Donya Mighty @dx_mighty Twitter profile

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Donya Mighty

@dx_mighty

2 months

Pleased to say I passed my med school finals! 🥳🎉 In a few months I will be Dr Mighty 😬

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Donya Mighty

@dx_mighty

8 months

I just want to start by saying I really didn't want to take this to social media and had hoped to resolve the issue privately. But this has not happened and I feel this kind of behaviour from someone in a position of responsibility needs to be called out. 🧵(1/9)

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Donya Mighty

@dx_mighty

11 months

As a #physicianassociate (5 years qualified) studying graduate entry medicine and due to commence FY1 in 2024, I just wanted to give my thoughts about the pay discrepancy between PAs and Doctors and the need for #FullPayRestoration . A thread about #FPR #DoctorsStrike (1/6)

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Donya Mighty

@dx_mighty

8 months

Susan hopes to form a union for PAs and likely has leadership ambitions. Someone who behaves like this should never be in a leadership position. I have felt singled out and targeted. My access to professional networks has been restricted. I have been made to feel unwelcome. (8/9)

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Donya Mighty

@dx_mighty

8 months

It is plainly just anti-doctor sentiment. There are others in the groups that have pursued alternative paths after PA and as far as I'm aware, I'm the only person that was targeted and removed from the groups. However, I know the majority of PAs don't think like this. (5/9)

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Donya Mighty

@dx_mighty

8 months

Yesterday evening, without prior warning, provocation or discussion, I was removed from 3 physician associate networking whatsapp groups by the same individual solely because I am now a medical student, despite continuing to work as a PA and remaining on the MVR (2/9)

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Donya Mighty

@dx_mighty

11 months

A final point, I am proud to be a PA and I do not buy into any of the divisive debate I quite often see on social media. How can it be that there is such a huge pay disparity between PAs and Doctors?! Doctors pay is a MASSIVE problem that @SteveBarclay needs to address NOW (6/6)

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Donya Mighty

@dx_mighty

8 months

Despite always having remained an advocate for the PA role. My only crime is that I have gone to the 'dark side' to study medicine. (9/9) #physicianassociate

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Donya Mighty

@dx_mighty

2 months

Seeing ridiculous comments re: PAs should be paid less. I don’t know how anyone can think that is going to help achieve FPR for Drs. PAs are paid appropriately. Perhaps years of being underpaid has skewed the views of some but no one should be paid less. Drs need to be paid more!

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Donya Mighty

@dx_mighty

11 months

I have a family to consider and therefore if the pay situation does not improve, I am planning to go LTFT once I graduate as a doctor and to locum as a PA alongside this to boost income. My locum pay as a PA is in excess of what my 4 x my hourly rate would be as an FY1. (3/6)

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Donya Mighty

@dx_mighty

8 months

I recognise this decision was made by one (possibly a few) individual(s) but its disheartening to see such contempt directed at PAs who decide to pursue medicine. (4/9)

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Donya Mighty

@dx_mighty

8 months

Colleagues have sent me private messages of support and some have posted on the group asking why I was removed and if I can be added back but those requests have been ignored. Susan Singleton is a PA Ambassador and founder of @buddyassociate , @associate_uk and @ppaaUK . (6/9)

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Donya Mighty

@dx_mighty

7 months

Great to see the @FPARCP publishing guidance on the appropriate ways of introducing and explaining the PA role and language that should/shouldn’t be used during these communications.

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Donya Mighty

@dx_mighty

8 months

I have been blocked by the above accounts which are supposedly networks to support PAs. I have also been blocked by Susan's personal twitter @SwanCArt despite never interacting via twitter with her until now. (7/9)

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Donya Mighty

@dx_mighty

7 months

I expect you thought this would come across funny but it reads as mocking and insensitive. Also this is being posted from a business account… it is a bad reflection on PAs when organisations that represent our interests are posting like this on social media. Perhaps an apology?

