Trainee Advanced Super Consultant Associate 🤡 @DrTweXet Twitter profile

Pinned Tweet

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

The Gold Standard of Medicine.

ExplosiveEnema

@ExplosiveEnema2

3 months

@UMAPsUK Do this one next please! Credit: @DrGoblin3

7

38

285

2

3

9

Last Seen Profiles

@King_MillsIV

@FredSiewe

@iKeepItFrank

@Defiant4879

@michael85082027

@JGenodia32063

@WAKAGE_choir

@Heliansyah5

@SuperRobx

@DRFGrening

@EddySebera

@JZ_Graham

@KVK_NL

@YannBizien2

@JaredSimsMedia

@AussieTwink17

@12EtoRangerfan

@TheTG3

@ScottLevy47

@space_potatoee

@UweDerma2017

@iamtomiwa

@mrchrisvandusen

@YoungSubSlave2

@Only1Field

@fettyfilm

@allancampbell98

@akariakari51040

@CarvalhoKainoa

@MonkAcademy

@RyanJLogan3

@LisaEvans_17

@Lizmoder

@PijatBerondong

@friseuringo

@naohiro21YT

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

16 days

I’d literally give my left bollock to have this job. Paid to *shadow* a reg? Paid time during the day to learn echo theory and practice? Clinic time? Only two days of ward work. Band 8a pay?! Doctors are fucking mugs at this point.

Dr Done

@Dr_Done_

16 days

A job description any cardiology trainee would die for With about £10K extra pay And about 10hrs less per week And no experience required And only open to those with no medical degree (PAs) I’m convinced we are living in some weird alternate reality. No other explanation.

74

259

902

9

87

550

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

A GP receptionist resigned 2 weeks ago with "immediate affect" because of the torrential & non-stop abuse she got over the phone & in person from patients. Patients... You're entitled to receive good care & We'll help you as best we can but you're not entitled to be vile cunts.

15

22

427

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

I today tried to book an appointment with a GP. I explained to the receptionist I needed a GP. She gave me an ANP without telling me. Only when I asked to clarify did she divulge it was an ANP. I did not consent to a nurse appointment and wasn’t given the option. Inappropriate.

27

44

356

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

I implore people to refuse being treated by second-rate, & sub-standard 'clinicians' (aka PAs/AAs) These MPs & Lords who pass laws; the Royalty & Nobility, the upper & middle classes won't be having their care compromised It's you & your family who will be on the receiving end

11

156

348

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

PAs are “dependent practitioners”, they depend on the very same Doctors that the BMA represents. It is therefore entirely appropriate for your supervisors to have a say on what you can and most importantly can’t do. If you want independence, go do a proper degree in Medicine.

IncogPA

@IncogAssociate

2 months

You do not represent us. Why are you writing guidance for PAs. You have consistently belittled, undermined, disrespected, and advocated for the eradication of our profession. Now, you draft guidance for us, still diminishing our role by referring to us as assistants. Grow⬆️

111

9

49

6

47

290

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

To be honest… I also blame the supervising medical consultant. The buck should stop with them. They therefore deserve to be hauled up in front of the GMC. They likely agreed and emboldened that PA. Now its time to reap what you sow…

10

38

286

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

14 days

New f1s, plss remember to write in clinical notes of patients: “Delayed to review patient, staff shortage, reviewed based on clinical priority” And submit a DATIX/incidence report. When shit hits the fan, the only thing that will save you, is documentation and a paper trail.

Dr Thomas Key 💙

@Tjkey

15 days

Survived my last night shift for a little while. Time to take care of myself. I tried to escalate the rota gap. I emailed the clinical director, chief of medicine, MD, CEO and GOSW. Its now been 24 hours. I've not even had a single reply or acknowledgement. NHS culture.

21

83

575

2

49

284

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

27 days

If we’re really serious about Doctors Wellbeing and improving morale… We must focus all our efforts on a national roll-out of 24/7 easy access on-site Greggs at every hospital! How elite would it be munching on a freshly baked pasty at 3am 😍😍

Sam Whyte

@SamWhyte

29 days

I love the hospital Greggs. So damn British.

162

242

7K

31

12

269

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

The BMA must now take urgent and direct action. PAs and AAs are dependent practitioners, they depend on us to exist in their role. Surely something can be done to exercise some influence?

The BMA

@TheBMA

2 months

Extremely disappointing that Peers have tonight waved through legislation that will blur the lines between PAs and doctors, with potentially dangerous consequences for patients. We thank Peers who urged Government to heed the warnings of the medical profession.

69

857

2K

5

62

253

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

I’m sorry but if I had a suspected haematological malignancy, the last person I’d wanna see is the bloody assistant.

