Assistant to the Physician Assistant’s Assistant🦀 @GMCharlatan Twitter profile

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Assistant to the Physician Assistant’s Assistant🦀

24 days

Just for reference as words do have meanings. Advocating for patients to receive doctor led care ≠ elitism Mocking housekeeping staff at hotels and thinking IMGs don’t deserve an opinion = elitism

Dr Sandeep Bansal

@iDrSunny

24 days

Say this whilst you have me blocked and not tagged me for a reply…. You must be so confident in your words there 😂 @SaraTon08500527 @MutteringWildly you guys are weak talking about someone without right to reply or clearly not having a clue.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

A short 🧵for those who think paying doctors less is a good choice. You need doctors Doctors do not need you NHS is collapsing Doctors could earn far more by allowing it to collapse Doctors are striking so NHS pays enough to retain doctors, so it doesn’t collapse 1/2

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

The PA “union” is preparing to take action against NHS trusts and GP partners who try to limit PA scope of practice. They don’t give a shit about patients or medicine, only their own self-aggrandisement. Credit to @medicalmodelbri

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

There are 2 sets of victims here. Patients and PAs. Patients for obvious reasons. PAs who have been lied to by the government and their “leaders” and encouraged to incorporate these lies into their identities. It is not for patients to facilitate the dreams PAs were sold. 1/3

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

By the chins of Bevan! What is going on?

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

5 months

The GMC has an annual income of over £135 million. Your money. They say that they are still trying to work out how to differentiate PAs from doctors on their register. They say they can’t afford 2 registers. They are lying to you. They are laughing at you.

GMC

@gmcuk

5 months

2/3 Like doctors, PAs & AAs will have a responsibility to clearly communicate who they are, & their role in the team. The GMC reference number has been raised in this context. We’re considering how to make it as easy as possible for anyone to identify individual registrants & to…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

“Check my prescriptions for the day have been done by my lovely doctors” My Lovely Doctors 🤮

Secret Physician

@SecretPhysician

1 month

Please stop prescribing for them.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

12 days

If you are a consultant who has decided to send this email then please know that you are the reason why your department has failed. At least the divisional manager will be proud of you, they might even let you take a chocolate hobnob from the managers’ biscuit cupboard.

helloworldbbd

@helloworldbbd

12 days

"national health sweatshop"

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Mark my words. Your sense of entitlement to doctors’ labour will lead to the collapse of the NHS and privatisation. The government and their friends in private healthcare are relying on you not thinking beyond “rich doctor bad, pay less” They are winning. Because of you. 2/2

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

If not being allowed to act as a doctor is degrading to PAs then can we first consider the 9-5 role of F1/F2s and (let’s face it) CTs? We force actual doctors to do the work that non-doctors find degrading and menial. Perhaps we should sort that out first.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

This is paving the way for Medical Doctor Apprentices and PAs to join the foundation programme on an equal footing to doctors. Everything the medical establishment does shows that they despise you. It breaks my heart, you all deserve so much better.

BMA Students

@BMAstudents

3 months

We fundamentally disagree with the decision by the UK Health bodies to move the Specialised Foundation Programme into the PIA system from 2025 and will fight for students by resisting this change in any way that we can. Read the full statement 👇

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Dr Francis Luscombe FRCA appears most expert on junior doctors and their motivations. I wondered what else he might be an expert on. As it transpires, quite a lot. Another long but hopefully mildly entertaining 🧵

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

@craniorectal @DrPJJB He won’t answer. He’ll deflect and go on about service and paying back as though you don’t have £100k+ in debt. The me generation believe that they earned everything and everyone else is just greedy. You’ll never change them, it turns out putting lead in petrol was a bad idea.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

How did Lucy Letby get away with it for so long? Oh… that’s how.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

