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Showing content with the highest reputation since 04/10/2008 in all areas

  1. 33 points
    Hey everyone, I'm a fourth year medical student- if there are any of you that ever spend time on Student Doctor Network might know me as Mad Jack. I am a respiratory therapist as well, though no longer by trade, but I keep my license active as a matter of pride. But here's something I've noticed over the years. I was guilty of it as well, when I was "just" a respiratory therapist, and even now, when I'll occasionally mutter that I'm "just" a medical student. You aren't "just" PAs. You're damn good clinicians that many hospitals and practices couldn't function without. You've got strong clinical skills and acumen that allow you to do many of the same things physicians do, and often just as well or better. Yeah, you aren't the physician, but you're also not "just" a PA, you're a physician assistant, a title you worked hard to earn and work harder still to practice. So next time you find yourself about to say it, maybe hold back and say something else. I know it's easy, and fast, and gets across what you like to say. I did it all the time as a respiratory therapist- "oh, I'm just the RT..." And now it's frequently, "oh, I'm just the medical student..." But I feel like it feeds into a subconscious narrative that you're something lesser, either to you or those around you. Every clinician should be proud of what they do, physician assistants as much as any. We all make this health care thing work (when it does, at least) and we all have a part to play. This post was kind of prompted due to my accidentally offending a PA. She said, "I'm just a PA," to the radiologist when asking him to verify what she'd read. He and I were both like, "you're not just a PA." Her read was right, and I was like, "you're not just a PA, you know what you're doing." Which I think she took to mean other PAs don't, but she does. But that's not what I meant at all- "you're not just a PA, you're a skilled clinician that knows what you are doing- you are a physician assistant, and a good one at that" would have been the more wordy but accurate thing to say. Yeah, she isn't a radiologist, but maybe she could've said, "I just wanted an expert read on this" and brought him up rather than shooting herself down, I don't know. With other providers it isn't a big deal, but with patients, I feel like saying "my initial impression is X, and we should have a final read from radiology soon" rather than "I'm just the PA, and I think X, but let's see what the radiologist says" comes across better. Anyway, that's it from me. Keep being awesome you guys.
  2. 22 points
    So I need to keep this a bit vague, but interesting story. I had a pt recently with a significant traumatic injury who was not appropriate to keep at my rural , critical access hospital. I called one of the regional trauma ctrs(on a recorded line) and got a physician on the phone who is well known for not liking PAs. I presented a straightforward case about wanting to transfer the pt to a higher level of care for surgical evaluation and possible intervention. The physician started giving me the third degree and telling me how this was an inappropriate transfer because "most people with this injury don't require operative intervention". I pointed out that I was in a very small ED with minimal resources for trauma more than an hour away from a facility with a trauma surgeon. the physician told me to "talk to my IR department" to which I responded that we don't have one. I told the doc 5 or 6 times: the staff here is me, a handful of nurses, an xray tech, a lab tech, and an on-call fp physician who would never consider admitting a pt for observation of this particular injury. the doc then said" well let me talk to the ED physician then because you are just the PA". repeat of prior conversation. I had to resort to mentioning I knew the chief of trauma at the facility in question and they had asked me to send this type of pt to them before. after a 10 min conversation that should have lasted 2, the doc accepted the transfer. after they got off the recorded line, the transfer coordinator still on the line started apologizing. the next day I got a call from the chief medical officer of that hospital, who said he had reviewed the recording, apologized and assured me I would not have to deal with that behavior again. EM PA 1, Asshat surgeon zero. about time. behavior like this surgeon's used to be standard practice. this surgeon hit every benchmark for being the stereotypical surgeon during our call. they were belittling, condescending, and dismissive of my request, mostly because I was a PA. glad someone finally decided that this was not acceptable behavior. I did not need help making the decision to transfer. this was not a request for consult. I know my resources and knew this pt could quickly exceed them. I think this is probably the first time in 31 years that I have ever gotten an apology about this kind of behavior. maybe things are looking up.
  3. 22 points
    If it makes you feel better, we are not alone - in addition to killing PAs, NPs are killing a lot of patients, too.
  4. 18 points
    We will end up being Physician's associate. No one will know we practice medicine. The patient will be like "so you are the physician's associate, where is the physician?" Back to square one. I support Medical Practitioner because: Similar naming style as Medical Doctor. “Medical Doctors and Medical Practitioners working as a team”. It will be easier for patients to understand that relationship. We’re not just here to take blood pressure, height, and weight. We are here to make Medical decisions. It will work internationally like MD because it is easier to translate to different languages when compared with Physician Associate/Assistant. We’re always someone’s Assistant or Associate in any other languages. It will differentiate us from Nurse Practitioners. They practice Advanced Nursing and we practice Medicine. Patient understands what we do just by our name. (This is a very powerful reason. The patient will know we practice medicine because it is in our name) Administrative people will finally understand that we are not someone’s assistant or associate. We practice medicine too and should belong to the boardroom table and day to day decision making. There is no physician or doctor in this name, so by definition, we shouldn't be confused with a physician or a doctor. I will no longer introduce myself with an acronym. I will tell the patient I am a Medical practitioner because it is self-explanatory. When was the last time you heard a Medical doctor introduced themselves as an "MD" to a patient?