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

I’m sorry @uclh but this is NOT SAFE for cancer patients. ‘The Lead PA will practice clinically within their sub-speciality with a high degree of clinical autonomy, and have direct managerial responsibilities for physician associates working within the haematology department’

40

171

485

8

51

237

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

“no-one could use a manual machine!” What. The. Fuck. Its literally day 1 clinical skills all med students must do (and I presume other HCPs).

Michele Paduano

@MichelePaduano

1 month

Horrific. 56-year-old - 5hrs in ED without a blood pressure reading or repeat observations @uhbtrust . By the time bloods are taken and return 10hrs later.,Tracey Farndon, is dead! Blood pressure machines couldn’t pick up low bp and no-one could use a manual machine!

80

192

565

33

21

224

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

I’m getting really tired of PAs trying to lecture actual medical doctors about ‘medicine’. Have some humility, instead of thinking your equal with your fisher price certificate.

IncogPA

@IncogAssociate

4 months

@RupretS @Xeon4f145d96s1 Be tired all you want. Nothing is textbook in clinical practice. This is the NHS. We investigate to rule out not to search. If the patient exhibited symptoms suggestive of PE it needs to be ruled out.

29

0

2

8

27

209

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Had my first patient explain they insisted on seeing a doctor (me) because of “all the stuff about those assistants… no disrespect to them of course…” n=1, but I suspect that number to grow as the PA project is highlighted and people become rightly horrified about them.

4

40

212

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

The state of medical recruitment and training is entirely depressing. I feel like I was sold a false dream. Job for life? Ha. I’ll be honest, I hold a deep resentment for the seniors who have let this sorry state emerge. I personally cannot wait until you retire.

5

34

205

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

We don’t deserve this. For every AA out there, there is a disappointed and more deserving aspiring Anaesthetist.

Oli Sims

@oli_m_sims

3 months

Shortlist reserve. With a score that in any other year would have absolutely stone dead guaranteed an interview. This is going to take some processing. Somewhere between angry and livid. What the absolute fuck.

37

9

298

4

38

200

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Holy shit.. the survey results is worse than the rose tinted version RCP leaders tried to sell.

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

It’s out! The data from the @RCPhysicians pre-EGM members’ survey Check it out! 👇🏼

11

41

130

4

53

198

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

In one post, you’re upset that none of your f2s got into specialty training. Yet here you are kowtowing for PAs/AAs. Ultimately every penny spent on these replacements is less money available to spend on training places. Get it yet Duncan? Your support is part of the problem.

Duncan Fullerton

@dgfull

2 months

@Cray_tweets1 @DrLindaDykes Our PA workforce is great & contribute enormously. They are increasingly experienced and knowledgeable and as pointed out already offer excellent continuity care which helps greatly with patient safety

16

3

16

6

19

188

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Can healthcare workers: Drs, PAs, Nurses, etc just not try to glamourise peoples Trauma and post it on SoMe?! There is nothing “🤠” about CPR or ventilating a patient. You fucking narcissistic degenerate. Kmt go reflect…

9

23

185

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

This is awful. Dr Kneale & @TheDA_UK have been pivotal in sounding the alarm for patient safety and championing Drs. Their actions have brought Royal colleges to heel, and united Drs. Now @UMAPsUK has submitted vexatious claims of harassment in an attempt to silence him.

Dr Matt Kneale

@drmattuk

1 month

@fascinatorfun @GrumpyOldDoc @GMCharlatan @medicalmodelbri Unfortunately when I made a professional letter before action following defamatory claims about me sent to journalists, Mr Nash of UMAPs decided to report me to Greater Manchester Police for harassment. GMP has frustrating not yet closed this case. Letter over 2 weeks old so I…

38

87

370

2

66

180

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

16 days

Hate how PAs are getting better Job plans than more deserving, intelligent and committed doctors, trapped in bottlenecks unable to progress. Shame on Consultant Dr Jim Newton and @OUHospitals . Disgraceful ladder pulling consultants are the worst of the profession.

Dr Done

@Dr_Done_

16 days

A job description any cardiology trainee would die for With about £10K extra pay And about 10hrs less per week And no experience required And only open to those with no medical degree (PAs) I’m convinced we are living in some weird alternate reality. No other explanation.

74

259

902

5

45

180

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Working in paeds, all trainees hated post-nates... not because of the patients.. but because of the MWs. Toxic interprofessional relationships throughout. It partly explains the crisis in maternity care. Obs & Gynae <--> MW <--> Paeds

Dr Sandeep Bansal

@iDrSunny

6 months

Current medical student - told to ‘f off’ by midwives and stop stealing cases when all they wanted to do was sit there and watch a vaginal delivery 🤯

41

44

318

11

18

165

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Sigh… my generation of Drs really have been shafted and I hate it. 1. Student loans = >£100k debt 2. Increasing speciality training competition across the board. 3. Ever changing goal posts for Everything. 4. Locum f3 year dying. 5. MAPs stealing jobs. 6. Job insecurity.