PATH - Physician Associates

@InfoPars

7 months

@AWJChadwick @KeeleyMP Wow. I’ve just noticed my mortgage reference number is also a seven digit number, calling my mortgage company immediately in case I’ve inadvertently bought a doctor!! Dammit, I’ve just typed 7654321 into my calculator. Doctors everywhere! Aaah. I’m so confused. #7digitscare

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Donya Mighty

@dx_mighty

8 months

I had been part of one of the groups since 2019. What makes it worse is that the person who removed me is a PA Ambassador. Throughout my time at medical school, I have remained supportive of the PA profession. (3/9)

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Donya Mighty

@dx_mighty

11 months

If I had stayed working full time as a physician associate, I would expect a salary of circa £50k by this stage of my career. As it stands, when I commence FY1, my base salary will be £29k. (2/6)

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Donya Mighty

@dx_mighty

8 months

PAs now entering the group chats are being asked specifically if they are also medical students. Why are they being asked this if it’s not because the sole admin of the group (Susan) is promoting anti-doctor sentiment?

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Donya Mighty

@dx_mighty

5 months

Wow okay anon with 2 followers, I shared a post from a Dr explaining some of the issues affecting them. It’s not my problem if you lack empathy. This is the kind of rubbish that comes my way as a PA studying medicine. Some in the PA sphere unfortunately let everyone down.

Jubileepar

@jubileepar

5 months

@dx_mighty Donya literally fuck off and stop perpetuating anti- pa horseshit, you don’t get a free pass simply because you qualified as a pa and used it as a stepping stone to becoming a doctor

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Donya Mighty

@dx_mighty

5 months

@Dr_Done_ The response is just wild to me. I would like to think any HCP who has missed something like that would be first concerned about the patient, feel bad for missing something so serious and have a debrief/reflect on the learning points. Not have a go at the GP/complain 🤦🏽‍♀️

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Donya Mighty

@dx_mighty

11 months

However because of purely financial reasons, I will continue dipping my toes into both ponds as I am unable to embrace my new career fully. This feels disheartening. (5/6)

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Donya Mighty

@dx_mighty

11 months

No doubt, opting to go LTFT will prolong FY1 and FY2 for me and delay me entering specialty training. One of the reasons I opted to study medicine was that I felt my clinical progression would be halted at some point as a PA. A decision personal to me. (4/6)

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Donya Mighty

@dx_mighty

2 months

FOI request shows 50-67% of PA applicants also applied to medicine. Of the 33-50% of PA applicants who didn’t apply to medicine, I believe it is the “life” of a Dr - e.g rotational training, being sent across the country - that will have put them off applying to medicine

platinumpizza™

@Xeon4f145d96s1

2 months

Oh deary me.

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Donya Mighty

@dx_mighty

11 months

@MikePretswell I’ve never worked a night or on-call as a PA. My hospital experience as a PA has been in a fairly protected day time setting. Perhaps an unpopular opinion among my PA colleagues but I think it’s right that I need to do foundation training. Just wish the remuneration was better!

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Donya Mighty

@dx_mighty

2 months

It really irks me when PA colleagues say they never wanted to be a Dr. We all wanted to be similar to a Dr without the life of a Dr. Some didn’t get into medicine and went for PA instead and are either happy with their decision or have “settled” for being a PA.

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Donya Mighty

@dx_mighty

5 months

Fellow PAs (and everyone else) should read this thread ⬇️

Tim Ricketts

@timricketts_

5 months

Based on some recent conversations, I felt like a thread was needed on some of the issues surrounding medical training, and how they intersect with the long term workforce plan. Buckle in for a long one 1/14 🧵

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Donya Mighty

@dx_mighty

8 months

@pratibhanirodi It’s not been easy but I’ve managed to do it since 2020.

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Donya Mighty

@dx_mighty

8 months

Update: my tweets are in no way intended to be disparaging to the PA profession as a whole. I tweeted to highlight unprofessionalism and bullying. I have been professionally ostracised from my colleagues, for no real reason that I can see other than me being a medical student

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Donya Mighty

@dx_mighty

11 months

Correction: I have just rechecked my calculations and the locum pay as a PA would be in excess of 4 x FY1 base hourly rate on a bank holiday. Normally it is between 3-3.8 x FY1 base hourly rate, depending on hours/days worked.

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Donya Mighty

@dx_mighty

8 months

Thank you to everyone who has shown support, both within and outside of the PA community. I am proud of being a PA and a medical student.