  5. 18 points
    Honestly there is so much unnecessary negativity in one post. This profession is no different than any other profession in terms of finding and keeping jobs. There are going to be multiple people competing for one job, no matter what profession you are in. You are going to have to search, apply, make yourself stand out during the interview, and make sacrifices, just like lawyers, accountants, teachers, etc. If you do not perform up to the standards, or if another company buys out the hospital, being laid off is a possibility, just like other major corporations. That's how the world works. Let's not isolate the PA profession in saying that it is the only profession that you should "be prepared to be let go" or many people are competing for one job. As with any other career, just because you have a degree does not make you qualified for the job. You need to prove yourself. The absolute negativity in these posts I am reading is truly unbelievable. Healthcare is a booming field, especially these days, so no one will be unemployed for long stretches of time, I don't care what you say. You people focus on "how many PAs and NPs are being produced each year," but do not look at "how many people are retiring per year." Our society is getting older and older, which is going to mean healthcare is soon going to accelerate at a pace faster than what it currently is. There is a reason why 19 of the top 25 jobs in America are in healthcare. There is a reason why NP and PA are 2nd and 3rd, respectively. There is a reason why PA was in the top 5 professions for the past 4 years. These are from multiple articles, not just one source. For those of you having difficulty jobs, location is the key factor. There are places where there are 10 PA and NP programs within a 50 mile radius, pumping out hundreds of PAs and NPs per year. Simple solution, look elsewhere. I can tell you that I am out here in the northeast and there is no shortage of jobs. Lateral movement is common here, people are switching for derm to EM to psych to surgery with no problem. Residency is a plus, but is not absolutely necessary. I work in CT surg and we constantly look for new grads to train. Sorry for the ramble, but I needed to speak up and quiet this negativity. There may be certain locations or instances where what some of you say is true, but you can't blame this on the profession as a whole. Certain locations or specialities may be hard to find jobs, but this isn't true of the PA profession as a whole.
  6. 17 points
    Good luck everyone! I bet this will be the week and our wait will be over. No matter what happens, everyone who was awarded an interview has qualifications and skills that would be great attributes as a P.A., I wish there were as many spots as there are great candidates!
  7. 17 points
    Many years ago when my wife and I were dating I got an email from a young man who was a medic under me when I was an Army PA. He thanked me for what I had taught him and what I did for him. I was stunned because when I look at those years mostly what I see is what I did wrong and could have done better. It touched me...humbled me..honestly made me shake my head. I shared the note with my future wife who said “you have cast a long shadow.” While I wasn’t sure (and still aren’t) that I deserved that approbation the expression stuck with me. My wife is so much smarter than me… Lately I have been reflecting on that expression and our profession. I am a regular on a couple of PA boards and every day I am amazed at the talent and energy and caring and compassion and intelligence of my colleagues most of whom I have never met. It can get lost in the doom and gloom if you don’t look for it. Then I think of the PAs I have known (and I won’t name them because they would only feel uncomfortable and shake THEIR heads). My military colleagues..well I don’t even need to explain that. Providing care for our military members and their families under some very difficult conditions. Two of my oldest friends who have each given years and years of time to advancing the profession and who are, literally, 2 of the smartest people I have known in my life. My friend who spent 20 years growing and improving a PA program that, no doubt, touched hundreds if not thousands of lives. One of my newer acquaintances who has always been way ahead of the times in his predictions and beliefs about the profession and has now begun to see things he predicted (and worked hard to facilitate) for 10 years come to fruition. Many friends who gave their time, sometimes a lot of time, to their state, specialty, or national organizations for no reason other than they wanted to do something to advance the profession. The friends who work in under-served areas taking care of folks nobody else wants to care for, in places few will go, usually earning much less than they could somewhere else. I can’t even count the number of colleagues I know who volunteered to teach PA students in their clinical rotations for no compensation. It really just goes on and on. These days it is pretty easy to get bogged down in all the things going “wrong” with our profession. I think if we each take a little time to regroup and reconsider we can find a lot of things right with our profession. If you aren’t sure...if you aren’t sure where to look...just look for the long shadows. They are all around.
  8. 16 points
    I'm hoping my story will resonate with some of you who are dealing with the possibility of reapplying next year. First of all, don't throw in the towel yet. There are most likely more invites to go out and some of those on the waitlist often get an opportunity to join the class. It ain't over! Secondly, if it ends up that you are not accepted into the cohort this year and you are truly passionate about becoming a PA, then there's no choice but to apply again next year. You will be the more wiser for going through this process already and you have a year to gain more experience, more maturity, more knowledge...it's not a loss. I wanted to become a PA to be in a profession where I am challenged every day, I am learning something every day, and I am able to share with others what I have learned. However, when I decided a PA career would hit all these marks, I was already almost 40 years old. I could have easily told myself how ridiculous it would be for me to go back to school part time for six years to get my BS degree while retaking A&P I and II because mine had expired AND take microbiology and organic chemistry. I could have easily said I am too old and this would be too hard. But I didn't. Because I know for certain that all I have right this moment is time. And if I spent one more year thinking about going back to school instead of doing it, now I am a year older. So I did it. I am 45 years old and will graduate from PA school at 47 years old starting my second career. I can honestly tell you whenever life has thrown a monkey wrench in MY plans for life, I have always looked back and realized it was to make me a better person or push me in a new direction. Once that happens to you often enough, you start learning to have faith in the path that life throws you in. Future colleagues, this is OUR path. It doesn't matter if it's this year or next year or the next. If you want it, it will happen. We are here to support each other no matter how long it takes to get us where we need to be. If you don't get in this year, meet with the school and have someone with experience take an objective look at your application. There is always room for improvement. Have faith that your time will come if you put in the work needed to get there. And if I can do anything to help you, I'm ready and willing. Best wishes, Vicky
  9. 16 points
    So I went to the open house last night and got a lot of info on the program, some of it surprising. I thought I would summarize things here in case it was helpful to other applicants this cycle. The number one priority at Pacific is GPA. Although their cut off is a 3.0, it was suggested not to apply without at least a 3.4. Of 2200 applications, only about 700 meet their soft GPA requirements and the rest they screen out. Both BCP GPA and last 45 semester credits are weighted equally, and more or less these two number should average to a 3.6 or above to be considered a competitive applicant. They will only read two LORs. It was stressed that they want to see letters from clinicians or supervisors in the medical field. If you have five letters, the two strongest medical letters will be selected and read as part of the application. Even if you have a strong academic letter and two weaker medical letters, they will toss the academic letter. Because they prefer high GPA applicants who are already obviously academically strong, at this point they just want to hear how those in the medical field view your abilities. Once your application is verified and sent over to Pacific, they will not look at updates. After verification your app is printed and it is not revisited. Any updates over the application cycle will not be viewed. Pacific doesn't use rolling admissions. They start offering interviews in September, about two weeks after the deadline. There is supposedly no benefit to early submission and all applicants verified by September 1st are considered for interviews. Interviews are offered on Saturdays in October, November and December. There will be four interview days this year. On each date about a quarter of the class is admitted. You will receive an acceptance email in about 3 - 5 days, usually the Tuesday or Wednesday following your interview day, if you were accepted and likely a phone call as well. Deposit is $1,000 and you have two weeks to accept or decline the offer. Those are the main things that stood out to me! If anyone has specific questions I would be happy to try to answer them. Good luck to everyone this cycle!
