ExplosiveEnema
@ExplosiveEnema2
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Certified installer of Overton Windows | Archive: @ExplosiveEnema
Siberia
Joined January 2024
But they didn't just abandon Drs They abandoned the PAs who they spent the past decade lying to. And now we have a cohort of graduates facing anxiety around job losses while College Leaders clink wine glasses in Grand Halls congratulating eachother for a job well done Cowards
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So you pop in for your lip filler, have a chat about that medical condition that’s been bothering you for a couple of weeks, no doubt I can probably diagnose it and prescribe something for it, and send you on your way. What could possibly go wrong?
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That is how I view complimentary care☝️ Yes there may be issues about scope where professions truly overlap. Yes I don't love using Consultant in this context. But my use of complimentary is distinctly different from placing on the same rotas seeing undifferentiated patients👇
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Another positive use of Physio Advanced Practice to optimise patient care Advanced Practice should create world class Physios, not fake Doctors Complimenting not replacing https://t.co/C3nWgFMMUn
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@jinnieshinnie As an ANP I definitely don’t want to get rid of doctors. And I definitely see our role as working alongside you. Not taking over. We are concerned about us being used to replace doctors. We must fight management/ government to stop it together x
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So I sometimes take a break from X. You know why? It sometimes gets too hot. Not just for me, but for others who are assumed to be me. My email has been hacked. My 2FA has been attempted. Others have tried to link mobile nos. I am still here. Take a look at this. You fuckers.
I had the VP of AAA (@ukmat82) repeatedly ask me for my name today. He also repeatedly asked for another anon’s identity, & tried to dismiss anons for being anonymous. I want to draw attention to this post, where a senior consultant & TPD feels unsafe speaking out in the NHS 1/
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There’s an IMG ED consultant on Facebook who has decided to create a custom “course” (uncertified and uncredentialled) called London Global Emergency Medicine which claims MRCEM is only 20% of the LGEM and that it’ll help IMGs get a job. @parthaskar
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Brilliant example of Advanced Practice Leveraging the expert knowledge that Burns Specialist Nurses bring to support wound care in complex burns patients Building upon their base nursing knowledge to support patients and bring a *complimentary skill* to the wider MDT
UK's first burns bus saves patients long journeys
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Sensible view here from an ex-ICU nurse FY1. Like myself, a previous BSc (Hons) ODP with 13 yrs’ experience before late-entry medicine, I would never have considered myself safe giving an anaesthetic even if I had gone the AA route. Only a doctor can work at a doctor’s level!
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I found out the person I thought was a reg for 2.5 months and allowed me to document ‘SpR’ is actually an ACP who’s on the reg rota 😭😭
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If you are a GP who is ordering MRIs without examining the patient take a long look at yourself. I am out here defending the profession and you are making it harder.
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@DrVoles GP sent referrals to Head & Neck team for ?cancer for 2 patients. One seen by a PA & another by a Speech & Language Therapist! If hospitals won’t allow referrals from PAs/AHPs as risk of inappropriate referral, General Practice should consider the same https://t.co/z5iL2ko8Q8
@DrNeenaJha I have seen two patients over the past week referred to head and neck ? Cancer and both were seen by non doctors. One was a PA and the second SALT. This needs to stop @wesstreeting
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@barra_mac @wesstreeting A Speech and language therapist and a PA being asked to review a new potential diagnosis of a head & neck cancer??!! No doctor involved at all?! This is actually criminal. How on Earth do they feel competent doing their role with no medical training?
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@DrNeenaJha I have seen two patients over the past week referred to head and neck ? Cancer and both were seen by non doctors. One was a PA and the second SALT. This needs to stop @wesstreeting
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I know there are strong opinions about Physician Assistants here. I've copied a message I have shared with some local GPs about an issue I experienced today. Some hospitals won't allow referrals from PAs or even other AHPs. Should General Practice be considering the same?
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@alisonleary1 @ollieburtonmed @AliJaneMoore Sorry, I may have missed it, so a simple yes or no to clarify: 1. Are the examples cited above (where ACPs are rostered into medical rotas) dangerous as ACPs are medically uniquely? 2. Do you then think ACPs should be restricted to advanced practice within their own discipline?
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An "expert" on NHS workforce uses "trust me bro" to claim ACPs aren't working as Dr replacements Then gets shown numerous examples and refuses to answer The sign of an academic is someone who changes their mind when presented with evidence Anything else is dogma
@alisonleary1 @ollieburtonmed @AliJaneMoore Sorry, I may have missed it, so a simple yes or no to clarify: 1. Are the examples cited above (where ACPs are rostered into medical rotas) dangerous as ACPs are medically uniquely? 2. Do you then think ACPs should be restricted to advanced practice within their own discipline?
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The UK is projected to be short of 11,000 medical consultants by 2048 It’s no coincidence that there are THOUSANDS of unemployed doctors, ready to train to be the consultants of tomorrow This is not poor work-force planning, it’s by design - to create a two tier health service
More than 7 million patients are stuck on waiting lists, yet medical students and doctors are facing unemployment. A recent @TheLancet study predicts the UK will be short of 11,000 consultant physicians by 2048. The government must act now to fix this crisis.
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An observation from meetings I attend.. The message of doctor replacement is spreading quite quickly It’s fascinating to see the reaction of those who are starting to do so Those who believe there will be enough senior doctors to supervise anyone & everyone ahead of doctors?
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@ExplosiveEnema2 What I find terrifying is that this type of proper robust analysis so well done by Anisocyte should have been done by @NHSE_WTE , the colleges, @RCEMLearning , @theRCN and trusts. I implore them to show proper evidence and risk assessment but I fear no one else has bothered
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