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Aysha

@DrPastry

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Just a Trainee Consultant Academic F2 Doctor Just a Dentist, prev OMFS BMA LNC šŸ¦€ Advanced Pastry Practitioner Parody RCGP Foodie Fellow Cat slave šŸ˜»

Don't wanna be here? Send us removal request.
@DrPastry
Aysha
4 months
Medicine is unfortunately going the same way as dentistry. You think a private root canal is expensive? Wait until you see the cost of a knee replacement
@el_dentisto
Paul Woodhouse
4 months
Just in case anyone was in doubt, this is why there is a doctors strike today. Itā€™s not greed. Their dedication to service has been exploited by government and finally itā€™s gone too far. If you want to see what happens if this isnā€™t sorted just look at dentistry in the NHS!
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@DrPastry
Aysha
2 months
ā€œYou know what you signed up forā€ A few things med students defo DIDNā€™T sign up for: - Random job allocation for FY - No acknowledgement of academic achievements - Essentially random job allocation for most specialties (MSRA) - Lack of job security w/worsening ratios /1
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@DrPastry
Aysha
3 months
A difficult convo at work reinforced how much of a problem this is. I met a close friend of the late Emily Chesterton last night; she was telling me she no longer trusts GPs because of what happened. She thought a PA is a ā€œjunior GPā€ because the word ā€œPhysicianā€ means dr right?
@Xeon4f145d96s1
platinumpizzaā„¢
3 months
Weā€™ve always known this was the plan. From physician assistant to physician associate, and from physician associate to medical associate professions, and then to medical professionals. All a game of deception and manipulation.
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@DrPastry
Aysha
4 months
Questions: Should med students with a PhD introduce themselves as ā€œDrā€ on placement? Should qualified dentists at med school call themselves ā€œDrā€ on placements? Should doctors studying dentistry introduce themselves as ā€œDrā€ when seeing pts as a dental student? If not, why?
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@DrPastry
Aysha
1 month
@Dr_Done_ Itā€™s not imposter syndrome if you donā€™t know what youā€™re doing.
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@DrPastry
Aysha
1 month
First day on GP today, and being right on brand I took them some of my bakes to introduce myself :) Pistachio bundt + pain au chocolat went down v well!
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@DrPastry
Aysha
1 month
@glambystefania @manLikeTeaa @SecretPhysician Stefania if I were you Iā€™d have a think about what youā€™re posting. Youā€™ve admitted to doing some things out of your scope (suspending meds, solo WR) + are adding fuel to a raging fire. Either youā€™ve done these things, or trying to aggrandise which is misleading + unprofessional
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@DrPastry
Aysha
2 months
@medicalmodelbri Doctors only know about one specialty, whilst they know a bit of all the specialties? Is that a joke? Medical registrars, how many specialties have you rotated through now? At least 13 Iā€™m guessing.
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@DrPastry
Aysha
2 months
Heather makes an interesting point. Much of what is in the recommended scope is a large part of the day job of FY and core doctors. So if thatā€™s too basic for someone with a PA qualification, how is it appropriate for someone with a medical degree + PG medical training + exams?
@hkg294
Heather Reid
2 months
But this document is not going to fill that gap - it's too far in the opposite direction. That scope does not require a UG degree and a post-grad with life-long CPD
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@DrPastry
Aysha
2 months
@RodricJenkin Politely disagree Dr Jenkin. Doctors have gotten into a mindset of not celebrating successes + downplaying our achievements. Morale is extremely low, every win should be celebrated. + Yes, the recruitment process is pants.
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@DrPastry
Aysha
3 months
Iā€™ve heard many consultants complaining about how FY doctors & med students arenā€™t ā€œas good as they used to be back in the dayā€. I love pointing out itā€™s not people of my generation that designed the current med school curricula or PG training programmesā€¦
@adders3880
Adnan D
3 months
@thomaswoodcock @TheBMA I will not be one of them. Year in year out, the workforce complain about less skilled junior doctors joining a department. Well perhaps if you offered these training opportunities to them instead of PAs, this wouldnā€™t be the case.
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@DrPastry
Aysha
1 month
@SecretPhysician @john_brittenden @DrEilidhMaria My main takeaways from it were that bottlenecks will continue to increase, they will continue to expand the scope of MAPs + they are essentially our equivalents.