  10. 15 points
    What the administration doesn't realize is that, unlike the service desk at Walmart, our job many times conflicts with what the patient wants. We want to practice medicine, backed up by science, research and facts. They want stars posted by idiots who think a sore throat is cured by a zpack, will post bad reviews if they don't get what they want, and will sue when they get c diff. These are people who can't use a "temperature taking thing", want prescriptions for ibuprofen, and don't give their kids medicine for their 103F fever because they think the clinic will do it. I have reached my breaking point, both with my "guests" and the administration who makes me grovel for their happiness. To prospective applicants: if you think you are getting into this to make a difference, wait until your first Yelp review. On the shelf behind me is a bottle whisky, I don't know how old but I assume it's good because there's no e. It was given to me by a guy I found a testicular cancer in, he had surgery in two days. That's the only star I need, knowing that a life was made better because I was there. So suck it, administration.
  11. 15 points
    Confidence comes from one of 2 places. Hubris or experience. The first gets people killed. The second comes only with time in the trenches. Experience and learning from it never ends and anyone who tells you they haven't had a "miss" in their career is kidding themselves. I have been at this about 30 years and have fairly broad experience. The other day mom brought a baby in because "he just isn't right" and "he seems sleepy" and "the babysitter says he took a 3 hour nap and he never does that." I went over this kid with a fine tooth comb...twice. He was sleepy but aroused and fussed at me when I pestered him.Vitals were perfect. Exam was benign. I told mom to watch him for a couple of hours and see what happened. If he popped back great. If he didn't or anything worsened in any way go to the ER. The next morning I checked and they had gone to the ER. Benzo overdose. The babysitter drugged the kid so she wouldn't have to watch him. Never crossed my mind. It was a hard miss and I'm smarter for it and the kid is going to be fine. It shook me but it didn't break me. Hang in there a while longer and you may find confidence will come to you with more time and experience.
  12. 14 points
    Hey everyone, just wanted to share my story with applying to PA school to hopefully help/inspire some others out there! This is my third cycle applying to PA school. My first cycle, I applied to 14 schools, got 4 interviews and from those 2 waitlist offers and 2 nos. My second cycle, I applied to 11 schools, went on 5 interviews (declined one), and again had 3 waitlist offers and 2 nos. This cycle, I applied to 19 schools, I've only heard back from 7 so far, have gone on 5 interviews and just received my first acceptance last week!! I've learned a lot from all these interviews and application cycles and am beyond excited to receive my first acceptance! If anyone has any questions for me about my stats/clinical info or whatever message me, I'm an open book! Good luck to everyone out there, I know how difficult this process is and am willing to share my experiences.
  13. 14 points
    Today I had to say goodbye to an old friend and great PA who was a pioneer in PA practice ownership here in Texas Mr. Richard Branson. Richard passed at 1PM today after a long fight with chronic heart disease. Richard and I became fast friends and thick as thieves many years ago when we both served on the TAPA board. Probably more than any other 1 PA he was responsible for the strategy and leg work that achieved the successful passage of legislation granting us scheduled drugs prescribing rights. Since then Richard started his own practice in San Antonio in a very busy and competitive market and then created what he called a practice incubator, a written guide that provided guidance and resources for other PAs who wanted their own practice. He gave this away, along with his personal support and advice, to any PA who wanted to strike out on their own. He never asked a penny or a thank you from anyone he helped and there were many. He was also a driving force in organizing and funding a law suit in federal court that stopped the medical board from, essentially, taking practices away from PAs that owned them because they weren't majority owned by physicians. He was a quirky genius and I feel sad for the people who couldn't see past the quirk to the gold underneath. PAs in Texas are better for having him among us and are just a bit diminished today with his passing. So long old friend.
