
The Med Reg
@MedRegoncall1 • 6,283 subscribers
The Godfather of MedTwitter. Anti-scope creep . We neither confirm nor deny that the Med Reg is a Doctor. Viva La Revolución🦀✊🏼 Viva La Resistencia
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🔴Physician Assistants strike again from the Cardiology department West Suffolk NHS FT 🏳️🌈 This PA has progressed very quickly from seeing patients on the ward with “junior doctors” to acting as a Cardiology Registrar, reviewing inpatient referrals within just 1.5 years! ⭕️ He is performing Echo scans with minimal indirect supervision. Imagine bombarding a patient with four different HEART FAILURE medications just because the PA didn’t assess the ejection fraction accurately. 💀☠️ ⭕️ He is learning Echo on the job, while most echo technicians spend at least one year in a full-time course! ⭕️ Why are you allowing this PA to teach foundation/IMT doctors on the ward? Any cardiology registrars in the department can teach the doctors? ⭕️ He is bragging about “providing continuity of care” while clearly stating that he is spending all of his time performing inpatient/outpatient Echo scans, reviewing patients in clinics, and seeing inpatient referrals. Meanwhile, the junior doctors are stuck on the wards drafting discharge letters and doing routine bloods like ward monkeys. ⭕️ He is planning to get involved in the Cath lab in the near future. This is appalling.
The Med Reg55,891 Aufrufe • vor 4 Monaten

🆘 It is absolutely baffling to see this Physician Assistant bragging about her role in colorectal surgery at Royal Berkshire Trust Royal Berkshire NHS Foundation Trust , She is the first assistant in theatre (a spot historically occupied by registrars and CST doctors) and is looking forward to running her own abscess list ☠️ ⭕️ Imagine having this PA leading an abscess drainage operation with only remote supervision from consultants. ⭕️ She is also supervising junior doctors on the wards, who are left drafting discharge letters for her patients. ⭕️ Do they even have surgical registrars who should be first assisting in operations? At this rate, medical school is starting to look like an optional hobby.
The Med Reg69,096 Aufrufe • vor 10 Monaten

☢️ This elderly patient was reviewed by an Advanced Clinical Practitioner (ACP) following a fall and head injury. And yet Channel 4 is claiming that “THE DOCTORS” did not identify any cause for his fall? ⭕️We don’t even know whether he was seen by a physio, paramedic, or even a pharmacist. ⭕️Does this ACP know how to pick up subtle signs of a posterior circulation stroke, which can cause falls despite a normal CT brain? ⭕️Any ophthalmology assessment of the right eye? This is an absolutely poor standard of care for elderly people.
The Med Reg32,007 Aufrufe • vor 5 Monaten

☢️ I tried my best to ignore this, but concerned members of the public are sending me these videos. Seriously speaking, is this Physician Assistant really convinced that they studied “Medicine” and that they are “MEDICAL PROFESSIONALS”? ⭕️ You cannot compare a 2-year quackery course to a rigorous 5–6 years at medical school with regular assessments. ⭕️ Also, the physiology, anatomy, and pharmacology you study while learning on the job on the wards means nothing compared to a doctor’s knowledge base. ⭕️ If you want to do health promotion, get your supervisor to check your content. Advising patients who had chest pain to take 300mg of aspirin can be fatal if the underlying diagnosis is AORTIC DISSECTION ☠️. Do better.
The Med Reg48,368 Aufrufe • vor 1 Jahr

☢️ This is scandalous. At one Trust alone (Lincolnshire NHS United Lincs), there are 140 Advanced Clinical Practitioners (ACPs) and 50 advanced AHPs. ⭕️ Each ACP costs the Trust approximately £160,000 to train over 3 years (including Band 7 pay as student ACP). ⭕️ This is more than the money used to train medical students, who graduate with hefty debt. ⭕️ They are literally running the heart attack and heart failure services ☠️ with no doctors mentioned. ⭕️ The cardiology consultant in charge is a nurse. This large-scale replacement of doctors with physios, podiatrists, dieticians, and other AHPs must stop now.
The Med Reg22,500 Aufrufe • vor 7 Monaten

🏴☠️ Look at this advanced level of quackery in Aesthetics. This Physician Assistant injected filler into the lips of one of her clients and clearly knackered one of the arteries supplying the lips. 💀☠️☠️ ⭕️ I’m quite concerned that this poor lady’s appearance has been permanently screwed up, given the purple, swollen lips. ⭕️ We haven’t seen any follow-up pictures after this screw-up by the PA. Did her client develop a hematoma or gangrene? 💀 ⭕️ PAs have zero knowledge of facial anatomy, yet they’re allowed to inject all kinds of substances without any robust regulation in this aesthetics business. God have mercy.
The Med Reg17,847 Aufrufe • vor 1 Jahr

🔴 Hello St George's, University of London (1752-2024), Your Physician Assistants are boasting about working in plastic/breast surgery while junior doctors are stuck on the wards drafting discharge letters 💀 ⭕️ There is something strange about this university promoting the PA role while neglecting medical students and doctors. Do you receive money for every PA you train? ⭕️ Plastic/breast surgery is one of the most competitive subspecialties. You wouldn’t be able to work in it without a full MRCS and years of experience. ⭕️ Yet, the Assistants are assisting in theatre and seeing patients in clinics after completing a 2-year vacuous course. Doctors have lost these training opportunities. PAs are totally unqualified for this type of work. You are sitting on a lawsuit timebomb. Abort now. (Video courtesy of Dr. Luke Craddock)
The Med Reg20,265 Aufrufe • vor 1 Jahr

🔴 Hi Nottinghamshire Alliance Training Hub, The arrogance of your Physician Assistant is staggering. This PA is talking like a GP with over 30 years of experience! ⭕️ She is allowed to see care home patients/ do home visits independently in GP land 💀 + has become a primary leader after only 3 years since graduation. ⭕️ "I see patients from ‘sort of birth’ to ‘sort of death’"—yet she also said she cannot perform 6-week birth checks or verify deaths ?blatantly contradicting herself. ⭕️ I kid you not—she repeated the "birth to death" bit three times to assert a high degree of autonomy, and none of the spineless GPs at the meeting interrupted her. ⭕️ She even said she might wake up one day and decide to do a bit of Cardiology. Apparently, that’s easy—she can simply leave GP land and jump into Cardiology. Then, if she gets bored with Cardiology in 5 years, she can switch to Respiratory! What kind of quackery allows professionals to switch specialties on a whim? Even at McDonald’s, you can’t change roles that easily! Get a grip of yourself.
The Med Reg17,504 Aufrufe • vor 1 Jahr

🔴 Hello GMC, This Physician Assistant is quite excited to be regulated by the GMC, despite the fact that GMC registration will add ZERO value to her knowledge and expertise. ⭕️ There will still be an enormous chasm in the knowledge base between a PA and a medical student; 5 years of medical school cannot be compared to this quackery 2-year MSc course. ⭕️ Also, can you clarify whether you will grant them automatic prescribing rights upon registration? If the answer is yes, pharmacology books must be thrown out the window. The GMC must be realistic with their PAs that this registration will not compensate for their weak base knowledge and will never put them on par with doctors.
The Med Reg16,919 Aufrufe • vor 1 Jahr
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