Today RCP officers have made it clear that any possibility of future PA unemployment is a greater issue than patient safety and the current unemployment of RCP members. They have crossed the Rubicon; there is no way back. There will be a VONC or there will be no RCPL.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Why PAs are not like ACPs/ANPs/ACCPs - a🧵If you want to skip to something interesting then just read a post by @iDrSunny or @ExplosiveEnema .PA is a unique role in that it explicitly adds nothing to the MDT. The entire role is a subset of that of doctors. (1/17)

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine Medicine That is all.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

GMC

@gmcuk

1 month

@Niamh_F_Kielb Hi Niamh, thanks for raising this with us. This is an offensive post - we’re sorry you’ve had to read it and hope you’re ok. We’ve tried to report this post to Twitter, due to its offensive content. We’re unable to do this at the moment, as the original post doesn’t appear to be…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

PAs working as doctors as a last resort “to ensure patient safety” Is there any other safety critical industry where this happens? Trusts will use PAs as doctors and they will lie about doing it until they don’t have to lie any more. And so many are complicit

Janet Eastham

@JanetEastham

2 months

🔴NEW: NHS England orders hospitals to stop using physician associates to cover doctors’ shifts after @Telegraph investigation reveals that the practice is widespread.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

5 months

PAs now want a separate “profession” to do all of the admin parts of their jobs. They are beyond parody.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

All three RCPs welcoming Colin’s little plan to destroy medicine in the UK. This is what happens when the utterly talentless are given any sort of power; they try to drag everyone down to their level. 1/2

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

BREAKING: GP practices must lock away all car keys to prevent PAs from joyriding. They call themselves a profession yet their main cheerleaders say we have to physically stop them from endangering patients and breaking the law. Regulation won’t fix this

GP practices must have policies stopping PAs prescribing, says NHS England

All GP practices employing physician associates (PAs) must have a policy to restrict access to prescribing, new NHS England guidance has said.

www.pulsetoday.co.uk

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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?

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…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Just a reminder that #oneteam and #bekind were used to shut up doctors and enable someone to continue to murder babies. When doctors speak up, listen to them.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

@ExplosiveEnema2 @MFTnhs @svha_abdl @DrEilidhMaria “Makes you scared to do your job”. That’s the problem, it’s not a PA’s job to cover the surgical SHO bleep.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

"We don't need to answer to any doctor about using PAs on doctors on call rota. We don't need to answer to you." I suspect this will slip under the radar but this attitude is clearly endemic among NHS managers. Exemplified by those managers at @TheCountessNHS .

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

@ajpigott_anna @medicalmodelbri @DrNeenaJha If I had to call a chef for advice on spreading butter onto bread then I wouldn’t describe bread and butter as “my bread and butter” to that same chef.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

I think we need to take a step back. A government almost 5000 miles away has contracted an ad agency that has created these adverts. They knew exactly what to say to resonate with doctors. What a damning indictment of how doctors are treated in the UK. The world can see it.

Dr Done

@Dr_Done_

3 months

The world is watching how @RishiSunak & @VictoriaAtkins are treating UK healthcare workers And the world is doing a great job poaching us under their noses, offering us adequate compensation for the years of our lives we give up Spotted in Waterloo Station, London.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Fun for the PAs, not for the patients though.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

Does this mean that PAs won't be asking doctors to prescribe or order scans as doctors are not stakeholders? Will they be running every script up to Colin and Carrie at the GMC and asking NHSE Navina to order X-rays? This is clearly how PAs see you. Useful... until you are not.

Physician Associate Association UK (PAAUK)

@PPaauk

2 months

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

PulseToday

@pulsetoday

1 month

Substituting GPs with ‘non-doctors’ increases A&E visits, says former NHSE director #A &E #MAPs

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

19 days

Note how the PA describes their job to MPTS. Also how they see the role of a registrar: to action the requests of a PA. If you trust the assessment of a PA then you are the only one putting your livelihood on the line. And for what? A consultant’s fecklessness.

Iona Collins.DOCTOR.