  14. 14 points
    Yes, it is worth it. I have worked in family practice for thirty years. I have some families for which I have taken care of four generations. I have experienced the joy of telling a young couple that their infertility efforts have paid-off and they are expecting a baby. I have ended fears by telling a man he does not have cancer. I have extended the lives of many people by treating their hypertension, diabetes, and dyslipidemia. I have also been a friend and support to patients with metastatic disease. I have been a comfort to an old woman with end-stage renal disease. I have been a shoulder to cry on. I have even cried with families. I served my country in the military. I have been blessed in many ways with my calling to heal. We all need to wake up every day and remember that we are here to serve, not to be served. Plumbers don't get those same rewards.
  15. 13 points
    Weeeeelllllll.... lets see what I can contribute. Until about 6 months ago I was pretty much in the same position. I've been a PA for about 30 years and after years of more or less being my own boss life happened and we had to move to care for aging parents and I entered corporate medicine. Idiotic rules made by people who don't understand medicine. The solution to everything is "see more patients with less support". No voice in anything. We don't even need to discuss patients. Someone recommended "The Subtle Art of Not Giving a Fuck" to me to read so I did. Then I read it again. Then it was like an ice flow breaking up and moving off. What I came to realize is we have no control over anything and nobody cares about our opinion on anything. So I started not caring back. I don't give a thought to admin and crazy rules. I can't control them and they mostly just flow around me without any major effect. Patients? If they are morons I just shrug and move on to the next one. The ones that really needs something get all I have to give. Numbers? I go at a steady pace whether there are 2 people waiting or 50. If people leave without being seen...oh well. I can only go so fast and if they want more people seen faster we need more staff and resources. If they mention it to me I say "OK" and do what I was doing. Basically if you get to the realization you don't have any control AND don't give emotional energy to things you can't control you will feel much better. I enjoy my work most days because I like the people I work with and help the people I can without getting tied up with fools. Read the book.....
  16. 13 points
    I couldn't hear much of the webinar however, a lot of the items discussed were about the Fresno campus expansion. They are still reviewing applications Interview invites to go out December for Jan/Feb interviews Acceptance to go out March 2019 44 students to Oakland and 25 to Fresno Everyone will be getting a survey in November (couldn't hear why) Start date for Fall '19 is 9/9/19 (both locations) There were other questions about curriculum and stuff, but I couldn't hear a lot of it.
  17. 13 points
    go back and do a residency...
  18. 13 points
    Just got an interview invite for September! I almost didn't apply to this school again this year because I thought I had zero chance. But this goes to show that everyone should always have a little more faith in themselves even when you're the under dog! I know it's only an interview, but this is is the first interview invite i've received after applying to 10 schools last year, and 13 this year. cGPA 3.26 sGPA 3.28 Good luck to all !!!
  19. 12 points
    Hello!! I know a few students already addressed this; but as a recent Duke grad, I wanted to add my two cents. As far as students being frazzled - super accurate depending on the day (high stakes exams, etc). But I don't think frazzled is the same as miserable. And I think all PA students at every school experience the stress of the exams at some point during didactic year. Regarding the reputation for not being prepared for clinicals is just wrong. Every single site I was at said Duke students are the most prepared compared to other schools. And many say we stand out above med students. I think the reason for this is we have multiple opportunities to be in the hospital and with patients during the first year and many experiences with standardized patients. Also Duke does not accept simply the brightest of the bunch- the students are overwhelming full of rich clinical experiences and backgrounds prior to PA school. The nontraditional student high acceptance is real. And because of that, some of us may have had harder time in classroom than the 4.0 GPA 22 year old, but one nice thing about Duke is the immense resources - like tutors and meeting with study-skills specialists. And the flip side is that clinical year comes more naturally for us, since a lot of us have great experience. With all this being said, it is important to choose the school that is best for you. At the interview, you may or may not click with the school you thought was your number one. And if you get accepted to multiple schools, then trust your gut for the best fit over rankings or other reasons. Best of luck to all - enjoy the journey!
  20. 12 points
    What a jerkoff. Maybe physicians should come up with something else to wear to showcase their exalted status. Propeller beanie? Viking helmet?
  21. 12 points
    Ha ha, this ^^^ reminded me of one of my favorite stories. I was working in the ED years ago when a surgical team was emergently paged for something on our patient (that I can't remember - bowel perf?) Anyway a very nice young lady appears, the surgical PA, and politely and professionally asks us to order some tests and other stuff for her so she doesn't have to waste 10-12 minutes signing into the computer. She was very nice about it, so we are happy to do this. Enter the surgeon, with his cool biker pants and napoleonic tendencies, literally whipping his Porsche keys through the air so we all see them, I mean just every cliche' in the book. He's barking orders and throwing charts around and making sure everyone knows this kind of thing is quite beneath him. Meanwhile, we are working to stabilize this guy who's kinda going in the wrong direction. Anyway, there's a lot of rolling eyes behind his back and he comes in the big room where we are and finally lowers himself to allow the PA to speak to him to tell him what the deal is. He makes some really nasty remark that I didn't quite hear, and the room got a little quiet as people kind of look over. The PA, this very nice lady, looks right into his eyes and says without missing a beat - and I quote - "the F*** you think you're talking to?" Probably 12 people heard this, and you could have heard a pin drop for about 10 or 12 seconds, literally complete silence. People actually walked in to the room to see what had just happened. It's a moment I have never forgotten. She then proceeds to tell him what's going on, in a calm voice, and then leaves, as he stands there dumbstruck and I try my best not to burst out laughing and then ask the PA to marry me. We talked to her about it later. She said that particular reaction was suggested by other members of her team, and had been coming for a long time. Sorry for the length but I kind of do that and we're all pretty used to it now.
