What's up guys! My name is Kenji and I am a doctor working in London after graduating from the University of Birmingham with a Bachelor's degree in Medical Science (BMedSci). Getting into medical school wasn't easy for me at all so I decided to make a channel where I can share my tips and experiences to you guys and hopefully help you in some way.
If you'd like to join me on my journey to becoming a doctor then please subscribe and hopefully we can help one another :)
Have a look at my website for more information: www.kenjitomita.co.uk
An analogous resentment exists with BEng engineers 'hating' plumbers and installation/repair-technicians calling themselves 'engineers' and making a better, less stressful, living in some cases. So I find it ironic, and understandable, that some engineers becoming PAs creates an analogous resentment from doctors. But at least doctors maintain their professional title and status.
PA is a cheap and unsafe replacement for the Qualified Drs. They have No Governing Body, they have No Appraisals, if they make mistake - then Senior Dr on shift or in GP Practice is at fault and prosecuted by GMC. As they are Not under GMC- then technically and legally by default the PA cannot be prosecuted or suspended, and Practice or Hospital will struggle to get rid of PA as they will claim endlessly "unfair dismyssal" card. PA is the END of NHS. I would live to have Physician Assistant who would type my notes and referrals and would physically take bloods from patient and later will show results to me so I can check them before the end of the work day.. I need Physician Assistant and do Not need Physician Associate.
After completing biomedical degree if i want to entry into medicine than what will be the total cost for medicine degree? As i m a international student
I work as a registered Biomedical Scientist in the NHS and I really enjoy my job. Very different process to medicine but we always have the patient in mind. My salary is ok, I’ve been qualified 2 years and last year with overtime and on-call payments I earned almost 40k. The money isn’t the be all and end all for me, I’m in it for the patients 😊
I need some information regarding my future career pathway on biomedical science. Currently, i am studying in bachelor of biomedical sciences from university of bedfordshire . After completing my graduation what will be best for me? My degree is ISBM accredited.
In undergrad, in the United States, you have to take science core classes for the PA program. Chemistry biology anatomy statistics and some higher science course's like biochemistry upper level
As a doctor maybe you can answer this question. A doctor and/ or nurse, etc job is to help people regardless of age, colour or gender, etc. Some of these people specialise in an area. Why do some doctors/ nurses choose to work with children only? When a their job is to help PEOPLE? I can understand not wanting to work in a different area, but why would they refuse to work with adults in their area. How is a child with let's say diabetes any different to an adult? The care might be different but the initial problem is the same for both.
If I’m the best in the world at tennis that doesn’t mean I should go play baseball, can I???….. yes but to make sure we win doesn’t it make sense to go get Jose altuve?
As a current student I can testify that NO, best quality isn't even remotely their priority. What you pay is worth half of the money you spend if not less. And those who aren't wealthy, are happily thrown to the curb. Moreover, bear in mind that whatever fee you see now will increase almost twice yearly. And the contents of lessons will not improve. Administrative staff will drive you nuts, and if they make any mistakes you'll be the one paying. I'm getting out of there ASAO. Not to mention that, unless THEY really like you or you are an expert brown nose, irrespective of how good you are, your grades will be affected and won't ever see a distinction. On the other hand, if you are white and/ or wealthy you'll see distinctions coming at you like tennis balls.
Ex nurse and current patient who GP describes as a "complex case". I refuse to be seen by a PA instead of a GP. I have multiple conditions including a rare one, and there's no way a PA could safely diagnose me. I did once have an appointment with a PA who i thought was a doctor training to be a GP. Luckily for me she did ask the GP for advice, but her lack of quite basic knowledge was concerning.
If a doctor hates a PA… there is something wrong with the doctor. The person doing the hate is always in the wrong. Its a healthcare team now not a dr only team. Doctors that have this thinking are horrible to work with or upset they did a bunch of schooling and people are not kissing their feet like the old days. There is a reason a Pa education is popular and why the 2024 match had a bunch of open spots left lol.
