Popular Content

Showing content with the highest reputation since 12/19/2017 in all areas

  1. 7 points
    We are getting crushed in the UC with cold and flu season. I work in Tyler TX which seems to be the hub of flu for the entire US by some reports. I am sooooo tired that I decided to vent, humorously, about it. If you suffer hard core political correctness you might skip this.... Feel free to add test questions. Good morning. Today I am sharing the medical portion of the test all people are now required to take before being allowed to reproduce. You may use all 61 IQ points for this test….that will not be considered cheating today. 1. Your child has a runny nose for 3 hours. You: A. Call an ambulance B. Go to the emergency room C. Throw him or her in the car, turn on your emergency flashers, and drive as fast as you can to the pediatrician. D. Wipe it. E. Teach him or her to wipe it. 2. Your child coughs once. You: A. Call an ambulance B. Go to the emergency room C. Rush to the pediatrician D. Spend 4 hours in the emergency room to get a prescription for Robitussin so you don’t have to spend $3 of your own money E. Tell him or her to cover his/her mouth. 3. Your child has a temperature of 99 degrees. You: A. Call an ambulance B. Go to the emergency room C. Call the on-call pediatrician crying hysterically and demand an antibiotic. D. Go to the Urgent Care and call everyone idiots for not understanding your crisis. E. Nothing. That isn’t a fever. (It is a temperature but so is 40 degrees.) 4. You go to the ER/Urgent Care/Pediatrician and don’t get what Dr. Google told you your child needs. You: A. Call your Congressman B. Call the police C. Call the organization complaint line D. Leave a bad YELP review with the word “bastards” in it at least 4 times. E. Nothing. The people who studied medicine for 8000 years probably know something you didn’t discover in your Google search. 5. Your health care is free (paid for by everyone else). One of your kids gets a cold. You A. Take the other 6 healthy kids in “just to get them checked.” B. Take them all to the emergency room. C. Call one of those ambulances they use for mass casualties. D. Tell them all to wash their filthy hands. E. Nothing. 6. You have 5 children whose fundamental health needs are as elusive to you as Sanskrit or the theory of relativity. You: A. Ask people of experience what to do B. Study up a bit so you can manage simple things. C. Go to the doctor when necessary and follow the guidelines you are given. D. Sue the government and your parents because it isn't your fault E. Have more children.
  2. 7 points
    Yes. You have one foot in the grave at 27. Focus on the time you have left with your family. Good luck.
  3. 7 points
    recently had to submit a copy of a malpractice policy to an employer for recredentialing. the policy they had issued me. I asked them for a copy then sent it back to them. Yes, I already had a copy. was just proving a point.
  4. 7 points
    I got in!!!! With scholarship!!! OMG! So excited to meet everyone and start this adventure :)
  5. 6 points
  6. 6 points
    I recently wrote a blog post describing a typical day for me in PA school. Hope you find it useful and that it gives you an honest understanding of what PA school is like. I did one post for didactic year and one for clinical year. Enjoy! Didactic Year Clinical Year
  7. 6 points
    Just received a call that I was accepted!! I'm so excited and shocked!
  8. 6 points
    Please don't go into the healthcare field if you do not believe in vaccination. In pediatrics, I have hard time as it is with anti-vaxxers. I don't need any professionals playing into and supporting their irrational fears.
  9. 6 points
    Hey guys I just created a facebook group for those that have been accepted to the NP/PA program class of 2020. https://www.facebook.com/groups/256080538257104/ Let's use this for questions and updates! Happy holidays everyone!
  10. 6 points
    Physician associate is stupid. Let's just be 100% honest, would ANYONE actually choose that name if it were not for the letters PA in it? Of course not. It is a stupid name that, once again, incorrectly defines what we do. I am not an associate of a physician. I am a practitioner of medicine. Or Medical Practitioner. Period. Forget trying to marry the letters P and A to what we do. If not, don't waste your time or money, just leave it as it is. Physician Associate is ridiculous and the general public would laugh at us, not to mention what docs and NP's would think. And yes, it does matter what they think, if most cases we are being hired by them.
  11. 6 points
    So you're a glorified scribe/MA with the occasional chance to see patients only when they are out? It sounds like you are the epitome of 'assistant' and not remotely a PA. Not to be harsh, this isn't your fault, but if it were me, I would be looking for a new position. The way you've been used and utilized to this point is not likely to lend itself to you finding autonomy or independence within this practice as they have grown accustomed to you doing the grunt work.
