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About DPAM

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  1. I agree. we should go for it for the same reasons that the np's mentioned such as the doctors refusal to supervise as well as the possibility of the doctor dying or something. I really think we should be working hand in hand with NP to gain autonomy and independence. Heck we are always grouped together as non physician medical providers so why not work together on a legislative level.
  2. Because emergency medicine pas work about three shifts a week (or 12 shifts a month), it seems like they are able to pick up another full time job if they want. Can an emergency medicine Pa work two full time jobs? and are emergency medicine pa jobs readily available esp. in the Midwest (Michigan, Indiana, etc) ? can emergency pa handle working in a full time emergency pa as well as a full time family practice job or the two field are just two different to be able to do a good job in both? thanks
  3. Im just wondering if any CT surgical Pa can comment on the lifestyle of a CT surgical pa. What is your daily work schedule look like? what time do you start and leave? how many days are you on call per week and whats the daily schedule look like for the days that you are on call? how is the relationship between you and the surgeons (I heard that surgeons are really hard to deal with?)? and you and the surgical nurses and patients? Are you able to pick up a second pa job if you want or your on call schedule as CT pa prevents it?
  4. I really don't get the nursing association as they have allowed so many nursing programs to open up to the point that there are so many areas where there is oversaturation. And they are doing the same thing with nurse practitioners. There are so many nurse practitioner programs. So my question would be, do you guys think that there will be an over-saturation of advanced providers esp. like the Midwest (Illinois, Michigan, et) in like primary care and/or emergency?
  5. we should not kiss mds butts for anything. that approach has not been working. Mds are never on pas side. This article proves that. lets get that straight. AMA is a very arrogant and greedy association. for years the government kept telling them to increase medical school enrollment due to severe physician shortage and AMA kept avoiding so they can keep the demand high.They literally had a monopoly over medicine. then the government was like screw you guys were are going to find ways around it and that was one of the reason why Pas were promoted and grew due to government backing. So we are needed and in demand. We benefit medical entities as well as reduce healthcare cost and also help patients all over the states to have access to healthcare. So we need our own boards and unite or push together with Np for independence and more importantly full autonomy. what really scary me is the lack of calculated thinking on the nursing side. They know they have legislation power so instead of creating nurse practitioner programs that would make sure they would produce adequate clinicians they create programs that are weak (they even have online nurse practitioner programs and part time nurse practitioner programs). And thats what Pas can offer which is a superior educational program and training esp. if you include one year residency after pa school. I think with np legislation power and our superior training we can form a strong association. I really think pas and np should try to work together or join one board to push for legislation together. The only way is to face AMA together.
  6. we have a superior education to Nps but due to lack of lobbying power they get full autonomy and independence. Do you guys see any hope in the near future in terms of autonomy and independence?
  7. First, your argument is completely is baseless because you state Pa vs Np when all your points are Pa vs Md. But I have few points that i want to elaborate on. first, 12,000 hours that mds "supposedly" do that pas dont do. this is the same argument that Mds (mainly students) mention when they try to put down the Pa education. They always say you can't compare 7 years of medical education to two years of pa school. this is such a misleading and unfair comparison. First, pa school is seven semesters long while medical school school is 10 semesters long (because in pa we start the summer before the fall vs medical school they start in the fall and we graduate in summer vs medical school where they graduate in the winter. In addition medical school take the summer of second year off to study for step 1). so the real difference between MEDICAL SCHOOL and Pa SCHOOL is 3 semester (mainly elective rotations and some basic medical sciences such as histology and embryology that are barely tested on step 1 anyways). Now of course medical graduates must do residency for at least three years (they work intensely for three years) but when a pa graduates he/she is gaining experience and skills as well due to real working experience in that particular field. So now if you are going to compare a medical school graduate to a pa graduate then there is a difference of three semester but if your comparing a medical doctor who graduate from a primary care residency program then out of fairness they must be compared to a pa who been working at least 5 years (because usually residency programs are 80 hours a week esp. first two years of residency so thats like 6 years of full time work by pas but we know that pas work around 60 hours per week. so at least 5 years experience would be comparable to a three year residency). So if you have a pa who been working for five years in primary care then he/she would be at par or pretty close to the clinical knowledge and skill of a newly md graduate of a primary care residency program. Now thats a fair comparison. of course im only talking about primary care. no doubt md specialist know more than any pa specialist.
  8. to expect medical society and osteopathic med society to lobby for Pas is like expecting a billion dollar gift on Christmas. it aint going to happen. When they said nursing is behind it that is basically saying it will pass because their lobbying is stronger than any medical lobby out there. Its all about lobbying. this idea that we have to convince and literally kiss the medical association's behind for them to accept any policy that will let the pa profession grow is totally the wrong way of doing things. like mainer said we need a strong lobbying group and face the medical association and everyone else to allow our profession to grow.
  9. I agree but we should try. I know so many NP whom dont mind being unified under one board. They will gain more strength. But if it doesnt workout then we should leave medical board and form our own and try to lobby for independence and collaboration
  10. I really think that we should unify the licensing boards of both the pa and nps under one licensing board (not unifying the profession but just licensing boards) that way we get out of being under the medical board and lobby together with Np for collaboration and independence. And this unified licensing board would be responsible for accrediting and regulating pa and np programs and lobbying for mid level providers rights. Because honestly as Pas, i dont think we will ever have a strong lobbying group that nurses have unfortunately. And the bottom line in this country is legislation.
  11. title name is not that important as long its unified among all pa schools.
  12. I like the title. Even though it should be doctorate in physician associate medicine. Meaning an individual who has a doctorate in practicing medicine as a physician associate like doctorate of dental medicine. But more important than than the title is what does the title entail. It had to be a clinical doctorate where you must do a year of residency in certain specialty after you finish your pa school. This will make a newly graduating pa a superior clinician that demand respect from coworkers and patient due to his/her clinical knowledge. This will eventually lead to an assumption that any newly graduating pa will be dependent that don't need much supervision.
  13. If that's the case then im totally for this program. It seems like its doing what baylor has already done. There should be bridge programs because there is no candidate on the face of the earth who is more qualified to be a medical doctor than a Pa. But these bridge programs would not help the Pa profession. Because it allows Pas to move from a Pa profession to the MD profession. These individuals would be part of the medical profession and they would advocate for medical profession because their livelihood is tied to it. Plus these bridge programs are always going to be under supervision of the medical body (whom are not too concerned of the Pa Profession). In addition, the whole purpose of these clinical doctorate degrees is to add necessary skills and experience to a physician assistant provider that would make him/her a superior clinician and would promote the notion that Pas don't need much supervision leading to the ultimate goal of collaboration and independence as well as respect from co professional workers. And patient would not feel like they are dealing with a less competent provider who is the only clinician without a doctorate degree.
  14. I agree with Emedpa. The baylor should be a model adapted by physician assistant schools. We have to move to a doctorate degree for many reasons. DNP are advertising that there degree is equal to MD and thus the public would prefer to be seen by either and look at PAs as an inferior quality. In addition, completing a year residency would improve the skills of a new graduate tremendously which would eliminate the perception among professional colleagues that PAs don't know what they are doing. But if the Baylor model is adapted then PA school must drop the bachelor requirement and allow students whom completed 90 credit hours to apply to these programs. That way it would take 6 years to complete including a paid residency year (40-60K). The only difference I would suggest that the residency should be in IM/FM then you can do an extra year if you want to specialize in emergency, surgery, derm, etc. That way all Pas will still graduate as generalist.
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