Please have a look at the job market right now for FY3s, it is not the same as it was when I was an FY3 (good 5 years ago). Have a look at JCF roles being taken up left right and centre, I would hedge your bets to either save a tonne now as an FY2 if you want to chance it with locumming or start applying for jobs now. I would have a look at Australia as well in all honesty (not as much admin burden costs as a fresh PGY unlike me as a GP who would be looking at around minimum 10k in costs to transfer my qualifications). I am so sorry that the job market is so shit for you right now, FY3 (and 4) were some of my best years and allowed me time to be me. I am just looking out for you, and the realities of the job market right now. All the best xxx
We have PAs and NPs here and now nurses can get a DNP, doctor of nursing practice. What bothers me are chiropractors calling themselves chiropractic physicians
PA's are just fine for treating minor everyday ailments. Once you cross over into a chronic disease state like diabetes, forget about it! I find it to be extremely dangerous!
true. the problem is that all that Prof's and Government and MP's they will never see the PA's - they will see highly qualified 20+ year experience GP from Harley Street in London, the rest can see the PA's
Thanks,Im a premed after Covid furlough .I was in college before in the 90s electronic engineering.I never really thought about proper grooming since NYC everybody is so buisy and nobody pays attention to those things I thought.
The same type of problems exist here in the USA with the PA/NP dispute and the residents or training doctors pay/treatment/responsibilities. Leaving the NHS for the USA at least isn't better or the grass really is greener on the other side.
I see many other videos like this and even though author says, im not biased, some statements blur the line as such.. Here in the US.. Both PAs (physician assistant/associate student) and Medical students have the same prerequisites to entire their program. Both can have a art degree or a science degree as long as they meet science prerequisites. Both are very competitive to get into.. (PA schools require prior health care experience, Medical schools may require research or community service etc.) Medical school is 3 to 4 yrs (3 yrs for accelerated tracts in GP/IM, OBGYN, Pediatrics and psychiatry which are growing in numbers).. PA schools take approx 2 to 3yrs the work force as a general practioner with the ability to specialize in any area.. Notably: PA schools are accelerated with only 1-2 wks break in between semesters.. thats what makes it 2 to 3yrs long.. The same for 3yr accelerated Medical school programs vs the traditional 4yr medical school programs which have considerable more breaks especially in the 4th year which can be used for research or subinternships and interviews for residences At the end of both programs, both PAs and medical students are GPs.. YOUR TRAINING DOESN'T BEGIN UNTIL RESIDENCY.. Residency training ranging from 3yrs for Family medicine or IM or EM to 8yrs for Neurosurgery.. PAs don't have residences and entire the workforce with limted knowledge with the expectation to grow that clinical knowledge and expertise overtime within their specialities.. Both newly minted PA snd residents are and should be supervised. As both gain more clinical knowledge, the more autonomy is given.. I don't believe a PA thats has been working the same specialty for the past 5 to 10yrs (except for the surgical specialities) should be supervised or micromanaged just as much as a resident who trains for 3 yrs is no longer managed after their 3yrs..
First of all, the title is part of the problem. First it was physician assistant. Now they are trying to change it to physician associate, already blurring the lines and confusing patients. Next they will want to be called physician. No thanks. I’ll just call them midlevels if they gonna be like that.
I know nothing about medicine. But I have read around this subject. I wonder why the government decided to start the PA’s on such a high salary, knowing how little doctors are paid. Some people have asked in the comments section that we should be asking why doctors are paid so low rather than questioning the higher wage of PA’s. But doctors came before PAs so the question really should be the other way round. As I said, why is the pay for PA’s so high when the responsible bodies know that doctors are paid a lot less? What does that say about the value placed in GPs versus the value being placed in GPs. And why are they making the PA role more desirable than the GP role based solely on pay?
