Secret Physician @SecretPhysician Twitter profile | Pikagi

Pikagi

Secret Physician

@SecretPhysician

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@ollieburtonmed @jim_crawfurd @DrPastry @john_brittenden @DrEilidhMaria They regard themselves as sagacious old owls, dismissing JD criticisms as out of control and overly emotional, too infantile to grasp the issue. In their eyes, there's no merit in enlightening those deemed perpetually uncomprehending. It's a clear display of paternalism.

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@SecretPhysician

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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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Quite the spectacle today - its amazing that Jamie Saunders (PA president, fantasy MBBS) was at the AOMRC meeting, whilst the BMA was not invited. They’ve invited the fox to the hen house and given themselves a pat on the back for inclusivity.

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@SecretPhysician

Secret Physician

@SecretPhysician

29 days

Oh wow, @RCHTWeCare . Not only do you have a PA doing endoscopy, you have them doing independent unsupervised endoscopy in the community … and you printed them all over a van! At least you’re not shy about it, so I see no issues in posting it here.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

A consultant this week informed me she had been asking for a junior for 6 months on her medical ward. The answer was that it’s not needed and minimum staffing is being met. They have been instead been consistently offered (encouraged) having a PA. Cannot understand the logic.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Absolutely charming that they invited a PA who purposefully mislead people he was a doctor, so that he could have more responsibility at cardiac arrests, who said he should be able to decide who has chemotherapy, and lied repeatedly to members, got invited to Lords.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Physician associates responses to the BMA and colleges POV has been a real eye opener for me. A year ago I thought little about this issue. But seeing how many PAs want to ignore the opinion of doctors is quite indicative of the issues, ironically.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@KatyWoo I can’t speak for that. I truly do not understand this psyche. A friend had suggested that perhaps it is that they want to prove themselves to doctors so will only go to them once they’ve used all other resources. This is of course dangerous.

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@SecretPhysician

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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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Framing "work-life balance" and "being a generalist" as main reasons to choose PA over MBBS in interviews as a golds standard answer hints at deeper system issues. They also know doctors can work in any speciality and what a GP is, right?

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

I am afraid I do not share the belief that individual PAs are blameless. A dinner time analogy (I am hungry because some bloody twitter mouse keeps running round making us look at their dinner). Remember though, this isn’t ratatouille, this is lives. 🍽️ 🧑‍🍳 facciamolo:

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@SecretPhysician

Secret Physician

@SecretPhysician

29 days

Meanwhile in the same hospital, doctors to shut up and do TTOs please. Love, consultant nurse.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

I noticed on another ward they have a trainee ACP, and when the cons isn’t there 3x a week, the trainee ACP sees half of the consultants patients for a WR (JD sees the other half). We would not let a third year med student do this, so why a trainee ACP? Peculiar.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

This is why I am not comforted by PAs doing routine appointments for patients with known chronic conditions: PT is middle aged male. For routine appt for CHF. Managed with ACEi, BB, diuretics. NYHA Class II and has been stable for some time. Reports to PA he has had SOB.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Pas running clinics when only 7 months into their job ☑️ IMTs barely getting their 20 clinics rostered a year ☑️

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

If it helps, this is from the same Facebook group as the chat I uploaded today. There over 650 PAs in that group.

@SecretPhysician

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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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@EmergMedDr @gmcuk The GMC simply will not care when they break rules. For doctors, yes. PAs, no.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Please stop prescribing for them.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

You do know the entire PA profession was pushed without an evidence base in the first place of course?

@VishwajeetP4t3l

Vishwajeet Patel

@VishwajeetP4t3l

2 months

First they tried to stop regulation from happening Now they’re trying to push “guidance” that has no evidence base or legal basis All attempts at trying to abolish the role completely Just a reminder: This is not about patient safety This is not in the interest of the NHS

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@SecretPhysician

Secret Physician

@SecretPhysician

20 days

Sometimes you just have to ask yourself ‘am I the bad guy’?

