u/dayumsonlookatthat

▲ 113 r/doctorsUK

Medical students call to halt medical school expansion that is 'jeopardising standards'

Medical schools should halt increases in student numbers until postgraduate training capacity is improved, the British Medical Association has said.

In a new campaign, the union's medical students committee (MSC) has called for a pause on the rapid expansion of students across the UK which is “jeopardising the high standards” of education.

Medical students have warned that students have to sit on the floor during lectures and are being turned away from overcrowded placements, the union has previously warned.

The campaign follows a vote at the MSC conference earlier this month which backed calls for student numbers to be cut and the expansion of programmes opposed without guaranteed foundation and specialty training posts for graduates.

'Unsustainable expansion'

MSC co-chairs Elgan Manton-Roseblade and Henry Budden said the UK medical degree is “being seriously undermined by unsustainable expansion across medical schools”.

Numbers of students have increased since the previous government pledged to double the number of medical school places in England to 15,000 by 2031, although the current government appears to have moved away from this target.

The BMA campaign calls for an expansion to core and speciality training with the equivalent post-CCT employment and an increase in the number of medical academics.

There should be robust monitoring of placement capacity and educational delivery by NHS providers and medical schools.

Manton-Roseblade and Budden said high quality undergraduate education can only be guaranteed with adequate teaching capacity and enough medical academics to maintain standards.

'10 students on a ward round'

In some areas of the UK there can be more than 10 students on a ward round, and students are “regularly turned away from scheduled teaching,” they claimed.

“We're demanding a pause in medical school expansion until we can guarantee first-class medical education, alongside adequate training jobs in foundation, core and speciality training,” they added.

The new campaign also calls for a guarantee that all UK graduates will be offered a foundation programme post and not be allocated a placeholder.

Graduates put on the placeholder list do not know where they will work within their deanery, which can cover large areas and multiple hospitals.

Students are being encouraged to report the impact that rapidly increasing places is having on their education.

A Department of Health and Social Care spokesperson said: “This government inherited unsustainable levels of competition for training posts due to poor workforce planning.

“That’s why, we have brought in a new law to slash training bottlenecks by prioritising homegrown talent for foundation and specialty training, with applicants benefiting from this year.

“Our 10 Year Workforce Plan will put the NHS workforce on a sustainable footing so it can deliver the service model set out in the 10 Year Health Plan. But it will not simply be a numbers exercise – it will focus on skills, deployment and productivity so we can deliver better care for patients and better jobs for staff.”

news.doctors.net.uk
u/dayumsonlookatthat — 2 days ago

GMC's registration exams will no longer run oversease from 2027

The key changes in 2027 are:

  • Dhaka, Alexandria, Accra and Chennai will no longer run the exam
  • The February exam will not take place in international locations. UK and EU locations will continue to be available in February.

 

We’re making these changes in 2027 because international demand for PLAB 1 has started to reduce after a period of significant growth.

No mention of UKGP, hm

gmc-uk.org
u/dayumsonlookatthat — 2 days ago

Inside the hospital that has abolished 'corridor care'

This is great and should be replicated everywhere in the country. Spread the risk to the whole hospital, instead of just concentrating it in ED. Can someone who works at Watford General Hospital comment how this works?

I can already see inpatient teams downvoting this

itv.com
u/dayumsonlookatthat — 4 days ago
▲ 192 r/doctorsUK

GP leaders have voted to move to dentist-like NHS and private model

So what happens now then? Will the DHSC listen to a group within the BMA? The cynic in me says no because nothing happens when they go all "yeaaaaaa not gonna happen :)". It's not like GPs will go on strike or something

doctors.net.uk
u/dayumsonlookatthat — 7 days ago

Union for physios: Divisive attacks on advanced practice roles ‘do nothing to improve patient care’

The CSP will write to the Department of Health and Social Care to raise the issue and ask what can be done to ensure APs are not adversely affected by the claims being made about their roles. 

How dare you question our "advanced" scope of practice, I'm gonna tell (read: cry to) daddy DHSC about this!!!

They have yet to clarify how diagnosing or intubating patients is "advanced physiotherapy"

Follow the link on FAQs and you get this gem:

>Can I be on a "medical rota" as an advanced practitioner?
The CSP believes using the terminology of "medical rota" is incorrect and inaccurate if it includes professions other than medical doctors.   
In places, this language may be a legacy that has not been updated to reflect the transformation of services and inclusion of AP roles.  For example, a physiotherapist working in emergency medicine with a job title 'advanced clinical practitioner’.