Easy way for the government to say they're increasing the numbers of healthcare staff. Should also point out that the role was taken from the physician assistant role in the US. It works very well there but it's very different. their training is much more thorough. They eventually changed the name to physician assistant here. the UK PA degree isn't recognised internationally so they can't use it work abroad like drs can.. There's a lot going on but I think it's safe to say if you change the name from "assistant" to "associate" it is blurring the lines in terms of who patients think they're being seen by. The gov are essentially filling the gaps with a workforce that can't leave when they want to. With the changing of the name as well, patients will think they're being seen by Dr. Further more the funding is a big thing. NHS England have ringfenced funding for PAs. A consultant needed more regs on his ward but when he asked for me, he was told there's no money to create a Dr job but there is money to employe PAs. Some of the senior staff are enabling this as well because PAs don't rotate so consultants are more likely to invest in a someone who will be there for more than a few months. The thing is a complete mess.
A Junior doctor in the UK is basically a residency doctor in the US, and although they are paid more than the UK junior doctors, you don’t start earning good money until you become an Attending Physician, and the US also have PA, but the medical associations have learnt to blur a line between the two professions, I believe that the US health system is by far better than the UK, so how about the UK let go of pride and learn from a country that has had the PA profession for over 100 years.
When i’ll start working as a doctor, i’m scared of that exact situation u described. a PA pressuring me to perform tasks they legally cannot, perhaps with the justification of “it’s what the consultant ordered”. Does anyone have experience with handling that type of situation? I would solve this by calling the consultant to clarify and to state that i’m not comfortable signing stuff for patients i haven’t seen particularly bc of my lack of experience. But i’m worried that this could ruffle some feathers as in the PA being upset bc they think i don’t trust their judgement and my other colleagues thinking i’m miss self-important.
What I did in these circumstances was read through the notes of the patient to clarify. If I can’t find a documented plan from the consultant or a plan that makes sense to me medically, I simply say I’m not comfortable doing so for that reason and there’s never been an issue. This is the same case when I’ve had nurses ask me to prescribe things on behalf of a seniors plan. No documented plan (that I agree with), no prescription. You don’t necessarily have to have seen the patient, as long as there’s been good documentation. Also, people should never pressure you to do things, doctors or not. Always act within your competency and don’t allow anyone to rush you
UK PAs are vastly different than US PAs. Way different scope of practice and training. PA training programs in the US are very robust and prepare the PA for high level acuity practice. As a PA in the US I can practice in any specialty. Further, we have NCCPA and AAPA governing bodies and board certifications in place. It sounds like the UK has a lot of growing to do if they want the PA career to grow.
“Practice in any specialty” is very misleading. Just like the creator said, PAs assist physicians. This includes the US. Also the pay scale is more justified to the amount of training for each medical profession
@@DFOlover1 how is it misleading? We literally can practice in any specialty. PAs in the US have great autonomy and in some states don’t need a collaborating physician.
@@DFOlover1It isn’t misleading at all. PA’s within the US can practice in w/e speciality piques their interest & can move to another if they want a change. They also have a lot of autonomy in many cases. The physician is not hovering over their backs. They can even open up their own clinics & hire MD’s & other medical staff to work for them. I very much rather to see my PA than my doctor personally. She’s amazing.
@@dtae7855 what you’re implying as “hovering” is a safety net against patient misdiagnosis and harm. Also it wouldn’t make sense for a doc to work for a PA since CEOs don’t typically make less than their staff. I’m sorry your experience with a physician was less than stellar, but your situation does not reflect the populations’.
We deserve hell we deserve to die we deserve to have the wrath of God upon us because I have sinned I displayed God's commands and lived life for the devil and for yourself and for that we deserve to perish. But YHWH is a merciful and gracious and loving God that He sent His son. His only Son Jesus to save us because He loves us, Jesus dies for you because He loves you, did you know Jesus could've asked 72,000 angels to stop His crucification from happening. but He didn't because the love that He has for you THE LOVE THAT HE HAS FOR YOU bro it is undescribed to big to comprehend. Every whip and beating that had placed on His body was our sins and He washed it away with His precious and powerful blood. You can. Literally repent and because born again and live a Holy and new life because of God because of Jesus. Glory be to the Lord God of the Most High. So that you can have a relationship with Him. A relationship with a Holy King a Heavenly Farther, and you as His child, He also rose again to show that He is The I Am and that He is God and to have a personal relationship with Him. Believe in this good news believe in Him and shall have everlasting life and not perish. EVERLASTING LIFE. I was in the world thinking it was okay to listen to witches and my own flesh and not Truth but the Lord saved me. And now I know the Truth and He has changed my life and if He change my life can't He change yours. Hebrews 13:8 Believe and surrender your life to Him it is worth it. Jhon3:16-17 Mark 5:36 Luke 19:10 Jhob 10:11 Isaiah 41:10 Mark 7:7 🩷 He who has an ear let him hear
It’s simple. The healthcare landscape has already begun to shift in the last 10 years towards use of APPs and less use of physicians. This happened as private equity begun to take over hospitals, urgent care clinics and ERs. The good old days are over.