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Absolute gall. You can’t sign up to be managed by the royal college of physicians and then complain when… you’re managed by the royal college of physicians. You asked for this.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Please report these mean doctors for saying we increase their work load. Horrible. They should shut up and do our TTOs and if they do not we should report them.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Appeasement from supervisors does not equal competence. Real expertise requires rigorous education and training, not a signature from your new best mate (consultant) that is happy to at he or she is now more free to do more private work.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@D__Melb Unsure the roles belong anywhere

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@radiollama1 No, you do not ever ask about a patient case live to a public Facebook group

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@Microbedoc2 You’d hope spotting a patient that isn’t haemodynamically stable is actually quite a basic skill. Apparently not.

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@SecretPhysician

Secret Physician

@SecretPhysician

9 months

Hi @jasaunders90 can you tell us why you were leading arrests in 2020 but weren’t qualified to do so until 2022?

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Just before Christmas we had the first cohort of student PAs come into our hospital. We have very few employed PAs. The students seem to spend all their time shadowing doctors. The nursing students shadow nurses. OT students shadow OTs. Physio students shadow physios.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@jabberwock951 @DrEilidhMaria There’s a true range of quality of suggestions and the order of which some of it is suggested really makes me think they’re just saying stuff and seeing what sticks, with no real reasoning behind much of it.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

To suggest that a mere three years of nursing experience, preceding an ANP qualification, plus the subsequent MSc, equates to the breadth and depth of a doctor's medical training, is overlooking the woefulness of clinical education that modern nursing includes.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Quite astonishing for someone to read a document that says the word ‘substitute’ over 30 times and conclude it’s not at all about that whatsoever. Excellent.

@JoOgidi

Ogidi 💯

3 months

Ahh.. I'm going to try and be as respectful as I can for those who are really interested. It appears this might be the gotcha/take down moment a lot of people are waiting/queueing up for. Hopefully whatever joy you'd hoped to derive from it, you're getting it.

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@SecretPhysician

Secret Physician

@SecretPhysician

25 days

@DrNeenaJha It’s nhs speak for shut up

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Claiming 'it will be difficult to make further accusations' after issuing self-signed competence certificates misses the mark. Accusations of insufficient knowledge can't be silenced by paperwork. Unless these certificates come with an MBBS degree, skepticism will persist.

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@SecretPhysician

Secret Physician

@SecretPhysician

29 days

@Nick_Dalmon @RCHTWeCare He allowed his face to be printed on a van. Endoscopy also will require prescribing which he is not allowed to do. He is also doing something far outside what he should be doing for his own benefit. He is a professional, and is not blame free.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Is this the same Dudley Trust that previously faced issues due to PAs prescribing, only to simplify their prescribing process (potentially illegally) with an SOP rather than tightening controls?

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@Xeon4f145d96s1

platinumpizza™

@Xeon4f145d96s1

3 months

Following on from the most recent example of a stroke consultant bleep being held by a PA (someone who isn’t a doctor at all), is the gastroenterology on-call bleep again being held by a PA. Who is legally responsible if any incorrect advice is given by a non-doctor to doctor?

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Also, I mentioned reporting back to a supervisor intentionally. It is very easy for the PA to present this patient in a way that omits small details that would entirely change clinical suspicion (missed mild exophthalmos for instance) based on what they think the diagnosis is.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

Appeasement from supervisors does not equal competence. Real expertise requires rigorous education and training, not a signature from your new best mate (consultant) that is happy to at he or she is now more free to do more private work.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@AmarHujan Bradycardia. Stop!!! Think!!!! Don’t do an ECG!!! DANISH! (I assume they’re thinking of Cushing reflex/raised ICP which is a VERY bizzarre first line of thought. Good old E comes before C of course).

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@john_brittenden @DrEilidhMaria I can’t dox myself sadly so cannot give more info, but a number of people from GMC/NHSE - obviously some key players. JDs were present, and ATDC. Some things that could be perceived as anti doctor and some people all to keen to accept JD training places won’t increase.

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@SecretPhysician

Secret Physician

@SecretPhysician

29 days

And no one to train the trainees in non complex endoscopy because @drkiethsiau has decided to make the gastro MDT version of frankensteins monster and silo all the simple cases to them. Thoughts? @NEndoscopy and @UKGastroDr ?

