Ali Smith @DrAliJSmith
RIP Frank. Love my grandkids. Anaesthetist in a former life. Want things to be better for younger doctors. Joined September 2023-
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🚨🚨Lost for words again. The danger that patients, like the one below, are put in when assessed by a PA instead of a doctor can lead to serious morbidity or death. Is this what we want for our families? Replacing doctors with PAs will be the medical scandal of this century.
How odd. Blocked for asking a simple question?
How odd. Blocked for asking a simple question? https://t.co/b4B8Ip33Ts
The @RCoANews have published their extensive and carefully-designed independently-commissioned survey on AA's. Main findings - AAs negatively impact doctor training, and expansion is viewed negatively even by those working with them. bit.ly/Commentonsurvey
"Dark times lie ahead of us and there will be a time when we must choose between what is easy and what is right". Even Dumbledore understood this, so why couldn't you?
"Dark times lie ahead of us and there will be a time when we must choose between what is easy and what is right". Even Dumbledore understood this, so why couldn't you?
One day Leanne will turn her attention to her own trade union rather than jealously obsessing over the ours. Can’t blame her given the size of our record breaking third national ballot mandate, compared to their failure to secure one at all.
A lot of talk about how unrealistic it is that PAs would ever be anywhere near the intubation of children... So unrealistic that the London School of Paediatrics and HEE published this document with an example job description…
We are extremely disappointed @AoMRC has excluded @TheBMA from a meeting to discuss MAPs and doctors in training despite the inclusion of other key stakeholders including @NHSEngland, @gmcuk and ATDC. [1/3]
With 3250 PAs currently working in the UK, these data by @Telegraph suggest that at least 15% (likely more) have no relevant background qualification. Degrees such as homeopathy, management and English literature have been accepted. telegraph.co.uk/news/2024/03/3…
As we all knew and expected, the vocal “minority” is actually the vocal majority and the silent “majority” is actually an atom in an ocean. Very pleased to see #RCPEGM motions have passed, despite the leadership’s efforts to influence the vote.
If you're still sitting there wondering if there is a conspiracy to push PAs, you're far too naive. They're openly talking about in and colluding with the GMC. They're actively planning for independent consultant PAs, regardless of what you or I or any mortality stats show.
If you're still sitting there wondering if there is a conspiracy to push PAs, you're far too naive. They're openly talking about in and colluding with the GMC. They're actively planning for independent consultant PAs, regardless of what you or I or any mortality stats show.
I’ve represented the BMA in a meeting with NHSE, GMC and others where the long-held plan for FOUR tiers of PA career development was discussed. The third tier seemed to me pretty much indistinguishable from consultant doctors (with a nod to ‘supervision’ - aka liability) 2/
. @wesstreeting nobody is saying throw the baby out with the bath water re PAs. There is a role for assistant to doctor roles. We are on the same page. But that is NOT, and has never been the plan for PAs, and I think you know that… A 🧵 I hope @UKLabour won’t ignore. 1/
Ok then I am breaking ranks As Councillor @RCPhysicians Open letter to council Time for senior leadership to consider their positions Silence is complicity And that? Isn’t me Enough. #RCPEGM
Happy to announce that @RCPhysicians will publish data from the pre-EGM members’ survey across platforms before 9 am TOMORROW 18/3/24. It should have been out earlier. I am pleased data can be reviewed by fellows before voting for the #RCPEGM motions closes. 1/2
Before being self righteous. May I suggest that you contact your surgery immediately because you are illegally being presented as a medical doctor without any mention of your physician associate title. @gmcuk
Before being self righteous. May I suggest that you contact your surgery immediately because you are illegally being presented as a medical doctor without any mention of your physician associate title. @gmcuk https://t.co/eyHWNfHBSc
I was deeply honoured to be invited to be a keynote speaker at this year's @RCPhysicians annual conference. But after last night's #RCPEGM I can no longer, in all conscience, give my speech. I feel duty bound to share in public my reasons why.