The saga of everyone wants to play doctor without lifting heavy books continues.

csp.org.uk
u/dayumsonlookatthat — 13 days ago
▲ 100 r/doctorsUK

Study on scope of practice of consultant ACPs in ED (spoiler: they are on consultant rotas)

Source: https://www.sciencedirect.com/science/article/pii/S1755599X26000674

Whilst advanced and consultant practitioner roles are not new, they have been given renewed impetus in the UK through their inclusion in NHS long-term workforce planning guidance including UK NHS long term workforce plans which establish the need to expand and develop the workforce to meet the needs of the population

Victoria Mummery reports financial support was provided by The Royal College of Emergency Medicine.

I bet my mortgage the government told RCEM to fund this completed unbiased study done by a bunch of ACPs

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https://preview.redd.it/tgqb0ow1r20h1.png?width=1022&format=png&auto=webp&s=eccf88f89f60101843614a96a0fac7b3a9f963a4

  • Majority are earning senior SpR pay for not doing OOH work.
    • 8c pay with >5yrs experience is £91,609
  • 1 respondent is aged 25-34 - how??
  • 2 only had a PGDip for being a "consultant" practitioner lol

--------------------------------------------------

When questioned about their credentialling status, 16 (43.2%) respondents were fully credentialled with a further 3 (8.1%) working towards credentialling. Eight respondents (21.6%) reported they were not credentialled, with a further 8 (21.6%) respondents not intending to credential.

  • You don't even need to be formally RCEM-credentialed for this and some are not even intending to, which is frankly appalling. Where are the standards???

Respondents were asked to rate confidence levels in all role core functions, respondents stated most confidence in expert practice and least confidence in research and innovation

  • And these people are confident in their own clinical practice. What.
  • Not sure how reliable these results are as it's based on the answers of respondents. I would imagine someone who is very confident and has no insight to what they don't know will answer this as "very confident"

Twelve (32.4%) were supernumerary in addition to clinical staffing rota numbers, with the same amount working on a clinical rota which combined medical and other practitioners (advanced and consultant-level practice roles). Nearly a third (11, 29.7%) were working as part of a doctor only rota, with 7 (18.9%) working on medical consultant rotas.

  • Being paid that much for being supernumerary. Hm.
  • And there it is. For those saying ACPs will never be a Tier 5 clinician as per RCEM's tiers of practice, this is proof that they already are. Its frankly insulting that these ACPs are equated to doctors with FRCEM.

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What is EMTA doing? There should be an uproar from EM trainees for this. I personally am going to raise this issue with my local reps.

The BMA needs to address this as well.

reddit.com
u/dayumsonlookatthat — 14 days ago
▲ 106 r/doctorsUK

2 of the main characters in IMG Voices were elected. Bet their first order of business is to lobby BMA decrease definition of significant experience from 5 years to 2 years

I did not blur out their names as they are now public figures.

u/dayumsonlookatthat — 21 days ago
▲ 169 r/doctorsUK

Link: https://www.theguardian.com/society/2026/apr/29/the-use-of-advanced-practitioners-in-the-nhs-is-no-reason-to-fear-for-patient-safety

"I assess and manage patients with severe chronic obstructive pulmonary disease exacerbations, pulmonary embolisms, pneumonia and acute respiratory failure, taking clinical responsibility in a consultant-led multidisciplinary team, underpinned by a master’s-level qualification and over a decade of specialist experience. This is not doctor substitution."

How in the world is this NOT doctor substitution?? Sick patients with ARF deserve to be seen by a medically qualified doctor who can identify the main aetiology, not an ACP who can only follow guidelines.

Of course, the author attacks us for going on strike too.

"...placing greater demand on the very practitioners being dismissed as a safety risk."

And there it is. Admission of stepping into the roles of doctors ie. doctor subtitution.

The author then goes on to cite a Cochrane review on doctor subsitution, saying that there is no difference in outcomes. What she forgets that the quality of systematic reviews depends on the quality of studies it includes. Shit in = shit out. Have a look at a few of the studies this review included:

https://preview.redd.it/m66dwwc9mayg1.png?width=2590&format=png&auto=webp&s=8d3abee16cb58cbf739fc4c0e6168f1a564155c2

https://preview.redd.it/l23oqm3bmayg1.png?width=2594&format=png&auto=webp&s=4a44adba218e814db4844c6acd3718a8a0a60a1c

The fact that Cochrane accepted this is baffling to me and highlights why critical appraisal is a valuable skill to have.

It's no surprise that the egos of ACPs/ANPs would be bruised after being praised by ladder-pulling consultants on how good they are for years. Don't really know why they went into nursing/paramedicine/physiotherapy/pharmacy if they want to play doctor

reddit.com
u/dayumsonlookatthat — 23 days ago