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Showing content with the highest reputation since 12/16/2018 in Posts

  1. 12 points
    HI all, I am the one who is behind the GFU doctorate and there is good reason for correcting this issue. First, you need to understand that academic awards are based on regional accreditation. Here is what the Northwest Commission on Colleges and Universities states: Degree Levels Associate A lower division undergraduate degree normally representing two years (approximately 60 semester credits or 90 quarter units) of lower‐division collegiate study, or its equivalent in depth and quality of learning experience. Baccalaureate An undergraduate degree normally representing four years (approximately 120 semester credits or 180 quarter credits) of upper‐ and lower‐division collegiate study, or its equivalent in depth and quality of learning experience. Masters A graduate degree representing approximately 30 semester credits or 45 quarter credits of post‐baccalaureate study, or its equivalent in depth and quality. Doctorate A terminal degree representing three or more years [90 SH] of graduate study that prepares the recipient to conduct original research, engage in scholarship, create artistic expressions of human emotions, or apply knowledge to practice. -- The type of degree awarded has nothing to do with the practice as a PA. That is governed by the state medical board and legislation. It does have everything to do with standards of regional accreditation. It is not degree creep, it doesn't change what needs to be done. It is simply applying the standards of regional accreditation and academic aptitude. oh, and the degree is a doctor of medical science. Not PA Medicine. And the tuition cost is similar to all regional costs (extrapolated out to 2021); the program has no fees. And finally, I was a "certified PA." Please don't get caught up in the falsehood of degree creep or thinking the university makes more doing this. Neither are true. The cost is the same. In fact, it is easier for me to build a Master's degree. But, I am an academic and I intend to pursue a program that meets regional accreditation standards as listed above. Hope this helps. Greg
  2. 9 points
    No, he shouldn't. He should be EXACTLY as loud as he wants to be. I may disagree with him, but I damn well support his right to voice his opinion here. If it upsets some fragile little ego's, then let those fragile little ego's go back to their mother's basement or their universities safe spaces. Makes it kinda stupid to spend the extra $30-$80K to get a doctorate then, doesn't it? The only people, and I mean the ONLY people, who benefit from degree creep is universities (or as Kaepora calls them, the academic bourgeois). I am against degree creep. There are (were?) PAs with certificates who practice better medicine than I do with two masters. However, if we are going to do it (and we ARE going to do it), hopefully we will follow along with what this program is doing and simply awarding a doctorate for what we are already doing.
  3. 8 points
    I do hope this doctorate program will be discussing the value of essential oils!
  4. 7 points
    nope, it's not a DNP program(ducks for cover).
  5. 7 points
    Hopefully it makes them their Medical Practitioner.
  6. 7 points
    I just don't get it though. There are already 3 year medical schools. Just do that. Or add 1 more year and become a physician with greatly increased earning power, respect, etc. But it looks like it's 28 months? So not really any longer than your typical PA program. Most of my NP colleagues do not support the DNP. I do not support it. The academic, bourgeoisie NPs are trying to force it upon us working-class, proletariat NPs. Note, however, how they keep pushing the roll out date back year after year. We should take PTs, pharmacists, etc as an example. Their salaries did not increase. Their scope of practice did not increase. They have more debt, but for what?
  7. 6 points
    I put in their hygiene and appearance. It is an objective finding that supports mental health and psychosocial situation. If I put delightful in a chart, it means the person is really nice and easy to work with. Pleasant means they are cooperating. Agitated, anxious and uncooperative enter my chart often as I see a group of folks with extensive mental health issues. Or dementia "limited historian, aloof, unable to provide information". "patient smells very strongly of cigarette smoke (sub - marijuana)" is very very common in my charts. "patient has inappropriate laughter and appears acutely under the influence of substances" - the contact high was overwhelming. "patient smells strongly of alcohol at 11 am. Patient denies drinking" is also a known thing. Stale booze just sucks for the examiner "limited personal hygiene" --- "moderate grooming" --- "disheveled" --- "work worn clothing and work dirty hands" "pt has odor of urine" "pt has odor of cat urine" - meth labs smell like ammonia and cat urine "pt unable to sit for history due to back pain" "pt pacing and fidgeting" --- "pt rocking back and forth" -- yep, common It is all relevant to the situation and context. I don't care if they can read it. I don't put in things like snarky, mean or dressed like a hooker --- that is inappropriate. I use terms when appropriate such as verbally confrontational or combative, loud, angry, agitated and then all the psych things like tangential, withdrawn, etc. Paint a picture in the chart. It means something. Just my crusty old 2 cents
  8. 6 points
    I just got my acceptance call after being placed on a hold status in November! I was waitlisted 2 years ago and am so happy to have finally gotten the call from Colleen!
