drjay88 Posted June 25, 2012 Share Posted June 25, 2012 Hi , I am currently going to a PA school in Kentucky and wanted to work and live in Kentucky but this 18 month rule that new PA grad cannot work without a doctor in office for 18 month will kill any jobs offers for PAs....please any advice Link to comment Share on other sites More sharing options...
discogenic Posted June 25, 2012 Share Posted June 25, 2012 Just curious, is there a similar rule for newly graduated NPs? And this rule applies only to KY, correct? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 26, 2012 Moderator Share Posted June 26, 2012 sorry to say this...but you need to move....or work at a federal prison(different rules).... Link to comment Share on other sites More sharing options...
mtg1111 Posted June 26, 2012 Share Posted June 26, 2012 In West Virginia, physician assistants cannot "acquire" prescriptive privileges until we have gained at least one year of experience while working as a PA. Link to comment Share on other sites More sharing options...
Just Steve Posted June 26, 2012 Share Posted June 26, 2012 I know this is going to come off as just a complete schmuck thing to say but a little spell check goes a long ways. You are addressing a group of PAs and other professionals who want to support you but when the title of your post is a phonetic mistake... i and e are not close to each other on the keyboard, I don't think it was a simple typo. So when you go forward to address your state's medical board, please, take a moment and give your post a second glance, or even better, get another pair of eyes on it. Thanks and good luck Link to comment Share on other sites More sharing options...
Walkoffshot Posted June 26, 2012 Share Posted June 26, 2012 ^^^ And one! Probably was texting while driving. That's my guess. Link to comment Share on other sites More sharing options...
akdEM Posted June 26, 2012 Share Posted June 26, 2012 EMEDPA nailed it... As a UK student, I'm in much the same boat. I love Lexington, but this state's restrictive practice laws are going to drive away a lot of good PAs, myself included. Change seems to be very slow in this state, but if you want to help make it happen join KAPA, go to legislative events, contact representatives... There are a lot of people working very hard to make Kentucky more PA friendly. Link to comment Share on other sites More sharing options...
Leeg Posted June 26, 2012 Share Posted June 26, 2012 In Oklahoma we can't write Sched II medications at all. We also must have a supervising physician on the premises for the first year, after that only 10% of the time. Link to comment Share on other sites More sharing options...
FfIghter23 Posted June 26, 2012 Share Posted June 26, 2012 In Oklahoma we can't write Sched II medications at all. We also must have a supervising physician on the premises for the first year, after that only 10% of the time. Leeg- If I am not mistaken, Oklahoma PA's can prescribe Schedule II Narcs as long as a protocol is in place. See Oklahoma Medical Board here: http://www.okmedicalboard.org/physician_assistants/download/15/PALAW.pdf Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 26, 2012 Moderator Share Posted June 26, 2012 I thought OK was a reasonable state to practice in. one of my former students staffs a rural er solo up there. Link to comment Share on other sites More sharing options...
Leeg Posted June 26, 2012 Share Posted June 26, 2012 Mea Culpa, you're right. We can if they are administered on site, ie. in a hospital type setting. We cannot write Rx for sched II for use outside that setting. Link to comment Share on other sites More sharing options...
bobuddy Posted July 1, 2012 Share Posted July 1, 2012 Discogenic, I have worked as a PA in KY for 13 years. Nurse Practitioners have quite a leg up on PA's here and can have independent practice and ability to write schedule II prescriptions immediately. We introduced a bill this past spring asking for equal prescribing abilities, eliminating the supervisory rules for new grads and to cut back on co-signatures (all of which are already in place for NP's). The bill was unfortunately introduced at a bad time because KY has been in the spotlight for prescription/narcotic drug abuse and the legislators were passing new laws to restrict what physicians are allowed to prescribe. Yes, we have a big narcotic drug problem here, however, much of the pipeline starts in Florida. The bill in its entirety was struck down and once again PA's in KY lose out, with their jobs going to NP's. Link to comment Share on other sites More sharing options...
discogenic Posted July 2, 2012 Share Posted July 2, 2012 Does anyone know of any instances where a state has gone backwards in terms of PA regulation? In other words, have PAs actually lost ground anywhere? (Whereas in KY PAs simply weren't able to advance legislatively, which is bad enough) And what's the argument that NPs have been able to successfully make to avoid the above restrictions? More overall experience upon graduation since they were nurses prior to NP school? Link to comment Share on other sites More sharing options...