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Donya Mighty

@dx_mighty

5 months

Whilst I don’t think the ITV report was entirely balanced, I agree for the benefit of all parties that the sensible approach right now is to pause PA expansion and resolve the issues instead of pressing on full steam ahead with plans irrespective of concerns.

ExplosiveEnema

@ExplosiveEnema

5 months

Every single vote on the issue of PAs and AAs has been overwhelmingly against The reasonable approach is pause, thorough review of working practices, scope, and safety data, then move What possible motive could any sensible person have against that? #TrustDoctors

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Donya Mighty

@dx_mighty

2 months

Others, like me, have gone on to do medicine afterwards when realising the issues within the PA profession due to its infancy e.g scope, regulation and feeling we would reach the “ceiling” of PA after a while and want more @Adam_Skeen @TheEMboardround & more

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Donya Mighty

@dx_mighty

5 months

As PAs can work in primary care straight from graduating, it really makes no sense that SAS doctors wouldn’t be able to work in primary care.

Rob Fleming

@RobJimFleming

5 months

@Parody_RCGP I remind you that the idea of primary care having something that looked like SAS doctors resulted in a fairly unpleasant push back. Not completed GP training? No thanks. No medical degree? No problem.

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Donya Mighty

@dx_mighty

2 months

@Xeon4f145d96s1 @medicalmodelbri Please do report to the FPA. All PAs are expected to use social media in line with RCP social media policy.

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Donya Mighty

@dx_mighty

8 months

There was no way of me accessing my colleagues as a whole other than taking what’s happened to Twitter. Susan (and co) are accusing me without proof of leaking information to Twitter accounts that are anti-PA. To clarify - I have NEVER done this.

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Donya Mighty

@dx_mighty

5 months

Re-sharing this as it’s the eve of the next set of strikes - strike hard my friends. Doctors deserve to be paid as well as PA colleagues at the very minimum. #FPR

Donya Mighty

@dx_mighty

11 months

As a #physicianassociate (5 years qualified) studying graduate entry medicine and due to commence FY1 in 2024, I just wanted to give my thoughts about the pay discrepancy between PAs and Doctors and the need for #FullPayRestoration . A thread about #FPR #DoctorsStrike (1/6)

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Donya Mighty

@dx_mighty

5 months

Interesting thoughts. Having done PA & completed med school rotations (aside from assistantship) it felt like I spent more time on the wards as a PA student. As med student, time in clinical environment constantly cut short by needing to attend scheduled teaching.

Dr Richard Pile

@DrRichardPile

5 months

I’m putting it out there: I don’t believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves. Was every minute of your degree spent in learning/working? Was…

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Donya Mighty

@dx_mighty

5 months

Agree not helpful right now from NHSE, however there are many PAs who would go on to become drs if the pathway was more accessible / easier financially. My insta DMs are testimony to this with hundreds of messages from PAs/PA students that are considering/applying to medicine

Alice

@PAalice19

5 months

If I wanted to train as a doctor I would have?! This isn’t helpful. Ffs.

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Donya Mighty

@dx_mighty

2 months

@Adam_Skeen @TheEMboardround Actually slight correction to above - “issues within the PA profession due to its infancy” and poor planning from the govt / DoH and NHSE

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Donya Mighty

@dx_mighty

8 months

There are issues to be resolved (i.e regulation, implementation, scope and progression). However I look forward to working with and championing PA colleagues in the future.

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Donya Mighty

@dx_mighty

5 months

How can we expect cohesive/respectful working relations when some Drs actively deciding to use diff (& incorrect) job title for physician associates. Whether we like existing title or not is a diff convo. Refusing to use it is unprofessional, disrespectful & breeds incivility imo

DrGrumpy

@DrGrumpy

5 months

@dx_mighty @Gc9100 Watch this space You assist medics so you’re Physicians Assistants That’s the majority title in the US where this role came from i will be urging my fellow docs to do the same as many are doing right now

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Donya Mighty

@dx_mighty

8 months

@zafarhashim_INR There are accusations flying around about there being a ‘mole’ and someone leaking info to Twitter anon accounts. I’m the most likely suspect to Susan and co because I’m studying medicine. Hence the “divided loyalties” comment from my understanding. (1/2)

