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Showing content with the highest reputation since 01/16/2018 in all areas

  1. 28 points
    Hey everyone, I created this list of schools for those of us who did poorly in college when we were kids and have desires to be PA's. The list consists of the following: School name, CGPA, SGPA, PrereqGPA, and HCE hours. I don't know if this is ALL of the schools, but it was all of the ones I could find and I looked at pretty much every PA program. I hope this helps some of you out in your application process. If any one knows of other schools you can comment below and I will add them. Best of luck to all. https://docs.google.com/document/d/10DB5YytgTE6oOarGVgJQ_1Mm8Jj6g5J8eS1-yRj1CA8/edit?usp=sharing
  2. 23 points
    I wanted to make a very brief and to-the-point case for a new title: Medical Practitioner. As a profession what we need more than ever is our own path. * How do we separate ourselves from NPs? Well, the biggest thing is that we practice medicine within the medical model. * How do we separate ourselves from Physicians? Well, we aren't physicians and did not train as one, but we still practice medicine. My point is that Medical Practitioner not only describes what we do perfectly, but it gives us our own path. We can say we are a practitioner just like NPs, but we practice in the medical model. We can say that we practice medicine similar to Physicians, but our training was more accelerated and we did not attend a full residency, and therefore we are practitioners.
  3. 23 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.
  4. 21 points
    If it makes you feel better, we are not alone - in addition to killing PAs, NPs are killing a lot of patients, too.
  5. 20 points
    Last week I got my first official application decision of the cycle. Opening the email, I scanned the words frantically until I found the sentence I was fearing the most. It read, “I regret to inform you of the program’s decision not to pursue your application further.” These words translate much more simply to “rejection.” For a moment I felt like I couldn’t breathe. I knew that I would be receiving rejections throughout the cycle, but had hoped and prayed it wouldn’t be from this school. Not only was this program one of my top choices, but it is also the only school in my home city. The realization that I would not have the opportunity to interview hit me like a ton of bricks. With GPAs well above the program’s average and my state residency giving me a leg up over other applicants, I felt that I would likely secure an interview. I was wrong. After the news, I began to question my application strategy entirely. I chose to apply more intentionally to a handful of carefully selected programs landing on the lower side of things - 6. As the September 1st deadline for many programs was only a few days away I sent my GRE scores off to an additional school that I was going back and forth on, hoping that they would arrive on time. I was relieved to have everything complete with one other program, but I still questioned if 7 would be enough to land me an acceptance or even an interview. At this point I was doubting myself, my personal statement, my clinical experiences… everything. I wondered if there were red flags in my application or if I said the wrong things in the answers to the supplemental questions. I tried to stay optimistic, but I was disappointed and feeling insecure. My first rejection was certainly humbling, planting seeds of doubt that were becoming overwhelming. And then I saw it. I was eating my lunch and scanning my email when I suddenly read “Invitation to Interview” in the subject line of an email from my top choice. My heart started racing and my palms were sweating. After seeing the date provided, only 3.5 weeks away, I could barely focus enough to read about the interview details. I was ecstatic. Their initial email contained a typo and in a follow up email with a correction the admissions director revealed that I was the very first applicant to be offered an interview. I couldn’t believe it. This school was my reach, and I certainly wasn’t counting on being offered an interview, let alone the first one. I was over the moon. Here I am now, in the midst of the cycle with one interview scheduled and one rejection. Things are still up in the air, but I feel that I am at least back in the game. The ups and downs of this roller coaster ride will continue, and I couldn't be happier. Thus far, this process has been unpredictable. Although I have heard this repeated many times here by those wiser than myself, this experience has definitely shown me that there is no such thing as a sure thing when applying to PA school. Don’t be so quick to count yourself in, but also don’t count yourself out.
  6. 18 points
    I'm impressed you have a wife of almost 50 years. No mean feat these days. ?
  7. 18 points
    I am dogging this issue to the point of getting a bad rep with admin. I'm not letting this go. The positions weren't advertised within the system as required and qualified candidates were ignored. I also pointed out that it suggests the organization thinks we are all the same which simply isn't true. I may get written up or fired but I am dogging this until I get some answers.