Tim Ricketts

@timricketts_

2 months

By popular request, a follow up to this thread, with some reflections As many have identified, the locum market is dying. The reasons for this are multi factorial, and I had predicted this, but its demise is happening earlier than I thought. 1/?

4

14

131

2

26

152

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Honestly fuck off Colin.

Prof Colin R Melville

@drcolinm

2 months

Interesting debate on titles- The Medical Act (1983) almost always refers to ‘medical practitioners’ not doctors (or medical professionals). #GoodMedicalPractice2024 means AAs and PAs once in UK regulation will have to follow the same high professional standards as doctors.

174

15

44

8

19

139

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

I gotta hand it to PA *students*. I want a sip of whatever’s in the PA school koolaid that gives them the chutzpah to be so brash with Pr safety. It really is inappropriate for a student to be leading the phone consult for a ?unstable angina.

7

36

137

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Do you think they allowed the King to have an AA or PA look after them?... If it's not good enough for the King, why should they be foisted on the common. #SayNotoPA

8

23

136

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Tik Tok @rcgp @RCPCHtweets The Anaesthetists are clear. The Physicians are clear. The Surgeons are clear. The Radiologists are clear. All are unanimous in their unequivocal support for Drs, against the inappropriate scope of PAs. Where are the GPs and Paediatricians?

Sas Banerjee

@sasbanerjee

3 months

Well led statement from @RCSnews ⛔️ PAs' must not replace surgeons or surg trainees ✅️ Urgent need to define national scope of practice & training curricula ✅️ Training time for surgical trainees to be protected and enhanced 🏥 Role of SCPs' & ANPs' must not be undermined

12

55

140

12

52

133

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Why would Resident Doctors raise concerns at a JDC meeting, when the people present at said meeting may be the subject of that concern. Another example of where PAs are infiltrating supposed safe spaces for Drs, in order to minimise raising PA concerns. @CaraCarahendry

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

MFT will settle for nothing less than total adoration of PAs. That’s why PAs are given time off work to be present at doctors’ induction and at all JDC meetings. Do @MFTnhs doctors sit in on PA rep meetings?

25

59

224

2

39

122

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

I think Nurse Associates (NA) are a great innovation. Anyone suggesting otherwise, needs to be kinder and realise that the workforce is changing. Anything a nurse can do, an NA can do better. Tbh, this screams of internalised misogyny… women trying to keeping women down.

5

9

120

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

Hubris oozing out of PAs. Look this one is lecturing an actual doctor about their work. Imagine having the gall to chastise your medical seniors/supervisors/the same doctors whose coat tails your occupational existence relies upon.

Maria M Hosken PA-R 🏳️‍🌈

@mariamichle29

4 months

@drmattuk @Xeon4f145d96s1 @potsy70 Are all skills taught Matt? The majority of PAs have came from a previous background or skill set that complements rotating doctors. If you think being a doctor is just what your taught at medical school then you have a lot to learn!

29

2

5

7

17

120

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

28 days

So what? I'm very happy that Dr's have finally organised & are throwing out the old guard. They should be scared of the new generation. We've been exploited, saddled with sky-high debt, pay slashed & opportunities robbed. Focus on your own failing union before pointing fingers.

9

16

116

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

17 days

“PAs & AAs don’t have the same knowledge, skills and expertise as doctors. They are not doctors, and they can’t replace them…” Which begs the question, why would you/or anyone want to be treated by someone less knowledgeable, skilful & less of an expert. A race to the bottom…

GMC

@gmcuk

17 days

@ExplosiveEnema2 @medicalmodelbri @drcolinm Hello. This Council paper is from 2015 - before the regulation of physician associates (PAs) had been consulted on by DHSC in 2017 and before we were asked to regulate PAs and anaesthesia associates (AAs) in 2019. We have no role in the ambitions for growth of these professions…

36

17

40

5

33

115

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

A radiographer got *STRUCK OFF* the register for inappropriately x-raying patients without it being appropriately medically requested? What are the implications for the radiographers who carried out these illegal x-rays? What should happen to these PAs?

