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Showing content with the highest reputation since 03/17/2019 in all areas

  1. 7 points
    This is not meant to be self edifying... Have a new patient - 45yr old male, hx of Hodkins lymphoma many years ago - something like 15 I am not overly familiar with this, and read uptodate on it - (I know what I don't know) Says that they are at increased risk for colon CA and should have colonoscopy early I talked to him, explained - NO ONE not his PCP or Onc doc had ever mentioned this to him, so off to colonoscopy he goes - turns out precancerous polyps seen and removed... PCP is not about knowing it all, PCP is about reading, educating, and communicating to the patient what you have learned - it is not degree specific (to Boarded Doc's had NEVER mentioned this to him.....)
  2. 6 points
    The AAPA could also make a statement like" from this day forward the term x and PA shall be considered equivalent" and then folks could start using the new term and billing under PA until it was formalized in each state. Nametags could read(for example) John Smith, MP/PA to meet requirements that certain states have that PA be listed. I am really surprised this has not been done already actually. the chiropractors, naturopaths, and several other professions did overnight changes like this.
  3. 5 points
    I am not a CAPA member but am sharing this to get more people to participate in moving OTP forward! If you are a California PA or know one share this link. It is a petition for supervising physicians to complete to help advance OTP in California. CAPA needs thousands of signed petitions! CAPA Petition
  4. 5 points
    Sigh... Yes Medical Practitioner is the best title IMHO. Yes, it describes what we do very nicely. Yes, it contrasts Nurse Practitioner very nicely while clearly displaying the differences between us and them. Yes, it is a title that gives us our OWN path. But.... Is it realistic? I honestly don't think so. While medical practitioner is a great title, many other profession use the very title to broadly define professions who provide care in the medical arena. It's a title that could ruffle many feathers, and could potentially cause confusion. Don't get me wrong. I more than welcome Medical Practitioner as our future title, and would be more than thrilled if it were implemented. I just think Physician Associate would be easier. PAs who don't like it could just continue using "PA" as their title. It caries a sense of tradition and history with it. It matches our counterparts in the UK. And it would more or less fly under the radar IMO--which may or may not be a good thing. Anyways... Medical Practitioner or Physician associate. I do honestly think--and hope--it will come down to either of these as the final decision.
  5. 5 points
    it doesn't make a difference with docs, it makes a difference to the HR administrator who sees one person with a doctorate and one without and decides to go for the non-physician with the higher degree because it is a higher degree
  6. 5 points
    IMHO: Agree with above. "Take a break is common advice" and I took it, but knowing what I do now, I wouldn't have. Anything you can study that is concrete will help. In my experience: Anatomy was mind blowing, every class I had taken before (4, at 3 different institutions) barely scratched the surface. My advice would be "Acland Academy" videos, they are real cadaver videos, broken up into short sections for viewing. 100% worth the fee. I would have told myself to watch every single one at least once just to get my bearings. <- my #1 advice without question. Physiology was also very in-depth, and some of my UG, had prepared me well for some of it, but not all. I found the YouTube channel NinjaNerdScience EXTREMELY helpful. They are concise and hit all the key points with adequate but not excessive info (very tricky to find, most are either too much or too little). The people who make it are current PA students, so they are right on target, and I have not noticed any errors in their videos. Also it should give you a very good taste of "what you're in for." <- #2 advice, no question. If you are unfamiliar with EKGs, there are many concise books out there that are reasonably priced. I really liked "The Only EKG Book You'll Ever Need" but the others I've seen are also good. The big thing is knowing your way around a rhythm strip, and how the leads relate to the anatomy and how the axis works; if you know the mechanics, learning all the abnormalities will be a breeze. Once you start, DirtyUSMLE (on YouTube) is good for hitting the key points of a lot of stuff. Made for med students but as a study guide, so the depth of info is not over the top. Probably not very helpful until you have background info, just "keep it in mind." Osmosis and SmartyPANCE are also popular online programs. Probably better for when you start as supplemental info to go along with whatever you are learning. They are not cheap, but SmartyPANCE has been pretty helpful (it's just the one I went with; have heard good things about Osmosis too). The big thing for me was the massive volume of information, and the terminology. My medical terminology UG class was a joke (think a children's book about cars when you're trying to train a mechanic). If you can at least have your bearings in the aforementioned info, that will help. But "having your bearings" is probably a lot more than you think right now, it was for me (and I'm a BS Biology major). I haven't had any "conceptual" challenges, but I hammered upper level bio classes pretty hard. For me it has been more like "memorize this whole dictionary, in two weeks; then you'll have a new one to memorize, rinse and repeat." Pharm is an outlier. Programs are very different, and even how to study it is... "complicated." You'll see when you get there. Every rule has exceptions and there are 10 ways to do the same thing, but "which one is "best," is a common theme. I listened to an audio book "Memorizing Pharmacology: A Relaxed Approach," and it definitely helped, but was not "high yield" information. TLDR: 1 - Purchase the Acland videos and watch every single one (only the hands and feet exceeded what we had to know for exams, and not by a lot). 2 - If you're still game, start plugging away at the NinjaNerdScience videos on YouTube. 3 - If you're still wanting more, get a "condensed" EKG book and focus on the mechanics more than the diseases.