@Doc_IonaCollins

19 days

A fitness to practise tribunal (MPTS) determines that a PA's history should be repeated by a doctor and a PA's examination should be repeated by a doctor too. DAUK's report in Pulse explains more 👇

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

11 days

Gosh, PA job descriptions are getting very specific. Not many roles require a disclaimer to say “the successful applicant should not commit crimes in the course of their duties”. These consultants know exactly what they are doing, the harm caused by their PAs is on them.

@medicalmodelwithabriochebun

@medicalmodelbri

12 days

Neurology PA job at at George’s , no experience necessary Nothing to see here 👀

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

12 days

Doctors in secure employment telling soon to be unemployed F2s that there is enough work to go around and that they are unkind and bigoted if they raise concerns about government policy. The fucking irony. 1/2

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

It’s easy to dismiss UMAPs as clowns but they really aren’t. They have lied about Dr Kneale and then reported him to the police. They try to stop any journalist who is less than glowing about PAs. They employ a PR; they know exactly what they’re doing.

Dr Matt Kneale

@drmattuk

2 months

@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…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

I’ll be away for a while, I need to focus on being there for a relative who has been admitted I knew that the NHS had collapsed but seeing it from the other side has filled me with a deeper despair The staff are great, the buildings are still standing yet patients are not safe

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

5 months

For any doctors on care of the elderly at Salford Royal: You might be interested to know how your consultant sees you. It’s quite nice not having you around apparently. Don’t worry, he knows it’s a bit controversial to prefer working with his pet PA 🫢.

Rose Thorn

@RoseTho04911328

5 months

@GMCharlatan @Xeon4f145d96s1

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

In case anyone was wondering.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

25 days

Please take the time to understand what this means. 4th year med students are shadowing 2nd year PA students. This is logical in the NHS because the med student is 7 years away from working as a GP. The PA? Less than a year away from working as a GP, basically a GPST3.

GraduateMedic

@GradMedic01

26 days

@AlisonGeorge10 @AngliaRuskin @mmamas1973 @DrAsifQasim @HelenRSalisbury @DrSteveTaylor @Doc_IonaCollins @parthaskar @VictoriaTzB @doctor_katie @UKGastroDr @mouseter_chef It’s really demoralising. Placements are absolutely saturated with students so there’s extra tension due to competition for opportunities, and medical students aren’t prioritised for things I feel we should be eg. last year I had to shadow a 2nd year PA student in GP 🙃

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

Cathryn Edwards on illegal prescribing and requesting of ionising radiation: give them the rights to do it legally because everyone wants them to be able to do those things anyway

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

The GMC have smashed it out of the park by mandating #bekind The pathetic weasels used the bluntest of instrument to crush dissent about their pets with no thought to the long-term implications. Expect to see more of this. Remember who is to blame.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

A meditation on the past few days. Through the medium of ropey memes, naturally.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

KCH should now issue a statement saying they are no longer an MTC as the service is unsafe. The Very Senior Managers should resign as they are being asked to do the impossible. They won’t, because they are prioritising their own careers over the lives of patients (1/2)

Shaun Lintern

@ShaunLintern

1 month

King's Majora Trauma Centre serves south London, Kent and Medway. 3 locum trauma surgeons have been cut to save cash leaving just 2 trauma surgeons on a 24/7 rota and staff tell me they fear it is unsafe.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

The PACore remix of Heads, Shoulders Knees, and Toes just dropped.

Secret Physician

@SecretPhysician

2 months

Attempted to hide identities as much as pos. Sent this and found it too damning not to share. PT presents around 3pm. A doctor doesn’t appear to be contacted for support or help, and instead a Facebook group of PAs (PAAUK) consulted instead. PT in HB sent to a&e not until 6pm.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

I try to run a fairly clean account but this has pushed me over the edge. Fuck you all, you ladder pulling pieces of shit. You are harming everyone in this country, including yourselves. May you live to regret your mendacity. At least until a PA fucks up your diagnosis.