TikTok · NeatnEasie

1031 likes, 50 comments. “Disciplinary hearings. Don't scan or image areas that have not been requested by the physician.”

www.tiktok.com

Eilidh 🦀

@DrEilidhMaria

3 months

Remember this? Leeds ‘allowed’ their physician associates to request ionising radiation. This is illegal. I was a little concerned about this and so was @chriscpritchard so we FOIed. We got pushback. They told us it was just one incident report. … which we later found lead to…

95

571

1K

4

31

115

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Are there any formal steps to remove a person from the RCGP leadership? Anyone studied the by-laws? Dr Gerada literally has no insight or compassion towards her junior colleagues. A sell out through and through…

Clare Gerada

@ClareGerada

3 months

@UKGastroDr @NHSEngland @RCPhysicians @parthaskar @DrLKVaughan What would you say about paramedics working in general practice or independent nurse prescribers. Why are we picking on such as small group of professionals. In curious 🧐 really am. It seems like scapegoating one group who we are ‘othering’. 😡

91

4

23

3

16

110

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

The most egregious comment: “I wanted to do medicine, but didn’t want the responsibility of a doctor.”

@medicalmodelwithabriochebun

@medicalmodelbri

1 month

‘PAs aren’t anyone’s assistant ‘ ‘PAs learn medicine’ ‘PAs work basically as a GP, without the ability to prescribe ‘ They’re being taught this at University The NHS /GP job descriptions reinforce this It’s No wonder that they have all the confidence in the world

32

67

275

3

24

105

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

@Annie168918 @ExMomentum_NHS ANPs have roles in GP. But not managing my complex health needs. I’m more pissed off that they didn’t offer me.. the patient… a choice.

4

3

103

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

As a former HCA. My role was **literally** to assist my Registered Nurse supervisor. If the title “Assistant” is derogatory to you… you should simply get a life. Fuck it, let’s rename HCAs to Healthcare Associates to help stroke this ones ego.

neep filament-kelp (she/her)

@Niamh_F_Kielb

3 months

I beg your fucking pardon? How dare you imply our hard working HCAs are our "assistants". They are not there to be used as "donkey work".

8

5

32

2

5

103

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

I’ve hit 6 figures 🤑🤑 ! Who said medicine doesn’t pay!

6

5

100

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

My heart breaks for these competent, clever & motivated Drs. Their opportunity to progress is being robbed by Senior Drs, policy makers & MAPs. Trust grade/fellow jobs are now 10:1 ratio. Locums are dead. We've done everything asked of us... for what?

Appointable, But Not Matched | I Didn't Get into Training (Residency)

Keeping it real - waiting and seeing, but it's looking like this year is not my year.Timestamps:00:00 I Didn't Make It01:00 What actually happened04:07 What ...

www.youtube.com

1

21

93

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

This is why the @TheBMA scope document exists. Not for the assistants, but for the doctors who invariably have to take liability for them. Sickening.

Dr Done

@Dr_Done_

2 months

⚠️ For those working with PAs MPTS case published 2017 where a ST3 Junior Doctor was suspended for failure to adequately supervise a physician assistant’. The PA was known as ‘Dr G’. There may have been other issues too - irrelevant. Read the following:

90

282

751

0

30

94

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@timricketts_ Its honestly a frequent topic of discussion in messes. After this round of specialty training application rejections… it’s getting ever more grating that MAPs get to waltz into dream careers/specialties that Doctors are forced to fight tooth and nail over. There is no equity.

1

12

93

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

How is diagnosing and treating haematological malignancies part of the scope of practice for a PA??! I thought they were ‘generalists’… so how is it possible for them to go on to possess these ‘specialist’ expertise. @Roddy_Neilson

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

I’m sorry @uclh but this is NOT SAFE for cancer patients. ‘The Lead PA will practice clinically within their sub-speciality with a high degree of clinical autonomy, and have direct managerial responsibilities for physician associates working within the haematology department’

40

171

485

5

34

92

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Here’s an accessible youtube link to the infamous RCP EGM. Should the RCP try to stifle transparency by getting it removed, i will keep uploading the videos through whatever means/platform and keep sharing.

Ronald MacDonald

@quackophage

2 months

13

72

150

3

35

89

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@csubbe @DrLindaDykes Are you able to outline the scope of the PAs in your department? On a side note it is deeply unfortunate they’re caught in the middle. But we must not use the threat of people being upset as a tactic to stifle dissent, scrutiny or discussion about PAs.

1

10

81

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

The deprofessionalisation of Drs is a pretty good reason. It’ll be championed by management to help facilitate the blurring of lines which will allow non-drs to try and step in. You’re a patient in hospital.. who’d you wanna see? The lowly F1 or the ✨Advanced ✨Practitioner.

4

15

79

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Is this a legally valid document? If this person goes into cardiac arrest what happens? PAs are dangerous. Filled to the brim with delusions of Grandeur.

