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 inBMJ (Online) Vol. 384; p. q657
Main Author Mafi, Alexander
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 19.03.2024
BMJ Publishing Group LTD
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Online AccessGet full text
ISSN1756-1833
1756-1833
DOI10.1136/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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