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Letters Physician associates in general practice

Physician associates in general practice: a GP registrar’s perspective

BMJ 2023; 382 doi: (Published 04 September 2023) Cite this as: BMJ 2023;382:p1960
  1. Adnan Ali, GP specialist trainee year 3
  1. NHS Tayside, University of Dundee, School of Medicine, Dundee, UK
  1. adnan.ali.lancs{at}

The introduction of physician associates (PAs) into general practice is detrimental to patient care. Salisbury relays a poignant case in which misdiagnosis on two occasions led to the death of a woman by pulmonary embolism.1 Distinguishing benign from sinister causes of acute shortness of breath can be tricky. Proper supervision, clinical experience of five years, and awareness of risk stratification tools mitigate misdiagnosis.23 If this …

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