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

And if the head chef who decided to employ you paid you more, and then shrugged their shoulders and simply defended you by saying you are supervised by them, and you shrugged it off too, I might suggest that you are being wilfully ignorant for your own self interest.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

You do not have Dr in your name. You should never have been able to join the RCP ‘club’. The fact you could shows the value that that ‘club’ has become. You do not have an inherent right to ‘treat’ patients just because you say you do.

@IncogAssociate

IncogPA

@IncogAssociate

2 months

This is: Scapegoating Elitism Protectionism This has NOTHING to do with patient safety. This is: You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club. You can't sit with us. Punching down. Nothing to be proud of. #RCPEGM

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Seems the deputy registrar also quite likes magician associates given he conveniently decided to make one of his main conflicts of interest ✨disappear ✨ (but not very well)

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

I think there is benefit to a nurse shadowing a doctor for a day. But if PAs want to learn to be a PA in the very short amount of time they have, perhaps they should shadow them? It is no good our juniors teaching PAs about stuff they do not need even to know, day in day out.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

This PA had been a PA for a week.

@ExplosiveEnema2

ExplosiveEnema

@ExplosiveEnema2

1 month

GP Partners If this is how you are treating your PAs you are putting patients at serious risk of harm PAs, particularly those straight from uni, are often too naive to understand how dangerous this is Stop exploiting your staff

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@Dr_Done_ For me it’s - consultant asks PA to stop medications, PA asks a JD. What an entirely pointless endeavour.

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@SecretPhysician

Secret Physician

@SecretPhysician

27 days

A medical student would. A physician associate will instead be called a victim and it’s the nasty med twitter trolls and she should be shielded and offer support.

@InvCoriolis

invertedcoriolis

27 days

@Cleverclog67596 Jesus Christ. A medical student doing this would be up in front of @gmcuk before the end of the week.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

It’s misleading to frame doctors as mere specialists and position PAs as generalists. A short thread. The essence of medical training for doctors encompasses acquiring a broad and comprehensive medical knowledge base, enabling them to practice medicine safely and effectively.

@medicalmodelbri

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

I can’t even begin to figure out how he thinks that a 2 yr course makes him equivalent to a real doctor because he’s a generalist and doctors are specialists @djnicholl @Dr_Done_

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@manLikeTeaa The jobs list she posted on her own IG that she can’t do

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

What is it with people recording themselves with patient identifiable info or putting patients bodily fluids in bags as viewing. I have never seen a junior do this and if I had seen them do it I’d raise it for unprofessional behaviour.

@medicalmodelbri

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

Listen from 4:50min. Hubris off the scale ‘ People ask why I’m allowed to do these procedures , well….work is what you make of it. If I see something that I want to do I just ask , if they say no then I ask again . Eventually they will let me do it ‘

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

It gets better!

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

At every step PAs are liable to miss issues because they have much narrower knowledge. In reality: this patient could very much have thyrotoxicosis/thyroid storm. But if you’re a cardiology PA that is a ‘generalist’ but only done cardiology for five years, easy to miss.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@glambystefania @manLikeTeaa Look. You don’t tell a doctor to do anything. They are not your prescribing monkey. But also you ultimately said here that YOU stop the prescriptions which you have admitted you categorically do not. I would advise you to stop lying.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

The good thing about actually being a trade union is that the leaders are media trained. The bad thing about setting up a limited company that you think people will believe to be a trade union is you sound like a stroppy teenager presenting fairy tales as facts.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

And where is the f1 whilst they are in theatre and clinics?

@GeorgesUrology

St George's Urology

@GeorgesUrology

3 months

2/4 We have the privilege of 3 exceptional PA’s in our unit who contribute in all aspects of patient care, including theatre. Their role is complimentary to that of our junior doctors and facilitates training rather than taking away opportunities.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

I unfortunately do not have a Reddit may someone please post about this it is important doctors know the way in which they are (not) represented at the highest levels. This is more than the RCP.

@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Quite the spectacle today - its amazing that Jamie Saunders (PA president, fantasy MBBS) was at the AOMRC meeting, whilst the BMA was not invited. They’ve invited the fox to the hen house and given themselves a pat on the back for inclusivity.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

I am also doing the same. Do not care if you message me or the pizza but would like to amplify this appropriately.