  9. 6 points
    I'm always very surprised to see "old-school" PA's champion against increasing the prestige and applicability of the PA degree (whether it be a DMSc or a MPAS or whatever). Then I remember that these are the same people that stood by passively and watched NPs push into the stratosphere legislatively while comforting themselves that "we are better providers" and "our training is actually in medicine". Spend 10 minutes on the forum or looking at jobs and you'll realize that we F'd up by tying the profession to physician groups that no longer have the hiring power they did when private practice was the norm. I get the arguments against the DMSc just like I understand the sentiment against mandatory fellowship training. But the fact is that unless we alter our trajectory we will have been replaced by NPs in 20 years. Easier to hire, easier to train, easier to "supervise", etc etc etc. Oh, and as far as the PT argument goes, PT changed to a doctorate in part to be able to get reimbursement from insurance for direct visits (i.e. no referral needed). This HAS happened is many places and has contributed to a significant growth in their profession, especially in outpatient settings. Lastly, the "just go to med school" comments are ridiculous considering that med school comes with a mandatory residency which effectively triples or quadruples your time in training vs PA school. Not even a close comparison.
  10. 6 points
  11. 5 points
    Of course and best of luck to you as well! Just FYI to everyone, George Washington University had 11 no call/no shows to their last interview session. While this is terrible and those that didn’t show should be totally ashamed of themselves, it goes to show that you never know what can happen.
  12. 5 points
    Hang tight everyone. As programs begin, candidates will move around freeing up spots. Those on the waitlist still have a shot. Some cohorts change almost entirely as the start date approaches. Plus, the winter weather can delay or cancel flights and flights are expensive this time of year. People coming in from other areas might cancel which opens spots. Keep the faith!! You never know...
  13. 5 points
    I received an email saying my decision is ready in the portal, but when I login I don’t see a decision. Is anyone else having this issue? Do I have to navigate to a certain part of the portal?
  14. 5 points
    all true. I am hoping we get momentum on name/title change this year. The one thing having a doctorate does is sets us on a more even playing field with DNPs. People ARE losing jobs because some HR person who does the hiring assumes DNP>MPAS. The other issue (obviously) is the burden of "supervision". We are working on that too.
  15. 5 points
    A better title than physician assistant studies...
  16. 5 points
    So, let'd do a deep dive on this one: Which cardinal medical ethical principle do you think I'm violating? Beneficence? Nonmaleficence? Those are complete non-starters as long as I'm not trying to force people with medical contraindications to get the shots they're not supposed to. Autonomy? The patient can go anywhere and do anything they want: I just would opt not to participate in it. Justice? Everyone gets treated the same! Now, if I gave waivers to a bunch of rich, whiny white women, that would definitely be a justice violation.