  8. 17 points
    Hey guys, My name is Logan and I am a new first year at the University of Florida. It wasn't long ago at all that I was sitting where you are sitting, knee deep in the application journey for PA school. I have compiled a list of things which opened my eyes to the application process after having been through it twice, as well as things I wish I had known going into the process which I think would've helped me be better prepared. A little background on me-- I got my degree in Athletic Training at Nova Southeastern University in Florida, where I was SUPER involved in extracurriculars and leadership positions (multiple leadership positions in my fraternity, ATSO, Order of Omega, Up 'Til Dawn, research, etc) plus employed on campus. Because I was so involved, my grades suffered and I ended up graduating with a 3.4 cumulative GPA and a 3.28 science GPA... Not great. Through my undergrad being in a medical field, I also had a bunch of rotation hours to list on my resume. Immediately after graduation I had a bit of an identity crisis not knowing fully yet what I wanted to do "when I grew up", I went straight into paramedic school to gain added experience and buy time to figure out my future. I applied to the CASPA for the first time in 2015 straight out of medic school and, as you probably picked up, didn't get in. As a matter of fact, I didn't even get an interview... anywhere. Devastated, I decided to get a change of pace and uprooted my life to transplant somewhere else and busted ass working. I also identified that a couple of my science classes were a weak spot on my application, so I re-took them. I took a year off from applying and in 2017 I applied to 12 schools, was extended an interview at 9, and accepted at 6. Here is my list of things I have picked up along the way, and tips for you moving forward. When Applying: Apply Early!!! I know everyone says this but trust me, if you can beat the crowd, even if your application is meh, you may still be a shining star out of the small percentage to take this advice. Your chances of getting an interview is significantly higher the earlier you apply, especially if the program has rolling admissions. Get your application busted out literally as soon as possible, spend a short time reviewing everything, and start submitting them quick. If you are reading this now (posted at the end of June) and you haven't started submitting (or are close to submitting save for some last minute tweaking) yet, you are behind the ball. Get on it!! Apply Everywhere Make a list of literally every school (in the WHOLE US) you qualify for by the minimum standards (GPA, GRE scores, Class Prereqs). Yes, this is time intensive but there are books that can help you outline each program and their requirements. Once you have the expansive list of programs which you could theoretically get in to, cross out the ones which you would not accept even if you were given an acceptance. For me, it was anywhere with too cold of a winter (true southerner and have been in Florida for the last 9 years... 60 is chilly for me, lol). Keep narrowing your list till you get to between 10 and 15 schools. Obviously if you are a perfect applicant with a 4.0 GPA, incredible GRE scores, tons of patient contact, and a resume a mile long with achievements; you can have a shorter list... but since most people reading this don't have the "perfect" application, it is better to cast the net wide. Also- Just because a school says it will accept outstanding prereqs, doesn't mean in reality it will. Why should they take 1 incomplete package when they have thousands of others who offer the total package. Save your money and keep looking. Once you decide what schools you are applying to, make a folder on your computer dedicated to just that school. ex- "PA School Applications" > "University of Florida". Inside that folder, have every document pertaining to that school you can get. Any pertinent research you stumble across, all your essays, a copy of your supplemental application, etc.... You will be happy you did that when it is time to research for your interview. Save Up Money It is incredible how expensive the application process is, and not something I expected when I initially applied. The CASPA applications are expensive, especially for as many schools as you should be applying to. Then you have to worry about Secondary applications. Then when you start getting interview invites you need to pay for travel and the hotel, plus food, etc. It all adds up quick, especially if you have multiple interviews back to back in different states. Plan for it financially and it will be a HUGE weight off your shoulders when the time comes. Assuming you get in somewhere, then you have the seat deposit which is usually between $500 and $1000 - some more, some less. Make Sure Your Application is "Perfect" Before Submitting Every applicant gets the same baseline question... "Why Do You Want to be a PA". Every applicant is going to have a lot of (boring) similarities in their answer which the AdComm is going to read THOUSANDS of times before the cycle closes. Don't waste your one shot at giving them a glimpse into your personality and a reason to admit you. Show your passion for the profession without being cliche and highlight your achievements without sounding cocky or pretentious. PEER REVIEW THE HELL OUT OF IT. Like literally send it to all your friends who can write well. Send it to your high school or college lit professors. Send it to your career services department. Legitimately send it to anyone who will read it and give you honest feedback. Tell them to rip it apart grammatically, and offer them the option to tell you it sucks or put them to sleep. Kick your feelings and pride out the door for this one, if your essay sucks, you will not get an interview anywhere. Period. Once you have your essay as perfect as you think