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@DrPastry
Aysha
2 months
ā€œMy taxes pay for your trainingā€ A frequent comment I keep seeing, especially with strikes. We already knew, but here it is from the Medical Schools Council themselves that the tariff isnā€™t invested into students training! Yet more money disappearing into a holeā€¦
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@DrPastry
Aysha
2 months
@Dr_Done_ @NHSEngland this is due to your decisions on allocation funding. Please can you explain why youā€™re unable to confirm jobs for doctors?
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@DrPastry
Aysha
4 months
Nicked from @MedReddit now weā€™ve got 2400:1 competition ratios for LED posts! For those of us preparing for unemployment in Aug, any suggestions? Itā€™s becoming very hard to push through a terrible ED rota with all of this looming. Shall I go rogue + do a baking internship?
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@DrPastry
Aysha
2 months
Me going to Pharmacy: Hi please can I have some cipro for my perichondritis? Pharm: No thatā€™s not on our list, see a dr Me: I am a dr, hereā€™s my symptoms + swollen ear. Pharm: Nope. But how are they giving abx for other infections that arenā€™t as obv as my swollen ear šŸ¤”
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@DrPastry
Aysha
24 days
First full day on GP. All I will say is seeing undifferentiated pts w/out quick access to investigations is really fucking hard (as a trainee anyways!) + those making light of this/thinking a couple yrs education is adequate are even more nuts than I originally thought.
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@DrPastry
Aysha
5 months
18K out of my own pocket and a 20K paycut to become a doctor. A lot of people have been sold a lemon by these wild new plans, but to my OMFS colleagues- weā€™ve really been effed. Nil funding, no pay protection, working ridiculous hours alongside the medical degree.
@CJHamps
Christopher Hamps
5 months
@JonnyGucks @AmarHujan @derangedmedanon @Xeon4f145d96s1 @mouseter_chef @Doctors_Vote In Maxillofacial Surgery we give up our jobs, go to Med School (paying ourselves) and restart on F1 pay - itā€™s amazing there is money available to support some routes but not others.
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@DrPastry
Aysha
2 months
I have removed my earlier posts at the request of the persons involved as they have been receiving death threats + other disgraceful messages on IG. They have altered their website bios now. Whilst some of their language was inappropriate, it absolutely didnā€™t warrant threatsā€¦
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@DrPastry
Aysha
3 months
Just had to laugh at this šŸ˜‚
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@DrPastry
Aysha
5 months
As Iā€™ve paid my final prof cost of 2023, hereā€™s the round-up! GMC Ā£166 DEMEC Ā£320 FAMUS Ā£100 (400 funded) PGCert Ā£3K MSRA qu bank: Ā£85 GDC: Ā£621 Indemnity Ā£1K ATLS Ā£550 Earnings (inc locum) pre-tax: ~40K Ā£1.6K dental- but w/out this work option I couldnā€™t afford the rest!
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@DrPastry
Aysha
26 days
@DrNeenaJha Had an F2 colleague tell me something similar, the PA would respond with ā€œoh just call me Xā€, thereby effectively confirming they were a doctor. Also heard of nurse associates introducing themselves as ā€œone of the nursesā€. I wonder if RNs take issue with that?
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@DrPastry
Aysha
4 months
There is a distinct difference in tone in how nurses raising concerns about NAs is received, vs doctors concerns over PAs. Why arenā€™t the nursing profession welcoming these new ways of working, diversifying the profession + skills mixes? Isnā€™t there enough work for everyone?
@CrystalOldman
Dr Crystal Oldman CBE EdD RN RHV QN FRCN
4 months
Can the employer who created this title please explain what a District Nursing Associate is & scope of their role? A District Nurse qualification is postgraduate, releflecting an advanced level of practice. It is for RNs only & regulated by @nmcnews @alisonleary1 @johnunsworth10
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@DrPastry
Aysha
1 year
@DoctorPonglenis Everybody wants to be a doctor, but nobody wants to lift the heavy textbooks. (Or is it iPads these days?!)
