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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
Bruce Ovbiagele, MD, MSC, MAS, MBA, MLS, FAAN, UC San Francisco Professor of Neurology and Associate Dean of the San Francisco VA Healthcare System, has been ch
A footballer knows their job. Where to stand, what to do with the ball, and where to run next. A cricketer knows where they will bat or bowl, and how to bat or bowl, depending on the match situation. There is no role confusion. Every member of an orchestra knows when to play and how to play their instrument. There is absolute clarity. A company of actors knows each actor’s part. A troupe of dancers knows each dancer’s step, pirouette, and flourish. A team works to a high level only if we each know and understand our roles and responsibilities and each other’s.
In 1965 the US researcher Bruce Wayne Tuckman proposed his four stage theory of group dynamics. After “forming,” said Tucker, a team goes through “storming,” “norming,” and “performing.” With the introduction of physician associates, the multidisciplinary team in healthcare is stuck in a storm. A period of storming, as Tucker describes, is inevitable, but healthcare’s perpetual storm is undesirable and da
Dr. Rajan serves as the Chairman of the Board of Governors of the Indian Association of Clinical Cardiologists, representing the nation's clinical cardiologists in their interactions with the federal government.