  12. 6 points
    Only a Sith deals in absolutes...
  13. 6 points
    Ok up date, if you actually care lol Existential crisis averted. Basically just focusing on helping patients rather the idiocracy that flows around me on a daily basis (psychiatrist of 20 something years not knowing SSRIs cause hyponatremia; taking a paranoid pt, that believes we are helping her attackers get out of prison, off antipsychotics b/c she requested it; not switching a chronic schizophrenic off typical antipsychotic after developing EPS just slowly lowering dose; wanting to call internist consult for HTN when after reviewing chart pt was never started on outpt antihypertensives, etc, etc). What led me to believe that I couldn't be a PA was that I was by myself in making decisions in a field I was new to and the docs didn't provide much help so I questioned everything... EVERYTHING. I've accepted that I won't know everything. Trust me, I understand that the studying never stops. For now I'm going to stay at this job because hell if I leave these patients are S.O.L. At least I'll learn what not to do
  14. 5 points
    My favorite was the 20 yo male who c/o sore throat. In usual thorough fashion I asked, "How long has this been going on?" "2 hours." "Any reason for you to be worried that this would be strep or mono or something bad? Like, do you have any major medical problems? Been around anybody who has those things?" "Nope. Nope. Nope. I just didn't want to miss a throat infection." I was worried for the future of the world in that moment; someday he'll be in charge of something.
  15. 5 points
    You will be working with the most unhealthy, uneducated, sick people with no resources for health care who, if you say "healthy lifestyle" will look at you like you are stupid. If you are angel heart and feel a drive to help poor folks who need a lot it is a good place to be. As a new grad, and I mean no insult, I doubt you are even close to being prepared for this patient population. I was a 25 year PA from the military and rural health under-served area experience and it was a challenge every day. My frustration with people who had no means to get health care but also wouldn't do basic things to care for themselves burned me out fast.
  16. 5 points
    Hey guys! The interview day was so amazing! It is going to be such a great program. Also, they really rolled out the red carpet for all the interviewees. Everyone is so nice and it was really awesome that they only interviewed 14 people in one session and I had recently interviewed at a place with 60 people in one day. They will have a cadaver lab where we will be doing full dissections, which is very impressive for a PA program. Everything is being renovated and their facilities are topnotch. They told us they would accept a few people from this interview but the majority would be put on hold until the January interviews were completed. They mentioned possibly having interview in March.
  17. 5 points
    My guess is you are dealing with big corporate employer, and hired as traditional employee (same as dishwashers, cooks, etc) instead of by a physician recruiter. I actually didn't take a job at one hospital because the HR manager (who was a nurse) demanded I fill out the online application that was geared toward general laborers versus professionsls. They wanted full details of every school including high school, and every job (with no gaps), etc. I asked if physicians have to fill that out and she said no. I told her I wasn't going to waste my time. All this after interview and job offer.
  18. 5 points
    Try to follow the instructions here: CLICK HERE
  19. 5 points
    I just got accepted into the program a couple hours ago!! BEYOND happy and excited to meet everyone, and best of luck to everyone waiting to hear back!! :)
  20. 5 points
    Great discussion. I'm glad we are all engage in this cause. After all, it is our duty to be proactive and fight for our rights and the future of our profession. Here is my take on this. All PA programs shall now be the standard "more or less 27 months" + 1 year residency like the Lynchburg model, leading to a Doctorate degree which I proposed be called DMP to sort of mirror the DNP model. Our new title shall be Medical Practitioners and the medical workforce shall now be comprised of 4 different type of Doctors or Providers: Dr. John Doe, MD. Dr John Doe, DO Dr. John Doe, DMP Dr. John Doe, DNP I believe the added residency requirement will bring about 2 major changes to our profession and degree. First, It will definitely highlight the superiority of the PA education to the NP. Second, it will sealed the concept that PA education closely mirror Medical school training. This will gradually efface any association of PAs with NPs among the general population. There also has to be a national movement by PAs to make these changes known to the public and lawmakers through education, advertising, etc... so they know who we are, what we do, and what education and experiences are required to be a MP.
