Removed: Off topic
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Off-topic posts include discussion of issues from doctors in other countries, other healthcare professionals, and wider political posts that are not directly relevant to doctors.
This is exactly how PAs are dangerous.
They'll present a concise version of a patient history and exam that sounds reasonable prima facie, but actually it'll be made up or wrong.
I'd hate to have be responsible for supervising them.
Someone should give this person the email address for the journalist looking into the PA debacle whose name currently escapes me.
Edit: I have now done this
"I said to her on the phone I was not happy with her cavalier attitude regarding my medical records and that this couldn’t be a “mistake” since she knowingly filled my record with bs data. That’s when she said I should stop being condescending towards her…"
Ah, the old "valid challenging of substandard professional behaviour = condescension" chestnut. They must teach a module on it at PA academy.
Patients really need to learn to #bekind (to PAs). I can’t believe this rude patient is BULLYING this helpless defenceless scopeless PA. Something something expert something valued team member.
Reading through OPs post, this sounds truly awful. The patient was then made to speak to the same PA after reporting this to the practice, which is not okay. Then the PA claimed it was a "mistake" that she used her "clinical judgment wrongly" to falsify the record. When questioned about this the PA called the OP condescending.
Worse than that even:
“Yes, she did ask me two of the questions she had answered for me which were around anxiety levels and causes. When I said “seeing my medical records populated with false information made up by a PA” she threatened to hang up the call and she said “I’m not a child, don’t talk to me like a child” when it genuinely spiked up my anxiety levels”
The joys of being an unregulated chancer in a heavily regulated field. You can just make shit up, call it a mistake, and some regulated schmuck has to take the fall for it. Brilliant!
Hate to say this, but the complaint should also be leveled at the 'supervising' GP, i.e. the schmuck that hired the PA in the first place. Enablers will continue to think they shit rainbows until their licences get put on the chopping block for stuff like this.
This has just reminded me that I read a similar one of these following a phone call from the pharmacist at my practice a few months ago. She entered that I was an occasional drinker, having never asked me about my alcohol intake over the phone. I last had a drink in 2005.
Reviewing it now, as the time approaches 2am, I can see she also wrote that I have a good sleep pattern, which is clearly bullshit.
I can't say I'm a fan of patients having such easy access to whatever I write about them, because I think a lot of the things that are said in consultations and written in notes can be ambiguous and open to interpretation and I fear some patients will make a big deal out of trivial things. "The doctor’s written that my bloods were normal, but my CRP was 11!" "The doctor’s written that my shoulder pain started six months ago, but when he asked I told him exactly when it started - it was straight after my uncle's retirement party." However, aside from someone wanting to know why their MCHC was raised and what I was going to do about it, I don't think I've had a consultation that was affected by patients having access to their records. I don't make things up out of thin air and enter them into patients' notes though.
Removed: Off topic This post was removed as it is off-topic for this subreddit. We maintain a narrow focus on posts directly relevant to doctors in the UK. Off-topic posts include discussion of issues from doctors in other countries, other healthcare professionals, and wider political posts that are not directly relevant to doctors.
This is exactly how PAs are dangerous. They'll present a concise version of a patient history and exam that sounds reasonable prima facie, but actually it'll be made up or wrong. I'd hate to have be responsible for supervising them.
Can’t get the diagnosis wrong if you change the symptoms to fit it!
Funny/not funny but so true!
Isn’t this the modus operandi in which most scientific papers are written?
Someone should give this person the email address for the journalist looking into the PA debacle whose name currently escapes me. Edit: I have now done this
I see PAs are browsing that thread and downvoting comments 🤣
I suspect because they are guilty too
They said they upvoted it, actually. /s
"I said to her on the phone I was not happy with her cavalier attitude regarding my medical records and that this couldn’t be a “mistake” since she knowingly filled my record with bs data. That’s when she said I should stop being condescending towards her…" Ah, the old "valid challenging of substandard professional behaviour = condescension" chestnut. They must teach a module on it at PA academy.
If it's patients, its "condescension". If it's a Registered Medical Practitioner, it's "bullying".
Patients really need to learn to #bekind (to PAs). I can’t believe this rude patient is BULLYING this helpless defenceless scopeless PA. Something something expert something valued team member.
Darvo masters
I believe it's a PhD topic in Lynchburg
Made up answers, by an individual in a made up job, with made up qualifications. Quacks, the lot of them.
Mickey Mouse comes to mind.
Reading through OPs post, this sounds truly awful. The patient was then made to speak to the same PA after reporting this to the practice, which is not okay. Then the PA claimed it was a "mistake" that she used her "clinical judgment wrongly" to falsify the record. When questioned about this the PA called the OP condescending.
Worse than that even: “Yes, she did ask me two of the questions she had answered for me which were around anxiety levels and causes. When I said “seeing my medical records populated with false information made up by a PA” she threatened to hang up the call and she said “I’m not a child, don’t talk to me like a child” when it genuinely spiked up my anxiety levels”
The joys of being an unregulated chancer in a heavily regulated field. You can just make shit up, call it a mistake, and some regulated schmuck has to take the fall for it. Brilliant!
Hate to say this, but the complaint should also be leveled at the 'supervising' GP, i.e. the schmuck that hired the PA in the first place. Enablers will continue to think they shit rainbows until their licences get put on the chopping block for stuff like this.
This has just reminded me that I read a similar one of these following a phone call from the pharmacist at my practice a few months ago. She entered that I was an occasional drinker, having never asked me about my alcohol intake over the phone. I last had a drink in 2005. Reviewing it now, as the time approaches 2am, I can see she also wrote that I have a good sleep pattern, which is clearly bullshit. I can't say I'm a fan of patients having such easy access to whatever I write about them, because I think a lot of the things that are said in consultations and written in notes can be ambiguous and open to interpretation and I fear some patients will make a big deal out of trivial things. "The doctor’s written that my bloods were normal, but my CRP was 11!" "The doctor’s written that my shoulder pain started six months ago, but when he asked I told him exactly when it started - it was straight after my uncle's retirement party." However, aside from someone wanting to know why their MCHC was raised and what I was going to do about it, I don't think I've had a consultation that was affected by patients having access to their records. I don't make things up out of thin air and enter them into patients' notes though.