Intended for healthcare professionals

Letters Why the fuss about physician associates?

Physician associates should not be regulated by the General Medical Council, and doctors should tell it so

BMJ 2024; 385 doi: (Published 24 May 2024) Cite this as: BMJ 2024;385:q1134
  1. Gerald T Freshwater, retired GP and occupational health physician
  1. Lerwick, UK
  1. freshwater.sms{at}

McCartney’s conclusions about physician associates (PAs)—that, in general practice, costs and activity will increase and efficiency will decrease—seem evident and inevitable.1

The General Medical Council proposes simplification of the regulation of PAs, with more power to bypass fitness to practise tribunals. Its consultation also covered draft principles that will inform fitness to practise decision making guidance that will apply …

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