Are Physician Associates Replacing GPs? | PAs vs GPs | Physician Assistants | General Practice скачать в хорошем качестве

Are Physician Associates Replacing GPs? | PAs vs GPs | Physician Assistants | General Practice

Recently there was an article by the BBC discussing the role of PAs in general practice. The article discussed the use of physician associates, who are not doctors, seeing patients and having a similar if not equivalent level of responsibility as GPs in primary care. All music from Epidemic Sound - Get your 30 day FREE trial by clicking this affiliate link - https://share.epidemicsound.com/qsw1ep Click on the link below to purchase some of the products I use as a GP from Medisave https://www.medisave.co.uk/?a_aid=drp... Timestamps: 0:00 Intro In this video I will be looking at some of the issues the article raised such as: The shortage of GPs at the practice, (not only at this practice but across the UK). How the practice (and potentially other practices) tried to solve this issue of a lack of GPs by replacing them with physician associates or PAs. Some of the issues raised by the staff at the practice. I will also discuss: What exactly is a PA? What role do PAs play here in the NHS, primarily within general practice? The pros and cons to PAs in general practice. 2:11What is a PA? Physician associates or PAs in the name is defined as someone who is part of the multi-Disciplinary Team or MDT, a generalist healthcare professional (who is not a doctor as it suggests in the name). They are grouped under MAPs or medical associate professions which also include: anaesthesia associates (AAs) – known as physician’s assistants (anaesthesia) prior to 2019, surgical care practitioners (SCPs) and advanced critical care practitioners (ACCPs). PAs make up the majority of MAPs and it is estimated that there are 2500 PAs working in the UK. 3:13 What training do they have? Although they have not completed a medical degree and the relevant training pathways, they will be a graduate who has a background in: the life sciences, biomedicine or the health sciences OR they could be an allied healthcare professional such as a physiotherapist or occupational therapist.They would have also completed a two year Masters degree in physician associate studies. There are more and more courses now in the UK (number?). For example the MSc at Queen Mary University London, describes the MSc as a ‘fast-paced and intensive 24 month course’. 4:05 When was the role introduced? In the UK, physician associates were introduced during 2003, in the NHS, although those of you based in the US, will be more familiar with the role of a PA, as this role was developed in the US during the 1960s. They have their own professional body which was introduced during 2005, called the Association of Physician Associates or UKAPA. 5:58 What do they do? PAs are able to clerk patients - so as you may know, this means obtaining a history and examining patients. They are able to diagnose and treat patients through formulating management plans, performing diagnostic and therapeutic procedures in addition to requesting and interpreting diagnostic studies and provide health promotion advice. They are not able to: prescribe or request ionising radiation such as CXR or CT scans. Importantly they should work with a medical supervisor but they are able to work independently with the appropriate support in place. 6:37 What do they do in general practice? They have a variety of roles as above which includes managing patients with a variety of acute and chronic medical conditions. 7:16 Some of the issues raised in the article: 7:17 The shortage of GPs at the practice, (not only at this practice but across the UK). In short there has been little movement in a positive direction since 2015 of the overall number of GPs. The government pledged to recruit an additional 6000 GPs by 2024 however they are not on course to achieve this goal. 1 in 10 respondents to a BMA survey plan to leave the NHS after the pandemic, and this will probably rise. 9:18 How the practice (and potentially other practices) tried to solve this issue of a lack of GPs by replacing them with physician associates or PAs. 9:48 Some of the staff at the practice felt that the PAs were not fully supported; sometimes seeing patients without supervision and expected to work to the same level as a GP although they were not GPs and not trained to the same level. So, as we have seen above, although PAs can work autonomously they should be supervised by a doctor. 10:18 A summary of the pros and cons to PAs: The length of training, limitations on the clinical care they can offer, support in clinical practice and the cost of studying vs the returns once qualified 12:57 Outro #generalpractice #physicianassociate #physicianassistant