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Donya Mighty

@dx_mighty

5 months

Exactly my point. Vast majority of messages I get from PAs/PA students are from women who ideally want to do medicine but are late 20s+ and either have or planning for children soon. Financial impact colossal as GEM isn’t properly funded when you have additional responsibilities

Adam Calthrop

@TheEMboardround

5 months

@timricketts_ @dx_mighty @Molly2323232323 @mrmyb10 @LukeAmos__ I worry that the current system really disadvantages certain groups (women with children and BAME women particularly), and this is a possible way to widen access and level the playing field. Ultimately Donya knows far more about this than me, so I’ll shut up and listen.

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Donya Mighty

@dx_mighty

11 months

@scrivvyfloor 100%

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Donya Mighty

@dx_mighty

7 months

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Donya Mighty

@dx_mighty

7 months

@doctor_dru_ Where is the proof of this actually happening? Hospitals responsible need to be named and shamed. There is no way any reasonable PA I know would think a PA should ever be doing that job.

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Donya Mighty

@dx_mighty

2 months

@Xeon4f145d96s1 I don’t think all PA courses were on UCAS until ?2021 (previously applicants applied direct to the university) so the number of applicants to both courses is likely to be higher than the records UCAS hold

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Donya Mighty

@dx_mighty

8 months

@anonPA5 @timricketts_ Tell me the rest of the story please? I too would be interested to know

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Donya Mighty

@dx_mighty

2 months

@LukeAmos__ Have you ever worked with a PA? They’re absolutely worth that pay. Drs are grossly underpaid. PA salary has been assessed via Knowledge and Skills Framework as AfC band 7. It’s absolute nonsense to argue for lower pay for PAs and it doesn’t help the argument for FPR for Drs.

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Donya Mighty

@dx_mighty

8 months

@BMA_James_Steen When I’ve introduced myself as a physician associate, I still get called doctor. I correct them & explain I’m not a doctor. Many patient’s don’t understand that the title “physician associate” isn’t some kind of doctor until further explanation (1/2)

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Donya Mighty

@dx_mighty

5 months

@Dr_Done_ @ImperialNHS Sorry what?! That is absolutely disgusting & needs reporting at the highest levels within the trust.

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Donya Mighty

@dx_mighty

6 years

Bit of a delayed post as I’ve been in Wales, celebrating by climbing Snowdon but I am happy to say I passed my Physician Associate National Certification Exams!! #physicianassociate #nationals #fparcp

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Donya Mighty

@dx_mighty

2 years

@noodles_nood @BellaRoscetti Is the PA newly qualified? I work as a PA in GP and I’m on 15min appts as are majority of PAs I’ve spoken to. Some more experienced are on 10mins, same as GPs but still get paid a fraction of a qualified GP. Depends how you view it but I think you have the better deal 🤷🏽‍♀️

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Donya Mighty

@dx_mighty

5 months

@pepemac27 Only in the NHS can stuff like this happen… they’d lose their job and quite possibly be reported to the police elsewhere

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Donya Mighty

@dx_mighty

8 months

@ExplosiveEnema @DocEd @BMA_James_Steen E.g I know a colleague who went to a job interview where they interviewed a GP, an ANP and a PA for the same role. Massive red flag 🚩some practices will seek to fill GP vacancies with other roles if cheaper

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Donya Mighty

@dx_mighty

8 months

@SandipP64097927 @Sarah_H_Y @ExplosiveEnema Goodness me, this is terrible. Surely anyone working in healthcare knows an appropriate introduction is full name and role?! If you’ve managed to obtain name since you can check if the PA is on the MVR and contact @FPARCP as it is concerning if any PAs are doing this

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Donya Mighty

@dx_mighty

2 months

@NotAdoctor0000 There are approx 3000 PAs and not all work on AfC, some are employed via ARRS scheme in general practice. Please explain the maths as to how dropping a band on AfC would help pay for approx 75000 Jr Drs?

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Donya Mighty

@dx_mighty

2 months

@Xeon4f145d96s1 @medicalmodelbri What’s the insta @? This really needs reporting to the university.