Eilidh 🦀

@DrEilidhMaria

3 months

Here’s an equal pay claim if you’ve ever seen one. Use a new physician associate (only 2 years training) to join the foundation programme. Tell the doctors they have to have done at least 5 years of uni to join the same programme. Pay the doctor £32,000. Pay the physician…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

@ItsnotrightUK It’s not a fucking GP Hub then is it? It’s an anything but GP Hub. They may as well call it Lesotho or Sweden because it’s not those things either.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

@mdjcole They aren’t begging you. They’re negotiating with their employer. I’m glad you’ll never use the services of doctors in the future though, good luck buddy 👍.

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@GMCharlatan

4 months

@Dr_Done_ Hypoglycaemia after not eating for 12 hours? Unable to say LOC because they didn’t personally witness it? Futile to do CBG? They actually put this shit on the internet and are proud of it.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

3 months

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…

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

Make no mistake whose fault this is. Senior doctors were meant to pass the baton on but so many chose the easy route and have destroyed medicine. They are responsible for UK medicine becoming a laughing stock. The government couldn’t have done it without their collaboration.

Aysha

@DrPastry

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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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

I’ll call this the Wes Paradox. Substitution must stop. Any questioning of the PA role is “hate” and this must stop. The only way anyone knows about substitution is by questioning PA roles. Would I find it easier to make sense of if I too received funds from healthcare corps?

Wes Streeting MP

@wesstreeting

2 months

I share concerns being raised about physician associates being used inappropriately to substitute, rather than support, doctors. I’m also concerned by the toxic political debate online that is leading to bullying of PAs. This has got to stop - on both counts.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Consultant interventional cardiologists on their first day on the PPCI rota having never put a stent in.

Kingsley

@gibraltarfx

4 months

@annemflfc @MariaZander8 @DrEilidhMaria @DannyCass1 Junior doctors don’t do stents. Stents are done by a cardiologist.

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@GMCharlatan

4 months

Fair point, but disingenuous. All doctors are taught by PhDs called “Dr”. It’s just those PhDs tend to be relevant to medicine, a PA is a pseudo-doctor in the medical sense. The holder of a PhD in fungus who is a PA using the title Dr in relation to medicine is *misleading*.

Greg Moorlock

@gregdoesethics

4 months

Seeing a medical doctor being outraged about someone with a PhD using their Dr title within a university context is an unexpected 2023 treat.

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

“But there aren’t that many PAs, most wont have worked with them” Doctors are forced to constantly rotate through hospitals and departments. Don’t fool yourself that the majority of residents and new consultants haven’t worked with PAs. Every 4 months that number grows. (1/2)

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

5 months

No evidence shows that dogs have worse outcomes when performing laparoscopic cholecystectomies than surgeons. Your response cannot be “PAs two thumbs, dogs none” If you believe that then you must believe that graduate entry doctors make more clinical errors than other doctors.

IncogPA

@IncogAssociate

5 months

No evidence shows PAs make more clinical errors than doctors. Your response cannot be "PA 2 years, MBBS 5 years, so PA more likely to make errors" If you believe that then you must also think graduate entry doctors make more clinical errors than other doctors. @Dr_Done_

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@GMCharlatan

2 months

PAs have faced criticism (but not repercussions) for breaking the law. PAs have faced criticism for putting their own advancement ahead of patient safety. Lord Hunt “just thinks” about that, not about a monumental change in healthcare pushed through without public consent. 1/2

Philip Hunt

@LordPhilofBrum

2 months

I just think that the personal abuse PAs have encountered is unacceptable. Unfortunately the NHS has tolerated this sort of behaviour for far too long.

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@GMCharlatan

2 months

Ah yes, that old saying: Once is an oversight Twice is an oversight Three times is an oversight Four times is an oversight Five times is an oversight This is one journal. Think of other journals, of the articles that have cited her prodigious output. The well is poisoned.