  7. 5 points
    I was accepted!!!!! And they also got their accreditation!!
  8. 4 points
    @corpsman89: OTP. WI has tried its best to get all parts of OTP. Still working out details. The Hospital Association has lots of power and we are in the process of getting our last discussion with them. It's been a battle. 3 years in to the legislation process and are on draft #10 which should be the final one. They didn't like collaboration.....they wanted cooperative agreement (meaning the PA WILL COOPERATE) with them and requested that our legislation be written such that we are supervised, physicians totally responsible for the care of the patient and that they must be available immediately to the PA. (They want us to codify CMS language in our legislation....ahhh...NO!) We did not bend to that request and had to hire a special health care attorney to come to our defense. Disclaimer: My personal view is that PAs should be independent and has been my view since the beginning of my career in 2004. We seem to have support from all the legislators we have been meeting with since June 2018. They all get the common sense OTP points. So, PA FORUM colleagues: Wish us well, pray for us, send us positive thoughts, and help us get to the finish line. Thanks!!!
  9. 4 points
    The problem is we keep talking about respecting or physician partners. 1) They have no respect for us except when they control us and 2) They aren't our partners. They never will be. They oppose everything we do so why do we continue to worry about their feelings? What else can they do to us? We don't have to be antagonistic but we need to keep them informed and then proceed regardless of what they think or how they feel.
  10. 4 points
    I agree and have stated similar feelings on occasion. I am endlessly frustrated with appeasing physicians. however, like it or not, they swing a big political stick. We shouldn't be hat in hand when dealing with them as stakeholders but there is no profit in being antagonistic either. Polite, persistent forward movement. How do you eat an elephant? One bite at a time.
  11. 4 points
    Go interview. Consider it information gathering. You may hate it, you may love it. Worst case scenario you're right where you're at now but at least you won't be wondering based on hypotheticals.
  12. 4 points
    post it here so I know where to join.
  13. 4 points
    Guyyyyysss! I will be joining you all this fall! I’m so excited for this journey with you all. I want to give it back and I’m willing to do free mock interviews for whoever wants to practice! I’m no professional but I do know what works and doesn’t work as I actually did a mock interview after my western interview! Please message me!
  14. 4 points
    Hell no to 70K. Truly rural gigs tend to require management of complex co-morbid patients who, in a higher population location, would be co-managed by "specialty" care. Remember that in rural medicine there is often: a) no specialist access within reasonable travel distance for your patients, or, b): the specialists within reasonable distance are so far and few between that the wait to be seen is 3+ months. You may be largely responsible for managing all of this. e.g, think: psychiatry, nephro, cards, neuro, GI, etc etc. It can be incredibly stressful. If you are going to have to significantly manage patients in these areas that alone should bump your pay up significantly, easily over 100K. Find out from this practice how this type of thing is handled. Good luck!
  15. 3 points
    Is there any update on the Florida bill? Just curious. One state needs to break the OTP barrier and get independent practice for PAs. Then the dam will break and we can get back to the Full Practice Authority push rather than the "team care/collaboration/no we don't want independence" blather we are forced to speak to our stakeholders as we push for OTP. Our bill is soon to be submitted in WI.
  16. 3 points
    Credit hours definitely seem subjective, we're in agreement there. However, the hours you listed for those programs are at the low end of the curve for PA programs. The programs in my state are all around 120 credits, and those in the bordering state range from 128-174. Across the country, the 120 range seems to be most common and is likely near the average for all programs. I have yet to see any DNP program that breaks 100, and most I've looked at seem to be in the 70-80 range (for direct BSN-DNP programs); master's level NP programs are often as little as 45 credits. Don't get me wrong -- I don't say all that to create a pissing contest between PAs & NPs, but rather to lend evidence to the idea that PAs (in most cases) already complete the credit hour requirements to be awarded a doctorate according to many regional accreditation organizations.
  17. 3 points
    Imam. You get an imam if you're Muslim, you get an Iman if you're David Bowie.
