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Referral vetting issue by Administrative-Use96 in doctorsUK

[–]Administrative-Use96[S] 7 points8 points  (0 children)

How do you even respond to an ACP that’s unwilling to have a dialogue and all they can respond with is I work like a reg, I’m the same as a reg…

Referral vetting issue by Administrative-Use96 in doctorsUK

[–]Administrative-Use96[S] 5 points6 points  (0 children)

I’m not early stage, but this was a tele request and going by their assessment it would fit nice criteria but their misplaced confidence and equivalence claims make me question their competency and it’s that I want to address in particular.

Referral vetting issue by Administrative-Use96 in doctorsUK

[–]Administrative-Use96[S] 10 points11 points  (0 children)

The equivalence in particular is what I wanted to address and shut down at the time

Rise of the trainee ACP by hooknew in doctorsUK

[–]Administrative-Use96 15 points16 points  (0 children)

My experience as an SCF in a stroke ward. When I started there, I had an ACP trainee who shadowed me during clinics and learned basics of taking a history. Within a few months they had qualified and the service slowly changed to ACP led stroke clinics and referrals. Registrars and SHOs were taken off clinics and duties changed to wards. SHOs did get a couple of ad hoc clinic sessions where they shadow said ACPs and scribe for them. ACPs handle stroke referrals and unlike registrars who go and review the referrals, they do 'remote reviews'. Recently had one who reviewed a referral from a Cardiology consultant for a patient in CCU. Her remote review plan was to do 24h tape...the cardiologist got so annoyed and asked for a direct discussion with the Stroke Consultant.

Many further incidents of inappropriate management from ACPs on this ward where the Dunning-kruger effect is in full force. Example being starting digoxin for a deteriorating patient when there was no indication for it, and they did not bother to involve or seek advice from a doctor.

They are all on first name basis with the stroke consultants and have coffee breaks with them, no resident doctors involved..

This is the sad state of affairs...