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Trish Greenhalgh says an urgent inquiry is needed to investigate how the Royal College of Physicians of London has handled the debate on physician associates The Royal College of Physicians of London (RCP) was established over 500 years ago to uphold professional standards in medicine, but now seems bent on lowering them. Senior officers appear to have engaged in Orwellian tactics to try to push through physician associate (PA) roles with scant attention given to patient safety. In the wake of an outcry over how the college has handled the PA debate, particularly after a contentious emergency general meeting (EGM) held earlier this month,1 an independent inquiry is urgently needed to investigate the questions of governance that face the college. Chief among these questions is the college’s ability to represent and advocate for its members’ views on PAs. The college took on hosting the Faculty of Physician Associates in 2015 a time when the PA role was constructed primarily as ass

City ofUnited kingdomSarah clarkeTrish greenhalghRoyal college of physicians londonFaculty of physician associatesRoyal collegePhysician associates