  18. 3 points
    1st, this is terrible legislative strategy. 2nd, please refrain from unnecessarily referring to political figures to stir up controversy. This thread is not about the current administration.
  19. 3 points
    ok, confession time...this time it got me...frequent flyer with abd pain, negative recent huge workup with neg labs/ct, etc. Nurses moaning when they see them arrive. so and so is here again for constipation. complaint" I need you to give me something to help me poop, I have not pooped all day". minimal exam on my part. no complaint of abd pain, fever, vomiting, etc. discharged within 15 of arrival with rx for miralax. call from local hospital 6 hrs later. pt presented there with abd pain, fever, and n/v. cbc with leukocytosis. ct shows perfed appy. surgeon was pissed. fair enough. I went and saw the pt and apologized. They realized it was atypical and did not seem upset. I blew it. it happens. anchoring bias, playing the odds, and minimizing common sense....I hope to learn from this.
  20. 3 points
    What good reasons do you have for making our degree a doctorate? I find that more of a barrier than anything. the competition(nps) have one. we will lose jobs if we stagnate at the ms level. also , with 120+ credits after a BS we have already earned a doctoral credential. in most other fields 25-50 credits post bs=ms . add another 50 or so for a doctorate. you can go from bs in biology to MPH to DrPH for less than 100 credits total for both grad degrees, probably 80-90 total.
  21. 3 points
    It seems to me that as a profession, PAs do not have the spine to really take on a fight for themselves as the Nursing Profession does to advance or protect its members. Yet I constantly hear PA lamenting how nurses are taking over and outpacin us. My observation has been that compromise and apologizing for stepping on toes while advocating for the profession is more our professions forte. It is because of this what I consider spinelessness, disassociated myself from the state and national PA organizations. You can give me a nice non-hurtful professional title while treating me like crap in the workplace and I still won't be satisfied!
  22. 3 points
    This is an email from Elizabeth: Good afternoon, After speaking with the Director, we agree that I will create a private group for your class and those who have been accepted can request to be added; so that we do not get people in there who are not accepted into the class. I will send you the group name. Thank you,
  23. 3 points
    FYI. I started a poll a while back, with the same question. I bumped it up for further discussion Also, since I posted this poll, I myself have changed my mind slightly. I used to be 100% for the title of Medical Practitioner, but have since moved slightly over towards the Physician Associate camp. It just seems far more realistic than Medical Practitioner. It's just not a perfect world, and I am not sure of the feasibility of adopting MP. I am still 100% against any other title, they all just seem flat out ridiculous.
  24. 3 points
    Three nurses in the hospital I work for just got fired for continuously questioning and refusing orders from PAs (including me). They were already on thin ice in many ways, and then one of them made the mistake of misreading and choosing to ignore an order from a PA that was actually from Dr. MD, head of cardiology...oops. Should not have taken that level of ignorance on their part, but at least they are gone. Thankfully there is now protocol being put into place to deal with this level of incompetence MUCH more swiftly if any other floor nurses choose to follow their peer's example.
  25. 3 points
    Got a call earlier today! Offered a position and am for sure taking it! I am so excited to meet you all. Also I know this is extremely premature but I am considering getting a female roommate? Let me know if you anyone is considering living in the new appts across the street??? AHH I AM SO EXCITED!
  26. 3 points
    We should start a facebook page! Definitely interested in roommate situations!
  27. 3 points
    Just got a call (central time) and was offered a seat! I accepted, and will be putting in my deposit soon. I can't wait to meet you all!
  28. 3 points
    Accepted in January =] I look forward to meeting everyone and embarking on this crazy journey for next two years with this cohort! I,as well, am more than happy to help anyone who has any questions about interviewing or just the whole process haha I have been wait-listed, rejected, and accepted early so I have some experience on every level. One thing straight off the bat, THERE IS MORE STRESS THAT WE (PROSPECTIVE STUDENTS) PUT ON OURSELVES THAN WE NEED TO. Interviewing, overall, is just an opportunity to show your organic self. Getting caught up in all of the forums, the most common interview questions, mock interviews, is good prep but is also an avenue of creating more stress and anxiety. BE yourself, you know why you want to be a PA, you know what you've done to get yourself there, and you know the blood sweat and tears you have put in to earn an interview opportunity. Show/tell them that, maybe crack a joke (if warranted, feel out the audience haha) and that is what makes the difference. One of my nemesis the previous cycle was getting too caught up in all the the prep work of what I should do and mock interviews and what not to say ... this year I promised myself that if not for anything else I was going to be genuine and me. That tactic came through. Either way, congrats to those accepted! For those that have heard otherwise use the experience to fuel your fire the next time around. We all can become our own worst critic but take it as a learning experience and kill it next cycle. Success is not final, failure is not fatal, it is the courage to continue that counts. - W. Churchill Nothing is impossible because the word itself says IM- possible.
