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Showing content with the highest reputation on 04/07/2020 in all areas

  1. I could email her again and see if I get a response and update you all. I’ve heard from previous cycles it’s a call but who knows with the situation this year. I would just answer any call you get at this point
    3 points
  2. My employer has guaranteed jobs/pay through the end of April regardless of work status. Many of us have been called off because hospital volume is at 30%. We have hundreds of empty beds. They aren’t making us use PTO and the pension remains funded, but I don’t know how long this can last. As a Hospitalist I’m not super worried about my job. I’m too useful right now, and if they furlough or fire us they won’t have the ability to react to COVID surges or to recover quickly once more normal volumes of non COVID patients return. But I’m worried they will take the benefits that made this job attractive, and more worried that this will drag on so long that the benefits won’t be reinstated at the end.
    3 points
  3. And how did the communist censorship regime contain the spread so fast and so well you might ask?
    2 points
  4. ^^^ lol gawd. What a failure of leadership on part of our profession. I sincerely hope the dead weight leadership who have been leading this field for the last 20 years are happy with themselves. Their legacy will be one of professional ruin. Good job.
    2 points
  5. Texas and NYC begging for HCPs, though PA’s are never mentioned. They want med students, retired docs, retired nurses, or nursing students but apparently not us. “Hi. I’m Rodney Dangerfield”.
    2 points
  6. Hey everyone, I created this list of schools for those of us who did poorly in college when we were kids and have desires to be PA's. The list consists of the following: School name, CGPA, SGPA, PrereqGPA, and HCE hours. I don't know if this is ALL of the schools, but it was all of the ones I could find and I looked at pretty much every PA program. I hope this helps some of you out in your application process. If any one knows of other schools you can comment below and I will add them. Best of luck to all. https://docs.google.com/document/d/10DB5YytgTE6oOarGVgJQ_1Mm8Jj6g5J8eS1-yRj1CA8/edit?usp=sharing
    1 point
  7. just saying I HATE ASSISTANT Spent the day on the phone managing highly complex patients over the phone. Boy we are no bodies ASSISTANT>......
    1 point
  8. Anyone with an outstanding interview date? There doesn't seem to be an acceptances sent out lately so I am thinking they are waiting until all interview are done before deciding.
    1 point
  9. Thank you for everything you do, most recently, on April 3, 2020, Mr. Mittman sent letter to the Veterans Admin to request full practice authority! Even if you are not a VA employee, you should support this measure and send letters to Secretary of Veterans Affairs and Executive MD. This was, as I’ve mentioned more than once, stolen from PA’s by one of their own leaders several years back. If approved in the US dept of. Veterans Affairs, it would bode well for each individual state progression. Information about his letter is on AAPA website.
    1 point
  10. I got offered acceptance yesterday 04/06 after being on the alternate list for approximately 2 weeks. Good luck to everyone and don't lose hope!
    1 point
  11. Has anyone tried calling Rahima? I wonder if she’s in the office Sent from my iPhone using Tapatalk
    1 point
  12. Just got the call! I was pulled off of the wait list! Is there a facebook group for the class?
    1 point
  13. This has been my fear. The morbidity and mortality of this virus sucks. Such is life in a country full of old and sick people for whom this virus seems to be targeting... The economic crisis that this virus and we have created will break us. In fact, it has started to already. As a consumerism-based economy, we cannot function under an extended lockdown, as Abe said. The logic behind a lockdown is great to help prevent the spread and mitigate morbidity and mortality, but we also have to understand the detrimental effects of unemployment, loss of health insurance, etc. This too can have profound effects on our country.
    1 point
  14. This may be helpful. I reached out to see if I could get an update. “Every applicant cohort is different and this year has been no exception. In the past our APOS list was very fluid however this has not been the case this year. We have only had 1 cancellation since December. We still may have cancellations occur prior to the start of the 2022 class. Remember this is a competitive process so it isn't necessarily about the applicant but the level of the applicant in relation to applying for the same cohort. Some of our best students have applied 2 or 3 times prior to getting it. If you don't get this year don't let it discourage but be encouraged to re-apply. If you do re-apply for the next cycle make sure you read our requirements again as they have changed somewhat.”