you can get it, hire a service to review it. I used myPAresource.com for my personal statement which was an incredible resource for the personal statement only. The give you line by line suggestions and edits and are ridiculously thorough. Once I got that back and had the rest of my application completed (all the other tabs on CASPA) I used www.mypatraining.com/applying-pa-school-coaching/ to have Paul rip apart the rest of my application to tweak the other parts (the little details you may have overlooked which could damage the overall application). Both services cost money, but were 10,000,000,000,000% worth it in my opinion. It is an investment in your future -- can you really afford to re-apply (again), and also miss out on another year of PA-C pay? Be Smart About Your References!!! A phenomenal recommendation from a PA-C in a small clinic in a town no one has ever heard of, who you have known for 8 years, ALWAYS trumps a mediocre recommendation from a big name in medicine who doesn't really know you well at all. The recommendation letters are a MAJOR factor in the AdComm's decision making process, and I had my letters mentioned in almost every interview I went to. Pick your people wisely, it really does make all the difference in the world. Pick people who know you well, have history working with you, and who think highly of you. Get Experience Get lots of it. Everywhere you can. Volunteering is YUUUGGEEEE in applications. if you have a lot of it, you will stand out. Do something where you are actually putting hands on patients. Looks better on paper and also helps build your bedside manor. EMT / CNA / Surgical Tech, etc are all great experiences (and extremely easy / short classes). Being a scribe is ookkkkkaaaaayyyyyyyyyyyyyy... but doesn't actually place any responsibility on you except being the provider's lap dog. Once Your Applications Are Submitted: Take a breath, but don't stop being great! The most labor intensive part of applying is done. Now it is just the waiting game which is killer. Use this time to keep bettering your application. Put in OT at work, Volunteer regularly, Re-take classes, etc. Most programs predict your future hour calculations based on the numbers you provide in your applications. You can go back in and add new experiences to your CASPA applications which some programs care about, others don't. When you do major things, shoot the point of contact for the program an e-mail or call the program to update them. Each program gets several thousands of applicants each cycle and although they wish they had a warehouse of people working around the clock to filter through applications and answer questions, most of the time it is just a few people doing everything. DON'T BUG THEM. Imagine if you had 3,000 people constantly e-mailing you and calling you at work... you'd never get anything done... don't be "that guy". Only update for the major things, and save the rest for the interview. DON'T BASE YOUR TIMELINE OFF ANYONE ELSE!!!! This forum is great for getting information... and also for causing anxiety attacks. I applied to UF within the first few weeks of the application being open and interviewed in one of the last groups and was almost immediately accepted following the interview. Don't lose hope till you get that e-mail or letter saying "thank you for applying but kick rocks". Time doesn't always equate to standing in their system. Make sure your contact information on CASPA is correct ***AND PROFESSIONAL****. Should go without saying but having inappropriate e-mails or voicemails may be funny in high school, the person trying to contact you for an interview may not find them as funny. You Get Called for an Interview!! Congrats!! It seems like a dream at first and that euphoric feeling proves all your hard work to that point is worth it. Do your happy dance then get back to business, this is where the intensive work begins. RESEARCH THE SCHOOL!!!!!!!!!!!!! I can't put enough emphasis on this. Research the school so well that you and the Dean over the medical programs are practically on a first name basis. Every program has a website where they usually list their achievements, their scores, their faculty / staff, etc. Commit it all to memory. Make a Microsoft Word document dedicated to facts about the school and save it in the folder I mentioned earlier. Include pictures of the faculty and a short bio or things to take notice of. It is okay to creep a little bit (not like looking in their windows, etc)-- but like google their names, get on their Linked-In accounts. Get on the program's Social Media account and creep on that. Look for pictures and clues about the program, its goals and culture, and also about the students and what they are into. What is the mission statement? Does the program do medical missions? To where? Is the program big in the community? Do the students seem like a close knit bunch having a blast or are they indifferent to being there? How involved outside of the classroom are the professors? etc... You can gain a TON of insight by doing a google search of the program and by looking on the program's social media. Use this site and others to figure out what style of interview you are walking into. MMI / Panel / 1 on 1 / Group are all vastly interview styles and require a different preparation. Most of them have a group interview where you are tasked with solving a problem or working as a team on an exercise. Do yourself a favor and stand in the middle of the extremes on this one. This is an exercise to see if you can work and blend in a group setting... Be too aggressive (not knowing when to shut up / interrupting people) and you will be rated as bad as the person who doesn't really contribute anything to the group. Research Yourself!! Intimately know what is on your application and what is on your resume. You are going to get questions drawn directly from