@Xeon4f145d96s1

platinumpizza™

@Xeon4f145d96s1

2 months

I’m working with a journalist to dispute the claim that PAs aren’t replacing doctors. Please DM me if you have any evidence of this (“tiered rotas”/ same rota/ holding same bleep or anything that would normally be done by a doctor/ JCF etc). All 100% confidential.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

3. You don’t really understand the theory behind what you’re doing. Why does the garlic go in after the onion? What does soffritto do? You follow instructions, you don’t know the reasoning.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

The consultant body are having serious conversations regarding their ongoing involvement or potential involvement. I hear it is a key topic in messes across the country for non-consultant doctors.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@glambystefania @manLikeTeaa List of things you cant do TTO - can’t do. PPI can’t do Aspirin can’t do Dextrose can’t do Reduce frequency abx can’t do Stop enox can’t do Sando can’t do Can do Gp to restart meds - can do BR???? Bloods - Chasing results can do That’s quite a limited repertoire

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@SecretPhysician

Secret Physician

@SecretPhysician

9 months

@Dr_Done_ @ExplosiveEnema

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Well blow me down with a feather!!!!!

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Not sure what it is with Royal entities. In a modern echo of Marie Antoinette & Louis XVI's, the Royal College of Physicians faces a crisis of leadership. Disconnected from members & straying from core values of patient safety, their position grows untenable.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

1. You started learning to cook a few months back 2. You can make a few simple dishes well. These are the kind of dishes someone who hasn’t gone to cookery school can cook but not quite as well - bolognese, carbonara, ratatouille.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

So sure, you might make a similar ratatouille to the senior chefs. But only an idiot would believe that that means you should work at the level of one. The senior chefs know what to do if you can’t use an ingredient or something goes wrong. They can also cook far more dishes.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@Xeon4f145d96s1

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@SecretPhysician

Secret Physician

@SecretPhysician

9 months

@Dr_Done_ @ExplosiveEnema

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

6. But wait! There are other senior chefs there who have done years of chef school in comparison to your ‘cook like a chef’ lessons. They know why garlic goes in after. They know what soffritto does. 7. Should you not question why it has taken them so long and not you?

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@DrPastry @john_brittenden @DrEilidhMaria This is the exact same conclusion I took

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

PT also reports been having palpitations and sweating more. Is fairly overweight. PA mostly likely to simply think this is worsening HF, this is their ‘bread and butter’ and reports it as thus to supervisor. May also think anxiety.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

@hkg294 No regulation has been delayed by years BECAUSE you wanted the GMC which required a change in law. Nice try though.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

A description of the group this was written in. Ooop. @Xeon4f145d96s1

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@SecretPhysician

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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Secret Physician

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2 months

4. So when it comes to more complicated dishes there’s not really clear instructions for, you tank it. So you need supervision. 5. You get offered a job as a chefs associate at a restaurant. You have very similar responsibilities to a senior chef but are not the head chef.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@AlisonGeorge10 It’s like they possess no analytical thinking. If anyone thinks it through for five seconds it doesn’t make sense.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

Let’s just say for arguments sake the PA also gets an ECG. The patient has new AF. Bc history of palpitations the PA may call it a day and as PT is relatively stable arrange another OP appointment.

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@parthaskar @ExplosiveEnema2 Yes I will do now

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@TomStocks1982 @gmcuk I would advise going through the full instagram where you will see she says she makes plans by herself and has her own bleep and patients call her doctor etc.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@SETMEDICSUAE They’re experienced nurses and paramedics. Experienced nurses and paramedics does not make a doctor. That is why we have medical school.

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@SecretPhysician

Secret Physician

@SecretPhysician

6 months

Allowing them to attend induction

@ValenteAnnalisa

Annalisa Valente

@ValenteAnnalisa

6 months

@AnalysisDrawer @TheBMA For juniors on the ward to allow them to attend induction or trainings. And this is the 'thank you card' they give to us

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Statement from clowns on the broken clown shoes they have supplied. They hope to soon be recognised not as clowns, but as professional clowns.