  22. 11 points
    wanted to take a minute to talk about a few labs, common misconceptions, helpful tips, etc cbc: obviously an important test, but only helpful if abnormal. remember one can have an appy, chole, diverticulitis, etc with a nl wbc. remember to consider anemia in your ddx for any person with fatigue. it's surprising how many folks have a slow GI bleed and no idea their h+h is 6/18. magnesium: great test and not included in cmp, probably should be. I order one anytime I order a cmp. anytime the K is low the mag is likely to be low as well. folks on diuretics, etc. Had a lady recently with fatigue and mag level less than .04(critically low below level of assay). a few grams of mag(as an inpt) and she perked right up. alcoholics run really low mags. make sure your facility adds mag to their banana bag, not all do. you may need to add it. D-dimer: know when to order it, when not to, and how to interpret it. age adjusted d-dimer is 10x pts age (75 yr old is nl to 0.75, when nl cut off is 0.5). pregnancy doubles nl range. sed rates and CRPs. great tests, know when to order and how to interpret. know the few things that will give you a sed rate over 100(board question). lactates and procalcitonins, great tests. know when to use them and how to interpret them. remember to trend them. know things that will cause elevations other than sepsis, like seizures, etc remember lactate is a good serum marker for mesenteric ischemia. troponin: the go to test now for cardiac dz. know nl ranges and non-cardiac causes of elevation. urine pregs. remember you can use a few drops of blood too if they won't pee. cultures: really more helpful for the hospitalist, but they always appreciate the sputum culture on the pneumonia admit. may add more later. others feel free to chime in.
  23. 11 points
    I received my acceptance email today around 11am from the 11/1 interview!!! This is my first acceptance! To those still waiting - do not give up hope! I received over ten rejections before I received a single acceptance. I was very discouraged. It's a brutally tough process, but it only takes one school! We worked hard, and it will undoubtedly pay off. Good luck everyone!
  24. 11 points
    Hi there! My name is Hailey and I am a first-round applicant for PA school. I have gone to a handful of interviews, and have a few acceptances. I believe my personal statement was very strong, and I am wanting to help other prospective PA students get an acceptance on their first round also. I have quite a few friends already attending PA school, and those about to start. I have edited their personal statements as well. I am willing to edit your personal statement, have brainstorming phone calls and answer any questions about the PA admissions process in general. My services are FREE OF CHARGE. However, I do ask that if you feel you've benefited from my help that you give a small donation, whatever you can, via venmo to my PA school tuition fund. ~karma~ If you are interested, please email me at AcceptedPAstudent@gmail.com. I look forward to helping all you prospective students! Best, Hailey xox
  25. 11 points
    Absolutely -- sorry it has taken so long to get back online here. So, we just wrapped up our summer term a few weeks ago, and that was an awesome, powerful, out-of-your-comfort-zone, can't-believe-what-i-just-learned type of whirlwind; I had a lot of fun and it has been great getting to know everyone in the program. During summer we took a lot of different courses, some of which included.... Physical diagnosis, physical diagnosis lab (learned how to do a complete physical exam), medical genetics, epidemiology (learned how to critically analyze a scientific paper or study), pathophysiology (that was a doozy), pharmacotherapeutics, and of course, a crash course in anatomy coupled with lab/donor dissection. Most days start between 8 or 9 AM and we are in lecture until lunch, (hour break) and lectures or lab through til 4 or 5pm, and Fridays we are typically done by mid afternoon unless you have to remediate an exam. Of course, we also have various physical diagnosis lab practices and lab exams interspersed throughout the week, or time set aside for anatomy prep and/or lab, or occasionally a few hours set aside to study. The exams for summer term were interspersed throughout the week, which was sometimes tough when we had 3 exams in a week (it happens). Summer term is kind of like a crash course 'first pass' of a lot of the foundational information, and now in fall term the schedule is more regular. For example, we now have 'modules' --- right now, we are in the 'allergy, immunity, infection' module --- and we have all of our lectures for the week Mon, Tues, Wed, then Thursday we have more applied clinical medicine courses, where we start practicing to build our differential diagnoses for various clinical presentations; and Fridays we have our exam over all of the material from the week. I obviously haven't taken the PANCE yet, but from everything I have experienced so far, OHSU is a phenomenal program with a plethora of resources for students. We take our exams online to (I presume) somewhat simulate what taking the PANCE is like. Summer term was a whirlwind of information, but everything we will be learning in the modules throughout the rest of the year will continue to build upon eachother. We will end up seeing ~70 clinical cases for which we will build differential diagnoses by the end of the year, so we will have exposure to thinking through a differential. Things that seemed hard at first are now starting to become second nature as we see the same information multiple times as the year goes on. The anatomy course is very intense and challenging, but increased my understanding of the body IMMENSELY, and I know that not every program has an in person anatomy lab or not every program gets to do dissection. We had a ratio of 3 students to 1 donor, and we worked through all the major regions except head and neck (dental students do those dissections, we will look at prosections). Also, OHSU puts together these amazing things called OSCE's (Objective structured clinical exam) that are structured similarly to the MMIs for interview day; we read a scenario, then enter a room with a standardized actor as the patient, and we get to practice our clinical skills. There are so many things that go into this program and I haven't experienced hardly any of them yet, but so far I am beyond impressed. I think it comes down to resources too. When I was applying to schools, I didn't know if it mattered whether I went to a program tied to a medical school or not ------ the nice things about OHSU being such a big institution (in my opinion): 1. We have our very own tech guy (he posts all the lecture videos, links up to the required reading for the day, keeps our webpage working smoothly, etc) 2. We get lectures from experts in their field (i.e., the top pediatric