Intended for healthcare professionals

Letters Physician associates in general practice

Physician associates: avoiding blame culture

BMJ 2023; 382 doi: (Published 04 September 2023) Cite this as: BMJ 2023;382:p2000
  1. David Hodgkinson, consultant in emergency medicine
  1. Ipswich Hospital, East Suffolk and North Essex NHS Foundation Trust, Ipswich, UK
  1. david.hodgkinson{at}

In Salisbury’s article about the death of a woman who was seen twice by physician associates (PAs), she concludes that the PA training scheme has “led to a dangerous dilution of standards.”1

I have worked in NHS acute and emergency care, as a junior doctor and then as a consultant, over a 40 year career. …

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