  29. 3 points
    full disclosure. I deleted all the off topic banter. Let’s keep it on track and not attacking each other.
  30. 3 points
    Hang in there, most of the Pro-Assistant PA's will be retiring soon. As I tell my kids about the world in general, my hope is in you. My generation of PA's failed the next generation when it comes to a proper name change. They were short sighted, full of fear and in the end impotent. Don't be like us. Don't apologize to anyone for changing this irrelevant and outdated name and pushing for more independence. Our hope remains in you.
  31. 3 points
    So here is the thing. I have started the revolution. When I enter the the room with a new patient I say this...everytime: "Hi, I am Blankety Blank, I am your Medical Practitioner today, what can I do for you?" It flows perfectly, every patient knows I am the person providing them care...not some "assistant". I have done it now...oh I dunno, over 1000x and not once had a patient take issue. Never had anyone confused, never been questioned for what it is I am. I still have "physician assistant" on my name badge because that is required by law, but referring to myself as a "Medical Practitioner" has been the broad and ACCURATE description of what I am there to do. I encourage all PA's to do this. When patients know us as Medical Practitioners as a whole, our impotent leaders will have no choice but to change the name and drag us into the 21st century.
  32. 2 points
    I can see the logic in that. But, we'd definitely have to explain that one to patients over and over. Unknowing patients may even confuse it with naturapathy.
  33. 2 points
    Hello! Just wanted to see if anyone had any reviews suggestions for students who have been accepted and are awaiting the start of their PA schooling. I have already begun looking over some things anatomically, but wanted to inquire about any specific sources such as textbooks, internet sources, etc someone may have found helpful before your PA program began. And would you recommend focusing on anything specific that may pertain to the majority of programs? Thanks so much!
  34. 2 points
    The advantage to low volume is that the docs actually have time to teach. If you're constantly just trying to keep your heads above water seeing everyone coming through the door, you'll inevitably end up seeing what you're comfortable seeing, i.e. the low acuity patients, and the docs won't have time to help you learn procedures, talk through cases, etc.
  35. 2 points
    Don't let them. Much of what they say it true but a lot of it depends on the practice. I have been in primary care in one form or another for 30 years. Some days its a suck fest. Some days are really good. There aren't enough of us in primary care. We have, like the physicians, followed the money into specialty care. If you want to do primary care....go do it. If it were possible I'd work for a private practice again but they have gone the way of the do-do.
  36. 2 points
    Big difference between "looking down at someone" and understanding the difference between education. PA: 4 years undergrad that includes some tough courses then 2.5 years if intense medical education. MD: 4 years of science heavy undergrad, study for and pass the MCAT, 4 years of medical school (arguably 3.5 years), then 3-7 years of residency. Understanding the differences there isnt "looking down at" someone. However wanting what someone else has (independence) without working for it (going to medical school) kinda looks like the "everyone gets a trophy" mentality.
  37. 2 points
    When worked in a small town, since I wasn't paid to be on call and such, I chose to live away from the place - people often didn't understand boundaries well where I worked. Some got bent right out of shape when they asked me for my phone number and I'd give them the office number - "but what if I need to talk to you after hours?"..."Call the office for an appointment, call 911 or drive to Town X's hospital". SK
  38. 2 points
    Just received an invite to interview on 3/26! Excited to meet everyone there
  39. 2 points
    My professor told us in class today that the class of 2021 (you guys) has officially been selected. He said invites should start going out tomorrow morning or by Monday. Good luck and keep checking your email! Looking forward to meeting you all. And just a heads up, the email normally only goes to your Miami Dade email, not personal so make sure you're checking that one.
  40. 2 points
    My first job out of school was ortho that lasted 5 months...absolutely awful work environment and actually got fired as I was looking for my next job. Second job was FM in a MI rural clinic with starting salary of $85,000 with bonus potential with $10,000 of guaranteed loan repayment - other benefits weren't terrible, but not great. I ended up making around $110k working my tail off including base, bonus, AND loan repayment. But, when I left I had to repay a portion of that loan repayment. Current job in FM - in a small city (same state) base of $110k with much better bonus potential and better benefits - if I can produce like I did at old job, I will be making ~$150k (but honestly don't want to be that busy...it's stressful) Bottom line: I knew the docs well in my old rural job, and I know for a fact they all made a higher than average salary as a premium for working in a rural area (non-productivity money from insurance companies, grants from federal and state government based on services provided - all things that both the docs and PA/NPs did, but of course none of that money was distributed to the NP/PAs). Why shouldn't that include us as well when we are doing a portion of the work bringing in that money? Bottom line, it should...but the NPs and PAs were willing to take lower salaries so why pay me more (that opens a whole different can of worms)? Also, in my experience the concentration of controlled substances in rural communities is WAY higher, making the job more stressful and more difficult. And, hard to just say NO to all narcotic patients when that is 75%+ of the potential patients in the community. I had a very love/hate relationship with my old job, but can easily say that I did not even know how much stress I experienced at my old job and how much it effected me until starting my current one.