infectious disease specialist who cares for all of the HIV patients in all of Oregon who has 20+ years of experience, for example) 3. The anatomy lab is stunning ------- it is a state of the art surgical suite --- with views of the trees! Anyway, much nicer than a basement 4. Lots of other great student interest groups ---- ultrasound workshops, wilderness medicine interest groups, etc... 5. We get into the clinic right away, as early as fall term, for 'mentoring', so that we can remember why it is we are doing this and so we don't go a full year without being around patients Some of the smaller schools I looked at certainly did not have so many opportunities available to students, and I really think all of these things make OHSU a great program. I had a tough time deciding between several schools, and at a later time I can go into the pros and cons (from my opinion) of each and what I learned from the interview process, if thats helpful to anyone. We just had the first round of interviews at OHSU earlier this week, so good luck to everybody! Cheers! Keep your heads up! Interviewing is truly the hardest most stressful part of the process, but have fun with it and stay posititve :)
  26. 11 points
    I can't speak for current students, but about 20% of my class was married with children: some were preschool, some were teens, mine were in the middle when I started PA school. Advice: Start curtailing your interactions with them before PA school so it's not such a "shock" when it has to happen. Make dinner time family time, study more after they're in bed. Don't shoot for being at the top of your class or a class officer: that extra energy is better invested in your loved ones; let the trophies and plaques go to the single people. Take your family with you on 'away' rotations if you have them and if you can afford it at all. Make sure to give your spouse time away from the kids. Don't expect to have as much time to socialize with your classmates. Some of them, to some extent, sure, but you're going to be in a different spot than the single folks, and that's an OK thing.
  27. 10 points
    Hey future class of 2022! Just wanted to let you know that the class of 2021 is holding a very informal get together for you guys during interview weekend. Details about location and time will be sent to your emails. It is not affiliated with the school or your interview. It is just something that we put together so you guys can talk to the current students and ask us questions about what it is like living here, being in PA school, etc. Meeting the upperclassman was actually the reason why I chose to attend EVMS in the first place, so I definitely recommend stopping by if you get a chance! It is also a good way to meet some of your possible future classmates! Hope to see you there! Please feel free to send me a message if you have any questions.
  28. 10 points
    I like being a PA. We seem well respected in the medical world, and the comments I've heard from other providers, including NP's and MD's/DO's seem to reflect that. We've developed a niche in the procedure and surgical world, as well as being highly valued in other fields for our high standards of education across the board, and for our adherence to the medical model. We also seem to manage a pretty high level of standardization of our education, rather than an education system that is variable in preparation, or in rotations. I see in the future less HCE prior to school, and more of us going into a short residency, which will further delineate us from our NP counterparts. I don't think the solution is piggybacking onto the NP lobby, but rather spearheading our own path, and further developing our own niche.
  29. 10 points
    Undergrad Ed School: Public school in NJ Major: Chemistry cGPA: 3.20 sGPA: 3.14 (undergrad science GPA was a 2.80...YIKES) Master's GPA: 3.92 (all science credits), completed at Tulane University Age at application time: 25 GRE: 309 Direct Patient/Health Care Experience: combination of medical assistant in women's health, medical scribe in an ED, and research coordinator in neuro-oncology Total: 3000-ish hours Volunteer/Leadership: Numerous volunteer experiences in education, health, and music festivals! Teaching Experience: TA in epidemiology during MS program Shadowing: obtained from scribing, in addition to shadowing an ortho PA Letters of Rec: 3 - 1 PA from work, 1 manager, and 1 grad school professor Schools Applied: 9 - South (Tampa), South (Richmond), Barry (Miami), Southern California University of the Health Sciences, Emory, University of Florida, Case Western, Rosalind Franklin University, Campbell University Application Submitted Date: 5/15/18 Application Verified: a couple days after Interview Invites: 3 (University of Florida, Case Western, Campbell-declined interview) Denied w/o interview: 2 (South Richmond and Emory) Rejected after interview: none Accepted: 2 - UF and Case Western Attending: UNIVERSITY OF FLORIDA!!!!!! Attempt: 1st I NEVER THOUGHT I'D MAKE IT!!!! I failed classes in undergrad and graduated with a terrible GPA. I couldn't even apply to PA schools because my GPA was too low, so I took a BUNCH of post bacc classes and completed a master's to push my GPA above a 3.0. It took A LOT OF HARD WORK. I CANT BELIEVE MY DREAMS CAME TRUE. I used this thread a lot to help figure out which schools to apply to, so thank you everyone!!!!!
  30. 10 points
    I just received my acceptance call!!! I am beyond excited!!
  31. 10 points
    You were hating. As a PA with years experience as a ICU RN and experience as a student NP, I could crush this premise. Though I won’t because that’s being professional. Instead I will say that most PAs have healthcare experience before school, many quite substantial like myself.
  32. 10 points
    All it takes is one acceptance! Remember, however, that applying to more schools only significantly helps candidates "on the bubble": * There are those candidates who will get in everywhere: 3.8, LOR from Surgeon General, Dalai Lama, and UN Secretary general, 10 years experience as a combat medic, 5 with MSF, invented a field-expedient dialysis technique using common household items available in Cameroon,... * There are those candidates who will get in NOWHERE: 2.8 GPA, 150 hours of HCE as CNA, charitable activities only include court-mandated community service... And then there are those of us who fall in the middle, who might or might not get in to any particular program based on who we're up against, whether we're having an "on" day or not, and the like. If you're in the first category, no help is needed. If you're in the last, you're just wasting MORE money by applying more broadly. In the middle, though... you'll benefit from applying more broadly, but especially if early, because let's face it: the programs that are holding spots, are looking for people in the first category who just happen to have been applying late.