    1 point
  15. For what purpose? Billing? Risk management? Clarity of communication?
    1 point
  16. Just completed the Zoom interview with TUC today (4/6/20). Apparently we were the first group to transition to online interviews. We were happy guinea pigs though! So our interview took place on the date it was originally scheduled for, but was just conducted through Zoom (instead of in person). I received an email 3 days prior, on Friday, outlining what the virtual interview day would look like, including a detailed scheduled of the events. (Don't forget to respond to the email as indicated like I did! haha)
    1 point
  17. She said within the next two weeks hopefully.
    1 point
  18. Oh yeah...they won't admit it..but he is tubed right now.
    1 point
  19. If you can get your PCE to about 1000 by the time you apply, you have a decent chance with some programs. I know schools like Penn State or LIU only requires 500 hours and there are schools that require even less. Your GPA is pretty high and if you do well on your GRE I would definitely apply this cycle.
    1 point
  20. I'm going to be a bit blunt with you, but you will have a very very difficult time trying to find a job here as a new grad without school connections in Park or Gallatin county. Do NOT move here before getting a job offer. It'll hurt you financially. I and several PAs in Bozeman went to Rocky and 4 of them are from Bozeman, 2 out of 4 got jobs through their rotations in Bozeman (one with a second master's degree to get into her specialty, first PA in that department.) One is currently out of state getting experience and hoping to come back. One of the friends struggling to get a job here used to nanny for several of the docs in town and her mom is a physician here. You need experience, connections, and/or you need clinicals here. I did half of my rotations in Bozeman and didn't get a job here until I had over a year experience and I was severely underpaid in my second job here, new job is much better but not FTE--I supplement with locums. Bozeman did say they are planning to add a significant number of APC positions in the next 2+ years but when I talked to the lead APC she said most if not all would require 2+ years experience in the exact position. This area does not favor NP over PA... It heavily favors physician. NP and PA are on equal pay scales with the hospitals. Bozeman has a DNP program adding to your competition for positions here (in addition to PAs from Rocky). I couldn't get a job in Missoula with literally 54 weeks of work experience, they wanted "a year" but really it was 3+ they were looking for. Missoula is also very competitive. This isn't to discourage you, but just to paint a very realistic picture. This is posted, I know someone who did rotations there recently and said it seemed like they are only hiring an APP because the docs don't want to do it. I'd be a bit weary of that, but may also be a great opportunity that didn't fit their interests. Again though, very pro MD area, I don't know of any PAs in that hospital outside of primary care offices. The patients are great though. LHC also occasionally has UC openings that have been filled with new grads before so keep an eye out. The FQHC pays under market value. I have been practicing for almost 6 years. I cannot get an EM job even with high level of UC autonomy and high procedural experience in my positions and prior EMS experience, practice in remote Alaska, and all my certs (ATLS, ACLS, PALS). You might get lucky and find a position, but I wouldn't count on it. I'm very seriously considering going back to Med school at this point or doing a residency out of state and then trying to come back but I have little hope left. The PAs in Bozeman ED have been there since I was a student 7+ years... Very low turn over. I did almost work at the UC in Kalispell (MedNorth?) 1 year out of school. It seemed like a good opportunity but the pay was low at that time and I got a similar salary offer but with NHSC repayment so I went with that. The owner typically advertises for jobs on Craigslist I think, not the job boards. Some places will hire new grads but if you go rural, you really need an SP to consult with your first year ON SITE/in town, otherwise you are setting yourself up for misery. Most rural sites prefer a bit of experience first because of the nature of rural medicine, or they prefer NP as they don't require a SP to be available and certain rural areas often can't afford an MD. The eastern part of the state or the "high line" (towns along the northern border) are always looking for someone and would probably consider you even as a new grad, you could do that for a year, learn everything you can, then apply to your desired areas and move.... You have to have about 3-5 years experience to work in Yellowstone. Libby seems to be trying to find someone and may consider a new grad as I think they also have FP residents from time to time. Billings and the communities around there are best for new grads as they are used to Rocky students being around and are familiar with PAs. If you are interesting in EM and UC I would recommend either a residency in EM (the UC ones are ridiculous to me, half the pay for work you can learn on the job) or get a job in a busy UC in a more populated area with at least one other provider on per shift to learn from and gain experience, it'll make you competitive. Feel free to PM and you will get back here someday!