  41. 2 points
    Thank you for your advice! I decided not to take the job and will be negotiating another contract at another practice. Fingers crossed!
  42. 2 points
    EM:RAP is one of the most popular emergency medicine CME options available. SEMPA 360 will host EM:RAP Day, where you can hear your favorite EM:RAP faculty for the entire day! Also, you've heard them but now MEET them. We'll be hosting a meet and greet on Wednesday, April 17 from 3:30pm - 4:30pm. Come by and meet Mel Herbert, Billy Mallon, Jan Shoenberger, Sanjay Arora, Mike Weinstock and Stuart Swadron!
  43. 2 points
    I'm voting Physician Associate. Keep the PA initials. The "PA" profession has been gaining so much traction over the last 5 years and now we want to change the initials --> back to square one. The profession has changed dramatically since its inception. We are no longer "assistants". But we can definitely be associates and keep the PA initials! Sidenote: academically it's the same hierarchy.. Assistant professor, Associate professor, then full-fledged Professor. And just as important, I also believe they should standardize the degree granted. It should be something along the lines of MMS "Master of Medical Sciences". Whereas some schools have an MSPAS, MPA, MHSPAS, MSQWERTY. Therefore, I can introduce myself as "Hello my name is Endeavor your PA/Physician Associate." I have my masters in medicine. (Whereas an MD/DO has a doctorate in medicine). Just my 2 cents..
  44. 2 points
    Holy **** your username scared me for a second. Thought someone hacked into my account
  45. 2 points
    Just found out that I got selected as an Alternate as well. I guess the hoping and praying continues!
  46. 2 points
    Congrats!!! So happy for you! Anyone else hear anything?!? I’m soooo thankful they did get the accreditation!
  47. 2 points
    I still think it’s unnecessay to retake it. Your score is competitive, and you surpass the minimum requirement, so schools likely won’t care when you took it as long as it was within 5 years. Save your time and money for CASPA and supplemental applications
  48. 2 points
    I live in midwest, in a metropolitan area of about half-million people. In the city, PA/NPs in the ED have decent autonomy (but often have to run cases by attending), and pay ranges from $65-$75/hr with okay benefits (average 1 week PTO, 6% match, $2K CME). Schedules are 8-12 hour shifts, with rare overnight shifts. In my opinion, people frequently forget to factor in the lack of overnight shifts of most ED APPs (because bigger EDs are staffed with Docs who cover nights). I drive 2 hours away from the city and make $90/hr (+ shift diff) with great benefits (2 weeks PTO, 1 week CME), and I do 24 hours shifts. High levels of autonomy. This also means I have large amounts of quality time off, and that's very important to me as I work on other endeavours. According to Payscale.com, the city I live in is only 60% as expensive as New York, NY. So to live like you do in NY with $120K/year, I would only have to make $72K/year. Reversing this calculation from Payscale.com, the $180K/year I make here would equate to making $300K/year in New York City. Currently live in a paid for $100K house that is a decent house but in a not-so-good neighborhood. Building our dream house an hour outside of city. I expect to have it paid off in 6 years, and then I retire (which I define as work simply to afford travel and extras) at 54. While I don't live near a beach or mountains, there are some small lakes that we spend a great deal of time on (and we have 2 ponds of our own). Better yet, we are able to take 2 good vacations (to the Islands, to the mountains, or to big cities) a year. Caveat: Our lifestyle isn't just from my income as a PA. My wife also makes more than average income for our area, my military retirement is just below average income for our area, and we have some real estate income as well. We also (generally) follow the Dave Ramsey financial plan and have virtually no debt to tie up our income. How do I like being a PA in my city/state? I freaking LOVE IT! Did I answer all your questions? One favor to ask though. If you move to my neighborhood, PLEASE leave any semblance of New York politics there in New York. We have it so good here for a reason.
  49. 2 points
    I hope FAPA takes the bill and runs with it. Independent practice is not an awful thing, it is a beautiful thing. FAPA: Do not shoot yourselves in the foot. Run with this, run, run, run to the finish line!
  50. 2 points

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