Dr Done

@Dr_Done_

3 months

The audacity Who needs the GMC to regulate when you can easily score off that bit of the page and put whatever you want? Are you comfortable for a PA to make end of life decisions about your family members? ☠️ ☠️ ☠️

31

116

439

7

20

78

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@caroll_ste87889 Just a selection of those 2260 GP jobs. The fave you’re trying the distort the facts exemplifies you’re nothing more than a PA troll who has malign intentions.

1

5

74

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

23 days

‼️PSA: Soon to be Foundation Doctors… please please don’t post your work location, rotations, etc on social media. There are nefarious and malicious people on SoMe who would/could exploit that info. Save yourself the agro!

2

8

73

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

🥰🥰 This is who we want. This is who we need. This is a person who would make an immeasurable difference to the working lives of doctors and patients. @NHSEngland We need my Taylors!

Lauren Taylor

@Long_way_round_

3 months

Hi 👋-Doctor’s Assistant here! I’ll do those bloods/cannulas AND chase the things for you.I’ll also summary draft your discharge letters,ready for you to approve/prescribe on,&remind you (and the consultant!)when it’s time for lunch. No one skips lunch unless doing compressions!

66

83

973

2

9

73

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Hannah in this reply captures perfectly why this conversation has been difficult. “My friends are nice, and I am loyal to them” irrespective of any objective or critical facts that may be present. Many leaders spearheading the #PAproject also likely have the same feelings…

Hannah

@HannahAshwort17

3 months

@DrLindaDykes I’m not a PA and I’m not training to be one but I stand with them as I’ve got good friends who are PAs.

19

0

2

3

10

71

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Where are the wetwipes jumping to PAs defence?

Janet Eastham

@JanetEastham

2 months

🔴 NEW: IT blunder allowed PAs at Calderdale and Huddersfield to "illegally" prescribe drugs inc opiates and sedatives PAs prescribed oxycodone, codeine, lorazepam, diazepam and midazolam, despite being "instructed they are not legally able to prescribe”

136

664

1K

5

10

70

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Its always St Georges… @JoOgidi admitted as much a few months ago… he is proud and adamant he wasn’t in the wrong when taking on a Doctors shift. @DrEilidhMaria

Janet Eastham

@JanetEastham

2 months

From August 2023 onwards, it is clear that a line in the rota for the acute medical unit at St George’s Hospital previously ring-fenced for “twilight” SHO doctors has been replaced with one for PAs. The trust insisted that PAs “do not replace our junior doctors”.

3

75

271

0

21

63

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

“Provide expert nursing practice without direct medical supervision” WOW. PAs really are the gift that keeps giving. Not only are they “expert generalist” trained in the “medical model” They’re also excellent at giving “Nursing care” Fucking amazing… (sarcasm)

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 months

The job advert from the summer of 2023 is revealing (link is still live, screenshot below). This is not the standard of care I will ever be involved with or condone. It is not safe for our patients. They deserve better. /end

16

65

256

8

22

63

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Hahahaha… honestly seeing the Seniors use memes/gifs appropriately is actually very funny.

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

All 5 motions have passed after the #RCPEGM - time for a major rethink of @NHSEngland workforce plan

11

62

338

4

3

61

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

16 days

Heaven forbid we only allow Consultants to respond to A&G request…

GMC

@gmcuk

16 days

Today we’ve published new research into teamworking from @HullYorkMed . The research explores barriers and enablers of good teamworking. Enablers to effective teamwork include: 👉 effective communication 👉 continuity and familiarity with colleagues 👉 induction and support for…

44

21

46

7

4

59

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

@Annie168918 @ExMomentum_NHS I don’t believe that.

1

0

57

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Very concerning @CaraCarahendry et al., believe it appropriate to attempt to censor and thought police your junior colleagues. Disgrace.

Eilidh 🦀

@DrEilidhMaria

1 month

Errrrr @MFTnhs you lot know who are striking right? You know who voted at EGMs in both anaesthetics and RCP? You know who made their voices heard in BMA surveys? Juniors of all grades. This is not FY doctors vs PAs. This is doctors in general, especially junior doctors, against…

45

113

490

0

14

54

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Stinks of coverup, skullduggery, and treachery. VONC in leadership is needed. Time to turf them out...

Trisha Greenhalgh

@trishgreenhalgh

2 months

Tomorrow (13 March), there will be an Extraordinary General Meeting of the Royal College of Physicians on Physician Associates. We called this meeting because of concerns about patient safety. Please read and circulate our STATEMENT OF CONCERN about how the EGM is being set up.

71

877

2K

1

15

56

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Jonathan, your snide remarks about “great replacement theory” can literally be proven. HEE, in an official, published document: “PAs substituted doctors”. What more evidence do you need. The mask has well and truly slipped. Doctors are being replaced with the lesser trained.