    1 point
  21. Thank you! I interviewed on 2/27. I think that was the last day of interviews.
    1 point
  22. Well, welcome to the party Texas, and TAPA: Hello TAPA Members - As you are more than likely aware of, the TAPA Board of Directors sent a letter to Governor Greg Abbott a couple of days ago asking him to lessen restrictions on PAs in Texas. We are pleased to announce that yesterday, Governor Abbott has temporarily waived certain regulations to expand the health care workforce to assist with Texas' COVID-19 response. Although there is mention on the Governor's Website, TAPA expects a formal announcement by the Governor soon regarding the waiver of restrictive supervising requirements during COVID-19: PAs will not have to formally designate to the Texas Medical Board whom their SP is/will be It will be a verbal agreement and can be any Physician in good standing. This will allow PAs to move around to other areas of medicine without hassle (Medical Director of Hospitals could be SP for the PAs going into these facilities to help during the crisis) There will be no limit as to how many PAs or NPs an SP can supervise. (Formerly in Texas this was 7 total) There will not be a requirement for written delegation of prescriptive authority (standard of care should still be met) Students that only lack the PANCE as the final step of licensure will be granted temporary licenses Additionally, the following changes have been implemented since the emergency declaration on March 13, 2020: Telemedicine unrestricted (Source) PAs can volunteer without a Supervising Physician. If you would like to volunteer, follow this link. Retired PAs can return to active status (Source)
    1 point
  23. And now it's associated with 5G wireless transmissions! I know this because I saw it on the internet and W. Harrelson spoke up about it between bowls of Mary Juwana over on Maui.
    1 point
  24. I disagree with the above poster. Having low PCE is usually compensated for with high GPA, which you have. Volunteering is nice but isn't making or breaking any applications. I would apply broadly though; GW usually has a pretty high average PCE hours for matriculating students (like 4k+).
    1 point
  25. Your volunteering hours and PCE hours are on the lower end. It isnt advisable to apply when both of these are low because schools that dont necessarily have a PCE minimum will look at your volunteering hours. However, it doesnt hurt to try each cycle. All you lose is a "couple" thousand dollars and time.
    1 point
  26. I was actually trying let you know I don't believe you are alone in your thinking, not make you get carpal tunnel ! We're in the same boat, learning with the same goal while trying to not get to overwhelmed with the mass hysteria. I don't think your wasting time. 2 weeks ago my dad thought nothing of it except his retirement, and yesterday I had to calm him down from a 30 minute panic attack that his daughter was working in an ER 2000 miles away. In the end I had to send him a selfie of myself in full PPE. It's what happens to our thinking in a short span of time, one day we believe one thing, and the landscape totally changes weeks later.
    1 point
  27. I'm in California. I work at a large outpatient IM practice with 50+ MDs and 10+ PA/NPs (many of whom are new-hires since they are always hiring). At least for the doc I work with, the amount of patients in clinic have been drastically reduced as we transition to telemedicine. No news yet of pay cuts or furloughs but I'm not holding my breath as this pandemic continues. My PA friend in urgent care got his hours cut by half. My SO is an attorney at a large law firm where they cut everyone's pay by 15% but made it a point to mention no one will be fulourghed. Those I know who work in Computer Science are all working from home and chilling with no concerns about their job security. The other day I came across this Reddit post about a Florida Optometrist getting offered minimum wage to continue working. It's interesting for me to see how different fields with expected higher-than-average job security are being affected.