  17. 5 points
    yup, I have a lot of free time on my hands working solo night shifts.... anyway, some of these things have been listed here over the years, but thought I would put them all in one place 1. your first job is about leaning your trade, not about money 2. if you can afford to do a residency in your field of choice, do it! see #1 above 3. as a new grad you can have 2 of the following 3 if you are lucky; location, specialty, salary. choose wisely. 4. don't buy a $50,000 car right out of school. a good rule of thumb is take your yearly salary and divide it by 3. at most you should spend 30k on a car if you make 90k/yr assuming no alternative source of income and no other major debt. I have too many friends who have to work extra to make their $700/mo BMW payment. drive a safe and efficient car until you can afford your dream car. 5. don't buy a $500,000 house right out of school if you are single. take your yearly income and multiply by 3. this is a good price for a first house. 90k salary? 270k house. spouse/partner also makes 90k? you can double that. 6. living within your means(see #4 and 5 above) means you can work less, travel more, and take time to enjoy life. I spent too much of my 20s, 30s, and most of my 40s working 180-220 hrs/month. don't do that. now I work 168 hrs/month and have never been happier. I used to never have time to go out with friends. now I go out at least once/week, go to jazz clubs, etc. in 2017 I already have tix for sting, red hot chili peppers, U2, and foreigner concerts. I also now have time to do 2-3 international medical missions/year and taake time out with the family for spring break, cme conferences, etc 7. don't take the first job you are offered unless it's perfect. don't settle for mediocrity. 8. don't work in a field you detest just because it is a job. moving is better. you will be miserable doing surgery, urology, pain clinic, etc if you hate it 9. don't accept a "training salary" unless in a formal residency program. A formal residency program has off-service rotations and dedicated learning time. don't be fooled by training fellowships that are just low paid jobs in one dept in disguise. 10. don't accept a position that does not offer cme, retirement, malpractice, vacation, etc. you have earned a benefits package 11. don't work in a very narrow field right out of school unless it is your dream job and you never intend to leave the specialty. I know lots of folks stuck in jobs they hate who can't leave them. 12. if you are getting burned out consider the following: work fewer hrs/mo, see fewer pts/shift, switch specialty, switch location, find somewhere you are appreciated. I can't tell you how much better my mood is after transitioning from a high volume/low acuity facility(30 pts/12 hrs) where I was treated like an interchangeable worker bee to a low volume/high acuity(10 sick pts/24 hrs) facility where I am valued as an individual for my skill set and experience. 13. don't sign a lengthy contract or a non-compete clause. these are tools to keep clinicians in crappy jobs. If it's a good job, you will want to stay anyway. 14. don't take a job where your clinical supervisor is an RN or office manager. we are not medical assistants 15. don't refer to yourself as Dr Smith's PA. they don't own you. Say instead " I'm John Doe, one of the PAs here" or "I'm John Doe, I work with Dr Smith on the surgical service". language matters. don't let yourself be treated like an assistant. don't regularly take out trash, take your own vitals, room patients, etc unless the docs in the group do too. I can see this in a small office, but there is no excuse for it elsewhere. 16. don't work for free. if you are charting at home, make sure that you get paid for it. may add more later, but that's what I've got for now after a 24 hr shift. 17. don't take a job at far below market value just to be in a particular location. lots of new grads are taking jobs in NYC for example at 55-60k. As a young new grad this may seem like a lot of money if you have never had a real job before. it isn't when the national average is around 90k. know what you are worth. don't accept less. if enough of us do that the crappy job offers will go away.
  18. 4 points
    https://www.georgefox.edu/pa/index.html New DMSc program in Oregon. It looks like an entry level program. The time has come folks. I think this is the right thing for the profession. We have to get on the train like everyone else.
  19. 4 points
    Has anyone else not received an email?
  20. 4 points
    I graduated PA school 12/2016 - so 2 years in! (crazy that it's already been 2 years). Before going to PA school I had a short "career" as a high school science teacher, and then basically spent 18 months getting prerequisites and spending time working and shadowing in healthcare to decide what I wanted before deciding on PA school. Do I enjoy being a PA? Absolutely, I enjoy my job. Are there days it sucks....absolutely. But, overall it is good. My current employer is not exactly the greatest, but that is why I have found a new position and am moving on. Autonomy? I work in FM, yes I have a "collaborating physician" but from a patient perspective there is no difference between what I do and what he does. The only difference is that he takes call and reviews/co-signs my charts. Do I wish I had gone to medical school? Sometimes, but then I get back to reality and realize that I would only now be graduating medical school (assuming I didn't do a 3 year program) and would still have residency ahead of me...That doesn't even include the RIDICULOUS debt and very little income (comparably) during residency (especially with student loan payments), AND the lost income for 4+ years. I make basically $100k per year and graduated PA school with ~$60k of debt. Average medical school debt is $200k, but many have WAY more. Assuming I went into FP after med school, if you calculate out...that is approximately $565,000 lost income over 7 years (4yr school + 3yr residency - assuming $40k, $45k, $50k residency income) with an extra $140k of debt. That is essentially $700k of lost money for MD/DO, and I'm being somewhat conservative as my next job I expect to be making more around $130k-150k depending on how busy I am. In the long run would I make up for the lost income with the higher income of MD/DO, YES...especially if I were lucky enough to match into one of the higher paying residencies. But, of course you have to match which requires certain sacrifices. Worth it for me to go MD/DO: at this time I can say...ABSOLUTELY NOT!!! I like my job, I make a good salary. Until recently I was respected, but tangible things changed (and I did have some role to play, but unfortunately those in power are being petty), and I am confident that I will be respected at my next job. I work less than my collaborating physician, but that is because I am efficient and don't take call or co-sign charts. Do some of the physicians within our practice work less than me? Yes, but they are also close to retirement. They still make more than me, but that is reality. I work and make THEM money. I am ok with that as long as I am paid fairly and am receiving a large enough piece of the pie that I produce. Does it bother me sometimes that I do essentially the same job as my collaborating physician and he makes 2-3x what I do? Yes, but that is also a product of him (and his partners) of being business owners. As a physician he probably makes 1.5-2x what I do, and the rest is rental income and kickbacks from insurance companies for meeting certain quality measures. WOW!!! This ended up being WAY longer than I expected.