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@DrPastry
Aysha
5 months
@bmj_latest @aneezesmail Apprenticeships are another way to exploit vulnerable students from WP BG +trap them in UK. Also, the article states unis spend too long on basic sciences! These are fundamentals upon which our clinical knowledge+ decision-making is built upon. Lowering stds is not the way fwd
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@DrPastry
Aysha
2 months
- Possible unemployment due to lack of NTNs + JCFs - Pay suppression - Inc professional costs + ā€œpay for progressionā€ on top of suppressed pay - Inc interest on student loans - If you can get one, redistribution of NTNs further dragging you away from support systems /2
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@DrPastry
Aysha
4 months
Interesting convo with a colleague last night- sheā€™s leaving nursing + retraining as a quantity surveyor. Theyā€™re paying a similar salary to B6 (as a trainee), + they fund her masters + pay all expenses. The exodus of HCPs continues, + UK healthcare is going down the drain.
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@DrPastry
Aysha
2 months
Exit plan well underway! šŸ˜‰
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@DrPastry
Aysha
2 months
And 10 years later, the IMT doctors in my region still have to organise their own teaching. ā€œTraining programmeā€ is a generous use of the term here.
@Microbedoc2
Jamie Murphy
2 months
training I had no issues with - I even taught on it myself, but it paled hugely to the CMT program that we had to self organise - it frequently became an hour of bleep free ranting about how unfair the current set up was. Ofc, our concerns were raised at LFG meetings and some
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@DrPastry
Aysha
2 months
@Azeem_Majeed They paid someone for that?! šŸ˜³
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@DrPastry
Aysha
1 month
@jabberwock951 No they canā€™t; Iā€™m dual-qualified as a doctor and dentist + canā€™t just use my medical license to start treating my dental pts for medical issues. They wonā€™t be indemnified for it either. Dr Siau has just gotten the PA into some trouble with that post I imagine
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@DrPastry
Aysha
7 months
@dgfull @Jo_McGinn @AlisonGeorge10 @veggieequallife @Dr_Done_ @BMA_James_Steen Dr Fullerton, are you able to answer why PAs are able to reach SpR-level roles + opportunities much faster than drs, without same requirements such as exams/portfolio etc? Do you think drs dissatisfaction with the double standard can be explained with the ā€œelitismā€ claim solely?
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@DrPastry
Aysha
4 months
@hayleymagill Itā€™s awful you were treated that way. Iā€™m glad you had the strength to leave; I almost handed my notice in last yr when I was bullied but didnā€™t have the guts. Hope youā€™ve moved onto better things + have a healthier work life!
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@DrPastry
Aysha
2 months
- Having to ā€œsuperviseā€ non-drs, even as an F1 - Being trapped on training programmes making you even more susceptible to bullying + harassment - Worsening access to training opportunities + taskification of medicine - Bungled recruitment processes at every step /3
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@DrPastry
Aysha
2 months
I think Laurenā€™s job needs to be renamed from ā€œDoctorā€™s Assistantā€ to ā€œDoctorā€™s Heroā€!
@Long_way_round_
Lauren Taylor
2 months
@weeinstillag3l @ConkerLover @Dr_Done_ I like to consider myself the F1 Rottweiler. No one gets to be mean or rude to ā€œmyā€ F1s. Iā€™m a permanent staff member, I donā€™t rotate, and I know who to escalate to when people pull ā€œthatā€™s not my jobā€ and dump everything on the F1. Not on my watch. šŸ˜‚
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@DrPastry
Aysha
2 months
And if anyone reading this was involved in doing so, your behaviour is disgusting.
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@DrPastry
Aysha
3 months
@dr_shibley @LBC Dental associates are actually qualified dentists working in practices, but do not have a partnership. A bit like associates in law. Itā€™s why physician associate as a term in itself is confusing when compared to other professions.
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@DrPastry
Aysha
3 months
The title is deliberately obfuscating the role, driven by the GMC, health bodies + gov. Iā€™ve pointed out many times associates in law + dental associates are fully qualified in those professions; the nomenclature doesnā€™t make sense.
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@DrPastry
Aysha
3 months
This is a HCP who has been closely involved with the events following her friendā€™s death. And until last night even she didnā€™t realise Emily hadnā€™t been seen by a dr. She didnā€™t understand what a PA was + I had to explain they do not have a medical degree/training + are not drs
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@DrPastry
Aysha
14 days
@Ask_foradoctor Iā€™m glad they know what the names of the drugs are. Thatā€™ll be useful when theyā€™re asking the F1 to prescribe for them next year.
