I love most things about my job and hate very little (power plant engineer). Love the schedule, problem solving, learning, future potential, coworkers, job itself and the opportunities. Hate the schedule, burns, coworkers, fiberglass and occasional danger.


I’m a physician associate in the UK. I love helping people and making a difference. It’s great when my actions make someone’s life better, be that patient or colleagues. The team I work with are really good people. I love medicine: it’s problem solving, the interpersonal aspects, the continuous learning, the kindness and dedication of the people I work with.
I hate basically everything else. The PA role has had loads of bad press recently and there’s a legal case ongoing about the national review that was done so there’s huge amounts of uncertainty as to what the role will look like in future if it keeps existing at all. So no idea if I’m going to get to keep doing what I love long term. The NHS is basically on its knees after a generation of underfunding and poor management at the highest levels, what with the previous conservative basically trying to sell it off for profit so we don’t have enough resources to do things properly.
The system is set up to basically abuse its staff, the culture in the NHS is one of going above and beyond and putting yourself out to help others. Which is how the whole thing is still running to be honest, but that means that it’s really easy/ expected to stay late or to pick up too much work. If someone retires or leaves it’s even odds that they get replaced these days so there’s more work for less people.
Does it worry you that many of the folk you treat will be mindlessly voting Reform and that if (or should I say when) they get in it will likely be the death knell for the NHS?
Yeah the race towards fascism is terrifying.
Would you be able to explain that role a little bit to me? I’m just curious if its equivalent to a physicians assistant or nurse practitioner here in the US.
Very similar, we can diagnose and manage patients in most cases and recognise when we’re out of our depth. We are dependent practitioners so work with a consultant. Currently we can’t prescribe but this is planned to change at some point. We don’t rotate like resident doctors do so provide more continuity for the nursing team and patients.
Okay interesting! That ability to prescribe seems like the biggest difference.