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About PA-C


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    Physician Assistant

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  1. Are PAs able to have their own Allergan account to place orders or do they require you to name your CP to order shipments?
  2. Not sure of the specifics at OP’s school, but when I was a student, if you earned less than an 80% in one class you were put on academic probation with a remediation plan. If you earned less than 80% in other classes while already being on probation you would be asked to repeat part or all of didactic. And if you refused to do that you would be asked to leave.
  3. Derm will do a few things: 1.) Culture to R/O secondary infection 2.) Maybe take a small bx to prove nothing else is going on 3.) Prescribe high potency steroid ointment to be applied under occlusion BID for a couple weeks; encourage pt to keep nails trimmed short and keep the skin covered as much as possible 4.) Recommend ongoing evaluation/care w/psych
  4. Graduated 2.5 years ago. One of my classmates started with a base salary of 110k + a productivity-based bonus in outpatient Internal Medicine in a suburban area. Not sure of the exact bonus structure, but I think they ended up in the 150k neighborhood the first 1-2 years out. Normal M- F schedule and no call from what i was told.
  5. Everyone keeps saying independence > OTP (and I don’t disagree). But... The whole premise of OTP is that collaboration/supervision is to be determined at the practice level instead of by governmental law, right? With most practices/systems being run by administrators who purely care about the bottom line, as OTP catches on, the most cost-efficient thing for practices/systems to do would be to say “no supervision/collaboration is required” so that they don’t have to hire/pay a doc to formally collaborate, in which case, we have “independence,” even if it is a roundabout way of getting it. Now, I don’t love that the decision to require or not require collaboration is left to administrators who don’t have half a clue who we are or what our training enables us to do. However, administrators are pretty predictable creatures and knowing what we know about them and their priorities ($$$) I think more times than not they would choose to eliminate the requirement for collaboration in OTP states.
  6. I live/practice in a state where NPs have legal independence. However, at the practice where I work, they are still subject to the same quarterly chart reviews/collaborative relationships that us PAs have with the physicians per practice policy. My employer recently informed all of us providers that for the time being, all ED&Cs for malignant destructions will need to be performed by either a MD or a PA-C because Blue Cross Blue Shield in our state is currently considering destruction of malignant neoplasms “out of scope” for NPs and will not reimburse them. (This is ridiculous because NPs were previously performing this simple procedure without issue, but they achieved independence in this state either this year or last year and now all of a sudden they’re being told it’s “out of scope.”) I am wondering if this decision from BCBS is related to the fact that because PAs still legally have to file a collaboration agreement with physicians, we are still viewed by the insurance company as a direct extension of physicians and thus most things that are within the physicians’ scope are considered within the PAs’ scope by default. However, since NPs do not formally have to “collaborate” with a physician, BCBS has decided that certain things are now out of their scope simply because they are not viewed as an extension of physicians due to that lack of a legal collaboration agreement. I hadn’t really considered how our scope could be affected negatively from independence until hearing about this from my employer. I am still all for OTP and feel strongly that we should push forward despite issues like this, I just thought it was interesting and wanted to share. Have any of you seen/heard of anything similar happening where you are?
  7. I see usually 45 - 50 in my 11 hour days (12 hr shifts - 1 hr for lunch). Appointments are either 10 or 15 min long for me.
  8. So, collaboration agreements are still required, but do not have to be filed with the state? Does this mean collaboration agreements are actually optional (tbd at the practice level)? I’m just wondering if they’re required, but don’t have to be filed with the state, who checks up to make sure they exist in the first place?
  9. My point is that you said I gave the OP advice that would cost them a bunch of money when i didn’t advise the OP to do anything. I never said I wanted to read anything bad about NPs. I was just wondering what you’re trying to accomplish on this website because until this last comment the overarching tone of your posts has been negative towards PAs. I am here to share in the wisdom and camaraderie offered by my fellow PAs and to try to stay up to date with current events affecting our profession.
  10. 1.) You never mentioned anything about “financials” in your initial comment, so I don’t think any of us knew we were supposed to “stick to them.” Sorry. The nature of this entire post was not about money. It was about the OP trying to figure out which professional track would best prepare him or her to practice in different ways. 2.) I didn’t give the OP advice. I shared my personal experience dealing with a similar situation and wished the OP well with his/her decision. I said whether he or she chooses PA or NP I think it will be a positive outcome. 3.) The correct legal term in my state and in many other states is collaboration, not supervision. Regardless, the notion of supervision really only exists on paper at this point. In many practice settings across many specialties PAs are independent thinkers who manage their own patients without direct supervision or input from physicians. PAs are trained to handle as much as we can on our own and ask for help when needed, AKA COLLABORATE. Collaboration really is the premise of practicing good medicine for all providers, physicians included. Medicine is a team sport. What is the point of you being on this forum? All I’ve seen from your posts is you heavily pushing your NP agenda and criticizing anyone who says anything positive about being a PA.
  11. I had the same debate myself. I was accepted to both a direct-entry NP program and a PA program in the same application cycle and ultimately decided to go to PA school. The NP program to which I was accepted would have allowed me to stay in the state I was living in at the time and would have allowed me to graduate in 18 months total, whereas choosing the PA program meant that I would have to move out of state and be in school for 28 months. Although it was more inconvenient to move out of state, be in school longer, and spend more $$ on tuition, I felt that the medical model provided by PA school would better prepare me for clinical practice and have no regrets at this point. I function independently in my day-to-day care and consult my physician colleagues as needed. I am generally well respected by my patients and fellow providers and I am well-compensated for the work I do at this point in my career. I had no difficulty finding a job after graduation and the practice that I work at actually happens to have more PAs than NPs on staff. So, based on my personal experience, I don’t think PAs have a lesser job outlook than NPs. I am optimistic that OTP will continue to pass in other states. It will take time, but I think this next generation of PAs is committed to making that happen. Good luck with your decision. Either way I think you will find yourself in a fulfilling career and in a good position to make a positive impact on the health of others!
  12. Are you inferring that the OP hasn’t researched the professions? Seems a bit passive aggressive for you to say. It sounds to me like the OP has done at least some research and is now seeking input from those in the workforce.
  13. PAs in North Dakota can open their own practice after a certain number of years in practice (I think 2 years?) thanks to the OTP legislation that was passed there
  14. To more experienced PAs: Roughly how many years of experience as a practicing PA do you think negates the need for a residency in order to be a competitive job applicant? Obviously other factors (skills you’ve honed within your specific job, staying in the same specialty vs. changing specialties etc.) impact the competitiveness of an applicant as well, but at what point does years in practice trump residency experience? (does it ever?)
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