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@DrPastry
Aysha
2 months
Seems as though many are finding it easy to dismiss the concerns of current/future FYs over their recruitment + training just because theyā€™re the most junior. Can I remind you of the nomenclature? Itā€™s called the FOUNDATION programme. Would you build your house on noodles?
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@DrPastry
Aysha
2 months
@iDrSunny @PainPartnership @gmcuk @CareQualityComm @FPARCP And trading standards and GMC. Yes I know what GMCs response will be, but at least thereā€™s a record of fraudulent behaviour before they join the register.
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@DrPastry
Aysha
11 months
@zackferguson Arenā€™t you missing the point? Your anecdotal experience doesnā€™t mirror the experiences of your juniors, or of those around the country. People are unhappy the standards weā€™re held to as drs are not the same for those in other areas, but yet they do our jobs? Doesnā€™t make sense.
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@DrPastry
Aysha
1 month
Lovely review of my chocolates from Prof @parthaskar šŸ˜šŸ˜
@parthaskar
Partha S Kar šŸ‡®šŸ‡³šŸ‡¬šŸ‡§šŸšŸŽ„
1 month
Just to say šŸ˜Š These came yesterday via @DrPastry Combinations of Hazelnut praline; Jaffa biscuit; Pistachio & Orange blossom ā€¦ Absolutely exquisite taste- what a talent indeed Love to see this entrepreneurial side Wonderful šŸ„° #NomNom
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@DrPastry
Aysha
3 months
Many say there is ā€œenough work to go aroundā€; it needs to be the appropriate type of work for that person. An IMT/CST/FY dr is a future senior in that area + needs to be competent in procedures so they can perform them independently out of hrs + teach the next generation.
@Dr_Rajiology
ā€œRajā€ Anandarajah | Rajiology
3 months
The best solution to this mess Iā€™ve seen: implement a ā€œright of first refusalā€ If thereā€™s a procedure to do, the Drs are offered it first. If they donā€™t want/donā€™t need to do it, send it to the PA Even better, scrap rotational training, the real culprit
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@DrPastry
Aysha
6 months
@LeylsTurk On my TAB someone wrote that theyā€™d trust me to look after their own family members! Thatā€™s the greatest compliment Iā€™ve ever had (professionally)
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@DrPastry
Aysha
4 months
1/ Med + surg training are terrible. The best surgical training I received was as an OMFS dental core trainee. Look at my old rota; I wonder how many CSTs/IMTs get so much procedure + clinic time? Dentists get better surgical training than drsā€¦ Madness!
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@Dr_Done_
Dr Done
4 months
Doctors are fed up. PA in theatre doing the doctorā€™s job, then bossing the doctor about via a nurse. Despicable. Our roles and achievements have been hijacked, and we need to start claiming them back. ā˜ ļø ā˜ ļø ā˜ ļø
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Aysha
24 days
@ollieburtonmed I think we should flip this around. If a PA can do it, why not a doctor? Iā€™ll take my ST3 post, endoscopy training and daily 9-5 clinic job now please!
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@DrPastry
Aysha
8 months
@veggieequallife All HCP degrees study some med sciences. But ā€œMedicineā€ is a GMC-regulated degree leading to a specific qualification. I had 2 yrs of medical-related teaching in dentistry. I did not study medicine. Other HCPS donā€™t claim this. Why is it so difficult for some PAs to understand?
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@DrPastry
Aysha
1 month
Nightshift treats! Some pain au chocolat and sablĆ© biscuits šŸ˜Š
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@DrPastry
Aysha
21 days
Billionaire tells normal people to get back to work, and stop being sad about issues seriously affecting their health his political party have purposefully caused (and ignored).
@MetroUK
Metro
21 days
GPā€™s will soon be stripped of the ability to sign people off work as part of a major government inititive to crack down on ā€˜sick note cultureā€™ Rishi Sunak says people should stop 'over-medicalising the everyday challenges and worries of life'
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@DrPastry
Aysha
2 months
@quackophage So this person is pretending to be both a doctor + a dentist now. I keep thinking we have reached the limits of ridiculousness, + every day Iā€™m wrong.
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@DrPastry
Aysha
4 months
Dentist apprentices?! What fresh hell is this?!