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Donya Mighty

@dx_mighty

5 years

Congrats to all my fellow UWE Physician Associate graduates - we made it 😄🎉 #UWEGraduation #PhysicianAssociate

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Donya Mighty

@dx_mighty

7 months

I will genuinely call out poor practice and issues of patient safety where I see them. I have no qualms about saying PAs should not be working beyond the intended scope. However some claims being made sound ludicrous and there is such thing as people jumping on bandwagons. (1/2)

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Donya Mighty

@dx_mighty

8 months

@anonPA5 @AnahitaS @timricketts_ Feel free to share any further insights. I have nothing to hide.

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Donya Mighty

@dx_mighty

8 months

@zafarhashim_INR Susan (and co) could have just asked me outright though and I would have told them the truth. I have never messaged an anon account to leak any info. (2/2)

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Donya Mighty

@dx_mighty

10 months

A very interesting thread. As someone with experience as a physician associate and now studying graduate entry medicine, I would largely agree with what has been said. It’s important we have these conversations.

Michael FitzPatrick

@DoctorFitz

10 months

I'm not going to comment on the tragic PE case directly, but I do think it is important to debate how PAs are supervised and regulated. Lots of interesting comments and threads about it, although too many filled with unnecessary polarisation and vitriol. 1/x

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Donya Mighty

@dx_mighty

2 months

A thread worth reading. We should all be amplifying voices like Heather’s. Regulation is a good start and a long time coming but there is still plenty of work to do.

Heather Reid

@hkg294

3 months

Don't get me wrong, I'm glad regulation is happening and going forward. But I don't feel like this is a victory or a celebration. I think, as PAs, we need to recognise that a lot of the things that have come to light recently are pretty awful.

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Donya Mighty

@dx_mighty

5 months

The consequence of scope being locally defined. Re: PAs - Not saying everything PAs should be able to do is inc in 2yrs at uni, there will be specialty-specific additional skills learnt on the job BUT there needs to be defined scope in each specialty area agreed on national level

Prof Alison Leary 💙#ProtectNurse

@alisonleary1

5 months

Thank you for those sending to me video of #Nursing Associates taking on full ITU care @uhbtrust its clearly out of NAs scope to do full nursing process The really negative issue is how the senior nurses view nursing practice and how the NAs are being exploited. @BACCNUK

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Donya Mighty

@dx_mighty

5 months

@iDrSunny Yes if medicine was more accessible, easier financially as a graduate with potential additional responsibilities and doctors were treated better by the system, then yes I feel we'd be looking at > 90% of existing PAs that would want to go on to become doctors.

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Donya Mighty

@dx_mighty

2 months

@DrEilidhMaria My bad, I thought we were hoping for FPR and I wasn’t aware that would still be less than the salary of a day 1 PA. To be clear, an FY1 doctor should always be paid *at least* what a newly qualified PA is.

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Donya Mighty

@dx_mighty

8 months

@DrEilidhMaria Thank you. I will need to iron out the details and it is subject to change when GMC regulate PAs but as it stands don’t need to log hours worked as a PA but I do need to log 50hrs CPD each year and do an annual reflection. CPD gained whilst working as a doctor should count.

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Donya Mighty

@dx_mighty

5 months

Obv a lot more additional content in medicine compared to PA. But just my thoughts re: the way medicine is taught and how potentially could be done in less time if focus more on the clinical experience and learning through seeing patients rather than so lecture heavy

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Donya Mighty

@dx_mighty

5 months

Confirmation that it’s not PAs themselves or their GP employers deciding on PA scope of practice. In fact their GP employers are being told to utilise them in this way in order to access ARRS funds.

🐼 Parody RCGP (not a doctor)

@Parody_RCGP

5 months

Thread 2/243 Page 92, B6.2 is interesting* Note how it says MUST. *The word interesting is doing some really heavy lifting.

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Donya Mighty

@dx_mighty

8 months

@timricketts_ @Molly2323232323 @FPARCP @RCPhysicians @DrAsifQasim @UKGastroDr @TomStocks1982 @Dr_Done_ @ExplosiveEnema Look at the FPA standing orders document from 2018, approved by the RCP Council. States President of FPA will be member of RCP Council and RCP MSGE Board. This has been happening for the last 5 years at least, it isn't new.