  21. 5 points
    I'm not going to touch the "slave" remark but NPs on average do not make more than PAs. I think most surveys I've seen has them at similar salaries. In my specialty, the average salary for a NP/PA is around $110-115k, for about ~36 hours of work per week. I do think PAs should be better compensated (and also should be able to get MD degrees by taking the STEPS and applying for residencies).
  22. 5 points
    Well I've been doing UC since before we called it UC, and I will give you my take. I have a fairly low threshold for sending someone to the ER. Having worked in the ER for a few years I ask myself one simple question, "If I was seeing this patient in the ER, what would I order and what would I do?" If that test/procedure is not available in the UC I am at, they are out of there. I feel strongly that a patient's condition should dictate the work-up and care they receive, not the facility they show up in. And let's face it, most UC's are clia waived labs, so there is not much you can do to work up something like abdominal pain short of a UTI. Also understand, Urgent Care is NOT the place to be a hero. We are volume mitigators for the ER's. We see 50 patients a day of minor lacs, sprains, minor fractures, coughs/colds and flu......SO THE GUYS IN THE ER DON'T HAVE TO. Don't ever let an ER doc bitch you out for sending someone in for further eval. I don't put up with it and neither should you. I have been on the ER side, so I know exactly how dumping goes down, but when there, I appreciated the 50 minor things the UC would do, that I didn't have to mess with. On a side note, I have been contacted by two adult patients in the last year, both of which wanted to thank me for in their words, "saving their lives". Both were at the time, very soft ER referrals as I call them. I could not pin down what was going on with them in my UC as their symptoms were very vague, global and I didn't have the capability to do a proper work-up. Both ended up having meningitis and were admitted. I had gone 10 years since my last case, and ended up having two in just a few months. Nuts. My point is, trust your gut.
  23. 5 points
    I don't understand why anyone would choose to pursue a field like this if they are going to disregard science.
  24. 5 points
    I think a residency may even teach skills one may never learn OTJ. Even EmedPA admits that there are things residency grads do that he hasn't fully learned in 20 years of experience even working solo jobs. I'm not saying residency is for everyone, because it's not. Some people just don't derive happiness from career satisfaction. My buddy is a genius in every way, but he's cool with not seeing that MI. He doesn't care to know how to put in a chest tube. He just wants plenty of money with plenty of time of so he can retire early while working as little as possible. That's cool (and I honestly consider it sometimes). But if you want a job where you truly get to practice to the fullest scope, that's not going to happen 95% of the time without a residency. Thats what I think it boils down to. What makes you tick. Is it money, hobbies, or knowing you're fulfilling your potential at your job. Plus If residency and job experience are the same, why do we count it for physician's training and not our OTJ experience? Why do they have residency at all if it's all the same. Just thoughts.
  25. 5 points
    For those of us still anxiously awaiting interview invites, the forums from last year indicate that January invites were sent out on December 30. Also, they held interviews in February and March so there's still time even if we don't hear back about January interviews. Stay positive and enjoy the holidays everyone!
  26. 5 points
    I was also accepted! 4 years in the making, and it seems so surreal. I am beyond thrilled to meet my classmates. So honored to be at this point!
  27. 5 points
    Just got accepted with scholarship!!
  28. 5 points
    Personally, I don't think many PAs are advocating for independence because we WANT independence but rather as a defensive response to NPs being granted independence. We see this as a threat because it makes us VERY disadvantage on paper. We all know in reality we have NPs hands down but definitely not on paper--which sadly is the most important. But yes, we also need to stop accepting college graduates with virtually no real experience--this is NOT what he PA profession was founded on. As far as names: Realistically: Physician Associate. Ideally: Medical Practitioner. Physician Associate (PA): 1) It would be the easiest change. 2) Puts in line with our UK counterparts. 3) is a little more appropriate Medical Practitioner (MP): 1) In line with our NP counterparts 2) Nurses practice medicine in the NURSING model = Nurse practitioner. MPs practice medicine in the Medical model = Medical Practitioner. In other words the name is absolutely appropriate. 3) Gets rid of "Physician" so we stop rubbing them the wrong way and stop the confusion. 4) With this name we totally disconnect our selves from "PA", which has been (in my opinion) plagued by complete and absolute misunderstanding of what we actually do.
  29. 5 points
    I received a call from Jeremiah on Wednesday that I was accepted into the program. As of Friday they still have 25% of the class left to fill!
