Physician Associate’s in Primary Care Jade Moore Bsc (hons), PGDipHE, PGCME, PA-R

My background… Prior to Physician Associate training worked as Therapeutic Radiographer planning and delivering Radiotherapy Qualified as Physician Associate in 2010 Entered Primary Care in training practice in Colchester as intern Remained in Primary Care since this time

Why employ a Physician Associate “If there were more GPs or Nurse Practitioners, we would not have looked at Physician Associates” Trained to medical model – not protocol driven but autonomous thinking clinicians Trained in general medicine Training regulated and PAs face rigid examination process / CPD and recertification examination

Training Entry: First or minimum 2:1 health science degree ARU postgraduate medical institute programme as follow: Year one Year two Clinical medicine Pharmacology Child healthcare and Family Welfare Anatomy/Physiology/pathophysiology Personal and professional development for the PA Clinical rotations (1600 hours minimum) – mirror assessments of medical students Research studies

What can a PA offer Primary Care Essentially the primary role of a PA is to SUPPORT doctors and REDUCE the workload of the medical team

My role as an EXPERIENCED PA in General Practice Cover duty sessions Manage chronic disease clinics – hypertension; diabetes Warwick and MERIT/GLP1 trained Special interest in type 1 diabetes and paediatrics/young adults Offer walk in clinic for PWT1D who are acutely unwell Insert and remove contraceptive implants / run well woman clinic Lead anticoagulation clinic – initiate warfarin and NOACs/Pre-operative planning/bridging with LMWH Participate in home visits, triage and allocate home visits / ward rounds in local care/nursing homes Mark pathlinks and documents Act as primary point of contact for community teams – DNs, PCNs, specialist nurses Lead GSF Palliative care meetings and ensure patients on palliative care register have been contacted, have DNAR, PPC, anticipatory prescribing in place Meet with local psychiatrist on two weekly basis to discuss complex mental health patients Undertake any training that GPs feel would enhance practice

Limitations REGULATION PRESCRIBING IMAGING – XRAY/CT/MRI/USS

Questions please…. Jade.moore@Anglia.ac.uk