@Keir_Starmer
Keir Starmer
4 months
Speaking with dentist apprentices in Bury, they told me about the staggering number of children they see with tooth decay. Labour will change this with supervised tooth brushing in schools. Healthy, happy children means lower NHS waiting lists and more people seen on time.
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Aysha
2 months
@gaswomancometh I agree Rosie. I had to do medicine for OMFS, self-funded the degree completely and took a 20K paycut as an F1. I accept I made my decisions, but having a parallel profession that circumvents the sacrifices we make to prove competence doesnā€™t make sense.
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@DrPastry
Aysha
28 days
@Cleverclog67596 This is vile. I canā€™t even imagine how hard the GDC/GMC would have come down on me (probs not GMC actually) if Iā€™d have made reaction vids after I saw my first carotid blowouts. Unprofessional, but also makes you wonder of the bizarre mindset these people have
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@DrPastry
Aysha
4 months
@DrPJJB Your use of the word apprentice is rather disingenuous, as most junior doctors work independently running a service. Thatā€™s not quite the same as an apprentice in other fields is it?
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@DrPastry
Aysha
22 days
@gmcuk @HullYorkMed Please stop insulting our intelligence with claims of ā€œmisunderstanding rolesā€, like weā€™re somehow confused. You are the oneā€™s misunderstanding in this situation.
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@DrPastry
Aysha
5 months
Apparently from @gmcuk all ā€œevidenceā€ on PA effects on dr training is positive. Given the changes in roles + scope, is it wise to hang on to this ā€œevidenceā€? Anyone else picked up any issues with the quality of this ā€œevidenceā€?
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@DrPastry
Aysha
3 months
Doing med school interviews today. The temptation to scream ā€œRUNNNNN! GO AND DO SOMETHING ELSE!ā€ at these bright folk was extremely difficult to resist šŸ˜‚šŸ˜…
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@DrPastry
Aysha
4 months
Foundation doctors deserve equitable access to training opportunities. You have the knowledge + abilities to do more than ward ā€œtasksā€. Changing peopleā€™s mindsets on this is tough. Will I manage? Time will tell, but know that some of us will always fight the odds for you.
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@DrPastry
Aysha
2 months
@caroll_ste87889 Happy to share screenshots from the various ones Iā€™m in. Itā€™s mostly ā€œwhatā€™s the code for this door?ā€, ā€œcan anyone cover this shiftā€, ā€œhow do you request xyzā€
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@DrPastry
Aysha
4 months
@drtomround But whatā€™s the point in a locum PA? PAs donā€™t provide any unique skills or service, so thereā€™s no point having them over a doctor.
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Aysha
1 month
On the topic of regulatory duties, looking at how @GDC_UK work is v relevant here. @gmcuk state they can't challenge non-registrants behaviours, but GDC have prosecuted people for illegally practising dentistry. What's the point in a regulator if they won't protect the public? /1
@AnaesUnited
Anaesthetists United
1 month
šŸ§µ We have written an open letter to the GMC setting out how its approach to the regulation of AAs and PAs blurs their distinction from doctors and constitutes a failure to fulfil its legal duties .... 1/n
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Aysha
5 months
@Xeon4f145d96s1 I still donā€™t understand what the point in locum PA posts is. Especially when theyā€™re paid more than a doctor?! Itā€™s not even cheap labour.
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@DrPastry
Aysha
3 months
@ClareGerada @aashfaque14 @Cleverclog67596 @ExplosiveEnema2 @rcgp But, 100% of F2s have experience as a DOCTOR already, so why donā€™t we have LED posts in GP if PAs can work in GP? And yes I have worked with PAs, their systems + task-based knowledge is great. When it comes to clinical though, not so much although this is to be expected
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@DrPastry
Aysha
8 months
@timricketts_ Ah so they follow the FP but get paid as an ST2? Wild.
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@DrPastry
Aysha
1 year
@em_jenksPA @DoctorPonglenis Great, then seeing as youā€™re able to do many of the tasks we do youā€™ll agree that your service provision role should include more of the admin that others can do? Which would free us up for more training opportunities?
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Aysha
1 month
@hannahmillana I was told Iā€™d never be a doctor or a dentist by my 6th form lead. And tbf I did totally bomb UKCAT and did biomed instead. But now Iā€™m dual qualified as a dentist and doctor mwahahaha
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Aysha
2 months
@Adam_Skeen Dentists on the training pathway for OMFS (in England) are forced into a 20K paycut when starting F1, plus additional professional costs. Nothing about doctorā€™s pay makes sense.