  30. 4 points
    I was accepted when I was 57! You've got 30 years on me!
  31. 4 points
    Happened today: 31yo male with a mild learning disability walks in with history of a sore throat from 3 days ago...note this is not a sore throat for the last 3 days, literally he had a sore throat 3 days ago and now asymptomatic. I understand the patient had a learning disability, but his college educated mother is the one who brought him in "just to be sure." (insert the biggest eye roll you can possibly imagine)
  32. 4 points
    I think once you have mastered your job duties/functions you will get more comfortable and be able to come out of your shell more. The first few weeks-months at a new job isn't the ideal time to do self analysis. Everyone is a little awkward and out-of-place right at first. It'll get better!
  33. 4 points
    I'm a new grad almost 6 months in working at a CHC in FM. A lot has been said already but I think it is very dependent on the organization. I interviewed at dozens around the country and I can tell you that CHCs come in different flavors. My two cents: 1. Look into their leadership as that will tell you a lot about how things are run (e.g. I interviewed at a CHC whose CEO was a PA, needless to say that it was a supportive environment for new grads). 2. Read employee and patient reviews. Obviously take it with a grain of salt but read comments online from indeed, glassdoor, or facebook to get an idea of what they are like. 3. Don't be afraid to ask the hard questions. Ask about turnover rate, who are you replacing and why are you replacing them, ask to speak with your future SP if possible, ask to shadow a PA there, ask about your support staff e.g. do you get MAs and nurses, ask about support from admin e.g. when was the last time a provider had to fire a patient and how did admin respond, etc. etc. 4. Ask about the make up of their patient population. At the CHC where I work, most are migrant farm workers and for the most part, they are quite grateful for the care that they receive. Each population has a unique set of needs and expectations. 5. Ask about the EMR. Do they have templates or quicktexts? If their EMR is NextGen, run. LOL. For me, what I dislike the most about my job is dealing with worker's compensation and the lack of continuity of care because our patients move around the country. It's true that compliance is tough in the type of population served by CHCs but I've learned not to take that personally. Lately I've been keeping in mind that my patient's health is ultimately their journey. I can prescribe all the pills available to them but if they don't put it in their mouth, there really isn't much that I can do. ¯\_(ツ)_/¯ Best of luck to you!
  34. 4 points
    I haven't posted on this forum yet, but I interviewed in November and got an email a couple weeks after thanking me for attending and informing me of the final interview session on Jan. 12. The email said I would know sometime after that session if I was going to be offered a seat or placed on the alternate list. Fortunately I received a call on Jan 2nd and was offered a seat in the class, which I plan to accept. Soooo: Has anyone else that interviewed early heard back yet? And to those interviewing next weekend, best of luck! South's interviews were very laid back and the students/staff were all extremely friendly. Try to enjoy the day! :)
  35. 4 points
    An update for those on the waitlist: Yes, interviews have been completed. We do not rank our waitlist. We are looking to maintain 75 seats in our upcoming class; if that number drops below 75, we will review candidates on the waitlist to make more offers. This process can continue until the class begins in July. Usually we utilize 40 percent of our wait list.
  36. 4 points
    Always important to remember that nitrofurantoin should never be used if pyelonephritis is suspected. It has very poor penetration into the renal parenchyma; you'll never reach therapeutic levels if it's anything more than a simple cystitis.
