Adam Skeen
@adamskeen.bsky.social
GEM student 3/4. Ex-Physician Associate. BMA U.K. Council. MSC Representative. BSc (Hons) Pharmacology. he/him 🏳️🌈
Reposted by Adam Skeen
NEW: Study finds little evidence supporting the safety & efficacy of Physician & Anaesthetic Associates in the NHS.
From @trishgreenhalgh.bsky.social & @martinmckee.bsky.social, the largest ever UK review raises critical questions about the rapid expansion of these roles.
#NHS #WorkForce @bmj.com
From @trishgreenhalgh.bsky.social & @martinmckee.bsky.social, the largest ever UK review raises critical questions about the rapid expansion of these roles.
#NHS #WorkForce @bmj.com
Role of Physician and Anaesthetic Associates in UK healthcare challenged in largest ever review
A new study has found little evidence supporting the safety and efficacy of physician associates (PAs) and anaesthetists associates (AAs) in the UK, raising critical questions about the rapid expansio...
www.phc.ox.ac.uk
March 7, 2025 at 7:49 AM
NEW: Study finds little evidence supporting the safety & efficacy of Physician & Anaesthetic Associates in the NHS.
From @trishgreenhalgh.bsky.social & @martinmckee.bsky.social, the largest ever UK review raises critical questions about the rapid expansion of these roles.
#NHS #WorkForce @bmj.com
From @trishgreenhalgh.bsky.social & @martinmckee.bsky.social, the largest ever UK review raises critical questions about the rapid expansion of these roles.
#NHS #WorkForce @bmj.com
Reposted by Adam Skeen
Nine days before GMC is to begin registration of PAs/AAs:
"We’ll soon publish a report on outcome of consultation & research; along with final drafts of rules, standards, & guidance, following their review by our governing Council."
Transparency? Clarity?
www.gmc-uk.org/news/news-ar...
"We’ll soon publish a report on outcome of consultation & research; along with final drafts of rules, standards, & guidance, following their review by our governing Council."
Transparency? Clarity?
www.gmc-uk.org/news/news-ar...
Preparing for the regulation of PAs and AAs: how feedback has shaped our approach
A GMC Website page that might be of interest to you.
www.gmc-uk.org
December 4, 2024 at 11:34 PM
Nine days before GMC is to begin registration of PAs/AAs:
"We’ll soon publish a report on outcome of consultation & research; along with final drafts of rules, standards, & guidance, following their review by our governing Council."
Transparency? Clarity?
www.gmc-uk.org/news/news-ar...
"We’ll soon publish a report on outcome of consultation & research; along with final drafts of rules, standards, & guidance, following their review by our governing Council."
Transparency? Clarity?
www.gmc-uk.org/news/news-ar...
Reposted by Adam Skeen
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
December 3, 2024 at 9:38 AM
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
Reposted by Adam Skeen
Rant #5 Please don't tell me what the PaO2 is...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Over the years I've developed a number of "rants" (aka teaching) that seem to resonate with trainees on #ICUsky ward round.
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
November 25, 2024 at 9:16 PM
Rant #5 Please don't tell me what the PaO2 is...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Reposted by Adam Skeen
This BBC piece is a very one-sided account of the issues in the use of PAs in the NHS www.bbc.co.uk/news/article...
It skims over the avoidable death of 30-year old Emily Chesterton, who died tragically after seeing the same Physician Associate twice.
See: hansard.parliament.uk/commons/2023-0…
It skims over the avoidable death of 30-year old Emily Chesterton, who died tragically after seeing the same Physician Associate twice.
See: hansard.parliament.uk/commons/2023-0…
NHS physician associates and doctors locked in 'toxic' staffing row
A toxic row has engulfed the NHS, say ministers. So why have doctors turned on physician associates?
www.bbc.co.uk
November 23, 2024 at 11:34 PM
This BBC piece is a very one-sided account of the issues in the use of PAs in the NHS www.bbc.co.uk/news/article...
