@willtube4food a brave tweet! I personally have very little time for consultants who don’t prioritise their trainees, but sadly it happens way too much. Until we reenvision what training looks like, the conflict of interest will only worsen.

@ronanlyne Training is a core part of medical practice, it should be about ensuring the future of quality, physician lead, care.

@willtube4food I'm really skeptical of the "physician vs everyone else" mindset this can create... perhaps this is the time to explore perioperative medicine vs anaesthetics etc rather than marginalising a relatively new group of HCP who might just help a *lot* right now in shortage specialties

@Louisdebernard They aren't remotely new. Mid-levels have been a thing in the states for years where they deliver more expensive, poorer quality care than physicians but do contribute to burnout.

@willtube4food I'm FY1 & just did a weekend on take w) 3 receiving wards. This wknd NPs couldnt prescribe/order scans/refer. I carried the page and was handed all their admin work. I clerked 1 patient. They saw countless & discussed plans with reg/consultant. I'm a trainee & I learned nothing.

@Jamespgsd Unfortunately not uncommon. When this is raised to people (including heads of colleges/faculties) it's always claimed you havent got direct experience of working with them.

@willtube4food This is scaremongering at best, AAs have facilitated far MORE training than have ever taken away. With the demands on the workforce, AAs are part of the solution, not the problem.

@ukmat82 It's not scaremongering when there is a literal example of it quoted. AA's don't facilitate training, the lists they do are the best ones for anaesthetists to gain experience of running their own lists.

@willtube4food Couldn’t agree more

@willtube4food Yip. Need clear clear clear remits and roles, and absolutely stamp out creep when it inevitably happens.

@willtube4food The more bubbly side of me says "well isn't this a good reason to dual in ICM as well" 😉😊

@willtube4food It is simple math that a department of 50 consultants no longer needs 50 consultants if you hire 10 AA’s on a 2:1 model. But the AA’s can’t cover the on-call... so now a smaller group of consultants have to cover more frequent call. And the same idiots are training them. 🙄

@willtube4food Make no mistakes, the radiology/reporting radiographer creep is real! Skill mix is important, but both bring positives to the table. Clear roles and remits crucial.

@willtube4food I thought UK ‘medics were well aware of this; the UK Gov’t has been following the NUM strategy against y’all for some years now...

@willtube4food Hahah. Turkey's vote for Xmas. Extreme role extension is unspoken UK policy. @RCRadiologists Goodytwoshoes cannot see the obvious. Conflict of interests never declared. @BJAJournals

@willtube4food @drjohnhmiller It is happening already!

@willtube4food Perhaps we should be proving why we (physician anaesthetists) are still valuable rather than picking fights and trying to suppress AAs? People like @ukmat82 are much better to have in our team than otherwise

@willtube4food Fantastic! John, I am so please. Pass on my congrat to the whole team!! 🎉