your application and resume... be able to recite the major numbers and have the important details readily available. One of the things I goofed pretty bad on in one of my interviews was not reviewing the independent research I had done Freshman and Sophomore year of undergrad... so like 5 years prior to the interview. It was on my application so it was fair game, and when asked about the more intricacies of the study, I blanked... not a good thing to do when sitting in front of the medical director for the program. Re-read your essay and supplemental apps. You may think you know your application pretty well but if you are not fresh on how you phrase things, etc, you may contradict yourself to the person with your essay literally in front of them. Make Smart Travel Plans Murphy's Law is a real thing and is no fun to try to come back from. I suggest always travelling a day in advanced to avoid any last-minute headaches. I was scheduled for an afternoon group on one of my interviews so I figured I would just fly in on the morning of and have like 6 hours to kill before my interview. Save money and time, right?... nope. My 6am flight was delayed due to mechanical failure until 1pm, putting me in the city at 3:30, 30 minutes after my interview was supposed to be. #Stress. It ended up working out okay, the program was understanding and that was one of the programs I ended up getting into... but if you can avoid that situation, save yourself the grey hairs. Go to bed early the night before and try to get good rest. Eat a balanced meal for dinner -- nothing too heavy or greasy. Day of the interview: The Motto of the Day is Calm / Cool / Collected If you let your anxiety get the better of you, you are 100% guaranteed to fail. Breathe... your preparation has done you well. The Morning of the Interview Wake up EARLY... like whatever time you need to get ready and get to the interview site on time (15 - 30 minutes early), wake up an hour before that. Remove any possibility of having to be rushed and your day will start off on the right foot. Eat a [LIGHT] breakfast. This is the food which will be keeping you awake and happy when meeting people, but should not have you in the bathroom every 20 minutes. My usual breakfast was a small amount of scrambled eggs, a small piece of protein (bacon or sausage), toast, and fruit, with water or juice to drink. Avoid dairy or anything too acidic (coffee or orange juice) if you think that will mess up your already anxious stomach. Leave Your Phone in the Car!!! Even checking your phone during the day can indicate boredom or that you are uninterested... appearances are EVERYTHING. If you rest your head, close your eyes, or even glance at your phone you can rest assured that you are on someone's radar for the wrong reasons. When You Get to Campus Everything, I mean EVERYTHING is scrutinized from the moment you get on campus. Your driving through campus to your destination should be impeccable and the second you're out of your vehicle pretend you're on youtube to be watched by the faculty later. Smile and and be literally as friendly as possible without appearing fake. Every interaction is fair game for scrutiny- from the "Good Morning" to the janitor to the conversations with "random" students on campus or your peers... it is all being watched. I know some programs plant people (like cleaning staff, and "random" students) in your path to see how you react around them. I know of other schools who have hidden cameras set up to watch applicants when they are mingling on campus. From the moment you get on campus till the moment you are at home, assume you are being watched and judged. Any "down time" should be spent talking and networking. Get to know your competition, they may soon be your classmates; plus it shows that you are comfortable within a group setting. Also usually helps ease your nerves to be social within a group experiencing the same anxiety you are. During the Interview Have fun with it. You have worked hard to get where you are and this is your chance to shine! Any interview blog you read (and I'm sure you have read most of them to this point) will tell you that body language is BIG... If you are having fun and are relaxed, your body language will show it. Confident but Humble is the name of the game. Own your past mistakes with dignity and be ready to give reasons why they should look past them and see you in a better light Enter the room and greet everyone individually. Firm handshake, eye contact, and a smile. If you know everyone's name that is a big win and can work in your advantage... but if you don't know EVERYONE by name or think you may call someone the wrong name, don't attempt. Make sure to have a couple copies of your resume readily available with you. Most schools wont need or even request it, but it shows you are prepared if you can offer it or produce it on demand. DON'T GET FLUSTERED!!! Some interviewers will ask you questions to try to get under your skin or try to throw you off your game to see how you will react. It is okay to take a moment and think and breathe... they are looking to see you under pressure. Focus on what they are asking and move forward. I once had an interviewer straight up say " I don't think you belong in this program, nothing about you impresses me" as the first thing when I got in the room... She was looking to see how I responded. Don't let anyone get under your skin and maintain your composure... you can breakdown and analyze once the interview is over and you're at home. When You Leave the Interview Make a mental note about your overall impression of the program, staff, and school... if you didn't get a positive vibe, that will come in to play if you get in to multiple programs. You need to go where feels like "home" because for the next 2- 2.5 years, it will be. Realistically speaking, most people don't get into the first school