  33. 10 points
    I'm curious as to how much research have you actually done into this program? If you only want to go because of the MGH name, I would advise you to choose another program. I am a current student here. Yes, we do get to rotate at MGH (it's not called UMass General), Brigham and Women's, and other Boston area hospitals. Yes, there are sites outside of Boston that we will be rotating at as well. It's important to get a perspective of seeing patients outside of a certain geographical area. Plus, at smaller facilities, oftentimes preceptors will only have 1 or 2 students working with them, so you get more opportunities to learn and perform hands on work. That's not always going to be possible at Boston area facilities with other PA (and MD!) programs competing for rotation spots. Most, if not all, PA programs have rotation sites at smaller hospitals and clinics. We just finished up our musculoskeletal course last week. We went to Harvard Medical School's cadaver lab. I actually held a brain and an enlarged heart while we were there. Some of us have watched a brain autopsy over at BWH. A lot of us have signed up to watch a full autopsy at some point this year. Most of us also volunteer a few times a month at an equal access health clinic (multiple sites in Boston), which allows us to apply our classroom skills to real life patients. We are also split up into teams to go to the MGH simulation lab, where we practice real life scenarios on computer simulated patients that can actually change their symptoms based on your approach to treating them. Our guest professors are PAs and MDs in the Boston area that we will most likely be working with upon graduation. So, in summary, it is not at all misleading for them to put that statement on their website, and I would advise you to be careful in potentially bad-mouthing a school that you're interested in attending, especially before you've done research or gone to an info session. The MGH name will get your foot in the door at places, but you have to decide how much effort you're going to put into your didactic and clinical years.
  34. 10 points
    You graduated PA school in 2013 and you're now a third year medical school student. So you hardly spent two years being a PA before jumping ship. How do you know that in ~3-5 years (if you were in primary care) that you would not have reached the same knowledge and skill base as docs do (assuming of course that you studied diligently the whole time)? Why does it sound like your disagreement with PA independence is coming from you feeling like you made a mistake going to PA school so you need justification for doing the MD/DO route? Anyway, the best of luck to you. I sure hope your Step 1 knowledge will make you a better doc in residency.
  35. 9 points
    Best of luck to everyone interviewing at Baylor this week. Regardless of the outcome you all should feel proud of all the hard work you have put in to get to this point. You DESERVE to be where you are. Of the thousands of applicants to the 3rd ranked program in the nation, you have been CHOSEN to interview. You stood out on paper....now go wow them in person. - PA-S2 BCM
  36. 9 points
    I am so glad to hear that Pacific is your top choice! It is a great school for sure. I would say that their mission statement is also taken very seriously. Pacific works hard to be a school that is involved with both global and local underserved communities, especially with regard to rural areas. Read over their mission statements and if something sticks out for you there for your reasoning for wanting to be a PA, then definitely want to mention it. I believe the supplemental application is an opportunity to talk more about this. We have both a rural health care track and a global health care track for students interested in a career working with these types populations. Otherwise, I think showing a lot of volunteer work is also something they highly regard. With regards to the accreditation, unfortunately once they are placed on probation, the status stands for 2 years so it will be on "probation" until 2021. Thus, the school would be on probation for the 1st year of your education and assuming this status is overturned this upcoming September, the 2nd year of your clinical year the school will be back to continuing accreditation. Prior to this citation, the school was in the 10% of schools who received 10 years of continuing accreditation because the ARC-PA was impressed with our program. f Since then, nothing has changed with our program {and truly, it has been essentially the same since 1997] but as the new bylaws were written a few years ago, the change in verbiage is ultimately what cost our school. Side note, the clause in the accreditation status that our school was cited for actually was dismissed and is now not included for the by-laws for 2020. So we really got caught in this gray zone where the rule is still part of the ARC-PA requirement, however is on it's way of being excluded. Nonetheless, I can assure you that this accreditation status will not affect your ability to sit for the PANCE, stand in the way of you becoming a PA, cause issues with setting up rotations, nor is it concerning to the quality of education you will receive here. It truly is an administration issue that has to do with the wording of how our curriculum is set up and how ARC-PA interpreted it. Does that help? Good luck!
  37. 9 points
    Boats makes this note on almost all of his posts here, and I'm glad he does. It has never been more true than in the last 10 years of our profession. Living from paycheck to paycheck driving the nice car, owning the huge house, sending the kids to super expensive private school is so 1997. My wife and I are saving like crazy and have been for a while. We will be downsizing to a house half the size of the one we have, going to one car and reducing eating out by 90% in the next year. Why? Financial independence and the ability to weather a storm like the one you are unfortunately facing. I'm tired of being dependent on 29 year old admins with no clinical training threatening me and other providers because our reviews are just not high enough according to the latest target metric........
  38. 9 points
    Got my call of acceptance 2/12 and am so excited! Just wanted to let my future classmates know I’m a local, grew up & have lived in Whittier forever lol so if anyone has questions about moving here or about the area feel free to reach out to me! Hope I can help make this transition a little easier, especially for the ~50% of the cohort coming from out of state
  39. 9 points
    I felt the need to reassure some of you out there that constantly worry about your low GPA or withdrawals on your transcripts.
