Physician associates graduate to ‘no jobs’

The role of physician associates has come under the spotlight after the British Medical Association said “dangerous situations” were being allowed to develop in which medical associate professionals could be seeing patients without clear supervision.

In June, it launched legal action against doctors’ regulator the General Medical Council over how it plans to regulate physician and anaesthesia associates in what the BMA has said is a dangerous blurring of lines for patients between highly skilled and experienced doctor and assistant roles.

The GMC will become the regulator of physician associates (PAs) and anaesthesia associates (AAs) in December 2024.

The BMA has said that physician and anaesthesia associates – who complete a two-year course rather than a five-year medical degree – need regulating, but that the GMC is not the right organisation to do this.

By choosing the GMC as the regulator for PAs and AAs, the BMA says the government is undermining and devaluing the medical profession and confusing patients.

The BMA has objected to the GMC using the term “medical professionals” to describe PAs, which it said should only used for fully trained doctors.

During their placements, Conor and Martina said they felt needed on the wards and were supported by nurses and doctors.

“We felt an indispensable part of the team wherever we worked – I wanted to make a difference, but unfortunately haven’t been given the chance to do that,” Conor said.

The couple appreciate that most students are in debt but they question why the Department of Health is paying to educate students on specific courses when there is no guarantee of jobs at the end of it.

All 18 students had to sit their national PA exam in Liverpool in February to graduate. The exam fee was £900 and students also had to pay travel and accommodation expenses.

Next year’s application for the course is currently open on the University of Ulster website.

According to Conor and Martina, without funding and forward planning by the Department of Health there will be even more PAs looking for jobs in the future.

Martina said she always wanted to work in the health service but not with the pressure of being a doctor or consultant.

What she liked about the course was that it was fresh, novel and she would be part of a “pioneer” idea which would make a difference in the health service.

“I feel very let down by the system, at the start I was angry but now I feel so let down.

“I feel that PAs could contribute so much to health care. We are all just waiting here for jobs –  we want to work,” she said.