they interview at because they are walking into it not knowing what to expect and are visibly anxious. Prepare for that ahead of time by doing practice interviews and by getting comfortable talking to strangers and you will be ahead of the curve. Everyone says to send "thank you" e-mails... I disagree with their logic... If there are 200 people who interview at a program, every faculty member who interviews will have 200+ emails all saying the same thing "Thank you for taking the time ...............". I personally would get tired of even opening all those emails, so I didn't send them for the most part. The few that I did send I never got a response back from, which just reaffirmed my theory. Better practice would be (if you have time) to stop by their office at some point either later that day or in the following couple days and thank them in person. That opens the door for a more casual conversation and is more genuine, plus in my experience it went over better in general. Last Words of Advice: If you get in to a school early but it isn't your #1... please dear god put the seat deposit down anyway. That means you can breathe a little easier and are for sure going SOMEWHERE for the following year. Don't hold out for your #1 because you are optimistic and not wanting to possibly eat the money. Again... investment in your future. If you are rejected from a program before the interview, it is okay to ask why and try to get them to reconsider their reason if it is bogus. That shows balls, and also commitment to their program. One of the schools I was accepted to initially rejected me saying they wanted all of the anatomy classes from the same university ( I had 1 formal course from Nova along with a ton of other anatomy-based courses, plus 1 formal course from medic school, and another formal course from a community college from the year after I moved). I popped an e-mail back explaining my situation, the program director sided with me and I was immediately granted an interview. If you get rejected after the interview, some schools will offer advice (if asked) on how to improve for the following year... take them up on that offer!!! Programs LOVE repeat applicants, ESPECIALLY if they see significant improvement from the previous application. Lastly, if you get totally rejected and have to reapply, welcome to the club. The majority of successful applicants have that sobering experience and are accepted the next time around. Don't get discouraged, become inspired. Hopefully at least some of you found this list helpful, I know I could've used some of that when I was applying and stressing out. Don't hesitate to reach out to me if you have any questions! Good Luck and Go Gators!! :) Logan
  9. 17 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. 17 points
    Yes. You have one foot in the grave at 27. Focus on the time you have left with your family. Good luck.
  11. 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.
  12. 14 points
    Since the "residency journals" already posted on this forum were extremely instrumental in my decision to apply for a residency program, I decided to pay it forward and do the same. As with previous posters, I can't promise any kind of consistency during the busy schedule, but I will try to check in every once in a while and share what I've been up to and what I've learned. I'm also going to follow the cues of those who have gone before me by choosing not to identify which residency program I am attending. One of the things I was most interested in before I applied and during the application process was the experience level of current and previous residents. I myself knew I wanted to be a PA in college, majored in biology, and took a year off to work as an aide in a nursing home, which comprises the entirety of my past medical experience. Many of the people I've talked to in my program had more experience (several CC or EMED nurses or CNAs, some EMTs and paramedics; one was previously a transplant director), but all assured me that they felt everyone started out at about the same level, with their own strengths and weaknesses. They encouraged me to apply despite my lack of experience because the program would likely appreciate having a blank slate to work with (no "bad habits" learned at old jobs). It was addressed directly at my interview, and I got the impression the program directors felt exactly that way, and also that they valued soft skills (adaptability, attitude, and other unteachables) over hard skills. In fact, I decided to do a residency well after I'd already done my elective in school (outpatient GI) and so I never actually had a critical care rotation, just passing time spent in different units as part of IM and surgery rotations. Grades-wise, I believe my GPA was at or *slightly* above average at my school, but I knew I had very strong letters of reference from clinical preceptors. Other things I wondered about before starting... Pay ($60,000). Hours (60+/week). Structure (rotating monthly through ICUs, with one month airway, one month divided between nephro and ID, and one month of elective). Why did I choose to do a residency? I had thought about residencies from the moment I learned about them, and shortly in my rotations, I felt very strongly that I wasn't going to be done with formal, structured learning when I graduated PA school. Taking the pay cut was worth it for me in order to get a great start in a really challenging field. If there's some other question anyone has (if anyone reads this, lol), please feel free to comment below, and I'll try to respond in a semi-timely manner. I'm starting off with bootcamp and then about a month in the OR learning procedures (lines, intubation, etc). I got my work phone and a big binder of info in the mail the other day, but I don't think it's going to feel real until I'm standing back in the hospital on day 1.