It skims over the avoidable death of 30-year old Emily Chesterton, who died tragically after seeing the same Physician Associate twice.
See: hansard.parliament.uk/commons/2023-0…
It skims over the avoidable death of 30-year old Emily Chesterton, who died tragically after seeing the same Physician Associate twice.
See: hansard.parliament.uk/commons/2023-0…
Reposted by Adam Skeen
This piece by BBC health correspondent Nick Triggle on the replacement of NHS doctors with PAs is disappointingly misleading through omission of key context & reliance on those busy, yet always conveniently anonymous, 'NHS senior sources'. 1/n
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
NHS physician associates and doctors locked in 'toxic' staffing row
A toxic row has engulfed the NHS, say ministers. So why have doctors turned on physician associates?
www.bbc.co.uk
November 23, 2024 at 6:14 PM
This piece by BBC health correspondent Nick Triggle on the replacement of NHS doctors with PAs is disappointingly misleading through omission of key context & reliance on those busy, yet always conveniently anonymous, 'NHS senior sources'. 1/n
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Reposted by Adam Skeen
What is a common thread in medical tragedies?
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
November 22, 2024 at 11:02 AM
What is a common thread in medical tragedies?
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Reposted by Adam Skeen
One quote says it all: “Quick Reference Handbook sit on a shelf uselessly while a crisis is unfolding?”
I know that in emergency F-35 pilots handover aircraft to their ground teams, to go through a checklist. Before you shoot me down for an aviation reference - If they can we should be able too!
I know that in emergency F-35 pilots handover aircraft to their ground teams, to go through a checklist. Before you shoot me down for an aviation reference - If they can we should be able too!
What is a common thread in medical tragedies?
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
November 22, 2024 at 12:30 PM
One quote says it all: “Quick Reference Handbook sit on a shelf uselessly while a crisis is unfolding?”
I know that in emergency F-35 pilots handover aircraft to their ground teams, to go through a checklist. Before you shoot me down for an aviation reference - If they can we should be able too!
I know that in emergency F-35 pilots handover aircraft to their ground teams, to go through a checklist. Before you shoot me down for an aviation reference - If they can we should be able too!
Reposted by Adam Skeen
Sat listening at @TheBMA England #LMCConf where GP representatives meet on behalf of GPs looking after 69mn patients. We need a huge investment from the new govt. NHS gen practice is bedrock of NHS & only receives 6% of the NHS pie. Invest in us & we can deliver. GPs are incredible value for money
November 22, 2024 at 10:47 AM
Sat listening at @TheBMA England #LMCConf where GP representatives meet on behalf of GPs looking after 69mn patients. We need a huge investment from the new govt. NHS gen practice is bedrock of NHS & only receives 6% of the NHS pie. Invest in us & we can deliver. GPs are incredible value for money
Reposted by Adam Skeen
Another great Starter Pack of people who are passionate about setting safe standards of practice in healthcare, and ensuring regulators are held to account to enforce them
go.bsky.app/VCUirVW
go.bsky.app/VCUirVW
November 21, 2024 at 1:31 PM
Another great Starter Pack of people who are passionate about setting safe standards of practice in healthcare, and ensuring regulators are held to account to enforce them
go.bsky.app/VCUirVW
go.bsky.app/VCUirVW
Reposted by Adam Skeen
November 16, 2024 at 6:38 PM
Reposted by Adam Skeen
Huge news: Labour are looking to rewrite the NHS Long Term Workforce Plan according to Nursing Times.
There has been A LOT of criticism from the medical profession on the details of the plan, first drawn up by the Tories in 2023.
There has been A LOT of criticism from the medical profession on the details of the plan, first drawn up by the Tories in 2023.
November 16, 2024 at 9:41 PM
Huge news: Labour are looking to rewrite the NHS Long Term Workforce Plan according to Nursing Times.
There has been A LOT of criticism from the medical profession on the details of the plan, first drawn up by the Tories in 2023.
There has been A LOT of criticism from the medical profession on the details of the plan, first drawn up by the Tories in 2023.