Ogidi 💯

@JoOgidi

3 months

I'm sure a good number of you know colleagues who have come through and worked at Georges, so you can go and ask them for their own feedback. Have it always been got right? Best things since sliced bread? Of course not. There are ongoing lessons and things evolve.

2

0

2

1

11

56

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

I for one, am excited and hopeful we will soon get “Tier 4” or “Principal” or “Consultant Nurse Associates”. It’s the logical next step with advancing their gold-standard care.

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

I think Nurse Associates (NA) are a great innovation. Anyone suggesting otherwise, needs to be kinder and realise that the workforce is changing. Anything a nurse can do, an NA can do better. Tbh, this screams of internalised misogyny… women trying to keeping women down.

5

9

120

5

8

52

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@TheSalariedPA @timricketts_ @drmattuk I'm sorry, but there's a probity issue here. Are you honestly saying the PA/Student has no blame in that situation? Absolutely incredible. At no point would it ever...EVER... cross my mind to prescribe/order investigations using a colleagues login.

0

52

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

We were repeatedly brow-beaten by the usual MedEd sanctimonious sorts when concerns were raised about a PA being head of assessment for a medical school…. I wonder if those same names will jump on the Nurses who are protesting about this. I won’t hold my breath…

Prof Damien Page

@damien_page

2 months

We’re recruiting for a new Head of School of Nursing and Midwifery at Buckinghamshire New University . As always, we want to recruit someone with outstanding leadership potential who is keen to progress their career, probably looking for their first Head of School post, someone…

14

46

82

2

11

50

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@HannahAshwort17 @DrLindaDykes So you’re letting your personal relations with friendly PAs skew your opinion about the role? Doesn’t sound very objective or rational. I’ve worked with some PAs… nice people no doubt… but I also maintain having a problem with their role.

1

3

48

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

It’s actually really important they do continue to post Dr Oliver… it gives direct evidence straight from the horses mouth about how PAs are being (mis-)used. For years we’ve been told, “no this isn’t happening” to now seeing a deluge of evidence.

0

10

46

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

@tallymedic It’s a problem because PAs frequently boast of their significant “pre-clinical” experience through “healthcare related degrees” as a justification for the safety of their 2-year-lite diploma/degree. Its disingenuous and demonstrably false...

1

45

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

26 days

The problem with @wesstreeting push for the use of the private sector. When things go tits up, its the NHS that bails pts out But often, in poorly staffed private settings, exploiting IMG SHOs, recognising when things are deteriorating is a problem too!

Spire Healthcare: Death of NHS-funded private patient raises safety concerns

BBC Panorama investigates patient safety at a major private provider used by the NHS.

www.bbc.co.uk

4

16

41

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@Dr_BellaR You have responsibility to work as a “team”. If I have a 3rd Ye Med Student review a pt, and formulate a plan; I am 100% going to re-review that pt with fresh eyes. More work? yes, inefficient? yes, but we are where we are, & I don’t want pts to suffer with the substandard.

6

1

42

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@LordPhilofBrum @VishwajeetP4t3l The PAs have Individual responsibility & probity. If an F1 doctor applied for a registrar locum shift & acted in that capacity. That would be grossly inappropriate they would rightly be hauled up before the GMC. Same applies to PAs. They have agency to say no, but like playing Dr

0

3

39

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

11 days

They’ve a self-inflated ego: whipped up into believing “they’re basically like Drs”, deceived into thinking they’re trained to the “medical model”, comically think they can operate at “Reg level”. This is the consequence: boastful posts about being blasé with working for pts.

0

14

41

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

(This is a tongue in cheek for those who are dim)

0

41

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

These are your future surgical consultants… the very people these *DEPENDENT* assistants (PAs) whose entire occupational existence relies on. As @ollieburtonmed put it, Medicine is heading towards a future where these consultants will refuse working with PAs. Then what?

ASiT

@ASiTofficial

4 months

📢 New #ASiT Report on Physician Associate Impact on Surgical Training and Patient Care 🏥👩‍⚕️ 🔍 Largest ever ASiT survey: 1,978 doctors across all surgical specialties in the UK. 🤝 Focus: Physician Associates (PAs) impact on surgical training and patient care 📈 73.8% worked…

21

239

435

0

4

39

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@KamilaRCGP @andrealeadsom Resign. You have done immeasurable harm to the GP profession. Your actions are actively pushing young doctors away. You’re a disgrace to the profession.

0

3

37

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

“PAs are not the equivalent of ANP/ACP practice”… Tbh thats quite the elitist & not so #BeKind comment from one of the chief instigators of anti-Dr sentiment on Twitter, who is often found simpimg in the comments/replies section of the Pro-PA lobby.