  37. 4 points
    Applying to other programs will likely be low yield (unless you do not tell them about your prior attendance) and expanding your choices to test the waters can be prohibitively expensive. While E relates his experience with a part time program, those options have nearly disappeared with the transition to a masters degree. Failing a student after 4 semesters of taking tuition dollars is not acceptable. Makes me believe that this program did not have it together concerning milestones and expectations. I have not followed other posts for your situation but did you get a refund of any sort? Did you get any sort of academic advising or assistance when it was identified you were not doing well? The fact that you want to reapply and the program won't accept that indicates the program and sponsoring institution have burnt their bridge with you. Now you are left potentially holding the bag of financial obligations undertaken in order to attend that program. You can go quietly into the night or there is the distinct possibility that your program failed you in your quest to be a PA. Take a look at the ARC-PA standards, specifically A1.05, A1.10, A2.05, A2.14, A3.10, A3.11, A3.17, A3.19, B1.09, C3.03. This can be found at: http://www.arc-pa.org/wp-content/uploads/2017/06/AccredManual-4th-edition.rev6_.17.pdf After reviewing those standards and the evidence suggestions, ask the following questions: Did the program make it clear what was expected in writing for the classes a C was earned? Did the program provide notice and advising/assistance when performance did not meet program expectations? Are there records indicating these meetings/sessions and the outcomes? Did the program provide remediation opportunities when those expectations where not met? If there is a no to any of those questions, revisiting this with the dean concerning the decision to dismiss you could be supported. A complaint to ARC-PA concerning unmet standards could also be a potential action. Alternatively, if all of the above was met, basis for readmission would be missing. There is also the question of poor performance due to a learning disability, for which evaluation may be a necessary pursuit prior to any further endeavors. Good luck. George
  38. 4 points
    EXACTLY!! As much as I hate to be associated with NPs its honestly what we need right now. Can we really manage to let our selves be degraded because the public thinks we have LESS training than NPs? We need a name that will equate us with NPs. Yes, I understand that our training is generally superior to NPs but the public and legislature does not think this with a name like Physician Assistant or even Physician Associate. Its all about perception! Changing our name to Medical Practitioner would more or less rock the boats, but it would generate a conversation about our name and about what we do and about our extensive and standardized training unlike our NP colleagues. We are already associated with NPs but I think the vast majority of the public believes that NP>PA. With a name change to MP I think the tide would change to MP>NP, or at the very least MP=NP. Both would be beneficial.
  39. 4 points
    Let me add a personal philosophy that not everyone agrees with. When you KNOW you need to send a patient to the ER because you don't have the resources for their complaint just send them...don't do 20% of the work up because you can and then send them. Get them to where they need to be and where all tests and procedures can be done in an organized and complete fashion. I work in a low acuity UC now...slowing down a bit late in my career... and when someone comes in doubled over clutching their belly or a pregnant woman comes in with nausea and low back pain... I tell them I am happy to see them but there is a 99.999% chance I am going to send them to the ER to get the workup they need and I don't have the tools to do. This, of course, doesn't apply to people who need an ambulance transfer. Most appreciate being told very early in the process so they don't waste their time and money here. Some scream and yell about what we should and shouldn't be able to do. Those people I sign in, take their co-pay, and send them to the ER. We don't turn anyone away and if they want to be seen here...Ok.
  40. 4 points
    The way I describe it to students: all PAs are trained to take care of most patients, so the real question is whether you have the resources you need on hand to treat a given patient. All the tests, the specialists, etc. As you learn in EMS, the time to call for help is when you think you might need it, not when you’re drowning in alligators. Now anything can turn into crap when you least expect it to, but if you’re concerned it might and you don’t have the resources to quickly tease it out, then send them. Insurance isn’t your concern; lives are. Sent from my iPad using Tapatalk
  41. 4 points
    Nope. You're done right there. No offense to your parents, but they are not understanding what this will take. Saying "graduate school" to most people means one thing. PA school is not even on that planet. Forget it and move on until you can achieve the 100% support required to attend.
  42. 4 points
    Read through the forum. Admissions requirements overall are not indicative of the quality of the program. All programs prepare you to pass the pance. Many programs are different in terms of structure of didactic and clinical years, coursework, thesis requirements, elective and regular rotation avaliability, and teach style among other factors.
  43. 4 points
    I was wondering as well. Best I could come up with was "Offering Vaginal Inspection". Although not necessarily a misdemeanor, it could earn you a face slap, especially if proposed to a stranger at the mall.