  13. 14 points
    I work in a relatively large hospital system in a major city in the northeast, where there are several hundred PAs currently working. We are highly utilized across all specialities and generally treated well with competitive salaries, good benefits, significant respect, etc. This morning we received notice by our CEO (who is a former PA) that the salary of all PAs will be going up, effective next pay period. Our hospital uses a pay grade scale, so PAs are now going to be in the same pay grade as the pharmacists and CRNAs. The reasoning for this, as stated in the email, was to compensate for the "progression of the PA profession, OTP influences, and continued expansion of the modern medical approach." Has anyone else had any changes in their hospitals or increases in salary due to OTP? The fact that our CEO is a PA might have had something to do with the push, but it is good to see that hospitals are starting to recognize the progression in our profession. Regardless, I'll enjoy my 17k increase either way...
  14. 14 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?
  15. 14 points
    I posted this in the AAPA forum where I have been following and participating in a lot of conversations about the upcoming AAPA elections, OTP, name change, and others. There are several, mostly much older, PAs who keep carrying on about our valuable relationships with physician groups and how we have to maintain them. I was particularly weary of the subject today and went on a bit of a rant which will probably get deleted. I'm interested in opinions. Thanks. Rant as follows: I'm going to step in the dogma because I have listened to our wise elders (and I'm no spring chicken) wax poetic about maintaining precious relationships with physician groups and disagreeing with them starts a great hue and cry.Physician groups are not our friends politically...period. I have great relationships with many physicians and know many who understand and support OTP. I have yet to hear about a major physician group who has worked on our behalf in our attempts to advance the profession. Quite the opposite seems to be a near daily report from one place and another. Here in Texas for many years (and it may still be) TMAs legislative agenda included stopping the expansion of privileges of any non-physician health care providers....period. Doesn't matter if it is good for patients or good for health care or if it is a PA, NP, PT, podiatrist (sorry...foot and ankle surgeon), or anyone else. This is emblematic of our valuable relationship with physician groups. last legislative session we were asked by 2 anesthesiologists who are in the state legislature to open our practice act to anesthesia assistants in return for some nickle and dime concessions on our privileges....and TAPA agreed! This resulted in the biggest groundswell of negative opinions and push-back from PAs I have ever seen. One of the anesthesiologists/legislators said he was withdrawing support for our, frankly inconsequential, modifications to our practice act stating "I thought we had you under control but it seems we don't." THAT ladies and gentlemen is what we are dealing with everywhere.I don't advocate going rogue or being unnecessarily provocative. I do advocate for "this is what we are going to do and we don't care if you like it or it makes you happy" perhaps stated in a warm gentle voice with a smile on our face. It is past time we stood up and acted like a grown up profession. We can be polite and diplomatic and prosecute our agenda DESPITE physician groups if necessary. Will it be easy? Certainly not. Will it be any harder than standing around with our hat in our hands waiting to be blessed with permission? Nope....and now the gentle politicians and diplomats may begin explaining why I am wrong....:-)
  16. 14 points
    I must admit over the last three years I combed through these forums for hours. If you read this post you may say it's easy for you to say don't give up because you got into a school. It was my second time applying. First year applying 22 schools zero interviews, second year nine schools and two interview offers. I was one of the discouraged people posting what more could I do to get into a school. For those wondering my stats, 3.2 CGPA, 3.3 SGPA, 19,000 hours of healthcare experience, 1000+ hours volunteering, 500+ hours shadowing, 1000+ hours teaching: EMT's, Paramedics, Medical Students and rural providers in emergency medicine. Sounds great but I didn't get in my first year. I was beyond devastated! Four years ago I sold everything I owned that wouldn't fit into my 14 year old unreliable truck, cashed in all my pensions, lost a relationship I was in, took a 8$ pay cut, picked up a second job and would often sleep in my truck in-between short turnarounds. Realize that it is possible, if this is your passion do not give up, you may have to sacrifice everything and completely end up out of your comfort zone to get to where you want to be. I didn't have a backup plan. I told myself I would apply for six cycles then reevaluate my life. I've known many people who applied 3+ cycles to get in, I've met people who went to PA school at 47. If this is what you want there maybe setbacks but please do not give up! Kettle