Rory O'Connor

@OcoRory

3 months

In the same way I argue ANP/ACP ≠ GP as no1 can be equal of a GP without being a Dr and going through medical school. Equivalences are awful when trying to benchmark practice But, without a doubt in my own mind, PAs are not the equivalent of ANP/ACP practice

2

5

70

4

7

36

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

29 days

@cannula_service @Matt_L_Nash @DrHuw @Matt_ParaACP @Dr_Done_ @VirtueOfNothing @FICMNews Everyone can do everyones job in the NHS. (Apart from doctors, any suggestion they could do someone elses job and that’s elitist.)

1

2

36

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@IncogAssociate “…who agrees on the scope of practice for that individual Pa” I’d be happy to supervise you. Just know my agreed scope of practice will see you relegated to the ward to do simple jobs, in keeping with the simple PA schooling.

0

1

37

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

Not a single statement similar to this regarding Nursing Associates & how they’re replacing Nurses. See what shouting achieves? See what all the commotion the few Drs have spearheaded has changed? + yet Nurse will continue to be devalued because of their own spineless leaders.

Royal College of Physicians

@RCPhysicians

3 months

We welcome this letter from @NHSEngland , making clear its position on PAs. "PAs are not a substitute for doctors; they are trained to work collaboratively with other health professionals as supplementary members of a multidisciplinary team." 1/3

44

81

190

4

5

36

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

29 days

@Matt_L_Nash @cannula_service @DrHuw @Matt_ParaACP @Dr_Done_ @VirtueOfNothing @FICMNews Your responses this evening have been quite disappointing. I’d urge you to reflect on the fact that nationally ‘Juniors’ are having are shit experience with medicine in the UK, because of the values/ladder pulling from seniors like you. “🤣🤣”

0

2

36

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@IncogAssociate They’re guidance for real physicians who supervise PAs like u. If I were a consultant, I’d certainly not want to engage in or promote activities my union tells me is inappropriate, for example allowing PAs to do red-list activities under my name.

1

6

35

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Nice to see proponents and supporters of the failing PA project are trying to hijack the petition. @caroll_ste87889 @VishwajeetP4t3l This one of you?

4

36

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@HealthRegLawyer @drmattuk Is there a GoFundMe/Equivalent @drmattuk ? Its not right that an individual should bare the cost of holding our regulator to account.

1

4

35

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

If it’s ok for everyone and their mother to be benchmarked and compared to medical doctors. It’s definitely appropriate/acceptable l for that to extend to ANPs/ACPs. As the saying goes: “Whats good for the goose is good for the gander…”

Rory O'Connor

@OcoRory

3 months

In the same way I argue ANP/ACP ≠ GP as no1 can be equal of a GP without being a Dr and going through medical school. Equivalences are awful when trying to benchmark practice But, without a doubt in my own mind, PAs are not the equivalent of ANP/ACP practice

2

5

70

2

7

34

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

12 days

I'm sorry this is really gut wrenching. We signed up to work in the NHS, not the military. To be shifted around the country like (rota) cannon fodder with little say is no way we should be treating young professionals.

Trent Placeholders

@PlaceholdTrent

12 days

🧵We are 79 soon-to-be Doctors who are supposed to be working in the East Midlands, starting in three months. However, we don't yet know what jobs, hospitals or even which city we will be working in. We are distressed, angry and fed up. [1/2]

46

442

1K

1

12

34

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Part of the criteria for when I was applying to JCF posts was to see how Srs viewed the PA role & how PAs were being utilised. The purpose of a JCF post was to develop & grow a portfolio; not just be rota fodder so the PA can swan off & do others things at my expense.

Anna Pigott 🔶

@ajpigott_anna

1 month

@DrNeenaJha I had a PA call me about a child with asthma to ask me if they needed admission or not. I asked that supervising GP examine the child, but supervising GP was not on site. PA advised me this was their “bread and butter”.

56

81

362

2

0

32

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

The very same hospital… How many more lives must be lost before we rein in these cowboy cutprice wannabe doctors…

Dr Matt Kneale

@drmattuk

2 months

Family of film make-up artist call for inquest after treatment by physician associate which led to death. @JanetEastham @TheDA_UK @TheBMA

48

313

641

2

5

32

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

@Annie168918 @ExMomentum_NHS I don’t dispute an ANP can be good at tasks a Dr has trained them to be good in. Doing procedures well ≠ good clinicians. And i refute the taskification of jobs. Have a nice day Annie. This was a post about my health needs not being met by the remit of an ANP. I stand by it.

3

1

30

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

The OG’s: @timricketts_ @DrEilidhMaria @drmattuk @doctor_oxford @Xeon4f145d96s1 @Dr_Done_ @mmamas1973 @DrLKVaughan @parthaskar @dannyjnwong @UKGastroDr @trishgreenhalgh (and many more). For their tireless & often thankless work on exposing the current MAP scandal unfolding.

