Only in the foothills of 2 college elections (RCP + RCR) and already seeing: WhY aRE Pas aN iSSue? MoRe imPortAnt FinGs haPpeniG. Here's my response. 🧵 1/ - ThreadSky

drlkvaughan.bsky.social • 22 days ago

Only in the foothills of 2 college elections (RCP + RCR) and already seeing:
WhY aRE Pas aN iSSue? MoRe imPortAnt FinGs haPpeniG.

Here's my response. 🧵
1/

Comments

drlkvaughan.bsky.social•22 days ago

Yes, other MEGA stuff is happening. Overcrowded EDs. Overfull hospitals. Long waiting lists. Collapsing social care. Patients dying. I could go on.

But these matter less in the context of College elections for a few reasons.

1. Everyone agrees these things are a problem.
2/

drlkvaughan.bsky.social•22 days ago

So stance does NOT differentiate between candidates.

2. In politics, as in life, there are things that sit in sphere of CONTROL, things in the sphere of INFLUENCE and things beyond control or influence.

Big ticket stuff is OUT of the sphere of control of the colleges.
3/

drlkvaughan.bsky.social•22 days ago

And mostly out of sphere of influence.

The things that ARE in the sphere of control of colleges are:
- standards
- aspects of education and training
- professional issues

They have also, historically, decided who IS and is NOT a doctor and specialist.
4/

drlkvaughan.bsky.social•22 days ago

The Colleges were complicit in the Govt's plans for workforce substitution. They neglected their duties to the profession and the public.

It is right that they clean the mess up.

3. Workforce substitution is EXISTENTIAL to the profession and the colleges.

5/

drlkvaughan.bsky.social•22 days ago

If we really genuinely believe that anyone remotely related to health care (or not) can do a 2 year degree and do the SAME work as a doctor (diagnose, investigate and treat), then we might as well pack up the whole show and go home.

Am I overstating the threat?
5/

roybennett.bsky.social•21 days ago

drlkvaughan.bsky.social•22 days ago

There is a looming workforce crisis (the USA alone will be short 100 000 doctors by 2030). Won't people with extended skills just save the populace?

History tells us NO.

Standards have slipped before with expansions of less skilled practitioners. In England in the 19thC.
7/

kenbar.bsky.social•21 days ago

The problem is that some PAs, who are supposed to observe strict rules & supposed to be supervised by fully qualified doctors, are exceeding their authority & not being properly supervised. The good news is that Labour are employing 1,000 extra fully qualified doctors. MSM aren't reporting this.

Comments

Posting Rules

Reply