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About dmdpac

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    Physician Associate

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  1. Very well written and presented, Rev. MTA: ... and signed.
  2. 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.
  3. 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!
  4. 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 transcript with some updated coursework. When I applied my GPA (without considering all the recent school work) was way worse than yours. I was able to turn my recent coursework, and subsequently vastly improved grades/GPA, into a positive talking point during my interview for school. Debt for grad school is certainly something to consider. Don't let it be a barrier for you, though. With smart budgeting and an aggressive payment schedule it can be managed pretty effectively. I graduated with >$150K in student loan debt. I was paid off and debt free four years to the day of starting loan repayments. Sure, those four years were focused on paying off the debt. Some sacrifices had to be made. But to this day I still think it was worth it. Ninety thousand a year in a few years sounds nice. Are you working a typical medic schedule with built in overtime to reach that? Depending on specialty you can make more than that working a "normal" 36-40 hours a week. Sure, specialty dependent (e.g. EM), you may still be working nights, holidays, weekends. But you'll still be home a lot more than the built in overtime schedule of working as a medic for less money. All the best in your decision. If you have other questions ask away.
  5. 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/EMS services cited above could stand a reasonable chance of success once the nitty gritty of funding and economic sustainability are worked out. My NRP is current but on inactive status.
  6. I was working as a medic before going back to school. My consideration was PA versus medical school. The PAs I spoke with were split pretty much 50/50 between "PA! BEST JOB EVER!" and "Dude... go to medical school." Every single doc I spoke with: Every. Single. One. Across a variety of specialties, said if they could do it all over again they'd go to PA school. One conversation with my then HEMS medical director was within earshot of a couple of third year EM residents who, when the attending said he'd've gone to PA school, all leaned back in their chairs and said, "So happy to hear you say that! It my head I was screaming 'go to PA school!'" Sometimes I second guess the decision. However, given where I was in life then, and where I am now, I think I made a good choice. I have to consider any second guesses a "the grass is always greener" situation.
  7. Why delay? Take it the first day you're eligible to take it. It's easy to fall into the trap of "...I'll just push it back another week *then* I'll be ready...". If that's the case you'll never feel ready. The longer you wait to get it done, as Rev noted, the longer it takes for everything else to start. Take the test. Get it done. Get on with the very reason you went to school.
  8. In the time it would take you to complete a paramedic program and gain the solid paramedic experience you think you'd need to be competitive for PA school you could be done with medical school. Why waste the time? Go to medical school.
  9. I've long believed that it is important to belong to one's professional organization. It used to bother me that people would willingly not belong. It used to bother me, that is, until now. As a result of this survey I can see why people could, and would, have written off AAPA as an effective leader of our profession. I have not given up on them yet. I still think it's important to belong and to continue to advocate for ourselves. However, I'm astounded at how poorly this project has been executed. As such, new leadership may be in order.
  10. Went to my spam folder, too. All the demographic information questions were answered with "I prefer not to answer" as it's not relevant to the overall survey. Most of the survey, in fact, had little to do with changing our name. I'm not quite sure it is, exactly, they're pursuing. It seemed like many of the questions, open ended or not, couldn't realistically be answered without a lot of speculation. They seemed poorly formed, poorly worded and poorly written. I'm not holding my breath regarding any results from this project.
  11. It's a personal decision what to do with it. I haven't worked as a paramedic since PA school. It's been almost ten years now and my NRP is still current although inactive status. I can't let it go. It's a personal issue for me to maintain it even if I never use it again. MT2PA's suggestion to keep it through school is sound. It's nice to have it as a fall back. It's nice to have it as an option while waiting after graduation for licensing and a job to start. What you decide to do with it after starting work as a PA is then up to you.
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