Wes Streeting MP

@wesstreeting

1 month

The NHS could not exist without the hard work of its staff. This year, I am again supporting the NHS Parliamentary Awards to celebrate the commitment and achievements of NHS workers. Nominations are open until 19th April #NHSParlyAwards

373

84

362

2

6

29

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@lankeygrap13485 I agree. We could finally be able to legally stress test the phrase and circumstance of what a “dependent practitioner working independently” actually means.

0

31

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

@mariamichle29 Noone quite has a complex like PAs…

0

1

30

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Im hardline. But even I think this is a more appropriate offer that Consultants *SHOULD* accept. Pay degradation did not happen in one fell swoop, it will therefore take time to restore fully. £100k starting salary plus other changes made is a start.

platinumpizza™

@Xeon4f145d96s1

2 months

🚨New Consultant Offer

13

81

6

5

30

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Paediatric doctors have spoken… and predictably it’s in line with pretty much every survey done concerning PAs supposedly “supporting” trainees. Long story short: They don’t.

Jenna Johnston

@LittlePersonDoc

2 months

RCPCH snapshot survey in October 2023. Results published.

9

92

292

0

12

29

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@Burnt2020 @Molly2323232323 The kicker, PA leads review of incident an exonerates themselves..

1

29

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

When your “proto-union” leader casually attempts to silence doctors for raising legitimate patient safety concerns… is he (Stephen Nash PA) really the type of person you want as the self-appointed PA spokesperson. All he’s doing is making PAs more of a pariah.

Dr Matt Kneale

@drmattuk

1 month

I'm relieved to hear that @gmpolice have not pursued a false and vexatious report against me, and I will now subsequently be seeking legal advice in relation to @UMAPsUK for defamation. I'm very grateful for support received both in person and online ❤️

50

116

1K

1

4

27

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

This is why I oppose GMC regulation.

2

6

27

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

My snapshot analysis of “shit they’ve fucked it” pales in comparison to Prof Greenhalgh who articulates the critical analysis much better than me. I’d suggest listening to the expert…

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

Holy shit.. the survey results is worse than the rose tinted version RCP leaders tried to sell.

4

53

198

0

3

28

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

1 month

Remember the well-known Acute Medicine Med Reg making a big soppy post about how he doesn’t actually save lives 🙄🙄🙄 Dw guys, the PA does!

medical modelling clay

@anarchomed

1 month

We have transcended from “medical school in 2 years” to “I’m saving lives”

2

1

28

0

5

28

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@doctor_oxford @Verytallbecca @DrLindaDykes @Doc_IonaCollins The bad b*tches of Medicine and Surgery. Genuine Medical role models who actually gives a f*ck about standards in Medicine and patient safety.

Rebecca Gibbs

@Verytallbecca

3 months

@EllieMRogers I’m so sorry. I’m a college tutor. Over my dead body in my unit. We do have a physician assistant in our unit, but they work exclusively on the postnatal ward and *assist* the SHOs. It works well.

6

9

141

1

4

28

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@UKGastroDr @NHSEngland @RCPhysicians @parthaskar @DrLKVaughan Dr Verma, I appreciate this is clearer. But does this mean there should be no PAs on a doctors rota? And if there instances… who do we escalate that **inappropriate replacement** too? What will the consequences be?

3

5

27

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

3 months

@TheSalariedPA @timricketts_ @drmattuk Christ all mighty... your initial post literally asks "how has this become a PA issue"

0

27

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@dr_dru_ Its the same with the whole “PA schools council”. Its branding and naming, attempts to mimic the established Medical School Council, in order to obtain an air of authority. When in reality…? Its just another unilaterally set up company by a random PA.

Wildlife Defender

@WildlifeDefend3

2 months

@Dr__Sarmy Why is anyone taking any notice of this letter? Who the hell does the Physician Associate Schools Council think they are, trying to dictate to the BMA? It's just a tinpot company who picked a grandiose name run by ONE NON-MEDICAL woman. The 3 doctor directors have resigned.

25

31

105

2

5

26

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

4 months

@SteveODare No I disagree. my post was in satire. I think it is entirely appropriate that nurses go to university and are adequately trained to provide the care we need. Nursing practice is more than just bed pans and personal care...

0

2

25

Trainee Advanced Super Consultant Associate 🤡

@DrTweXet

2 months

@hkg294 @becca_kate_ Heather can you please address “juniors” as doctors/resident doctors. We’re junior to our consultants. Its just becoming really disrespectful… it seems members of the MDT are allergic to respecting that hard earned title.

2

0

26