  17. 13 points
    That doc at every other conference they were paid to lecture at ;)
  18. 13 points
    I want to take the opportunity to apologize to the pre-PA forum participants and the other staff here for NOT restricting our recently-banned troll after I locked the first thread. I have thick enough skin to ignore the barbs directed at me, but I should't have: he turned right around and directed them all at you who tried to help him. If you missed the drama, good. If you didn't, you have my promise that I'll be quicker with the block button when we have a poster with SDN-level snark polluting the boards. This isn't an echo chamber, but nor is it an open invitation for random people to belittle your choices. Do try and keep to the high road, no matter how tempting it is to react. I saw a few folks getting (justifiably) hot and bothered in the now-gone threads, but that's never going to fix anything, so in case of future trolls, please resist as much as you can.
  19. 12 points
    Dude here. Took the test just to be sure, though. I'm in the clear.
  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
    So before this thread devolves into "I can beat your scar", here are some thoughts: 1. Don't judge the op, or any other posters. As sas5814 said, it *will* be you. 2. You will feel guilty. It's natural. Breathe. 3. You will feel angry, at yourself, for not doing the right thing; for doing the wrong thing. Breathe. Pet your dog. Hug your loved ones. You will be angry at the patient, for not telling you something, for hiding something, for being dumb, for seeing you. Stop. Breathe. 4. For the love of God, do not ever, edit the chart, or lie. Ever. Even if you are in the wrong. 5. Reread number 4. 6. If the patient is still alive, slow down, stop, think how to keep them that way. Consider asking for help. Now is not the time to be a hero. 7. If the patient has died, call your supervisor. Review your notes from the case. Read number four. 8. Stop. Breathe. 9. If you need to, seek help. It's ok. Not your spouse, pet, or SP. A real trained professional. The number of doctors who commit suicide is under reported and PA's are not at all, but we need resources too. 10. Learn. Please. It won't keep it from happening again, but will keep you from the overwhelming guilt. 11. Do something else. Learn a hobby. Something that makes you feel the beautiful being that is you.
  22. 12 points
    Morning all, It's a lovely morning here in northern New England, snow is on the ground, the ER is quiet (for now), and the hospital side and clinics downstairs are hopping. As I peruse the threads, I keep seeing a common theme pop up, both on the professional and student/prospective student side - People don't seem to realize what medicine is, or didn't understand getting into it, and they feel stymied by it. My questions is: why? When you train for a license to practice medicine (that is what we train for - with the caveat of having physician involvement at some level of our care depending on where you work), you aren't training to be a manager, an administrator, an HR director, a marketing person, or any of these other ancillary services. You are training to practice medicine. You are training for perhaps the most important job someone can have - to enter into someone's life and either guide them in their decisions on how to live a healthy life, treat their underlying chronic ailments, or when the SHTF, intercede to make sure they see another day and if not, comfort those they have left behind. That's it. Anything and everything we do revolves this basic concept, and anything beyond this requires more training, experience, or a different approach to how one wants to approach a profession. So I find it interesting that we get frustrated when we see others in healthcare (MDs, RNs, NPs, whomever) move into administrative positions and we think we are being left behind. Most of the good admins I have known over the years have had other training - not just their basic PA school, medical school, or nursing school training. Most have advanced degrees in management, administration, etc, and the ones who have failed miserably are the ones who think they can do it better than others, lack the fundamental training to do the job in the first place, and then end up stuck in their positions and wind up being detriments to building a good system - not part of a good system itself. I know there are exceptions to the rule... this isn't about them. I understand the idea of upward mobility, wanting to "further our careers," and any other label we want to put to something like this, but fundamentally, our first, best destiny is to take care of patients. And I think a lot of us lose sight of this. We train to practice medicine. If one wants to go further, do other things, branch out, etc - train for it - and go for it. But here is the reality check that comes with any position in medicine: You are training for a dead