Leon Rozewicz 🎗️ Clare Gerada 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 NHS England Royal College of Physicians Partha S Kar 🇮🇳🇬🇧🏏🎥 Louella Vaughan I would say 4th year is too far. Their knowledge is equivalent to an ACP. Trained to spot common & acute problems and act via protocols. Ask a fourth year about anaemia in CKD, they may use their knowledge to explain the pathology & suggest EPO supplements. Unlikely in noctors

Caesarnotsalad Leon Rozewicz 🎗️ Clare Gerada 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 NHS England Royal College of Physicians Partha S Kar 🇮🇳🇬🇧🏏🎥 Louella Vaughan I agree re ACP vs a 4/5 MS / PA. Knowledge is different from experience tho. Medskl , in every aspect, is about gaining knowledge alongside experience to consolidate comprehension. Exp comes with practice. Neither an ACP / PA is trained to the equivalent knowledge.

Ruth The issue is inappropriate use of ACP/ANPs: endoscopies, surgery, PCIs… the NHS in decline is promoting overambitious but underqualified *individuals* to step into roles at the ‘level of a middle grade Dr’. You cant be Dr level wi/out MBBS x.com/guidelinexpert…

ASiT The Royal College of Surgeons of England The Royal College of Surgeons of Edinburgh Royal College of Physicians & Surgeons of Glasgow RCSI GMC JCST CoPSS NHS England Workforce, Training and Education I have met an ODP student who told me they want to progress into a SCP role asap so they can do the fun stuff. When I told them they should’ve gone to medical school if they wanted to be a surgeon they looked shocked. What has the profession come to?

What is the difference in the prior knowledge between an ACP and PA when it comes to managing undifferentiated patients? Neither have a medical degree. Neither know about the unknown unknowns. Selling ACPs as beneficial compared to PAs undermines the Drs skill.

Love this from BOA. Though now ever more obvious the glaring difference in pay for people who can do less than a D1 doctor

Jon National Health Serf ExplosiveEnema Wes Streeting Resident Doctors Let them all go. That’ll fix your waiting list problem buddy. You really are dense. If you hate doctors so much, maybe just fuck off and don’t see them at all?

Which matron is this 👀😂

This is why I tell all new doctors and med students not to believe the ‘be nice to the nurses’ bullshit Be respectful to everyone but pull people up who are rude

And how much are Drs paid to take on this additional risk? Zilch. Just like research, audits, teaching, etc…

And why can’t we reduce the length of medical training? - primarily making it competency based 🤨

The world is split into those who understand why it is unavoidable, necessary and accept the above. And those who seem to think that you can avoid having that discussion for fear of offending the ACPs - with whom doctors up until now have had reasonably cordial relationships.

Don’t fall for the ragebait Doc - This is actually good news for the NHS and I support more qualified nurses over nursing ?associates and HCAs. He wants you to look bad / entitled in the comments. We have our issues, AHPs have theirs too. But this is positive for all

If you’re A level results are disappointing, don’t worry. I got straight A*s / As, went to medical school and started on £15/hour.

UMAPs threatening to sue any Trust or PCN that follows the leng review guidance Good Job PAs earn so much - looks like they’ll be burning through their pay packets to fight this out with everyone. Or they could accept the glass ceiling that’s coming in…

Wes Streeting you said that you would act immediately. There is a new job advert on NHS Jobs and other new job adverts online for PAs to diagnose undifferentiated patients. Patients are still in danger When will you act ? jobs.nhs.uk/candidate/joba…

Another day I’m convinced gynaecologists don’t actually like women

AI drafts a d/c letter that requires a resident and consultant review 😂 Where is the efficiency gain? when it adds additional work for the most senior clinician, and the original drafter still has to edit it! Dr Sandeep Bansal give us a business perspective

Very concerning for any future deal that relies on promises of change