Hi all I am new here and hope that this is posted in the right section! I have worked for the NHS in a Band 4 clinical role (non nursing) for the last 18 months. In that time I have come into contact with healthcare professionals of all types. My interactions have confused me...a lot! I have had NP's/ANP's/Specialist Nurses telling me that they know as much as Dr's, can do anything a Dr can and they can prescribe any drug. If this was the view of a single NP/ANP/SN then I would balance that view against the views of the others. However, every NP/ANP/SN held the same view. I have also had Specialist Paramedics/Advanced Paramedics tell me that at the scene of incidents they can do everything a Dr can. Then there is the introduction of PA's and the recent discussion that, in order to address the GP crisis, PA's will be introduced to General Practice. Whilst I haven't come into contact with any PA's, I have read their views on forums. They believe that because they come from nursing, paramedic, physiotherapy backgrounds and because they have completed further training, they are as knowledgeable as a Dr and that they are able to do everything a Dr can, including prescribing. All of the above believe that they hold the autonomy for their decisions, that they don't 'answer' to Dr's, and that in reality their roles/decisions are not overseen by Dr's. I have applied to Medicine but have started to wonder whether Dr's have a future with the increased introduction of these roles. Will I find in 10, 20 or 30 years that I have been replaced by these roles as a cheaper way of delivering healthcare (although the NP's, ANP's, SP's and AP's I have spoken to joke that they are on more money than Doctors (excluding Consultants)). Overall, I am confused as to the difference between the roles, especially based on the views of those I have spoken to. From my conversations, in order to prepare myself for a medicine interview, it appears there isn't any! Dr's have told me that the lines have been blurred and they can't really tell me what the difference is! I thought that the difference was between the nursing model and medical model, however, the nurses tell me that they are trained in both. Is there really a difference? Have or will Doctors become obsolete? Oh, i'm confused...!