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Donya Mighty

@dx_mighty

2 months

@Adam_Skeen I think leadership has a lot to answer for but honestly I do think vast majority of our PA colleagues just want to do their jobs and have naively trusted leaders, with little power to change things themselves

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Donya Mighty

@dx_mighty

5 months

Many people learn better in practice rather than via lecture teaching. I found learning experience easier during PA as a student with SpLD. Perhaps ‘on the job’ aspect of PA helps accelerate the learning? May be why Drs struggle to understand how PA could learn so much in 2yrs

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Donya Mighty

@dx_mighty

7 months

@ExplosiveEnema @fascinatorfun @doctor_dru_ I also hope any PA colleagues wanting to progress further clinically consider applying to medicine rather than working beyond scope. Shortcuts risk patient safety.

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Donya Mighty

@dx_mighty

11 months

@Frankli07435432 That is a whole thread in itself! I will cover fully at some point but in simple terms greater breadth and depth in medicine. However certain practical aspects e.g clinical skills, clinical reasoning were taught better on the PA course in my view.

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Donya Mighty

@dx_mighty

1 year

@rutheberry86 @Lawrenc28443726 I’m a qualified PA and now current 3rd year med student…we have other HCPs such as nurses examine our summative OSCEs for stations involving procedural skills, they obviously wouldn’t have a GMC number but are of course competent in the procedure they are examining

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Donya Mighty

@dx_mighty

8 months

@ExplosiveEnema @timricketts_ @Molly2323232323 @FPARCP @RCPhysicians @DrAsifQasim @UKGastroDr @TomStocks1982 @Dr_Done_ It takes 20 fellows of the RCP to call an EGM so if the majority think it’s absurd for a PA to be a member of the RCP council, you know what to do 🤷🏽‍♀️

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Donya Mighty

@dx_mighty

11 months

@Dr_Done_ Of course, it’s not in the scope of a PA currently, so I wouldn’t do that.

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Donya Mighty

@dx_mighty

5 months

Conclusions: 1. Better funding for UG med & GEM 2. Start trust/region based sponsorship for existing HCP to study medicine part time funded in return continuing to work in existing HCP role part time and for x years NHS service afterwards 3. Start part time GEM option

Donya Mighty

@dx_mighty

5 months

Agree not helpful right now from NHSE, however there are many PAs who would go on to become drs if the pathway was more accessible / easier financially. My insta DMs are testimony to this with hundreds of messages from PAs/PA students that are considering/applying to medicine

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Donya Mighty

@dx_mighty

6 years

The first UWE Physician Associate Society Student Study Day was a huge success 👏🏽 thank you to @UWE_AHP @jstjohnmatthews @griffiths_marc and @UWEPASociety really looking forward to next years event!

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Donya Mighty

@dx_mighty

2 years

@danny_mercer @noodles_nood @nobbysolano123 I just find it quite inflammatory how people keep questioning PA pay specifically when there are many other roles that are also paid band 7. For example, in many trusts trainee ANPs get paid band 7 and band 8a when they can prescribe. 1/2

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Donya Mighty

@dx_mighty

5 months

@ollieburtonmed @ABarotchi1 Oh this is ridiculous. There is no possible justification to pay ANP/PA more than SpR. Wild. Trusts need to stop doing this, it’s really not helping the situation.

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Donya Mighty

@dx_mighty

5 months

@Gc9100 Whoever wrote the case could at least get the job title correct though. It’s physician associate.

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Donya Mighty

@dx_mighty

5 months

@Bonivorlewis @DaveParaACCP_AA Can we really question this when it is more than the % doctors who responded to the initial consultation on regulation? There are issues to resolve and both PAs and Drs should be putting pressure on govt/DHSC/NHSE/royal colleges to resolve these before pressing ahead w/expansion

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Donya Mighty

@dx_mighty

7 months

There are many people that have an issue with the entire existence of the PA profession and therefore it is not and should not be controversial to want further proof before believing everything that is being posted online (2/2)

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Donya Mighty

@dx_mighty

8 months

@BMA_James_Steen I think there needs to be further patient education on the additional roles that work within healthcare so that they’re well informed who is seeing them always. Always receptive to other suggestions for when I’m working in my PA role too? Transparency is key (2/2)

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Donya Mighty

@dx_mighty

7 months

I don’t disagree with much of what you’ve said, but can you clarify if you’ve sat the PA nationals and worked as a PA @doctor_dru_ ? Studying the PA course is very different to working in clinical practice as a PA and therefore insights into the role differ.

