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invertedcoriolis
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invertedcoriolis
@InvCoriolis
Expert in the Medical Model Refuse to supervise 🫸 Refuse to train 🫸 Refuse to engage 🫸 Unflatten the hierarchy @invcoriolis.bsky.social
Katılım Aralık 2023
804 Takip Edilen694 Takipçiler
invertedcoriolis retweetledi
@SarahGrain56760 United Medical Associate Professionals
However they aren’t medical aren’t associates and aren’t a profession 😅
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invertedcoriolis retweetledi
Imagine speaking about Natalie Dyke and Joanne Sellars like this.
Patients are just collateral damage to PAs .
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invertedcoriolis retweetledi
@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 It’s not “de-skilling you” because you never had these skills in the first place
Those skills are obtained the hard way by going to medical school
Physician’s Assistants should be exactly that: a role to facilitate Doctors by taking away unnecessary ward admin burden
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invertedcoriolis retweetledi
@Notanassistantz @ExplosiveEnema2 @law_policy1 You also continue to claim you’re trained and accredited to assess, diagnose, and manage but neither your curriculum nor PARA actually support the claim, do they?
Show me where the GMC licenses you to diagnose and manage patients?
It certainly licensed my F1.
Anisopoikilocyte@Anisocyte
X tends to polarise and misrepresent opinions, so I want to be explicitly clear: I don’t hate PAs. To the contrary, I welcomed and supported them, and still support them in the role that was originally intended - as Physician Assistants. So I say this out of genuine concern. 1/
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invertedcoriolis retweetledi
@Notanassistantz @ExplosiveEnema2 @law_policy1 But it isn’t even a risk you are taking for yourself - it’s a risk you’re asking patients to accept because you want a role for which you are not sufficiently qualified or trained.
You speak of me being embarrassed.
I’d be embarrassed to ask this of another person, a patient.
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invertedcoriolis retweetledi
@Notanassistantz @ExplosiveEnema2 @law_policy1 You say it isn’t about ego and you want to use your knowledge to help. There are two options here
1. Accept the role for which your knowledge is sufficient - an assistant role
2. Gain sufficient knowledge by doing GEM
You agree to neither, and insist on high risk working
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invertedcoriolis retweetledi
@Notanassistantz @ExplosiveEnema2 @law_policy1 Perhaps this is a deficit in your interpretation and understanding but generally in healthcare, safety has to be proven before rollout
“Ehhh, it’ll probs be fine” isn’t good enough for people’s lives and well-being.
It was also clear NHS wasn’t collecting DATIX data re PAs.
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invertedcoriolis retweetledi
I’m so tired of all this. I had a really tough week, working with outstanding teams. Every day I, and the other doctors I work with, were pushed to the limit of our abilities, due to the complicated work we were doing. I come on here, and the contempt towards us pisses me off
Rebecca@BeckyHall016
@Melissa_S_Ryan @jamesmurray_ldn Is it reasonable to assume that a PA with 10 years of supervised clinical experience is inherently less safe or knowledgeable in every scenario than a newly qualified GP?
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invertedcoriolis retweetledi
Sense prevails. Those who pushed the PA disaster should be a) ashamed b) asked to justify their lack of concern for patient safety c) regarded in a suboptimal light for future system planning roles. PAs need an apology & a way out eg GEM for those who meet the grade & have desire
Dr Steve Taylor@DrSteveTaylor
A legal challenge against the Govt’s implementation of the Leng review into the role of physician associates (PAs) has been dismissed by the High Court. PA trade union United Medical Associate Professionals (UMAPs) was refused permission on all grounds pulsetoday.co.uk/news/breaking-…
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invertedcoriolis retweetledi
I appreciate @VictoriaTzB @rcgp defining the distinct role of a GP due to their expert medical generalism but then this leads to the question:
Why are we allowing ACPs ,PAs and paramedics to work in the same role as GPs substitutes WITHOUT ANY medical qualifications?
