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

2. 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

3. 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

4. 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

5. 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

6. 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

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

8. Questions please….