about in a no progression job. Also aligning themselves in some way to doctors even when they are apparently told explicitly not to

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@toast36742904

1 year

@mariamichle29 @DrEilidhMaria She's not focusing on one PA. She literally said she's looking at all PAs via trusts. You said focus on yourself not focus on more Pas. If she has concerns surely she is doing the right thing. Bravo to her If there are no problems then she won't find anything.

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@toast36742904

1 year

@mmamas1973 Saying you want to find a way to do independent surgery is nothing to do with anyone else but the PA. I very much blame the PAs for wanting to be doctors without the required education because they are either too thick or too lazy to go to medical school

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@toast36742904

8 months

@ClareGerada @ProfGrahamTowl @UKGastroDr @NHSEngland @RCPhysicians @parthaskar @DrLKVaughan Sorry. I have no issue with the "taking our jobs" The issue is "practicing medicine without medical degree" And also " putting patients at risk with third tier medicine" But it sounds like you're ok with degradation in quality I guess people are right general practice is dead

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@toast36742904

10 months

@ukmat82 It will go nicely with the whole "MAPs will never be on the medical rota" collection of tweets

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@toast36742904

1 year

@irisedens No one has a "right" in this case Only patients. The right to top class healthcare. We can definitely advocate for diminishing PA "rights" to support patients. This for me is my primary issue with PAs. How do you allow them to play Dr and ensure pts rights are protected

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@toast36742904

1 year

@nhsbourbon I agree I also think we need to stop pretending that these individuals aren't just as to blame as the clowns who hire them Also stop the - they're nice people, they're so good, they could have made good drs nonsense. I get why it's said. But we don't need to sugar coat

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@toast36742904

1 year

@PatLynch93 Modern day medicine does not lend itself to apprenticeship in any way whatsoever.

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@toast36742904

10 months

@TheSalariedPA @Dr_Done_ I think they've admitted that the word plan is probably not 100% accurate. The rest of the sentiment stands though. I also wouldn't call out individuals whose priority is patent safety when your priority is only self serving PAs and their ego with a blatant disregard for pts

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@toast36742904

2 years

@DunningDavid @MrNishKumar I knew the pay when I took a place at medical school. It's dropped around 26% since then in real terms. Was I meant to know this would happen too ?

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@toast36742904

9 months

@Xeon4f145d96s1 Spent far too long with the first one. This is clearly what they want

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@toast36742904

1 year

@mouseter_chef I'm sure the practice will be able to explain why they were complicit in misleading the public in to believing this man is a GP Their response without correction of the reviewer reflects this @gmcuk probably need to be involved too

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@toast36742904

1 year

@RCoNoctors No way this is real. This is just excellent parody. Bravo

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@toast36742904

1 year

@baramink @MedCrisis Wouldn't trust anyone but a doctor near me. No reason whatsoever an ANP would be better trained than someone from a medical background. I'll take the real deal thanks.

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@toast36742904

1 year

@sisaacturner @veggieequallife That's pretty easy then All the surgery time goes to the trainee Because PA doesn't need any.

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@toast36742904

9 months

@NotAdoctor0000 A nurse as a clinical lead is a joke

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@toast36742904

1 year

@AlyKhan_Mak And up to £35 an hour. I believe the core rate for SHO in the London cartel is £36. How disgusting

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@toast36742904

9 months

@JoOgidi So if the outcome of scrutiny is that no PA should be managing patients then you'd be ok with it? Premise is that they don't have medical degrees. This would be appropriate scrutiny, right ?

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@toast36742904

1 year

@iDrSunny @ShaunLintern @katlay @NHSE_WTE @gmcuk @CQCProf I mean it is literally about Drs Vs PAs if PAs want to practice medicine, prescribe, investigate with scans, do clinics, progress etc etc If they stick to their OG plans for being assistants then there'd be no issue. So PAs very much to blame. Unless they don't want the former

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@toast36742904

10 months

@Dr_Done_ @Bonivorlewis Said it many times before Too lazy or Too thick These are the reasons people become PAs Maybe add Too selfish to the mix

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@toast36742904

1 year

@JoOgidi Someone can apologise for saying it. But that misses the point. It's the belief that is the issue. The belief that PAs can practice medicine is the fundamental problem here. And this is just the mask slipping as to what extent.

