Medical associates: the introduction of PAs, ANPs, and ACPs is creating new challenges for doctors on rotational training
The addition of new clinical staff on hospital wards is welcome. While this was a useful route to consultant advice, it regularly created a gatekeeping step for us to escalate or raise queries with consultants, leaving us uncertain as to whether concerns had reached the right ears and whether the in...
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          | Published in | BMJ (Online) Vol. 384; p. q657 | 
|---|---|
| Main Author | |
| Format | Journal Article | 
| Language | English | 
| Published | 
        England
          British Medical Journal Publishing Group
    
        19.03.2024
     BMJ Publishing Group LTD  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 1756-1833 1756-1833  | 
| DOI | 10.1136/bmj.q657 | 
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| Abstract | The addition of new clinical staff on hospital wards is welcome. While this was a useful route to consultant advice, it regularly created a gatekeeping step for us to escalate or raise queries with consultants, leaving us uncertain as to whether concerns had reached the right ears and whether the information coming back was reliable. Staff occupying these newer roles will need to adapt to different, more collaborative ways of working and recognise that age and previous experience in other clinical roles aren’t necessarily tools for exercising authority. | 
    
|---|---|
| AbstractList | The addition of new clinical staff on hospital wards is welcome. While this was a useful route to consultant advice, it regularly created a gatekeeping step for us to escalate or raise queries with consultants, leaving us uncertain as to whether concerns had reached the right ears and whether the information coming back was reliable. Staff occupying these newer roles will need to adapt to different, more collaborative ways of working and recognise that age and previous experience in other clinical roles aren’t necessarily tools for exercising authority. | 
    
| Author | Mafi, Alexander | 
    
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| Copyright | Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go tohttp://group.bmj.com/group/rights-licensing/permissions2024BMJ  | 
    
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| References | Brennan, Davidson (ref3) 2019; 366 Kmietowicz (ref4) 2023; 383 Best (ref2) 2024; 384 2024031910351191000_384.mar19_14.q657.3 2024031910351191000_384.mar19_14.q657.4 2024031910351191000_384.mar19_14.q657.1 2024031910351191000_384.mar19_14.q657.2 38631731 - BMJ. 2024 Apr 17;385:q869. doi: 10.1136/bmj.q869  | 
    
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