  21. 4 points
    My organic chemistry teacher from undergrad just send me a FB message saying that he just decided to give up being a professor at a decent university to become a realtor. If you ask anyone tenured professor is better than real estate agent. But it wasn't better for him. The point of that being that there is no job in the world where there isn't a small chance that you might end up not liking your job. People can only tell you what was right for them. All they know about you is the one paragraph you wrote on a site. Only you know what is best for you. People mean well, but don't make a decision just because of some people on the internet.
  22. 4 points
    A few points.... degree creep is FAR BIGGER then US - we can adapt to it or get left behind.... period... for those of you not newly out of school - $100k is what PA schools cost now.... so it is normal there For those that say "just go to med school" -- we don't want to be doc's - but PA's. Med school is 3+3(min more likely a total of 7-8 years) against a just under 3 year program. That is a big difference.... As for political realm.... do you think all the move towards OTP would have happened if everyone really understood what PA's actually do? Heck no = but politics is marketing, perception and fighting for your turf - for the life blood of the profession we need to more to this-we have new grad DNP with out a clue calling themselves doctors, we have PT''s and audiologists calling themselves doctors, we have chiro's calling themselves doctors, we have ND calling themselves doctors..... and last time I checked the ALL had less schooling then us!! Names, Degrees and perceptions matter...
  23. 4 points
    This is a coming thing and cannot be stopped. I suspect most PA programs with a very minor tweak can be made doctoral programs muc h like my BS was well qualified to be a masters program.
  24. 4 points
    I think for an early career PA, doing one of the established residencies/fellowships will pay off more in the short term than a doctorate since it will actually increase your exposure to managing sick patients while improving your clinical acumen. You can always work on a doctorate (like the DMSc or DHSc) over the next few years while you work and make money; Lynchburg's DMSc will actually take completion of some residencies into account as well, which is a win-win (here's hoping other programs take note of this model and expand on it). I don't think residencies will be an absolute requirement for PAs for the foreseeable future (there simply aren't nearly enough of them right now), but for the astute new grad, I definitely think it's the way to go. I plan on doing both eventually, but my focus will be on getting into a residency as a new grad, and the doctorate will be done when the time is right.
  25. 4 points
    This is not a bridge program. Looks like a PA program awarding DMSc. I could be wrong. Now, as much as I hate degree creep or Diploma Bloat as you put it, it is unfortunately here. Much like the move the NPs made a decade or so ago to move towards independence and Doctorate degrees, it gave them a much louder voice and presence to our profession's detriment. We stuck by our virtues (physician kumbayaism and no move towards higher degrees and keeping "assistant" in our title) and played nice until it caught up with us. That obviously was a terrible plan. So now you are arguing that we should just sit by and watch everyone else (audiology, PT, NP, et al. But mostly NP) pass us by. If you don't want a doctorate then don't get one. But don't, in my opinion, hold back the profession by preaching that this should be blocked. Again I don't agree with degree creep from a philosophical standpoint but from a practical one it is here and if we ever want parity with our NP colleagues (or hope to show we are valuable and relevant in the discussion of Healthcare) then this is the future. Sent from my SAMSUNG-SM-G891A using Tapatalk

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