    1 point
  28. Yes, it's quite unfortunate. The economic repercussions are already astronomical as previously feared. Current death toll since Nov (going on 5 months) without a vaccine: US deaths: 9,109 Worldwide deaths: 66,500 The flu kills 60,000+ per year every year in the US alone (the majority during the six-month cold-flu season), and that's with a vaccine. Worldwide estimates range from 400,000 to 850,000 per year. Who said the flu is innocuous? "Until recently, the World Health Organization (WHO) estimated the annual mortality burden of influenza to be 250 000 to 500 000 all-cause deaths globally; however, a 2017 study indicated a substantially higher mortality burden, at 290 000-650 000 influenza-associated deaths from respiratory causes alone, and a 2019 study estimated 99 000-200 000 deaths from lower respiratory tract infections directly caused by influenza. " https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815659/
    1 point
  29. Tried giving you the benefit of doubt, believing/hoping you were going to add some sort of valuable insight after so nonchalantly comparing our training to BSN students. But I digress. I don’t find it threatening enough to go discuss it on an NP forum. Thanks...”Doc”.
    1 point
  30. Am I the only one who is truly getting sick of this endless debate ? Yes - we are better trained but No - we are not nurses so will never transition to becoming NPs . if you want to be an NP - go the most direct route and jump on their bandwagon I’ve considered it but for now I’m much too needed in my current role . We are in the midst of a public health crisis like we’ve never known . Make yourselves useful and quit bitching about NPs all the time .
    1 point
  31. While your entire rant is off base and ridiculous, as a PA in MI I'll respond to this. In the state of MI it is clearly stated that self-prescribing is unethical and there is significant precedence. Furthermore, prescribing to family members is stated as unethical and there is significant precedence. The true story in a lot of these cases of hydroxychloroquine in MI wasn't providers self-prescribing as prophylaxis. It was outpatient clinic physicians (almost exclusively) who prescribed hundreds of pills to themselves and family members, literally clearing out local pharmacies to the point that those who are prescribed hydroxychloroquine for other conditions could not get their medications. There is a physician in the county I used to work in that prescribed himself and family members the equivalent of 1200mg hydroxychloroquine DAILY. That's not even a treatment dose and is the definition of stockpiling. Thankfully, while the state of MI is dragging its feet to do anything (honestly understandable considering their focus is elsewhere), this physician has lost all privileges at the hospital he worked for and therefore has no job and all local pharmacies are no longer filling prescriptions from him. On top of this, the pharmacy that filled all of the unethical prescriptions (with ridiculous daily doses) has fired the single pharmacist that filled all of the scripts. So, don't tell me that physicians were just trying to protect themselves...I smell horse poop.
    1 point
  32. I would go for this ONLY if the degree creep stops. No more required Doctorates - no more Doctorates are better than you. Could we have ONE educational oversight body to ensure that training is legitimate and similar in length, depth, breadth of knowledge and skills? Could we curtail all the new blooming let's make money PA programs that keep cropping up? Does this mean that NPs would enter fields they previously have mostly avoided such as Ortho and surgical fields? Would that hurt PAs? What about the nursing lobby that smothers PAs now with their vast membership? Would the new alliance sever the NPs from the nursing lobby - since we would all be Practicing Medicine together - not nursing? I am sure more things will come to mind.....