Why hire an expensive physician When i can hire a cheap PA Patients safety? PFFFFT BOHAHAHAHAH AS IF I CARE Private equity I can already see a future where 1 physicain leads 5 PA instead of residents
why are don't doctor always demanding pay rises? There are so many other staff in the NHS who work just as hard or if not harder than doctors. I think nurses, PAs, HCA and Physios should be paid as much as doctors if not more.
PAs rebranding to "associates" instead of "assistant" is a deliberate attempt by PA accrediting bodies to blur the line and create confusion for patients. if I was a patient and knew nothing about healthcare and I saw "physician associate" i'd assume I'm seeing a doctor. but I'm not. The idea is to create the impression that they are doctors, are doing doctor work, and should therefore be compensated similarly to doctors. they're trying to shortcut the process to become a physician. everybody want to be a doctor but nobody wants to lift no heavy ass books. I don't hate PAs, and I think PAs have a critical and vital role in healthcare. in fact I know plenty of knowledgeable and great PAs. but PAs should not overstretch their practicing rights and do things that their training does not prepare them for. this isn't a matter of ego or me hating on midlevels. it's a matter of safety for patients. I hold the same view with regards to NPs, which is arguably an even greater problem than PAs, especially here in the US. Their training has no standards, where fresh grads lack the very minimal competencies to deliver bread and butter care. i highly recommended the youtube channel "Patients at risk" on youtube for a more in depth discussion of why midlevel encroachment is insanely dangerous for patient safety overall
It does take to long to train unless you start immediately after highschool to go to 4 years of college and 4 years med school and thennn 3-7 years of residency by that time if you make it through you’ll be 28-35 years old and then you don’t even see money until you finished the residency your which is the 3-7 years hahaha
I think what this fails to encapsulate is the fact that admissions into PA programmes require a degree in health or life sciences degree, so that’s biomedical science, nursing, physio. Saying only 2 years experience feels short of the many years of experience some had had prior, a PA who’s newly qualified but has over 20 years of experience as a nurse is still a VERY experienced and knowledgable practitioner
I see your point, but in the last few years in the NHS I haven’t met many PAs at all who had a long nursing background. Experienced nurses tend to go for ANP roles, not PAs. In the case of ANPs with long nursing background I partially agree with you, although that is a whole other nuanced topic. I’d be interested to see what others have seen in their experience
1) Why the name change from assistant --> associate in the first place ? Only acts to artificially inflate trust in the role by blurring lines, an associate physician is a highly experienced DOCTOR 2) If you put multiple barriers in front of incredibly hard working and academic individuals who care about what they do, but don't put these barriers in front of less qualified people, what do you expect?
1. It was strongly suggested from within the DHSC that the term 'assistant' would hold the profession back from becoming regulated, as it was perceived at that time that 'assistants' did not need to be regulated. 2. I'm not exactly sure what barriers you mean but, the ceiling for progression for PAs is much lower than for doctors. However there definitely needs to be an agreed scope of practice for PAs to not take on opportunities and work outside their limit of practice.
I am a premed student.Here in The United States is all about money,time for training.American students are lazy don't want to study ,just want the title they don't care it would be dangerous to the patient.There is widespread cheating on assignments tests.This fits with goals of the insurance companies,hospitals the schools having more spaces for PAs to drive down pay ,they don't care if it is dangerous to have PAs do critical work better suited for Drs.