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@DrPastry
Aysha
8 months
@Xeon4f145d96s1 He doesnā€™t fit it anywhere on this scale. Heā€™s not a dr. You donā€™t see drs included on other hierarchies for nursing, physio etc. This guy needs to get over his insecurities and accept his job role, or go to medical school.
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Aysha
2 months
@CJHamps It's completely bizarre. Can you imagine if we were caught doing something like this ourselves by the GDC or GMC! They should be held to standards, regardless of lack of regulation (for now)
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Aysha
11 months
@askNasha @SecretUrology @Dr_Done_ @mphillips1996 Dunning-Kruger strikes again. Your experience of ST3s is likely quite narrow. Most ST3s I have worked with certainly donā€™t ā€œstand thereā€ observing. Stating people have open contempt for PAs- you guys certainly donā€™t do yourselves any favours.
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Aysha
2 months
Excellent insights from @Adam_Skeen , thank you! It raised the recurring topic of supporting PAs through med school + if/how this should be done. As someone who had to do medicine to cont progress in OMFS training, I have some conflicting thoughtsā€¦ šŸ§µ
@Adam_Skeen
Adam Skeen
2 months
@LittlePersonDoc @RCPhysicians Unlike many PAs Iā€™m comfortable admitting I had always wanted to be a doctor. Due to circumstance (financial and geographical) I couldnā€™t. I became a PA. Just weeks into the course I was dissatisfied with the deficiencies of the PA course. It wasnā€™t satisfying me academically
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Aysha
5 months
@ExplosiveEnema @PApodcastUK They didnā€™t know anything outside of eczema + psoriasis but are running derm clinics. Learning surgery from YouTube. Donā€™t these PAs see how theyā€™re giving themselves a bad name? But drs are being accused of smear campaigns. Theyā€™re smearing themselves!
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@DrPastry
Aysha
2 months
@DrLKVaughan Isnā€™t this massively in contempt of the skills + knowledge of GPs?
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Aysha
3 months
Iā€™m horrified reading this. Makes a complete mockery of healthcare standards, and in one of the riskiest areas of medicine. Shameful!
@Adam_Skeen
Adam Skeen
3 months
@DrInsurgent @Bonivorlewis @DrLindaDykes @fiercerabbit2 @jewett6a @iDrSunny Apparently not 100% pass rate. This week we've identified a PA working in Primary Care having failed in the Sept/Oct diet.
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Aysha
3 months
SFP recruitment is being absorbed into the main allocation process from next year. Lack of funding + investment in maintaining recruitment processes is just worsening the spiralling of standards in medicine
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@DrPastry
Aysha
6 months
@LawrenceDunhill @gmcuk But these bad feelings, anxiety over going into work and being treated poorly have been held by many doctors for years. Nobody cares about our feelings? Why?
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Aysha
3 months
I left dental school at the bottom of my overdraft. Was advised by my dental tutor to avoid work as a HCA before starting my dental F1 in case something happened in HCA that would affect my dental reg. I was so scared each shift my career would be over before it started.
@iDrSunny
Dr Sandeep Bansal
3 months
If a PA has not passed the national PANE exam and not registered on the PAMVR, are they allowed to work as a PA in primary care? Should they be allowed? Thereā€™s definitely one example of this Iā€™ve seen in the last few days
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@DrPastry
Aysha
2 months
@Xeon4f145d96s1 Thereā€™s more Pizza, one of them oversees care homes as the only ā€œmedical professionalā€. And a PA somewhere is doing elective surgery independentlyā€¦ All things our Royal Colleges will be interested in of course
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@DrPastry
Aysha
8 months
@ShaunLintern Thatā€™s not true though is it? As a PA starts on Band 7 (43K) which is far higher than both the dentist and medic starting salary.