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@toast36742904

10 months

@AbdoPainHotline Literally makes my blood boil. If we voice opinions here and become 'inflammatory' we are chastised but we have zero say as trainees. We are also completely gaslit since we were told PAs are assistants and now they want to Rx pts Noone is owning up to this.

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@toast36742904

10 months

@TheSalariedPA @watsondoolittle That is a terrible way of thinking. Oh well wrong decision made so let's just persist Is this how you "treat" patients too?

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@toast36742904

1 year

@clairedocdavies Think about this statement. There aren't enough doctors to see patients. So patients have to accept a lower standard and fake doctors And instead of uproar. It's being celebrated. Do you now see the problem? The public are being conned. Why not be honest?

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@toast36742904

2 years

@floshiiiekn @DrrDentist @em_jenksPA @DoctorPonglenis There's a reason there are forums dedicated to this problem. Literally people crying out to stop the madness. For the sake of the public. Now you're equating to a consultant. I can't even handle this. But we are told PAs don't think like this. Thanks for showing true colours

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@toast36742904

1 year

@TTOTrainee I would say yes. FPR is enough. But then I'm told PAs salary is appropriate. So , sadly, by definition no. FPR isn't enough. And that's all the governments own doing.

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@toast36742904

1 year

@rcpsychPA So we are saying that Psych drs - are incompetent PAs are amazing because they can tell a pt to go see their GP And ultimately there has been nothing gained to the system as GP has to do the work again with the lovely addition of someone on 50k being pointless in the middle

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@toast36742904

1 year

@darrengrimes_ You're way off the mark again. Almost everyone in medicine agrees that race probably played in her favour and allowed her to carry on for longer than she would have been if she had been an ethnic minority.

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@toast36742904

1 year

@NHSLeader Nah, sorry. As a doctor I expect. Be supervised by a doctor. Doesn't mean I can't have teaching from a pharmacist or PT etc in their field. The issue is non doctors trying to teach and supervise as if they are doctors.

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@toast36742904

1 year

@TheAnonymous_PA Why so salty. @FPARCP and other nonsense organisations can push propaganda to applause on twitter. Nay sayers are ostracised. Official Dr bodies highlighting the major issues and now tears and moans all around. There should be joint in person debates. So cowards can't hide

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@toast36742904

9 months

@Xeon4f145d96s1 Urologists are notorious as a pretty horrible and unreliable specialty to work with. St George's barely register as an institution Marry the two together and you have some pathetic unit that we should ignore if it wasn't for patient safety.

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@toast36742904

10 months

@Sammy_Lou Is there a reason an assistant job needs a whole conference? ELI5

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@toast36742904

1 year

@RCSnews Are patients allowed to refuse operations without delay from individuals without medical degrees ? Otherwise you are coercing them into second class healthcare.

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@toast36742904

2 years

@Dr_Done_ @justpaydrs @floshiiiekn @DocAnonX @DrrDentist @em_jenksPA @DoctorPonglenis She won't be the only one. PA attracts exactly this kind of person. Funny that she says drs are arrogant etc. There will be of course. But Drs don't try and pretend we can do other professions. PAs arrogantly think they can be like doctors.

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@toast36742904

8 months

@olddiesel How is it hard to understand. It's the role that's useful. PAs could be very useful if they work as doctors assistants Noone is saying they can't help but not by seeing patients. And as we are told there is no career progression as a PA anyway so moot point.

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@toast36742904

1 year

@Brilliant_Teams You have to have a hierarchy. Explain to me how it works not having one please. The FY1 some days deciding what should happen, other days the physio , others the HCA, others the Whsmith worker?

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@toast36742904

2 years

@FPARCP @jasaunders90 2. What fantastical , patronising guff. Educating and supporting doctors. Who the hell are you to be doing that. What delusions does your president have. Have some shame. This is getting beyond a joke now, seriously. Your role exists to educate doctors. Lord have mercy.

