Several political and legal matters have been raised in undergraduate medical education recently—around the apprenticeship model and a four year medical degree. Physician associates (PAs) are another concern.1 Lacking so far in the conversation around PAs and medical training is a clear understanding of future needs that considers the whole multi-professional team and lessons from covid. What are the varied responsibilities, how will they change, and what are the implications for the education and training of all? There will be no progress until these are aligned.The concept of slow and fast thinking might help.2 Experts use fast thinking most of the time. It’s quick, effective, and only occasionally wrong: it’s “pattern recognition.” Slow thinking goes back to basics building up from first principles. It’s slow but more accurate.A phrase helps characterise slow thinking and to define the difference between medical practitioners and other roles: “doctors know what to do when…
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