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@DrPastry
Aysha
1 month
@LittlePersonDoc @SecretPhysician @john_brittenden @DrEilidhMaria Agreed Jenna. I brought up the OMFS training pathway as another example of scope ceiling + need for further education/training to progress. No response to that aspect ofc. I still believe the standards are required for us to practice safely. But some donā€™t care apparently
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@DrPastry
Aysha
3 months
@Xeon4f145d96s1 @JanetEastham The mindset of these people is scary. What do you get out of illegal prescribing? A weird ego boost? The thrill of illegal activity at work? Wtf
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@DrPastry
Aysha
3 months
@iDrSunny If active barriers are needed to stop them from committing a crime, then we have the wrong people in PA posts.
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@DrPastry
Aysha
4 months
@mjv__1 I think if all staff had to do TAB/MSF/SJT like we do, we may see a small shift in behavioursā€¦
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@DrPastry
Aysha
1 month
The Natas always deserve their own appreciation post šŸ˜
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@DrPastry
Aysha
4 months
@iDrSunny Thatā€™s 100% intentional. Reads exactly as itā€™s meant toā€¦
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@DrPastry
Aysha
7 months
@Dr_Done_ 55K starting salary?! This is for a newly-qualified PA as well. No prior experience required. And the public is upset an actual doctor wants to earn at least 39?!
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@DrPastry
Aysha
5 months
@LBC @TomSwarbrick1 @TomSwarbrick1 great show. Unfortunately a couple of your callers proved concerns raised by drs- some PAs/ANPs/ACPs are not aware of differences in medical training +are confusing their abilities for certain tasks with the role of a dr.
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@DrPastry
Aysha
4 months
@AnalysisDrawer Many say that most PAs have a healthcare background, so whilst recruitment/ expansion is paused could they not work in their original field?
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@DrPastry
Aysha
2 months
@mrmyb10 Obviously I had no idea it would lead to death threats, and if you think that was my intention youā€™re skirting pretty close to libel.
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@DrPastry
Aysha
5 months
@iDrSunny Consultants please correct me if Iā€™m wrong, but doesnā€™t this change to defining SPA mean you could do 25% more clinical work for a 0-19% increase? Is this a sneaky paycut?!
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@DrPastry
Aysha
4 months
@LukeAmos__ Agreed! Iā€™ve picked those three scenarios as Iā€™ve found the defence of obfuscation often only goes in one direction. But weā€™ll see!
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@DrPastry
Aysha
6 months
@ExplosiveEnema @RCSEd @parthaskar @RoshanaMN @ollieburtonmed @Xeon4f145d96s1 @UKGastroDr @Doc_IonaCollins @gmcuk @iDrSunny @MichelePaduano @JanetEastham This is just insulting to everyone else with clinical experience. I spent 10 yrs as a HCA, why couldnā€™t I have been appointed as a nurse? With all my clinical exp pre-medicine, why couldnā€™t I just come out of med school as the med reg?
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@DrPastry
Aysha
3 months
@drmattuk @JanetEastham @TheDA_UK @TheBMA Inb4 ā€œBut Matt, what about all the people that die because doctors miss things?!ā€
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@DrPastry
Aysha
2 months
@Adam_Skeen Iā€™ve always thought you all should be forming your own committee as part of the RCP and should be consulted on current events. You guys actually have that ā€œdifferent perspectiveā€ everyone likes to talk about šŸ˜
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@DrPastry
Aysha
1 month
SO excited to be moving onto GP! I havenā€™t had a break from working nights + weekends since 2016 šŸ˜±
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@DrPastry
Aysha
20 days
A pistachio cake commissioned for a birthday the other week! Pistachio sponge, filled with pistachio paste, and coated with an orange blossom Swiss meringue buttercream and crushed pistachios. Did I use enough pistachio? šŸ¤”šŸ˜‚
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@DrPastry
Aysha
2 months
@DrInsurgent Ah the old ā€œIā€™m off to go pursue my dreams of becoming a life coach!ā€ Nothing to do with recently being outed as part of a group committing academic fraud or anything.
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@DrPastry
Aysha
4 months
This issue is ongoing, the 8am candidates have now left the exam 3 times because of technical issues. This is the last day to sit the exam. @NHSE_WTE @PearsonVUE please can you provide some guidance; this is playing with peopleā€™s lives.
@Doctors_Vote
DoctorsVote šŸ¦€ #TellThemAgain
4 months
This is unacceptable @PearsonVUE The doctors who have prepared hard for this exam need you to confirm immediately that there will be another sitting this week - they canā€™t lose a year of their career progression because of your failure.
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