DrInsurgent

@DrInsurgent

2 months

Have just come across a very damning erratum for Jeannie Watkins! In the RCP Journal FHJ:

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

6 months

PAs will be registered medical practitioners with 7 digit GMC numbers. The people responsible for this will not need to see PAs, they have private health insurance paid for by you. The quiet part is being said out loud.

Prof Colin R Melville

@drcolinm

6 months

@davidianpyle @drdernial @wendyburn Thanks David. Medical Act amended to specify AAs and PAs as registrants of the GMC. Not that the act itself will apply to AAs and PAs

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@GMCharlatan

4 months

Acshually…yoU KnEW WHat ThE pAy waS wHeN yoU staRted

Beer & 64 Bits

@ZosoGraffiti

4 months

@EmergMedDr But you came into the industry knowing what your pay is. What you're saying is, you thought you'd get more and haven't

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@GMCharlatan

4 months

I’ve been thinking about this tweet Not the total disdain for doctors, we didn’t need this tweet to know that Clare has spent decades getting on to every committee and selling her soul to get her gong. All of that effort and harm and her actual legacy will be these 6 words.

Clare Gerada

@ClareGerada

4 months

@Dr_BellaR And what about next 20 years.

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@GMCharlatan

4 months

Scabs, you can have the NHS. I’m sure you, the PAs and the “real Doctors” will be very happy. I’m sure the tories and 🦖s are grateful too. Hope that £100 after tax was worth selling out your colleagues. Know that they will never trust you again. You will always be a scab.

Health Service Journal

@HSJnews

4 months

Doctors who worked during strike thanked by NHSE chief

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@GMCharlatan

5 months

@theRCN

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Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

@NotAdoctor0000 @theRCN Worth a repost

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@GMCharlatan

2 months

3rd question is the killer - well done to that man. What is the difference between PA with prescribing rights, radiation rights and a doctor with 100k debt?

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@GMCharlatan

4 months

I’m not an IMG (or a doctor) but this feels like a very mask off comment. So patronising. IMG posse, you know this already but it bears repeating that there are people who will exploit you and smile at you as they do it. Join the BMA, doctors are stronger together. 🦀

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@GMCharlatan

2 months

This is so much worse than I thought. No wonder the RCPL presentation was so bizarre with positive + neutral still being pretty dire. There is quite literally no positive way to spin this data. What sort of people see this and instead of reflecting immediately try to hide it?

derangedmedanon

@derangedmedanon

2 months

RCP data released today shows quite the opposite for most of the results proclaimed by the vice registrar at RCP EGM. It's so bad that it can be nothing but deliberate.

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@GMCharlatan

2 months

David is adding to Steve’s little project about doctors’ mistakes. This one stood out. A chest drain that doesn’t cause a small pneumothorax is by definition not a chest drain… Yes tension pneumothorax can occur as a post-procedural complication but that is not “during”.

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@GMCharlatan

5 months

There’s always a tweet… I would hate to be “discriminatory” against a hideous bully but this does suggest that Dr Fertleman has held other doctors in disdain for some time. Nice guy. Shoes off!

British Geriatrics Society

@GeriSoc

2 years

Michael Fertleman says therapists often know more than junior doctors #Rehabilitation #BGSConf #Rehab #AHP #radiographer

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@GMCharlatan

4 months

I can’t help noticing that this survey only samples 0.000020599971663% of the world’s population. Are the opinions of the remaining 8,082,534,498 to be simply ignored? And the questions were so biased. Imagine asking people what they think rather than telling them.