It’s the morning after the night before Frayed tempers & nerves all around It’s now time for the ballot to speak Fellows? Vote My view as Elected Councillor @RCPhysicians? All should pass Esp motion 5 Why? Reason in blog: bmj.com/content/384/bm… It’s for everyone’s sake
I attended the #RCPEGM in person. I came to a conclusion within an hour but sadly was not chosen to speak. I will use this thread (sorry) to explain. 1/n
If the @bmj_latest can carry a piece on the @RCPhysicians EGM on MAPs from the President? It can carry one from it's Councillor too 🙂 Just in time for tomorrow #RCPEGM Some reasons why a pause in rollout IS needed It's for the sake of everyone. bmj.com/content/384/bm…
Sleywhare @sleywhare29643
0 Followers 109 FollowingEilidh 🦀 @DrEilidhMaria
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25 Followers 851 FollowingPartha S Kar 🇮🇳.. @parthaskar
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2K Followers 933 Following MBBS BSc MRCP FRCA PgCert (MedEd). Anaesthetic registrar (ST5) in SE London. Interests: airway, regional, major surgery, echo, ultrasound, coffee, research.ExplosiveEnema @ExplosiveEnema2
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85K Followers 3K Following Consultant Elderly Care Physician in the NHS. Still not an MP. He/Him.Thomas Jacques @mrthomasjacques
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263 Followers 63 Following Physician Associate working within the NHS - protecting the role of PA’s and other Medically Allied Professionals from unfair criticism.Matt Harris ✋ @ukmat82
894 Followers 586 Following Vice President of Association of Anaesthesia Associates. 🏊♂️ 🚴 🏃♂️ and dog+child owner (views my own).K A Y O D E (he/him) .. @teekayoki
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🚨🚨Lost for words again. The danger that patients, like the one below, are put in when assessed by a PA instead of a doctor can lead to serious morbidity or death. Is this what we want for our families? Replacing doctors with PAs will be the medical scandal of this century.
I learned in school that this was called lebensraum in WWII. The levels of irony and sadness in this go so deep. Genocide.
Netanyahu has just revealed Israel will spend 19 billion on turning the Gaza Strip into SETTLEMENTS… Netanyahu said he had spoken with Germany and UK Prime Minister Rishi Sunak about his plans… The plan was never to stop Hamas, the plan was always to take the remaining land…
No you’re right, it isn’t accurate. Because most PAs were rejected from medical school in open competition with med students, and medicine is a vastly more complicated level 7 degree. And our exams don’t have a 100% pass rate like yours, lol. Dr Tom Stocks GMC 7527483 🤡
@DrEilidhMaria @drkeithsiau @AmarHujan Predictable. It's the get-out-of-jail free card now on Twitter: if you can't justify your position, acknowledge or rebut valid criticisms or are caught either in poor behaviour or a lie then you change the topic to 'I'm being abused, I'm being personally attacked' to deflect.
@ClareGerada if only those in leadership roles in GP organisations and national leadership teams could have done something about it I think the overarching plan is to have PAs replace GP colleagues and fill gaps as they are generalists as per PCN plans So- should be all ok?
We have published the findings of our survey of members’ perceptions & experiences of anaesthesia associates. The survey responses have been reported by Research By Design, who conducted the survey on our behalf. The report is available on our website: ow.ly/cIHo50Rc1vf
The @RCoANews have published their extensive and carefully-designed independently-commissioned survey on AA's. Main findings - AAs negatively impact doctor training, and expansion is viewed negatively even by those working with them. bit.ly/Commentonsurvey
@drkeithsiau @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote The experience that your PA gained in their portfolio took away experiences from your trainees. I think it is appalling that as the training lead for your centre- you are taken away training opportunities from Drs.
@_nessx_ I’m on the council of the BMA. I helped to create the document she’s criticising. I’m not smearing, I’m quoting. Please don’t suggest I’ve smeared someone. That’s a serious accusation.
One day Leanne will turn her attention to her own trade union rather than jealously obsessing over the ours. Can’t blame her given the size of our record breaking third national ballot mandate, compared to their failure to secure one at all.
A lot of talk about how unrealistic it is that PAs would ever be anywhere near the intubation of children... So unrealistic that the London School of Paediatrics and HEE published this document with an example job description…
We are extremely disappointed @AoMRC has excluded @TheBMA from a meeting to discuss MAPs and doctors in training despite the inclusion of other key stakeholders including @NHSEngland, @gmcuk and ATDC. [1/3]
With 3250 PAs currently working in the UK, these data by @Telegraph suggest that at least 15% (likely more) have no relevant background qualification. Degrees such as homeopathy, management and English literature have been accepted. telegraph.co.uk/news/2024/03/3…
@HSJEditor Wasn’t sure whether to get into this but an issue designed to change the model of medical care in the UK that’s led to two EGMs is quite a big fish…
As we all knew and expected, the vocal “minority” is actually the vocal majority and the silent “majority” is actually an atom in an ocean. Very pleased to see #RCPEGM motions have passed, despite the leadership’s efforts to influence the vote.
I’ve represented the BMA in a meeting with NHSE, GMC and others where the long-held plan for FOUR tiers of PA career development was discussed. The third tier seemed to me pretty much indistinguishable from consultant doctors (with a nod to ‘supervision’ - aka liability) 2/