end job. To be a PA is TO BE A PA. to be an MD is TO BE AN MD. To be an NP is to BE AN NP. Want to do public health? Get an MPH. Love EMS? Be a medic or do an EM/EMS residency. Want to do administration? Get an MHA (or take the appropriate coursework to qualify you for whatever it is you seek). Because like it or not, the shell game is what degree do you have, what do our collective resumes look like on paper, and do you LOOK like you can fill a position - it doesn't matter what we think individually - that's not how the system works. So as I am enjoying my morning quiet, I am reading about emergent open thoracotomies, Becks Suture and the Sauerbruch maneuver with foley insertion and purse-string closures of cardiac wounds, because I don't know what is going to walk through the door at any time, the closest trauma center is 90 minutes away by ground and 40 minutes by air, and if a penetrating chest wound comes in and they arrest in front of me - their chest is getting opened. And I have to know how to do this quickly, efficiently, and what to do with it if I get them back. Because that is what the full scope of my license as a PA is - and I practice to it and love doing so - and it is why I became one: to take care of people. G
  23. 11 points
    What a terrible post. Many FMGs had to score literally in the 99.99% to gain entry - it is FEROCIOUSLY competitive for state schools. The private schools are another matter. Most foreign med schools are actually a lot harder to get into, and to get through, than my med school was. I have worked with a lot of new FMG grads and I think your characterization is terrible and completely unfair. I would ask you to provide data to back up your assertions. You are also factually wrong - all residents get paid based on certain criteria - the residencies do not accept payments from the applicants to accept them into their program. That is an insane (and would be illegal if true) assertion and you need to really back that up before spreading stuff like that. And if you look at outcomes, FMGs might have Actually slightly better outcomes than us who went to fancy US schools. On top of all of your factual mistakes, you are also confusing things. The medical schools are free to offer bridge programs. That has nothing to do with residencies. FMGs don't take spots in US med schools from PAs or other US grads. Generally speaking, a US grad is almost always preferred in residency selection over FMGs. If med schools offered bridge programs, the graduate of that program would almost certainly get that spot in a residency over a FMG. Your beef is not with FMGs. It's to convince US med schools to offer bridge programs, or to convince the regulators/authorities/medical boards to allow PAs to take STEPS and apply for residencies. And by the way, you can check my post history on this - I totally support PAs being able to take STEPs and go into residencies - and I want bridge programs. FMGs are not the roadblock.
  24. 11 points
    I'd do it again without a second doubt. I think the problem is that a lot of people go straight through their education without taking a breath. They get through training and think there's a big prize that's very different at the end. No, this right here is a pie eating contest where the prize is more pie. You have to be ok with that. Even as a resident, I LOVE my job. I'd do this even if I never made more money than I do now (although don't tell my future employer that..). But then again, I had a long career doing something else before med school and I realize that grass isn't greener on the other side. Ask those doctors what they would do instead and half will say shit like "investment banking". Like it's that easy. The halls of Ivy League business schools are littered with the corpses of failed investment bankers. Also, 50% compared to what? Most fields will probably have similar numbers. You also have to realize, just like press gainey, the voices you hear the loudest are going to be the people that are the most dissatisfied.
  25. 10 points
    I'm going to be the odd man out here. Using those titles are intentional and intentionally misleading. I think having the conversation with the individual would be fine. If they push back, and I suspect they will, then I'd send it upstream for a board opinion. This isn't a matter of semantics...it is either accidental or intentional. The person's response will be the decider. I am as pro PA and, somewhat NP, as one can be without being on the lunatic fringe. There is still right and wrong and representing yourself as an obstetrician or a gynecologist when you are not a physician is just wrong. We have our place in this medical world and having respect for physicians and their training is an intricate part of that. Everyone has their lane of traffic and we need to stay in ours and promote who we are and what we are in an honest way while brooking no obstruction. This seems to be obfuscation. Patients deserve honesty from all of us and should not be casualties in a confusing war of words.

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