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…

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@GMCharlatan

1 month

Here is the issue, everyone feels entitled to “delve” into medicine. The hard truth is that no one is missing out because it wasn’t convenient for someone to study medicine. Fool yourself into thinking that you could have been a doctor and anything seems possible as a PA. 1/2

Meg 👨‍👩‍👦‍👦💙👩🏻‍⚕️🇮🇳🏏🎥🇬🇧⚽️

@Megsenmumdr

1 month

@medicalmodelbri @IncogAssociate Let’s not assume IncogPA here actually tried to get into med school- even trying to get into Med School requires hard work (or to try get into GEM later on) He probably did some basic science course& was offered free MSc PA place without any competition 10yrs ago

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@GMCharlatan

29 days

@SecretPhysician @RCHTWeCare This… isn’t normal. The van thing isn’t normal, the solo nasendoscopy from an unregulated and unlicensed bloke off the street definitely isn’t normal. People (consultants) have actually lost their minds when it comes to PAs.

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@GMCharlatan

5 months

Eilidh is doing god’s work here sifting through this. This is a publicly funded NIHR “study” that admits that it is unable to identify if PAs have any effect. Conclusion: PAs should be given prescribing and irmer rights. This is client academia. This is utterly shameful.

Eilidh 🦀

@DrEilidhMaria

5 months

Honestly the integrity of the research is genuinely staggering. Limitation: potentially the entire thing we have just written is null and void

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@GMCharlatan

6 months

@Dr_Done_ Hey hot stuff, get in my Mazda; I can take you to Nando’s once a month on a tbc day as my rota hasn’t been finalised, would you mind paying? Payroll deleted my bank details. I’m looking for long term and we will be moving to Yarmouth in August.

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@GMCharlatan

3 months

I don’t talk about the pandemic. I put 2020-1 in a box and locked it. I have never opened it. Watching this short clip has made me realise that the box is going to have to be dealt with eventually. I’m not sure if today is the day. (1/2)

Dr Rachel Clarke

@doctor_oxford

3 months

Here’s a new clip of #BREATHTAKING - on tonight, 9pm on @ITV Please watch if you feel able. Please don’t look away. #NHS 💙

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@GMCharlatan

2 months

After 9 years of single-minded advancement of the PA Project under cover of #oneteam and #BeKind , the RCP could only find 2 hours to discuss the project. Filibustering +++ from the officers knowing that they only had to get through to 19:30. #medicineisbrilliant

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@GMCharlatan

2 months

1 This individual dreamed of being an aesthetician. Then realised that PA was perfect to get “medically trained” and gain legitimacy. 2 Got to sit in with a brand new PA to work out if there are any malignant lesions. 3 Intensively trained, natch. 4 Just not in pharmacology.

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@GMCharlatan

27 days

I’ll ask again. Where are PA courses finding these people? This is not normal.

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@GMCharlatan

4 months

I’m concerned at the elitism that is being displayed by certain non-anon nurse accounts. Why wouldn’t a TNA be qualified to lead a shift? Why do some nurses believe that only nurses can be nurses? Escalating like this is upholding a patriarchal system.

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@GMCharlatan

2 months

Royal Colleges, GMC, NHSE can relax. The BMA has done their homework for them. I’d expect them to return their “consulting fees” to DHSC, or at least donate a little to the BMA strike fund. Incidentally I do foresee this “must not” causing some issues.

The BMA

@TheBMA

2 months

"Patients must know who is treating them and the skills and abilities that clinician has." Today, we have published new guidance on the scope of responsibilities for Medical Associate Professionals (MAPs). Read more here:

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@GMCharlatan

2 months

The Deputy Registrar delivered a presentation that treated the Members and Fellows of RCPL with utter contempt. He has now resigned with dignity. That dignity is only afforded to the first few resignees, the rest will look like chancers. The clock is now ticking.

Partha S Kar 🇮🇳🇬🇧🏏🎥

@parthaskar

2 months

Deputy Registrar @RCPhysicians quits over data presentation at #RCPEGM A loss of a colleague who I have grown to know well over a short period of time I really advise senior leaders to reflect & stop hanging out people to dry And the NEED to run things by Council What a mess

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@GMCharlatan

2 months

If your trust has included PAs on the doctors’ rota then please do feel free to share. Obviously PAs aren’t doctors and so this *definitely* isn’t happening but some trusts may have missed the memo. Anything shared is in absolute confidence. Secure email is also available.