cinntsp Posted July 2, 2012 Share Posted July 2, 2012 Does anyone know of any instances where a state has gone backwards in terms of PA regulation? In other words, have PAs actually lost ground anywhere? (Whereas in KY PAs simply weren't able to advance legislatively, which is bad enough) PA practice ownership in TX took a step backward recently with the passage of legislation that made it possible for PAs to be part-owners in a practice but now prevents them from owning their own practice and hiring an SP. What baffles me is that the TAPA leadership(at least partly) seems to think it's a step forward. Link to comment Share on other sites More sharing options...
bobuddy Posted July 2, 2012 Share Posted July 2, 2012 And what's the argument that NPs have been able to successfully make to avoid the above restrictions? More overall experience upon graduation since they were nurses prior to NP school? I was told - and granted I am not sure where the truth lies - by a certain representative that NP's basically had a stronger voice and more money to allocate to push their bills through. When the PA bill was submitted to the legislature this past fall, we were told that we could get the bill through - IF we had enough money. The optometrists in KY just got a bill passed that allows them to do certain laser surgeries and other procedures and our PA's were told that their bill went through because of .... shall we say - certain donations???? And, if we wanted our bill to go through...... well, what it came down to was - we had to basically "buy" their vote. We were actually given a certain amount that the PA's would have to come up with to pass the bill. And, to think that Pharma guidelines say that "I/providers" are immoral enough that we cannot have a pen or a pad of paper because it might influence us to write a prescription that was unnecessary. Link to comment Share on other sites More sharing options...
bobuddy Posted July 2, 2012 Share Posted July 2, 2012 Well... If PAs want bills passed, then at least it's nice to know how much it takes. Must not have been worth it, right? I believe the cost was about 7K needed from each KY PA. We are open to donations :smile: Link to comment Share on other sites More sharing options...
discogenic Posted July 2, 2012 Share Posted July 2, 2012 Well... If PAs want bills passed, then at least it's nice to know how much it takes. Must not have been worth it, right? I believe the cost was about 7K needed from each KY PA. We are open to donations :smile: There's that strength in numbers thing again. Link to comment Share on other sites More sharing options...
cthompson1782 Posted July 3, 2012 Share Posted July 3, 2012 As part of the UK PA class of 2013, we went to Frankfort to speak with legislators this past winter about the bill. The first thing the congressman asked me and my small group was how many NPs he had in his district and how they would feel if PAs got this bill passed. Basically he let us know that all he wanted to do was keep his job and didn't want to upset any NPs. I inferred that he wanted to keep his votes regardless of what it meant for healthcare in his underserved state. Gotta love politicians... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 3, 2012 Moderator Share Posted July 3, 2012 I believe the cost was about 7K needed from each KY PA. We are open to donations :smile: so 14k would do it then?.....:) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 3, 2012 Moderator Share Posted July 3, 2012 From their perspective, you are still out there working in healthcare regardless of the oversight you are under. until the day you leave and can't be replaced.... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 3, 2012 Moderator Share Posted July 3, 2012 They probably think an NP will step in and do the job for 60k vs 89 for a PA. and they are probably right.... Link to comment Share on other sites More sharing options...
Guest Paula Posted July 3, 2012 Share Posted July 3, 2012 After reading all the posts to this thread I have come to the conclusion that WI and MI are great states to practice as a PA. Come to snow country. Link to comment Share on other sites More sharing options...
bobuddy Posted July 4, 2012 Share Posted July 4, 2012 Paula, I am planning on coming to "snow country" but am looking to head west instead of north. :) I love my small rural KY town, my co workers and my patients, but when we get our farm fixed up enough to sell, I will be looking for jobs elsewhere. Link to comment Share on other sites More sharing options...
akdEM Posted July 4, 2012 Share Posted July 4, 2012 As part of the UK PA class of 2013, we went to Frankfort to speak with legislators this past winter about the bill. The first thing the congressman asked me and my small group was how many NPs he had in his district and how they would feel if PAs got this bill passed. Basically he let us know that all he wanted to do was keep his job and didn't want to upset any NPs. I inferred that he wanted to keep his votes regardless of what it meant for healthcare in his underserved state. Gotta love politicians... Disturbing, but not surprising at all. It's going to be very difficult for PAs to advance themselves in this state because of that mindset. Somehow, probably thanks to the nursing lobby, a lot of legislators have been convinced that PAs are a poor man's NP or something. Isn't there something like 800 PAs in KY and only about 400 in KAPA? That number will have to grow. It's the only way to get recognized. Link to comment Share on other sites More sharing options...
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