2015 there were only 15 PAs working in general practice. There has been a significant rise in their use since, without “having a really clear idea of what the scope of practice is”. Maybe seeing chronic disease or a review. Not undiagnosed patients on presentation #MedSky inews.co.uk/news/doctors... - ThreadSky

drstevetaylor.bsky.social • 104 days ago

2015 there were only 15 PAs working in general practice. There has been a significant rise in their use since, without “having a really clear idea of what the scope of practice is”. Maybe seeing chronic disease or a review.
Not undiagnosed patients on presentation
#MedSky
https://inews.co.uk/news/doctors-call-for-pause-on-substitute-physician-associates-as-review-launched-3389759?srsltid=AfmBOooYxR7AsnrGyayTX2B8Kjyy68xyGVjUux1Y3NaHqGK9aXfv1JJI

Comments

markdhm.bsky.social•104 days ago

I guess that I need to know more. Are there doctors who can’t find work? I thought that we were in a shortage situation. If we lack enough doctors, then even an experienced RN is better than nothing.

bettymemoryprobs.bsky.social•102 days ago

You have a point. -E

janbellina.bsky.social•103 days ago

That makes so much sense! It’s the only thing that makes sense.

drmaligator.medsky.social•103 days ago

PA’s and all Non-Physician Practitioners have a place in seeing stable differentiated patients for chronic conditions. They have don’t have the depth or breadth of education needed to see undifferentiated patients and it’s unfair to patients limit their options.

bettymemoryprobs.bsky.social•102 days ago

In the 11yrs I've lived in Arizona, I was lucky to get a PA. I normally only have access to NPs.

In my new hometown, I'm pleased to have found an NP with gerontology training. -E

nosatisfaction.bsky.social•104 days ago

In 2015 there were a hell of a lot more PAs in general practice. After 30 years as a PA mostly in Emergency Medicine I worked side by side with ER doctors constantly learning things from them and often teaching them things I had experienced.

vicstar64.bsky.social•103 days ago

Does anyone know what is going to happen to the ACA?

popejude.bsky.social•104 days ago

From personal experience, I think this viewpoint is flawed. PAs are often closely in tune with their patients and interact with more interest in specifics than the primary physician is. 💯

dannyjnwong.bsky.social•103 days ago

Please do not mistake the extra time PAs are allotted to see patients compared to doctors as them taking more interest in their patients. If we had more doctors they would have more than just the average 10mins to see each patient. You'll find that many doctors would spend more time if they could.

yo-vinny.bsky.social•103 days ago

Doctors fearful of those who have achieved the level of education & training to be a PA or a Nurse Practitioner are a sad and sorry lot.

Quit whining & help!

I can’t find a General practice MD to be my PMD

Those bitching about the solution should get out of the way of those solving the problem

drstevetaylor.bsky.social•103 days ago

In the UK we are not at US levels of healthcare failure and are preventing this from happening here

deanandsam911.bsky.social•104 days ago

Most of the PAs I have meet were wayyyyyy worse than doctors

jkalba.bsky.social•104 days ago

Yet another example of Tory austerity and running the NHS in the cheap.
Whatever happened to the 40 new hospitals???

prettyfucking.ninja•103 days ago

PA should be abolished, people who barely graduated with a degree in sports education and coaching from Brighton should not play doctor.

(Unless it’s in the bedroom and they are fit enough to pull it off).

We shouldn’t be saving money on the back of patients and undermining trust in the system.

mad-resilience.bsky.social•104 days ago

Every time I've seen a PA, it's been a bad experience. I thought it was because I have rare illnesses.

bouley.bsky.social•103 days ago

I was a nurse, I agree with you.

sanslabyrinth.bsky.social•103 days ago

In the US, I haven't seen a doctor in years. Only PAs and NPs. I've walked out with a startling number of prescriptions, and no diagnoses

katieves.bsky.social•103 days ago

American PA of 10 yrs here 🙋🏻‍♀️. There is a well established role for PAs in the US. Our systems are different but specific requirements should be made for training, recert, etc. abroad like in the US. It is grossly inaccurate to assume every PA is poorly educated and cannot make complex diagnoses.

dannyjnwong.bsky.social•103 days ago

This isn't about the US system. The level of training UK PAs receive is far less than in the US.

stelladelta.bsky.social•103 days ago

I just saw a PA and didn’t think anything of it. I might have felt differently if I knew they had 2 years of school as the article says.

bettymemoryprobs.bsky.social•102 days ago

Two years post graduate, not two years total.🙂 But ya, compared to the decade doctors spend, it is quite the shock. -E

barn1.bsky.social•104 days ago

I agree. As a retired nurse practitioner in Pre Op' assessment and theatre recovery, I appreciate the importance of understanding the limitations of a nurse's training and knowledge.

miyurosewood.bsky.social•103 days ago

And simply, lack of information. Expirienced nurse may have comparableknowledge with novice doctor. But, observation isn't everything, wrong era.

Sometimes even just to begin understanding what research should be done one must have access to the history of patient.

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