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@GMCharlatan

2 months

@ExplosiveEnema2 @UMAPsUK “I hesitated just in case something went wrong and he would use it against me and PAs?” That’s utterly horrifying. Where are PA courses finding these people?

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@GMCharlatan

6 months

Anyone else miss this module? I recall being told that I knew nothing, that I would make mistakes, that those mistakes would likely harm people, and that it was my duty to sacrifice my 20s to reduce the risk of this happening. They just don’t get it, we don’t think like them.

High plains drifter

@Dennisw99863685

6 months

@Learner00490431 @MichelePaduano No. Doctors would very much like that to be so but PAs can be taught to do it competently. Docs horrified to find out that individual tasks they can do can also be done by other people. Another delusion learned at med school is that docs don’t make mistakes but PAs always do.🤦‍♀️

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@GMCharlatan

3 months

I’m always happy to help PAs in their fight and this screenshot has me concerned. Their leaders appear to be struggling to create a certificate in word. Therefore I have stepped into the breach by issuing a certificate that they can show to demonstrate their core skill set.

Secret Physician

@SecretPhysician

3 months

Circulating 'certificates of competence' among Physician Associates as a quick fix is like marking your own homework and expecting a distinction. True patient safety can't be rubber-stamped in haste. We need thorough, impartial assessment, not a shortcut to legitimacy.

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@GMCharlatan

2 months

They say that an ageing population necessitates changes to medical education (lowering of standards). Do older people deserve inferior care? That is the logical conclusion of these statements. I’m beginning to realise that these people are monsters. 2/2

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@GMCharlatan

2 months

A story repeated in hospital trusts up and down the country. Why did none of these highly motivated consultants put even half of this energy into training doctors? What was it about PAs that aroused such educational fervour and “momma bear” instincts in these consultants?

Jamie Murphy

@Microbedoc2

2 months

I do hope that the amazingly positive experiences also highlight some of the concerns regarding implementation of the PA project. I worked @sashnhs between 2012 to 2014 as a core medical trainee. During this period the first cohort of PAs were introduced. There was apprehension

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@GMCharlatan

1 month

Ok this is endgame medtwitter. The binfire has spread and now we’re back to barber surgeons.

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

We’ve seen consultants unable to specify what a PA brings to the team. Frankly that’s boring, no one can. There’s a special bin fire going on over here where a consultant is struggling to explain what a consultant brings to the team. Popcorn at the ready.

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@GMCharlatan

2 months

Aww poor GMC only doing it because they’re “legally required to start regulating PAs and AAs” because of the nasty UK Parliament. From stakeholders and leaders to helpless victims as soon as the first chunk of excrement hits the fan. It’s embarrassing.

GMC

@gmcuk

2 months

Regulation is changing. Legislation passed by the UK parliament means that we’re legally required to start regulating physician associates (PAs) and anaesthesia associates (AAs) from the end of this year. Regulation will assure patients, colleagues and employers that PAs and AAs…

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@GMCharlatan

2 months

Mrs C embodies everything a Consultant should be. Shame on you “short term fudge until I retire” losers and “this will make my name as an innovator, we won’t need doctors any more” charlatans. ¿Residents? of today, be a Mrs C tomorrow.

Mrs C

@chriscraigCCC

2 months

@stmarnockZ The most privileged thing a Consultant can do (apart from providing good care to patients),is to train the next generation of doctors. If that’s every 4,6 or 12 months repeatedly, then that’s what you do. Training a PA once then sitting back not giving a shit is frankly appalling

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@GMCharlatan

1 month

@quackophage My dog could work as a consultant pathologist if she had proper training but surely it would be easier to take a doctor and train them. (We would also need to get around the whole colourblind thing)

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@GMCharlatan

14 days

Is there any practical difference between a doctor and a PA? (Except the PA can expect to be a specialty registrar and lecturer within 3 years of graduation and a GP immediately) Prescribing/imaging doesn’t count as it will be fixed for them, as everything else has been.