  44. 4 points
    Just got accepted with scholarship as well. Does anyone know if this scholarship is different from the tuition reimbursement they were talking about at the campus visit day? Is it a scholarship based on the application we filled out for various scholarships? It would great if it was a scholarship ON TOP of the tuition reimbursement :)
  45. 4 points
    I just received and email of acceptance and scholarship! Happy holidays!! It took me three years to finally be accepted :)
  46. 4 points
    Do a residency. Or at least apply and try. You will not regret doing one. I'm finishing up my EM residency next week and I would do it again for sure. Can you get a good job without residency? Sure, but it's more difficult to get the training you will want. At this point, I'm fairly comfortable with anything that comes through the door. Seeing sick folks outside of the residency setting will have it's own challenges, but at least I've been prepared. I foresee residency becoming more of the standard over time. Money will be the issue since most of the PA EM residencies are funded by the individual hospitals/systems. There isn't any ACGME backing like the physician residency has. That definitely makes it more challenging. The process is rather competitive if you don't have an outstanding application. I got an interview everywhere I applied, but I had good references and significant paramedic experience as well. I got passed over by a couple of places and that's fine because I think it's more of a "fit" issue. Some places are looking for the fresh-faced new grad with the 4.0 and other places want someone more "experienced." Be willing to move if you want in! I found that lots of places(jobs, recruiters) have no idea what an EM PA residency is or that it exists. Sure, there are some jobs that recognize this and will snatch you up in a second. I can't tell you how many times I've explained to some recruiter what my residency training means, the skills I've gained and what kind of jobs that training has prepared me for. My new job is in a small 20 bed community ED, pays really well and I can see any pt I want. The recruiter for that job knew exactly what it meant when she saw I was completing a residency. She called me that day and they eventually ended up creating a spot for me even though they weren't currently hiring full time folks. That's the doors residency training can open. I'll be doing solo locums work as well, which I look forward to.
  47. 4 points
    I've commented long and loud before but it was PA for me no contest. Then again, I'm not young with a solid science background. I also could frankly give a crap about what people think. If they don't know what it is that I do, or what a PA is, I can tell them, and sometimes they get it and sometimes they gloss over and/or say something stupid. There are people out there who still think DO isn't a real medical doctor, so who the hell knows what they think about PA. Either way...moving on. Not a factor. If I want to acquire and use new skills, I'm going to find a way to do that. That may mean finding a different job with people who know how to use personnel effectively and efficiently. Same with respect and knowledge of co-workers' training and skills. Go where you are supported. It may take some doing. It's going to be a rare case of a PA functioning at the level of an MD and it takes longer when it does happen. That's just common sense. Your "same position for life" - a comment. There is almost zero lateral mobility in MD - once you are a ortho or Derm guy, that's it (there are a couple of exceptions). We do still have that. Keep that in mind - as a PA, if you are doing IM and you fall in love with CT surgery, you can get over there. There may be a fellowship involved, but that's only a year. Maybe that would keep you from getting bored. Bored or dead end for me is not getting the MD residency I wanted because I got a bad grade/rotation or had a bad test day once and fell out of the race. Now I'm a quarter mill in debt and settled for a job I don't like. PA options as you define them? Pretty limited. Just being honest here - the field is designed to create clinicians for patient care. Are there a few other things out there? Oh, sure. Just like 1% or maybe less. I think you are capable to do the MD/PhD but not sure if you want that. The real question - my opinion only - is whether you want to do PA first. PA school is not free in time or money, by any stretch. 1. PA first - you should sail into a program and be a very good student. Let's say you exit with $100k in debt. You work in a couple fields for say 5 years. Now you are what - 32 years old, with fantastic experience. Do you have a spouse and kids at that point? Own a home? Do you really want to attack the MCAT at that point and go back to school and training for another eight years plus? 2. MD / PhD now - attack the MCAT now, longer program and time for your first paying job - a vow of relative poverty and high debt. Eight years plus the PhD stuff - you're working at what, 32 - 34 years old, with massive debt. Do a single field for a while, get yourself into research as opportunity presents itself. I don't know. You're asking the right questions and they are tough ones. Knowing and defining yourself ain't easy. It does seem like you are trying to talk yourself into PA for whatever reason. Like you want to do PA but not sure if the naysayers have a point. If you decide on PA, then commit to it and don't listen to anyone else or the internet, which includes me. Even though my opinions are (obviously) always 100% correct, you do you. The people telling you stuff don't have to live with your decision. You do. There's an old trick I've used. Decide, just in your head - tell no one and take no action - what to do and live with that for a few days. See how that sits. Maybe try the other way. Or use the coin trick. Heads one way, tails the other. Are you disappointed or excited or relieved at the outcome of the coin flip? Hope this ramble helps. Good luck and let us know what happens.
  48. 4 points
    Associate Physician implies we are physicians. We’d be replacing one misleading title for another.
  49. 4 points
  50. 4 points
    I have experience as a scribe and as an EMT and can say that each experience was valuable in it's own way, however I learned way more from scribing than as an EMT. It would probably take me 10 months to learn what I can learn in 1 week from being a scribe, and that's only if I take the initiative to look things up on my own.