    1 point
  33. One of these days I'm going to go back and dig out my "This profession is dying, here's why...." threads. I have lots of them. I have been blowing the trumpet of warning for literally a decade + here. To much ridicule. I was screaming we need to have practitioner in our name somewhere back in the late 90's when it was laughed at and dismissed. I posted a 5 year dead man walking thread for PA's about 3 years ago when I began to see and experience NP's being chosen over PA's for jobs. As someone who has been a PA since the early 90's it just simply kills me to watch this field implode through inaction, arrogance and decades of professional leadership malpractice. But here we are. I don't have much left to give this profession, and if I was asked by a 22 year old "should I go to PA school?" I would tell them no. Go to NP School. Their future is much brighter than ours, and it will only be a matter of time before we are working for them.
    1 point
  34. It pains me to say this, especially for those who are just entering, or only have a few years in, but you know the expression that pregnancy is a great stress test for a female and what to be wary of over the coming years? I’m afraid that this crisis is showing the true, unadulterated opinion of this profession and where it’s headed. I can’t even say over the long haul because unless something changes relatively soon PA’s may become an afterthought. Sent from my iPad using Tapatalk
    1 point
  35. Is there such a thing as being “half” furloughed? Had my salary cut in half today, 50% slice until further notice while still expected to work FT.
    1 point
  36. What's the problem? Everyone knows assistants count the inventory and stand behind the docs and nurses.
    1 point
  37. I hope you are talking about winning a title change and gradual independence.. It is not FOX's fault, could have just as easily been another reporter or news station. The problem is the title. Why do 50% of PA's want anything to do with PA, physician assistant or associate. I seriously doubt anyone would have been confused or assumed a Medical Care Practitioner was the helper behind doctors and nurses to stock and count supplies.
    1 point
  38. Look, regardless of your or my personal political beliefs, we need everyone from every part of the spectrum on our side if we want to win this...
    1 point
  39. The Texas Academy petitioned the governor to allow physicians to supervise more PAs. The idea of eliminating supervision, it seems, never crossed their minds. I just want to scream some days.....
    1 point
  40. I just emailed my two Senators and Representative asking the why we weren't included. Hopefully we will get a response.
    1 point
  41. You don't even have to be retired military to be unappreciated. Look at Texas.
    1 point
  42. There was a PA on Good Morning America this morning who was laid off. New York, I think. He never said what field he worked in - Derm, Plastic Surgery, private one doc show - I don't know. It just seems completely counter intuitive that any licensed PA would NOT have a job right now. The obvious is painful though - go to work front line against COVID with little PPE, no vents, etc. Is that even an option? Kind of a no win situation at some point.
    1 point
  43. Dallas Co judge looking for volunteers. Sent tweet saying that he and the governor are missing out on the highest trained medical providers short of physicians and yet not a word has been uttered about us. State’s website says that “physician’s assistants” can volunteer. If you can’t get the name right then you probably can’t utilize me correctly either.
    1 point
  44. And yet, I've been registered with WAServ.org for 3ish years, supported several events, and there are zero missions available for which I could volunteer. Madness.
    1 point
  45. Looks like you only have to buy the top half! #nopantsinterview #dontstandup
    1 point
  46. 1) We're going to start de-integrating hospitals. Trauma/surgery/childbirth doesn't need to be with chronic medical condition management, which in turn doesn't need to be in with management of acute, possibly infectious, conditions. EMTALA means any hospital with an ED becomes a quagmire in an epidemic, and we have to intelligently change that. 2) Certificates of Need should go right out the window. 3) Supervision might take a fatal blow in places where we make a difference. We need to be prepared to make use of this as a talking point for the next few years.
    1 point
  47. Respectfully, I am glad it's difficult to gain admissions to in careers where you have a very huge impact on people's lives and well-being. That said, it IS very difficult to get into PA school, and for good reason. If you cannot earn a decent score on the TOEFL, you probably should not be practicing in English. There are a few PA schools elsewhere but in general, the PA profession is an American invention, and the availability of programs reflects that. I am sure you are a good clinician with all your experience, but you'll need to, at minimum, improve your English so that you can earn a good score on the TOEFL to be considered. Best of luck.
    1 point
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