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@GMCharlatan

10 days

It’s clear that the establishment has realised that it has nothing left to hold over doctors. How do you think they’ll treat PAs once there are >10,000 of them with minimal international demand? The current PA salary and high zest love-in is a Loss Leader.

Rattled Doc

@rahttled_doc

11 days

Dulce et decorum est pro patria mori

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@GMCharlatan

3 months

Quick message to all of the PAs waking up to a world filled with opportunities to commit crimes. Just remember the simple mantra: “crime is illegal”. Going into Waitrose? Don’t slip that basque cheesecake into your jacket, pay for it at the checkout instead. Stay strong.

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@GMCharlatan

3 months

Registered Medical Practitioner vs Registered Medical Professional is about to become the only difference between a doctor and *not a doctor but have lived experience*. The GMC is a joke, but no one seems to be finding it funny.

GMC

@gmcuk

3 months

🧵The updated #GoodMedicalPractice2024 uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the…

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@GMCharlatan

1 month

If you illegally prescribe, exaggerate your role, are incapable of introspection then people will call you out. Calling out wrongdoing I sn’t a crime or even unkind. The whole PA Project is rotten; the most self-aggrandising band of charlatans are in control. 1/2

medical modelling clay

@anarchomed

1 month

Any genuine points made in this post are masked by the passive aggressive way in which they were delivered

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@GMCharlatan

2 months

The MDT decides who deserves doctor-led care and who deserves “parallel” PA care. Would the architects of this ever be “allocated to the PA”? PAs looked you in the eyes, smiled at you and told you that they weren’t going to replace doctors. Now they’re working in parallel.

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

@djnicholl @parthaskar @ClinOncDoc @drmattuk ‘They are then able to explain treatments, undertake bloods and review blood and scan results, undertake patient observations, develop management plans and hold their own patient clinics’

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@GMCharlatan

5 months

Actual money changed hands to make this. From NHS to a consultancy company. Whilst doctors sit on bins. Whilst doctors have to fight to reclaim study leave expenses. BTW love the energy they’re bringing but the “PAs stay” thing has made me lose my natural sunny disposition.

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@GMCharlatan

5 months

What an excellent description. Breezy confidence is the defining feature of every PA I have met. You know, the sort of confidence that is reassuring in a registrar or consultant and terrifying in an F1.

Dr Helen Salisbury

@HelenRSalisbury

5 months

I listened - and was terrified by their breezy confidence. Their idea of adequate supervision - a Dr needs to be available (but not necessarily on site) should the Physician Associate need some help - is a million miles from the specialist GP registrars with 9 yrs training have

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@GMCharlatan

6 months

Shiver me timbers, all is going swimmingly aboard the good ship GMC. The medical director has just asked for a link to the legislation his organisation is drafting. I’m actually beginning to believe their story about the separate registers being too complicated for them…

Prof Colin R Melville

@drcolinm

6 months

@drdernial @wendyburn Can you provide a link to the source please so I can check it out. I am absolutely certain there is separate legislation for AAs and PAs. I’ve seen drafts of it!!

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@GMCharlatan

5 months

We’re so used to hearing the #bekind brigade confidently giving their rehearsed talking points about PAs that it’s genuinely hilarious to hear a relative outsider try to justify the PA role. PA enthusiasts, this is how you sound to normal people.

LBC

@LBC

5 months

'They are there to work alongside doctors not instead of doctors.' Health Secretary Victoria Atkins reiterates 'regulations' on physician associates after the death of 30-year-old Emily Chesterton.

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