  40. 9 points
    Got the call we've all been waiting for today: Accepted! Couldn't be more thrilled or honored. Can't wait to meet my future classmates!
  41. 9 points
    I also just got my acceptance call!!!! SO PUMPED!!!!
  42. 9 points
    I'm thinking, if you took the time to come to this forum and write this post expecting full well to have unanimous responses echoing your sentiments that NPs are just big know it alls that really know nothing, that it really does bother you. There are equal amounts of these types of people in every profession. Don't fool yourself. Just sigh deeply, roll your eyes and move on.
  43. 9 points
    I'm guessing for these free programs you probably need 4.0 gpa, research, and near perfect MCATs. mortals need not apply, only trust fund babies with tutors who attended Ivy league schools.
  44. 9 points
    I'm a relatively recent (5 years of practicing EM) old model PA: many years in corporate America doing IT while being a FF/medic on the side, then continuing that to pay the bills while taking the prereqs for PA school. I had those many years of healthcare before becoming a PA. I was the only 1 of my PA school class of 40 with this profile, next closest was a former airforce corpsman who'd also worked as a ED tech for awhile. Most where in their 20's with a few years as an athletic trainer or equivalent. I considered medical school (DO), was told I was an attractive applicant, but decided against it because of my age. I'm always perplexed by current and prospective PA students who say they'll have a better lifestyle and/or more time to spend with patients vs. their MD/DO colleagues. I've got a lot of contact with EM PA's & NP's and hospitalist PA's & NP's. Everyone's schedule and pressures to see patients are the same as the docs. The biggest reason I spend more time with some of my patients: I'm suturing them. The specialist PA's & NP's, e.g. cardiology, seem not to take call like the docs. Still, I don't know any NP or PA who's lifestyle is better than the docs - it's pretty much determined by the field of medicine. The one thing that's very true: MD/DO spends many more years upfront in their education, sacrificing time and income, to get a much deeper education than we do as PA's. Consequently, they are at the top of the food chain and make 2-6x what we make. That's the key to making the proper decision: how much time and $'s you want to invest up front vs the size of the downstream rewards. For me, given my age when I did this, I'm convinced I make the right choice. I envy the doc's their knowledge and training. They earn their compensation. I strongly believe that there are way to many arbitrary ceilings on what an experience PA can do. That's why I support and am hopeful about what will come over the next 5-10 years from OTP.
  45. 9 points
    Expediency, lower cost, and flexibility. I'm in my early 30's and don't want to be a student for 7-10 more years, I also don't want to have to compete at an extremely high level for a GPA again and residency slots. Was too old for that when I went back to college but busted out a 3.95 GPA, probably don't have the stamina to do it all over again and with tougher competition. With speed comes 1/3rd the debt and higher earning for at least 5 years before the MD route superasses it. I'm also coming from a field where PA will be a pay cut, I've had MD pay before, and lived in a 5k sq ft house, it's very overrated. My fiancee is in a PhD program, and her field is limited, so I'll be going where she goes (and moving when she moves), so not having to specialize and being able to find work in a variety of environments even in small towns is very important to me. As for the complaints about respect/autonomy, I think it is a "they want what they don't have, or haven't had" kind of thing. And that is a very real phenomenon that affects people, especially when it comes to a power dynamic. But I've been-there-done-that when it comes to command and control, and even MD's have their hands tied by insurance companies, hospitals, partners, etc etc. Freedom is mostly an illusion, and the respect/independence is what you make of it.
  46. 9 points
    George, Unfortunately, I don't agree. I don't think that online learning is the path to excellence for the PA profession. Yes, it will put marginal programs on notice. Great that they will change their ways. But online programs make us look like buffoons. It's a lowest common denominator thing. We will receive the reputation of the lowest 1/2 of the Yale class, not the best of them. And Yale just removed barriers that kept unmotivated people out of PA school. Instead of requiring extreme commitment and making that a visible thing by requiring people to move to a new state and learn a new system, now people are able to become PAs with minimal time invested - whatever they feel they can get by with. They have less skin in the game and when you have little or no skin in the game, the value of the commodity declines. Andrew
  47. 9 points
    I complained loudly and often about 1 particular hand surgeon who refused to speak to PAs at all. he was on the hospital board so it went nowhere. I soon discovered the best payback was NEVER to refer patients to him ever. If he was on call for our hospital I would arrange f/u with other surgeons who I knew were looking for business and treated me well. If it was an emergent case those folks got transferred because he refused to come to the phone if a PA called. that meets the definition of need for transfer. I think he might have gotten hit once or twice with emtala violations because of this. I surely hope so. 10 years ago and I am still mad about it. his name rhymed with prick too, which gave him lots of great nicknames around the dept....
  48. 9 points
    I was accepted when I was 57! You've got 30 years on me!
  49. 9 points
    If you're not yet MATRICULATED into PA school, it probably was moved to Pre-PA general discussion. Please remember to post based on your current status--not where you want to be in a year, nor on who you want to answer you. Students and PA-Cs who want to help Pre-PAs will read the Pre-PA forum. Ditto with PA-Cs helping students reading the PA Student general discussion forum. Also, all school-specific discussions go in the school-specific subfolders in the Pre-PA section.
  50. 8 points
    I am so excited to be joining the MBKU class of 2022! I got the phone call on Tuesday afternoon from Sandra Fineman. This was the BEST Christmas present ever! Good luck to everyone who is still waiting to hear back.
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