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About dmdpac

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    Physician Associate

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  1. Waiting to get approval to get the vaccine. It'll come once they're done vaccinating administration and the non-clinical staff (and parading them on social media). Front liners (ED, ICU) have not been prioritized in my health system. Sadly, I'm not joking. There's a lot of really, really pissed off people.
  2. I'd recommend against trying to work during PA school, too. I worked as a flight medic during the didactic year. Monday though Friday was dedicated to school. Weekends were scheduled to work. There was no time off or down time. It was usually 12s but an occasional 24. (Or, for an extra load of stress, a 12 on Friday night then a 24 starting Sunday morning... you *will* get a late call that'll leave you scrambling to get to class on time come Monday morning.) If I wasn't in class or studying for class I was at work hoping we weren't busy so I could study more. MediMike has it right u
  3. Most of us in my group wear either scrub tops or embroidered Nike golf shirts. Not many wear a white coat. A few old timers still wear them but that's it. We have one guy who, pre-COVID, wore a tie and a white coat every day. The white coat was always buttoned. He had a tie clip holding the tie in. I don't know how he managed. Since COVID hit, though, he's gone with just scrubs.
  4. Color me surprised not just that they responded but with the quality of the response. Nicely done, AAPA.
  5. So why not, for these community paramedicine programs involving PAs, bill based on diagnosis and treatment like would be done for patients we see in the ED? Is there anything in the billing regulations that would prohibit that kind of billing practice? I honestly don't know.
  6. I had this same conversation just recently with a colleague of mine who's also a former paramedic. I was the only paramedic in my class of 80+. A few people said they had "EMS experience" (EMT certification but very limited actual street time). I'd like to think my paramedic experience was the tipping point in getting me in to PA school. The group I work for also employs the state and local county EMS medical directors. In recent years they've brought up the idea for a community paramedicine program similar to the one described in the article about Austin. The same collea
  7. Keeping up with numbers, morbidity/mortality rates can be trying especially when things are changing as quickly as they seem to be. I did read this article today that countered some of the speculation that morbidity doesn't seem to be matching the increased positive testing numbers. The article also addressed concerns with increasing numbers of positive tests (indicating community spread faster than testing can track). Mortality lags so isn't a great indicator. What's more is that this isn't just an illness where we measure those who die compared to those who don't. There are increasi
  8. Over the summer, especially in the southern US, increases in young folks testing positive preceded increases in older folks testing positive. Sure, younger folks seem to do better. The older folks they give it to? They don't seem to do as well.
  9. Risking this after Rev's warning: Fact checking mail in voting: NYTimes. Back to COVID, I, too, am hoping that increased COVID social practices (e.g. masks) will reduce the impact of flu seasons. Given actions like Florida's Gov DeSantis, removing all COVID related restrictions on business, I'm not holding my breath that things will soon improve.
  10. Nice obit for Cpt Doug Hickock, NJANG PA who was the first military member to die from this. Probably the first PA, too? I haven't heard of others. Anyway, link.
  11. Agree with much of the above. Patient care is goal driven with a loose script for you to follow. You'll have questions to ask with a purpose behind them. There's little small talk. There's a defined end point (appointment time is over, results received and diagnosis made etc...). I find I'm less socially exhausted after a busy ER shift than I am after an hour in any other social-type situation. There is an adjustment to it. It'll be far easier an adjustment than you think. Introverts unite! Separately! In your own places of residence!
  12. Another paramedic here. I'm not working as a paramedic currently but so far I've managed to keep my NR current but on inactive status. (I'm having a hard time letting it go. That's another discussion.) Anyway. How old is too old? That depends on you. The oldest classmate I had was almost 50. There were a handful of us in our late 30's into 40's. If you want to go back to school age is but a number to be ignored. Go do it. I retook many of the prereq's at a local CC. It did not pose a problem for me when applying. If you're concerned about GPA it may be worth it to pad the
  13. Or perhaps, in the proper environment, we could start having the discussion about how silly the idea of fire based EMS actually is. Yes, I know that separating them, no matter how justifiable it may be, would not solve the funding problem. At least not immediately. I agree with the rest of your comments. I have seen similar compensation discrepancies in my area, too. As much as I loathe to hold up ALS services in New Jersey as an example, they may be on to something. ALS is hospital based in NJ. With a hospital based system ALS services, community paramedicine, even the PA/NP/EM
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