@UMAPsUK

UMAPs.org.uk

2 months

Statement from UMAPs regarding tonight's outcome for the Draft Anaesthesia Associates and Physician Associates Order 2024

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

IA can only be done against employer, is my understanding, not the GMC. We shall have to start thinking what influence we can have over royal colleges and GMC (since they cannot be trusted to do the right thing themselves).

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@SecretPhysician

Secret Physician

@SecretPhysician

1 month

@jim_crawfurd @DrPastry @john_brittenden @DrEilidhMaria That it is out of their hands. It is accepted as fact. That is how it is and the only thing to make the NHS better in the face of that fact is PAs so we must get behind them.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

@ellena_farrow Qualified physiotherapist does not mean appropriate to lead a WR.

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@SecretPhysician

Secret Physician

@SecretPhysician

3 months

@Xeon4f145d96s1 It’s ok though because she lets her son do themed sessions as a speaker on doctors health, despite not being a doctor; having nothing to do with doctors (other than his parents) and no qualifications in this area.

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@SecretPhysician

Secret Physician

@SecretPhysician

2 months

Some statements: - there is not sufficient evidence that PAs have the sufficient education to play any role in the medical management or diagnosis of patients. - PAs now very unhappy doctors think it is unsafe and want to continue as they have anyway. Systemic insight issues.

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2 months

@KatyWoo And just the same mentioned here from this anaesthetist @cannula_service

@cannula_service

Balazs

@cannula_service

2 months

@9nzmwjkxmyP @ExplosiveEnema2 @SecretPhysician @rcgp This is the worry. Instead of asking for actual help from trained doctors, they're so busy about their own self image the patient is an afterthought. Scary.

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1 month

@tallymedic Graduate medicine is five years of medicine condensed into four with the same exams.

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@SecretPhysician

4 months

@DrEilidhMaria Blank document is quite an appropriate term for the circumstance

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@SecretPhysician

2 months

@ABarotchi1 @jabberwock951 @DrEilidhMaria Where was the supervising consultant is what I’d like to know

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Secret Physician

@SecretPhysician

2 months

@VirtueOfNothing Shall we guess which lord invited him? Amazing when the FPA have failed to engage with @parthaskar and RCP councillors

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Secret Physician

@SecretPhysician

1 month

What’s the definition of a cult?

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2 months

@mmamas1973 Also how did this kind of patient get given to a PA anyway

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Secret Physician

@SecretPhysician

2 months

@cannula_service To be picky here, would you have ever used social media full stop? I doubt it. You would ask your supervisor and if they didn’t know you would escalate appropriately… you wouldn’t ask other people of the same rank on a GC. The fact they did this at any stage is bad in itself.

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3 months

@profjimspeaks Your bias “studies” and clear COIs are public, Jim.

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3 months

Emotional and professional blackmail. ‘Bad things will continue to happen and we have you over a barrel now so we’re going to go full steam ahead with the very thing that the majority of doctors think shouldn’t happen’

@hkg294

Heather Reid

3 months

3) PAs need to be regulated for many reasons, ensuring professional & ethical standards is just one. Whatever your views on it, GMC has now done most of the work around regulation and stopping this is not in the interest of patient safety - it will delay any regulation by years

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1 month

@D__Melb You’ll not be surprised at all who’s instagram this is

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Secret Physician

@SecretPhysician

1 month

Gibberish comes from the Middle English word ‘gibber’ which means ‘bird chatter’ but now means unintelligible speech.

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2 months

@ClinOncDoc I imagine if they’re on the consultants leave rota with no other clinicians on then they are probably being used at a senior level.

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@SecretPhysician

4 months

The Royal College of Physicians has notably supported a 'presidential tour' for the President of the Faculty of Physician Associates. This initiative underscores a commitment to collaboration and leadership development, far from any delusions of grandeur. /s.

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2 months

The head cat came and told us all the other cats are not interested in eating the mice whatsoever, so it must be true!!! We are here for the mice and are so thankful for their input.

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2 months

It is actually impossible to work out how much the issue has contributed. But given there has been extremely little increase in training places over the years, but huge expansion in PA role, I would say those facts are probably not distinct from each other.

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