Surgical physician assistants and surgical nurse practitioners are allowed to be in the operating room by themselves as long as there is a circulating surgeon work on the case. For example if you take a bathroom break the first assist fully takes over case and the 2nd assist becomes the first assist. It’s very uncommon for a back up surgeon to be a physician at least in the US. The cases where cases where a surgeon will assist another surgeon can be if a spine surgeon needs the anatomy he or she is operating on. It’s very common for urology to get involved in s general surgery because the ureters are always getting punctured. The issue with a majority of PAs is that medicine is just their “9-5”, they don’t have clinical and academic obligations like a doctor and there a-lot less conscious of maintaining standards of care in this every evolving industry. The fact that they make how much they make without the fear of losing their license and hospital duties is that are placed on a physician. Ultimately mid levels will only grow because they provide cheaper labor. The medical degree is going to become s leadership degree in future, in my opinion. While the non physician practitioners will be the first person you see at the hospital. Ps kenji, I’m sorry for missing the payment on the writing course.
I agree I think there should be clearer guidance for supervision especially for newly qualified PA's - I have seen a GP practice who offered a preceptorships scheme which involved specific training for a newly qualified PA in GP. I think in primary care it is very dependent on the supervision - as you can imagine even for a F1 you would want to be supervised closely. There are some senior Dr's who are putting PA's in difficult positions. I have seen highly competent PA's working in a practice for years and have been promoted accordingly. It is dependent on the PA/ amount of supervision contact. I am hoping when regulation occurs - they will be stricter guidance for newly qualified PAs. Regarding GMC - hardly any patients know what a GMC number is. I think regulation is a much needed step forward. I don't think its blurs any lines - a PA should always ensure they introduce themselves - in my experience this has been the case. The GMC have confirmed the choice of regulator will not be changed. This was agreed in around 2019 - however the debate has heightened in the last year. Although very unfortunate, I disagree with individual cases - as Dr's make mistakes too. I don't think it is fair to generalise to the wider profession. There are many cases were Dr's were involved in never events. Agreed working within the right capacity + supervision needs to be ensured! Dr's 1000% need to be paid more but that is not the fault of PA's. Other allied roles - speech and language therapists/ nurses also earn more than newly qualified junior drs. PA's are paid fairly - junior dr's are paid incredibly unfairly fpr years. Definitely I agree all HCP's should be respected :) I personally do not thin there is a plan to replace Dr's - there are approx 3000 PA's in the UK + over 300,000 Drs. I think there is a role for PA to positively contribute to patient care - as you mentioned longer waiting times, increasing ageing population etc. There is alot of work to be done - I think roles like ACPs/ PAs can help. The other issues will help ease tension - if Dr's were just treated alot better as they deserve!
Completely agree, there needs to be more differentiation between an experienced PA and a newly qualified one. A standardised preceptorship would help massively for other professions to understand the differing levels of experience PAs can have.
@@kurukulle5294 This was in 2015 - a DVT was missed by 2 GP's. My point was 1 incident cannot be generalised to a whole profession. All these cases are incredibly unfortunate. "Mrs H went to the Practice in summer 2012 with pain and swelling in her left leg. The first GP warned her of the possibility of a DVT and prescribed painkillers. Mrs H was still in pain and returned to the Practice a few days later. She saw a second GP who thought she might have a cyst behind her knee, and prescribed more painkillers. Mrs H remained unwell and was admitted to hospital nine days later. The following morning she had a pulmonary embolism and died."
@@kurukulle5294 "In the early hours of 20 December 2017, S awoke complaining of pain in her right calf, chest pain, shortness of breath, and heart palpitations and asked her husband, M, to call an ambulance. To save time, their neighbour, a taxi driver, took them to A&E at Kingston Hospital. She was triaged before being seen by a junior doctor, who noted the history of DVT but performed no examination of her calves nor an assessment of her vital signs. She diagnosed S with an ear infection, despite there being no evidence of any abnormalities in her ear or throat. She was discharged with a course of antibiotics and to attend for an ECG test. Over the next 2 months, S attended her GP as her symptoms continued.' The pt suffered an extensive PE.
