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At the heart of general practice since 1960

Trusting medical care practitioners

From John E. Lopes Jr

Physician assistant

Oldbury, West Midlands

I am a US-trained physician assistant and I've read with interest the reactions to the curriculum and competency framework for medical care practitioners (26 November).

GPs are rightly concerned with patient safety, but almost 40 years of experience in the US demonstrates that physician assistants provide safe and competent medical services, and the literature exists to support this.

Dr Watson asks how you can be responsible for somebody when you aren't in the room with them. Isn't he responsible for the actions of his practice nurses and receptionists?

MCPs will have their own indemnity and be responsible for their own actions.

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