@BlackM1710 @Anisocyte @ExplosiveEnema2 @law_policy1 The praise comes from my patients, my supervisors, the consultants I refer to and my colleagues.
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Notanassistant
29 posts
@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 The people who have to insist ‘I am good at my job’ raises questions. The praise should come from your team.
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For the benefit of @Anisocyte
Sarah D@law_policy1
@Anisocyte As you know the q. was whether or not PAs and AAs were ‘medical professionals’ & here is the Court of Appeal’s answer: (1) they are professionals & (2) they provide services in connection with the practice of medicine. This explains their role well Screenshots provided
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@2manypeople4me @Anisocyte @ExplosiveEnema2 @law_policy1 PA is more unsafe than every GP in every situation. I think her words were understood wrongly and she is then having her professional profile screenshot and posted by an anon account tagging their anon friends to rally and belittle her.
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@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 Surely the professional knowingly putting themselves into a situation they then have to try and dig themselves out of, whilst actually making things worse, ought to be embarrassed, not the person who has simply pointed out the content of their thread?
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@2manypeople4me @Anisocyte @ExplosiveEnema2 @law_policy1 I find it admirable that the professional is trying to stand up for her profession. No one is perfect and says all the right things all the time. I don’t believe she was trying to suggest a PA is as safe as a GP in whole, she was trying to highlight that you cannot assume every>
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@Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 A 2 years Masters in PA studies overqualifies me for a personal assistant role, so I will pass on that one.
I am trained in diagnostic reasoning, but I cannot diagnose independently.
Have a great day 😊
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@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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@DrHuw @Anisocyte @ExplosiveEnema2 @law_policy1 We originally did have a “scope” set by the RCP and FPA. The matrix.
I would welcome those pilots, evidence based safe practice is paramount. In the meantime, de-skill us and leave patients waiting? Next steps then - to coordinate - rigorously controlled Advanced PA pilot.
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@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 Not having enough data does not prove that a scopeless role is safe
If there’s not enough data, there should be rigorously-controlled pilots until there is
The answer is not mass roll-out to just ‘practice’ on pts
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@Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 PAs were designed to assist doctors in the dx and management of patients. Which we would do if we weren’t expected to only see patients with minor ailments or discussing health promotion, which is not what the course was designed for. Perhaps I’ll just become an Advanced PA
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@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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@DavidMulvey5 @Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 They have changed the scope that many PAs work at safely. The ability to see undifferentiated patients for one. Taught to take histories, examine and formulate differentials…how can you do that when the patient has already been differentiated?
So no David, I’m not.
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@Notanassistantz @Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 Point to the scope you refer to?
Leng said one is ncessary, nothing in place mentioned in review.
Main hurdle PAs face is accepting limitations and being reined back to a safe SoP.
Ok with that?
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@Anisocyte @PhilipSteart @BlackM1710 @ExplosiveEnema2 @law_policy1 So why do the RCP continue to run it?
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@PhilipSteart @Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 Basically it’s a test on whether you can cosplay as a medically qualified and trained individual, not whether you actually possess the skills of one and can competently act as one
It’s really interesting (and scary) once you actually pay attention to what is being said.
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@Anisocyte @PhilipSteart @BlackM1710 @ExplosiveEnema2 @law_policy1 Whichever PA has said that surely must’ve completed Med school, no? Why would they say that? I haven’t taken those exams or done the MLA. So I wouldn’t know.
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@PhilipSteart @Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 Have a look
PAs immediately claim PANE was actually harder etc but their marksheets tell a different story.
Anisopoikilocyte@Anisocyte
I wanted to come back to this because I feel it was a much bigger deal (to me at least) than I perhaps made it out to be. So I thought it would be worthwhile to revisits what is lacking in the PANE OSCE. x.com/anisocyte/stat… x.com/anisocyte/stat… 1/
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@Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 The PANE (which I did) assessed my ability to take histories, perform examinations and procedures and formulate appropriate differential diagnoses. For which I would I suggest on next steps/investigations to confirm or r/o. Under the supervision of my CS. I act as a PA.
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@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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@DavidMulvey5 @Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 Who wrote the PARA/PANE and still runs it. The RCP.
