Physician Associate UK - Neurosurgery
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- čas přidán 22. 07. 2024
- The Neurosurgery physician associate UK - in the UK physician associates are a relatively new but super important part of the NHS.
There are less than 10 neurosurgery PAs in the whole of the UK and Hira is one of them. Listen to her talk about her day-to-day role as the neurotrauma PA in one of the UK's busiest major trauma centres.
If you want to ask more detailed questions you can ask them during the live chat of the premiere and also catch to us on Twitter and Instagram - links are below.
The blog post is up on the website at
www.realbrainbook.co.uk/physic...
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Supported by Barts Charity - bartscharity.org.uk/
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Videography by the awesome Naotomo Umewaka of Street Witness Productions
www.naotomoumewaka.com/
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Please watch: "Lumbar spine surgery - percutaneous fixation"
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Learn all about the role of physician associates in medicine from Hira Rana, our neurotrauma PA!
Peace be to you! Greetings from America!😀🇺🇸 This is a great video! I have been a medically licensed Physician Assistant for almost two decades and currently work as a Hospitalist Physician Assistant in Washington, D.C.. The PA program was started in the U.S. It's great to see that this AMAZING profession has gone world-wide! Unfortunately, there are uneducated people that suggest that PAs are failed doctors (folks who didn't get into Medical school). However, they fail to understand that the academic standard to get into PA school is very HIGH! Further, there is a world-wide doctor shortage and uneven distribution of doctors; Docs not working or living among the poor, rural and urban areas). Until some innovative ways are implemented to meet this challenge, PAs will be there to fill the void, and provide patients with the best care they can provide (with their superving physicians). Can anyone write about the high rate of GPs leaving the medical field in the UK because of being over-worked and under-paid? I think I saw this on a CZcams video. Is this actually happening?🤔 Or is it being blown out of proportion? I'm not educated on this matter.
Omar thanks so much for your comments and it's lovely to hear from an American PA!
Yes I agree there are a lot of people that think that about PAs but it's just not true.
You're completely right about not just general practitioners leaving, but also hospital doctors and lots of nurses. There is a huge amount of burnout on the healthcare professions now because of the current state of under funding and under resourcing. Healthcare practitioners are putting their own mental, and emotional and physical well being first now after many many years of simply "getting on with it".
Hi, do Physician associates contribute to the out of hours commitments required by the SHO ?
Really nice video very well done!
Thank you!
Do PAs actually do the neurosurgery or do they just help in rehabilitation?
Hi, do you know if there are any physician associates in whipps cross hospital? im trying to shadowing one
I can certainly try and find out for you!
Brainbook any luck?
Hey I was wondering if you have to pay for your OSCE exams
Hi Iam an 5 1/2 year graduate of alternative medicine from india and want to enrol for physician associate degree here in uk . Is it possible to get enrolled?
Really interesting and valuable role with in neurology. It’s got to be a good for the patients !
It most definitely is!
Thank you for the information!
What are the working hours of a PA like?
Hey there. Usually Monday to Friday 0800 to 1600. Some can do supervised on call duties too.
Do you know how frequent the on-call duties are?
Hello Doctor,can you help me...A patient 59 years old male is suffering from neck pain.He got lacunar infarct 20 days ago and after all prophylaxis and treatment he is suffering right now from neck pain,and the pain aggravates with movement of the neck left to right.He is taking Aspirin, telmesartan,Atorvastatin as his lacunar stroke prophylaxis??Can you explain me why he is having pain????
Not as SHO level- PAs cannot prescribe
that is coming now GMC reg is assured
lol She was referring to her responsibilities...
@@lordhs1521 That's still totally incorrect. Even if a SHO could not PRESCRIBE, then their medical knowledge is still more all rounded to someone who is not a doctor by sheer virtue of just being a doctor and having done solo medical ward cover for many years prior. A neurosurgical pt can be a whole wealth of medical problems that requires a doctor to be looking after them. Having an understanding of sliding scales, managing hyponatraemia , understanding previous medical presentations are all essential and thats what a doctor brings to the table. A doctor's role is not just to do clerical tasks such as ordering things or reviewing things.
@@robertmacdonald1811 That's still totally incorrect. Even if a SHO could not PRESCRIBE, then their medical knowledge is still more all rounded to someone who is not a doctor by sheer virtue of just being a doctor and having done solo medical ward cover for many years prior. A neurosurgical pt can be a whole wealth of medical problems that requires a doctor to be looking after them. Having an understanding of sliding scales, managing hyponatraemia , understanding previous medical presentations are all essential and thats what a doctor brings to the table. A doctor's role is not just to do clerical tasks such as ordering things or reviewing things. Prescribing is a silly thing that people are focussing too much on. Would a PA independently manage Fast AF in a hyponatraemic patient with pulmonary oedema just because they ccan prescribe? No! I indeed hope they wouldnt. Can a doctor? yes! Why? Because a doctor has indepdenently done ward cover and been the only doctor on wards for many years already.
