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Patho

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About Patho

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    Physician Assistant

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  1. Sorry for your situation, start job searching if you haven't already, doesn't seem like things will change any time soon. I would look at big hospitals and institutions so there's more possibility for movement if needed and you're not stuck in a situation like this again. I personally would avoid small offices for this reason unless I've had extensive rotations there and knew the staff well. You have 1 SP, and a small number of staff you have to get along with as the outsider. What if you don't get along with them or they don't utilize you properly or take advantage of you in some way (unpaid calls). And you're basically stuck in a bad situation with little support. I've seen plenty of surgical/ortho positions in hospitals that are struggling to hire enough PAs where I am. Good luck.
  2. There's probably a lot more to the story. But keep job searching, you never know when the right job description might show. There's a PA job in balitmore Maryland that is 50% quality/safety assurance and 50% doing follow up patient education, mostly by phone to make sure pts know how to take meds, use medical devices, etc so they don't get readmitted. A friend of mine was in this position for a couple of months before deciding it was too boring and moved on so now they're looking for someone else who won't mind the slow pace of the job. Like others have said, drug rep, medical equipment rep (meet a PA who did this when i was doing Sx rotation), maybe even research are all possibilities. There are many medical providers who are now in other fields like public health, management, and private companies. Also, PAs are starting to take more nonclinical executive roles in some places. My manager and his boss are both PA-C but they don't practice. Hang in there, job prospects will only increase for PAs.
  3. Update on credentialing interview: Met with Chief of medicine who explained how the organization works and the process for credentialing, asked me if I had any lawsuits or pending suits against me, if my license has ever been suspended, felonies or however she put it, etc. Ask if I needed temporary privileges bc of possible delays with CDS license. Very informal, ~20 min.
  4. I'll update after the 25th when it takes place. Thanks! I hope mines will be the same.
  5. Hi Everyone, I recently graduated, passed boards, and will start as a hospitalist PA soon. I will be doing a credentialing interview, which is a first for me, with the chief of medicine and several other staff members. I did some research online and found that this possibly includes things that references say or wrote, gaps in employment, qualifications, scope of knowledge/practice, why I want work at this hospital, etc. Does anyone know if this is accurate or what else it involves? I intend to treat this as a job interview (even though I've already been hired). Any help is much appreciated, and thanks in advance. Happy PA week!
  6. So I've done a search and very little comes up on this forum so I'll pose the question again. Anyone that has been through a 2nd year OSCEs, can you comment on what it was like, how it was structured, and what things you wish you would've done better/preps before you went in kind of things. I've also found a resource called "Mastering the OSCEs Step by Step, and wondering if anyone has used this resource and can speak to it. Thanks for your help.
  7. My thoughts were to enter EM or surgery after school. I'm awaiting replies from the 2nd year students. Thanks. Hi Rev, can you elaborate on how these two areas would be good for EM later? Also, do you think urology would be good experience for ICU? Thanks
  8. Without going on any rotations yet, I was asked to pick a 6 week elective rotation in the areas of orthopedics, urology, neuro surgery, cardiology, cardiovascular, and dermatology. If any has experience in these areas can they shed some light on the pros and cons? I wanted something broad like ER, but it wasn't an option so I'm left with these choices. So far I've enjoyed every topic in didactic year so I'm open to anything. Also, I'm about to start "history taking" rotations in the ICU and Respiratory. What is expected from a 1st year student during these initial rotations? This is considered the 1st year rotation from my program of which I have two. We will move into 2nd year rotations after the summer. Thanks for any responses.
  9. Would a doppler US be a good alternative to radiation-based scans for suspected cases of PE?
  10. While I only interviewed at 2 programs from 4 invites, the 18 program I applied to all have pretty substantial tuition rates averaging somewhere near 75K/yr. So you're not the only one in this boat. The important thing like gbrothers said is to get that degree and start working. I think one positive from high tuition rates is that hopefully graduates will be less likely to accept sub-par pay. And you can probably get this paid off faster than you think if you get good financial coaches. For ex. I paid 50k in loans in 4.5yrs after graduation with a bachelor (granted I don't have kids). I agree with taking out the full amount, you can always pay back what you don't use, although interest starts does accruing if the loan is unsubsidized. I also wouldn't do a 1h 20m commute, what if you get stuck in traffic and miss class. But good luck, there is loan repayment or check out the benefits for joining the reserves after graduating.
  11. I would like know what a repeat of the EKG would show using proper technique. If that is normal, we should proceed to stress test and coronary angiography if possible to rule out unstable angina.
  12. Too late now, but myoglobin would've been nice. K+ slightly low, BUN slightly high, WBC high, most other labs are insignificant. Taking EKG out of the picture due to bad lead placement, cardiac biomarker shows the pt. is not having a myocardial infarction since you need two out of three. The high WBC count, and +bacteria and LE+ in urine leads me to pericarditis. Looking up the symptoms of pericarditis from mayoclinic.org, it seems to fit her H&P. Most notable symptoms and history: 1. chest pain; especially while laying down, CP subsides when sitting or standing up. She had mild pain standing up that night and her pain was most intense when she was in bed. 2. low grade fever; she admits to having chills. 3. weakness and fatigue; admits to feeling dizzy w/ CP. 4. pain may travel to neck and shoulder regions; her pain radiates to the deltoids. I would order an echocardiogram, cardiac MRI to look for inflammation and buildup in the chest walls.
  13. Mistaken "I" for "I've", thanks for the catch. At least now the OP will know how to evaluate a good program from a bad one.
  14. When they said they have no preference, they most likely meant it. No one will ask you where you took your classes.
  15. Problem is it's a new program without any published PANCE scores or retention rates. Unfortunately with new programs, you are the guinea pig and it looks like there will be a lot for ARC-PA to look at. If you have other classmates having the same issues or have similar sentiments, maybe you could collectively voice your concerns to the program director. Being a new program I would hope they are open to criticism and change. Just keep trying to adjust and graduate. Good Luck.
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