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invertedcoriolis retweetledi
@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 According to your opinion.
Not according to any expert opinion.
And yet you maintain we should take your opinion over experts.
I also don’t understand how you could possibly be trained in diagnostic medical reasoning whilst not having studied Medicine (as per GMC).
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invertedcoriolis retweetledi
@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 Yes. Assist me as an assistant - chasing scans, documenting, organising the investigation I have requested.
But instead you insist on being a diagnostician, which you are neither qualified nor licensed to do.
Sure, an APA role appears to be an advanced assistants role. Go ahead
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invertedcoriolis retweetledi
@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 I have linked you elsewhere in this thread to what PANE and PARA assess, and how actual diagnosticians (F1s onwards) are assessed.
You may believe you were sufficiently assessed and are skilled, but that isn’t reality or at the benchmark.
It’s insufficient to see UDF patients.
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invertedcoriolis retweetledi
@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 Have a good read through PARA - nowhere does it licence you to diagnose and manage patients. Compare it to the F1 licensing and you might understand the difference.
Yet an F1 doesn’t go around pretending to be able to play GP (a consultant doctor, btw) or GPST3 (a senior SpR).
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invertedcoriolis retweetledi
@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 As it happens, I have read extensively about the courses, the framework, PASC curriculum, PANE, & PARA
Show me again where you are taught, accredited, and licensed to diagnose and manage?
Drumming up differentials isn’t diagnosing
x.com/anisocyte/stat…
x.com/anisocyte/stat…
Anisopoikilocyte@Anisocyte
X tends to polarise and misrepresent opinions, so I want to be explicitly clear: I don’t hate PAs. To the contrary, I welcomed and supported them, and still support them in the role that was originally intended - as Physician Assistants. So I say this out of genuine concern. 1/
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Pure delusion
Notanassistant@Notanassistantz
@Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 Yes it does. Have you read anything about the course? We are taught to take Hx, PMHx, examine, order relevant tests and formulate a differential/s. The national exam asks questions regarding this. Our OSCEs enable us to showcase these skills. I’ve done it and saved lives.
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invertedcoriolis retweetledi
Looking back now it’s just a total farce
A 2 year literal participation award that even the GMC expected “reputational impact” for accrediting👇
.. doing the job of graduates from one of the most competitive degrees with years of formal & attritional PG medical training
SMH
Partha S Kar 🇮🇳🇬🇧🏏🎥@parthaskar
September 2023. That’s when I started calling this all out re PAs And amidst all of this? The gall to accuse Gill Leng of bias- and then shut down by a legal court? Is something incredible. Threatening anyone who didn’t agree with their leaders views; Accusations of bias; Personal attacks; Referrals to GMC… Everything has been tried. And here we are. I may not know much about workforce - but I know that anyone in healthcare working outside their training? Will cause harm. Implement the Leng recommendations. Enough obfuscation done. @DHSCgovuk @NHSEngland @NHSE_WTE
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invertedcoriolis retweetledi
7 appointments in primary care and none with a Dr. He needs to see a Dr. Such a waste of time and money. What an absolute mess.
@AngelaRayner is this mess now yours to try and fix or is it still @jamesmurray_ldn?
Damian O'Garra@RobertDamianOG1
@Keir_Starmer Oh just fuck off will you? I've had 7 appointments at my GPs surgery and not actually seen a doctor! 2 nurses ,2 paramedics, 2 physician associates (now, allegedly assistants but not at my surgery) and 1 physician associate Student, for God's sake. You've fkd it for the future.
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invertedcoriolis retweetledi
You know what they say about assumptions!!
This is precisely why we, I maintain, sensibly fought for a defined national scope of practice
And given the disaster the associate project has now become, it probably would have been the best thing for them too!
A fall before hubris
Rebecca@BeckyHall016
@Melissa_S_Ryan @jamesmurray_ldn Is it reasonable to assume that a PA with 10 years of supervised clinical experience is inherently less safe or knowledgeable in every scenario than a newly qualified GP?
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