Rebecca

Physician Associate

[Rebecca @BeckyHall016]

@Roddy_Neilson @Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash Personal insults aren't evidence. Calling a regulated clinician a "cosplayer" doesn't strengthen your argument; it simply replaces debate with ridicule. If your position is evidence-based, defend it with facts, not ad hominem attacks.

[Rebecca @BeckyHall016]

@2manypeople4me @medicalmodelbri @Melissa_S_Ryan @jamesmurray_ldn Comparing a regulated clinician to a cleaner or receptionist isn't an argument—it's an attempt to belittle people. Every role in the NHS deserves respect, and many people progress from non-clinical roles into registered professions through education and experience.

[Rebecca @BeckyHall016]

@2manypeople4me @medicalmodelbri @Melissa_S_Ryan @jamesmurray_ldn As someone who has worked with many newly qualified GPs, they are absolutely brilliant but naturally do not know everything and often still debrief and discuss with the wider team. My point being is that time and experience a PA will become more competent and skilled.

[Rebecca @BeckyHall016]

@medicalmodelbri @tess1728 @pa_StephenNash Patients are triaged appropriately according to NHS pathways and practice protocols. I work within my scope under GP supervision, with immediate access to senior clinical support, and escalate whenever appropriate. Supervision isn't defined by a GP sitting in every consultation.

[Rebecca @BeckyHall016]

@Megsenmumdr @medicalmodelbri Respect is earned through safe practice, professionalism and integrity. Suggesting I've demanded to "practice on unsuspecting patients" misrepresents both my role and what I've actually written. Debate the policy, not a caricature of my position.

[Rebecca @BeckyHall016]

@2manypeople4me @medicalmodelbri @InvCoriolis @jewett6a @mmaryJ @pa_StephenNash The debate should be driven by evidence, not anecdotes. UMAPs have relied on evidence in their legal challenge, and I'm happy for my own practice to audit anonymised outcomes. That's how patient safety should be assessed..

[Rebecca @BeckyHall016]

@medicalmodelbri @Megsenmumdr @rcgp @NHSEngland @RCPhysicians @lengreview Repeatedly reposting my image from my employer's website to single me out isn't professional discourse. Healthcare professionals should be able to disagree on policy without resorting to personal targeting or encouraging harassment.

[Rebecca @BeckyHall016]

@ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn We have the same GMC minimum CPD requirement of 50 hours/year. Personally, I far exceed that because I genuinely enjoy learning. I attend the same CPD events as my GP colleagues. Learning doesn't stop at graduation for any healthcare professional.

[Rebecca @BeckyHall016]

@Megsenmumdr @medicalmodelbri It's remarkable how confidently you can declare what I do clinically without ever working with me. Clinical competence is assessed by supervisors and employers, not anonymous accounts on social media. Debate policy by all means, but personal assumptions aren't evidence.

[Rebecca @BeckyHall016]

@2manypeople4me @Megsenmumdr @medicalmodelbri You say PAs could "earn respect" in an assistant role, yet many of the loudest critics argue the role shouldn't exist at all. That isn't an invitation to earn respect—it's rejection regardless of competence.

[Rebecca @BeckyHall016]

@Megsenmumdr @medicalmodelbri Entitlement isn't standing up for your profession. Entitlement is believing only one profession deserves respect while dismissing and demeaning everyone else. I've consistently advocated for collaborative, patient-centred care.

[Rebecca @BeckyHall016]

@Megsenmumdr @medicalmodelbri I've never claimed to be better than a GP, but experience is vital. I work within my competence under supervision and fully recognise the differences in our training. Supporting the PA role isn't the same as diminishing doctors. Healthcare works best when we respect each other.

[Rebecca @BeckyHall016]

@2manypeople4me @ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn As a PA in primary care I attend many of the same CPD events, guideline updates and educational sessions as my GP colleagues. Learning doesn't stop at qualification. The difference is that I apply that knowledge within my defined scope and under appropriate supervision.

[Rebecca @BeckyHall016]

@Oldboatie @medicalmodelbri @pa_StephenNash A profession is an occupation requiring specialised education, defined standards, ethical duties and accountability. PAs meet those criteria and are now GMC regulated. You may disagree with the scope of the role, but that doesn't mean it isn't a profession.

[Rebecca @BeckyHall016]

@ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn Are you suggesting a PA cannot understand clinical reasoning because of their title? Intelligence and critical thinking aren't conferred by a qualification alone. Every healthcare professional continues learning throughout their career.

[Rebecca @BeckyHall016]

@BlackM1710 @medicalmodelbri @mmaryJ "Depth" isn't static. Knowledge develops throughout a career. Safe practice isn't about knowing everything—it's about working within your competence, continuing to learn, and escalating when appropriate.

[Rebecca @BeckyHall016]

@Megsenmumdr @medicalmodelbri I've been personally attacked tonight for doing my job, advocating for my patients and working collaboratively with my colleagues. Disagreement is part of healthcare. Personal abuse shouldn't be.

[Rebecca @BeckyHall016]

@medicalmodelbri @Anisocyte @mmaryJ @pa_StephenNash @UMAPsUK Ok I'll get back to providing the best care I can for patients, working within my competence, learning every day, and supporting colleagues. The small minority who choose hostility don't represent the NHS. Working together will always achieve more than tearing each other down.

[Rebecca @BeckyHall016]

@Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash Absolutely not, I work to the best of my ability to help the person in front of me.

[Rebecca @BeckyHall016]

@medicalmodelbri @ClearThinker66 @Anisocyte @mmaryJ @pa_StephenNash You're treating "practice medicine" as synonymous with "be a doctor." They're not the same concept. PAs deliver medical care within a defined scope under supervision. No one is claiming equivalence with doctors.