Dru

@doctor_dru_

7 months

I have struggled to come up with the words for the PA doing neurosurgery & boasting about how they’ve no formal training and are just “learning on the job”. For anyone who doesn’t know I trained as a PA and am now a doctor. I think this is patently ridiculous & dangerous.

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Donya Mighty

@dx_mighty

5 months

@NHSHandSan Assuming she means structure of day to day tasks/job plan differ from the Drs. Not that the Dr couldn’t also do those jobs. And this would be the point of a support role. To pick up tasks that are time consuming & don’t necessarily require Dr for but escalate if/when appropriate.

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Donya Mighty

@dx_mighty

8 months

@Molly2323232323 @ExplosiveEnema @DocEd @BMA_James_Steen Because it was clearly a practice that wasn’t going to be supportive to the needs of the PA. 3 distinct job roles with different scope. It was clear the practice wanted to see how much they could squeeze out of a PA/ANP so that they could save money in comparison to GP salary

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Donya Mighty

@dx_mighty

5 months

@DrEilidhMaria Don’t think that’s true. As a med student that has also rotated through GEH & spent time on AMU there. They have some PAs working among the acute frailty team. But unless things have changed drastically within a v short space of time, there is no way half the AMU is ran by PAs.

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Donya Mighty

@dx_mighty

5 months

@dobbyjog Oh I agree, I was thankfully able to do GEM after PA but many can’t and as you’d expect will have additional responsibilities by this point (mid 20s+ at the earliest if they’ve done BSc, then PA). Medicine 100% needs to be more accessible.

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Donya Mighty

@dx_mighty

2 months

@iDrSunny This is really not okay. The practice need to educate their own reception staff ASAP. Patients should be able to request an appointment with a Dr when visiting their GP surgery, and their request should not be met with resistance by reception staff.

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Donya Mighty

@dx_mighty

5 months

@ExplosiveEnema @IncogAssociate You can’t defend the indefensible…

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Donya Mighty

@dx_mighty

5 months

@iDrSunny Can categorically say this is not true. We were taught about drugs & pharmacology as PA students yes, but no we were not taught how to prescribe. Feel like he’s got very mixed up in what he’s saying… or is very confused.

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Donya Mighty

@dx_mighty

5 months

@iDrSunny Problems with the infancy of PA - lack of regulation or guidance on defined scope and there being a ceiling clinically

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Donya Mighty

@dx_mighty

5 months

@DrGrumpy You campaign to get it changed, you don’t just make up a title that you like. It’s also not physician’s assistant in the US either, it’s physician assistant over there. I passed the physician associate national exam and I studied physician associate studies.

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Donya Mighty

@dx_mighty

7 months

@doctor_dru_ Yes I’ve just caught up with the recent posts re: GSTT. I’m a bit dubious of anon posts without any concrete proof though, especially as this particular idea seems WILD. Perhaps FOI request to the trust would offer some further insight.

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Donya Mighty

@dx_mighty

8 months

Forgot to post this at the time! Earlier this year I had the privilege of presenting my research at the RCOG World Congress. Top scoring abstracts, (including ours!) were published in the British Journal of Obstetrics and Gynaecology (BJOG) #WomensHealth

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Donya Mighty

@dx_mighty

7 months

@ExplosiveEnema @fascinatorfun @doctor_dru_ I’ll be honest, I was told the same during PA training about the job being what we make it. To be clear, there needs to be a defined scope for PAs to work within. For clarity within teams and for patient safety.

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Donya Mighty

@dx_mighty

5 months

@timricketts_ @LukeAmos__ I just don’t buy that argument Tim. It’s like saying once you decide to become a nurse you can’t progress to become an ACP. Makes no sense, we should be championing progression not telling people to stay in their lanes.

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