The PAs in the US have prescribed for decades. Many GPs in the US are people who have been NPs or PAs for 40 years. The PAs in the UK are different, certainly, and they may not have prescribing authority.
This enabling of scope creeps by neurosurgery DOCTORS is disgraceful
I honestly don’t get the hate people are having for PAs? No ones kicking off about ANPs and the roles are very similar, yet they can prescribe
She literally says she works at SHO level. Anyone who knows anything about medicine knows that this is categorically untrue. She should be ashamed and I hope she doesn't mislead patients in the same manner.
@@MistaKasko yeah I agree she shouldn’t have said she works at SHO level because that is misleading and untrue however not all PA’s get about thinking they’re God’s gift. It’s a new career that is clearly very misunderstood at present and awareness as well as clear guidelines need to be set out to avoid future confusion
In a way 'wannabe' doctor who'll never reach a consultant status, they are even below junior doctors between a nurse and doctor to be exact. They are always reliant on being supervised, whereas an SHO is a qualified doctor working independently. ANP''s don't claim to be doctors evidence based research shows they are effective within the NHS.
You dont work at SHO level, you cant even request a CT head. You dont have the training to be an SHO. The fact you lack the insight is just dangerous.
You should be reported for misleading others by saying you working at same level of SHO ..
You forgot to tell that you work at the level of SHO.
So please after my 4 yrs course as a PA I can still be a neurosurgeon without going to the medical school 🤭??
where are you taking the course?
Very strange question! I'm afraid there is no shortcut to becoming a neurosurgeon... Right now there is no conversion course from PA to medicine... so if you want to be a neurosurgeon then doing medicine is your only choice!
I have a feeling you are quite young from the question you asked. The answer to your question is no.
Eugenia Annor. You can become a neurosurgeon if you put your mind to it. well Lrd HS is wrong about the fact that there is progression ROUTE from PA TO MEDECINE . I do not know if I am wrong but usually here in the UK if you are already a PA you can upgrade that certificate to be come a physician with usually two years of study. then after becoming a doctor , you can apply for neurosugery residence which is usually 6 or 7 years then extra years like 1-2 for subspeciality. Good luck about your dreams.
czcams.com/video/_0PsXJjk4Fg/video.html
It is totally irresponsible and misguided for this PA to say she works at the level of a SHO. It shows a total lack of understanding of the nuanced thought process of a doctor . Even if a SHO could not PRESCRIBE, their medical knowledge is still more all rounded to someone who is not a doctor by sheer virtue of just being a doctor and having done solo medical ward cover for many years prior. A neurosurgical pt can be a whole wealth of medical problems that requires a doctor to be looking after them. Having an understanding of sliding scales, managing hyponatraemia , understanding previous medical presentations are all essential and thats what a doctor brings to the table. A doctor's role is not just to do clerical tasks such as ordering things or reviewing things. Prescribing is a silly thing that people are focussing too much on. Would a PA independently manage Fast AF in a hyponatraemic patient with pulmonary oedema just because they ccan prescribe? No! I indeed hope they wouldnt. Can a doctor? yes! Why? Because a doctor has indepdenently done ward cover and been the only doctor on wards for many years already.
Disgraceful
How can you say you work at level of SHO ???? Can you prescribe?? Are you regulated? Do you pose as a doctor when you arnt !! Disgraceful!!!!!
Maybe because she clearly does everything an SHO does??? Was that not obvious. Keep being salty.
I wouldnt want to see any PA .simple.
So basically another fancy name for a nurse..i dont understand if you are not as qualified as a doctor than why waste money on you??
All the PA's I have seen in internet video's have an excuse why they did not want to become doctors, not one has said they could not get into med school because they did not get the academic results ie A grades in their 'A' levels. You do not need high 'A' level grades to do a degree so its a way for people to try and enter the medical profession an easier way. The standard of medicine in the UK will fall if less academically people replace tasks done by doctors because they are cheaper.
@mia h nice comment!!!
mia h what is the difference between doctors and pa?
@@saran3004the difference is one of them knows why things are done whilst the other just follows some arbitrary algorithm. when PAs fuck up doctors are there to fix the patient if there's still enough time and viability
Tahmina Bonyadi last week I saw a patient that had been seen by my supervising GP already and left with reassurance alone. I noticed how dark the patient’s urine was and along with the history drew bloods for a CK level. Later in the afternoon the lab called me with a result of >6000. No one else recognised rhabdo clinically. That’s just this week. I have plenty of these. Be careful making generalised statements. I’m a good diagnostician and work hard on clinical reasoning. There are good and bad PA’s, just like their are for Dr’s too.
Sara N currently a PA can’t prescribe or request ionising radiation. Try to disregard the other answer to this question - They’re unprofessional and come from a place of insecurity. It’s a real shame as ultimately we’re all on the same team. #NHS