We don’t have specific/specialised training, correct. Instead of annihilating a profession put the hurdles out and I’ll do what I need to do to jump them. In what world can a review change scope without sufficient evidence.
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@Notanassistantz @Anisocyte @BlackM1710 @ExplosiveEnema2 @law_policy1 But PAs have no specific/specialised training in general practice, nor a robust method of evaluation of knowledge/skills for the role unlike MRCGP.
How is the skill list different from PAs in any other speciality? Answer=none.
PARA/PANE an attendance certificate, not an exam.
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@BlackM1710 @Anisocyte @ExplosiveEnema2 @law_policy1 I’ll change it when/if legislation changes. They request to see me time and time again, if I can help people I will, when I can’t I escalate.
Have a great day 😊
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@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 And what is TRULY disgusting ( your chosen word) is that you think it’s okay to use ‘notanassistant’ truly believing that to be accurate.
Pts do not want to be treated by non docs, but ARE TOO FRIGHTENED TO TELL YOU THAT.
GROW UP!
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@BlackM1710 @Anisocyte @ExplosiveEnema2 @law_policy1 I know what questions to ask, I follow the guidelines, I escalate when it’s needed - just like any clinician. When a PA/GP/Resident Dr/nurse/physio encounter a patient out of their remit they refer to someone that can deal with it. I’m not arrogant Emm, I’m good at my job.
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@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 You may be partially assessing, but heaven help us all if you are diagnosing undifferentiated patients.
The arrogance is mind blowing.
When you can walk into a medical finals paper and pass it well and confidently, you may be ready to START diagnosing, with support.
Not until
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@Anisocyte @ExplosiveEnema2 @law_policy1 The review did not find any evidence of PAs being unsafe or safe. Why? Because there wasn’t enough data. We are asking for our scope to reflect what we have been taught and have demonstrated. Bad eggs exist in many roles. I don’t have an ego, I want to use my knowledge to help.
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@Notanassistantz @ExplosiveEnema2 @law_policy1 What people should be ashamed and embarrassed about is having an independent review that shows PAs are at assistant level, and for patient safety should be titled as such, but for their own ego, insist on an associate title and an expansive scope.
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@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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@Notanassistantz @BlackM1710 @ExplosiveEnema2 @law_policy1 But your courses don’t actually teach you to diagnose, and manage patients.
Your regulator does not licence you to diagnose and manage patients.
Your registration exam doesn’t assess it.
Leng says you can’t.
So why do you do it?
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@HillsBekki15323 I’m not an assistant. I also don’t want my face and my LinkedIn plastered all over anonymous Dr’s X to be scrutinised by the likes of people like you. Your comment holds no relevance anyway. Have a nice Sunday!
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@BlackM1710 @Anisocyte @ExplosiveEnema2 @law_policy1 I assess, diagnose and treat patient every day in primary care. As I’ve been trained to. My patients understand my role, they understand I’m not a doctor and they are happy to been seen by me. I am honoured to have played a part in my communities care.
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@Notanassistantz @Anisocyte @ExplosiveEnema2 @law_policy1 What is embarrassing is the utter disregard for patient understanding and consent for you to assess, diagnose or treat them
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@Notanassistantz @BeckyHall016 @Megsenmumdr You do mot work independently. You assist the physicians, plural.
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Oh God !
Works as a PA in GP & claims “courts have recognised PAs practice Medicine”
Is she saying this to her patients?
Is she registered with GMC ?
Rebecca@BeckyHall016
@Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash The courts have already recognised that PAs are Medical Associate Professionals who practise medicine within a defined scope under supervision. No one is claiming PAs are medically qualified doctors. Those are different concepts.
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@Bornawoman99 @BeckyHall016 @Megsenmumdr I do not. But I am not a single doctors or a group of doctors personal assistant, again I am not owned nor do I below to a physician.
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@medicalmodelbri @SarahGrain56760 We work in a medical setting, we are medical. We are still Associates and we are more professional then you are making yourself out to be.
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@SarahGrain56760 United Medical Associate Professionals
However they aren’t medical aren’t associates and aren’t a profession 😅
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Imagine speaking about Natalie Dyke and Joanne Sellars like this.
Patients are just collateral damage to PAs .
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