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@toast36742904

1 year

@Medic_Russell @tee_kayoki @TheBMA Some of the things he apparently said seem very questionable

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@toast36742904

1 year

@dr_nigel_lane @TheBMA Are you disappointed that we see A PA "leading" WR Acting as a "senior" Doing clinics Wanting to request "iodising" radiation. Thinking they are knowledgeable enough to prescribe Pushing for "enhanced pay" Referencing their "medical school" training Pushing for more scope

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@toast36742904

1 year

@wiggs1234 @agwalker01 @Ahpra @DrLouReynolds @expensivecare @ACParamedicine @AmbulanceVic @monash_para One of the biggest healthcare scandals and disgrace to the MDT is the adoption of non doctors in medical fields It's a slap in the face of nursing and paramedicine and the British public The only ones who benefit are the selfish ACPs out for themselves Hopefully we can halt it

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@toast36742904

2 years

@Brozapine One of the weirdest anomalies in NHS pay. Waste of tax payers money yet goes unnoticed. Apparently they're members of the MDT. Can't think of any MDT meeting that would need a PA present or what they'd possibly add. "Oh yeah better not start yet, the PA isn't here"

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@toast36742904

1 year

@DoctorPonglenis Sounds like a conservative mouthpiece. The narrative of we are all in this together. Cost of living crisis etc etc. Even though our disputes predate the current inflation crisis. They always conflate the two. He's also a PA lead which is a major red flag.

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@toast36742904

1 year

@RCSnews The hell is that. Surgeons for surgery. Otherwise just go back to surgeons being technicians. Absolute sell outs

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@toast36742904

2 years

@TVW_PAs @HIOW_ICS And what do you say to all the doctors who think that PAs are an erosion of standards in the NHS, offer no unique ability and can't understand why they are needed instead of more nurses , trust doctors etc etc. "They CARE" so , wait, who doesn't ?

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@toast36742904

9 months

@Dr_Done_ Also it can be true: there can be a shortage of Drs Without there being a need for PAs to act like Drs The PAs can take the admin stuff from drs freeing them up to do more decision making In doing so the "shortage" issue is solved and patients are safe. What's not to love?

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@toast36742904

1 year

@Xeon4f145d96s1 And the biggest one - knowledge. Always number one reason PAs need to get away from patients. They aren't good enough. They aren't trained for it. They lack the level of academia studying medicine for this. I don't really even care that much about the "stealing jobs"

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@toast36742904

9 months

@profjimspeaks @chriscraigCCC Of course there's some common sense about what is and isn't medicine. Paracetamol from Tesco for that cold is both medicine and at the same time not really what we are talking about. Reviewing undifferentiated in hospital is only for doctors.

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@toast36742904

1 year

@Dr_Done_ Makes you wonder. The Tories aren't known for being nice. Why such a care for opportunities in this way.

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@toast36742904

1 year

@ShayanAshjaei They don't though. Just writing something doesn't make it true. PAs have no real role in the cast majority of the country so to say they have a "crucial role" is really unfounded isn't it. What a patronising tweet about lifting each other. And your profile - ew

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@toast36742904

9 months

@jim_crawfurd @physicianassoci @DrLindaDykes I think it's because PAs didn't got to medical school So they've never been taught medicine. Therefore they can't practice medicine. They lack the required education A few years on the job doesn't change this Med school would

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@toast36742904

2 years

@BenAllenGP @mellojonny The medical degree part. The rotation around specialties and working as a foundation officer. The understanding of the underlying science. PAs literally have a lesser qualification when it comes to practicing medicine.

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@toast36742904

9 months

@nhsbourbon How can people be Paid to do an apprenticeship Do it in 4 years Have exactly the same quality and integrity of degree That formula doesn't work. We are being lied to again. Warning for any prospective students. You will be lesser qualified and judged accordingly

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@toast36742904

10 months

@parthaskar @gmcuk @RCPhysicians @AoMRC @NHSE_WTE @doctor_oxford @OrthopodReg @RobJimFleming @mmamas1973 @morefluids @UKGastroDr @DrLKVaughan @HelenRSalisbury @buckinghamh @drphiliplee1 From the start the worry was exactly this with PAs We were told they are just assistants Now we are being told they "practice medicine" Surely they either go back to being assistants or cease to exist in the NHS. Anything else is unfair to the British public

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@toast36742904

1 year

@ajt108 @ZoeCostigan Never have I heard this being said in the mess . Ever.

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@toast36742904

1 year

@DrEilidhMaria Good thread and explores one of the issues well. For me on top of this the bigger issue is - the reduction in quality provided by non doctors - the drive down in desire for academic excellence and independent thinking - the drive for making HCP feel good rather than pts

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