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Do they cost less after tax? Does length of notes equate to good care or time spent note filling as more time available? Some parts of general practice are easy and in general same day acute problems are the easiest to manage medically . BUT modern general practice is about managing people with multiple morbidities presenting with multiple problems at the same time needing broad skill set to manage. If the easy bits get picked off those remaining people who need a large skill set to manage problems get heaped upon 'the drs' and you need a few breaks in the day to keep sane.
Another potential danger of this article is that it will further add to those in charge of education, pathways and protocol designs and whole systems that one size fits all. That is not the case in my view and if followed general practice will be dead in 5 years .
A colleague form my graduation year who was working as a family dr in the usa has re trained in the secondary sector for the above reasons and anecdotally he tells me this is widespread in the usa.
Competing interests:
I am gp and genuinely think this is a worthwhile career ,is good for patient care and good for the nhs. There appears to be a drive by NHS England and Health education England to dumb done this role
Re: Physician associates are as good as GPs in treating same day patients but cost less, study finds
Do they cost less after tax? Does length of notes equate to good care or time spent note filling as more time available? Some parts of general practice are easy and in general same day acute problems are the easiest to manage medically . BUT modern general practice is about managing people with multiple morbidities presenting with multiple problems at the same time needing broad skill set to manage. If the easy bits get picked off those remaining people who need a large skill set to manage problems get heaped upon 'the drs' and you need a few breaks in the day to keep sane.
Another potential danger of this article is that it will further add to those in charge of education, pathways and protocol designs and whole systems that one size fits all. That is not the case in my view and if followed general practice will be dead in 5 years .
A colleague form my graduation year who was working as a family dr in the usa has re trained in the secondary sector for the above reasons and anecdotally he tells me this is widespread in the usa.
Competing interests: I am gp and genuinely think this is a worthwhile career ,is good for patient care and good for the nhs. There appears to be a drive by NHS England and Health education England to dumb done this role