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db_pavnp's Achievements


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  1. I wish you were half as interested in discussing the post as you are dismissing it based on some fallacy of authority.
  2. I noticed several slides that suggest "clear evidence in literature" and nothing is cited and no references are provided. Businesses are fantastic at cherry picking "clear evidence" that supports their existence. It strikes me as a **beyond monumental task** to attempt to manage 12 specialty exams in one organization. Some of these exams will be pure garbage.
  3. It's even worse than that as it doesn't take into account normal flora rates. It doesn't test presence or absence of disease, only antigen or whatever other component a facility "RSS" buys. I'm debating back tracking on this statement as PPV is a function of Sens / Spec plus disease prevalence. Quindel brand RSS PPV can only be 70% (as you have quoted) in a specific patient population with a defined disease prevalence. If that PPV is "all humans" than the true PPV in kids is higher and the true PPV in adults is lower. If that PPV is kids, than the PPV for adults is much lower. If that PPV is adults (surely not), then the PPV for kids is much higher.
  4. Strep throat threads are my #1 favorite thread on the forum. One thing I always notice, though, is little mention of Strep pyo normal flora and the role it plays in a positive rapid strep in the absence of disease attributable to it.
  5. Maybe for you it hasn't. I can assure you, the stuff that's being done is out there is pretty amazing. We have access to the *best* info from the *best* teachers inside the *best* presentations built into *novel and intuitive* interfaces and apps that take real advantage of how real brains work. Your powerpoint lectures are a dying beast. Give it 10 more years.
  6. I am pleased, but surprised, to see you say this. Do you feel that lots of providers feel the opposite that you do, though? That those patients are just clogging up the joint? How does your approach / mindset enable you to enjoy this aspect of ER work?
  7. It's probably time to stop pretending that schools have inflated their requirements for purposes guaranteeing high first time PANCE rates. Law of diminishing returns, do you feel me? Schools do this because humans are really, really interested in stratifying other humans and, realistically, they have no other option when they are literally DROWNING in applicants. They can't interview everyone. They can't really even read every personal statement. Call it a positive, call it a negative, but in 10 years you are going to see more programs like the one (I think in Wisconsin) that simply blends the PA students into into their established med school and then maybe gives them a specialized PA Summer and a year of "almost-MD" rotations. The PA profession is one step away from simply being rolled into 3 year MD programs and you take the PANCE at the end of it instead of Step1, Step2, and match. The financial motivations for this are significant if they can bypass the need for dedicated PA faculty. In 10 years, make sure you get something added to your license for all that hard work.
  8. Let me suggest another demographic change in the past 20 years that has impacted the ability of the mid 30's applicant to attend PA school. We get married a lot later and we have kids a lot later. I believe the stats are now first kid average age for females is 32 and males is 36. The paramedics, rn's, and rt's with 10 years of experience do not have kids entering high school, they are HAVING kids. I fit in exactly this category and it had a big impact on my decision making process. PA programs push the fact that they will annihilate your family too hard and too often. The sweet spot really is mid-20's now for a BS, prereqs, and a couple years of HCE.
  9. If your medic friends are passionate about becoming providers and PA schools are too snooty about GPA to look at them, the nursing pathway appears more amendable to their situation. Let them be the PA profession's loss instead of their own misfortune.
  10. Not sure what source you are referring to, but a CNS (clinical nurse specialist) is generally a master's educated RN with the ability to write orders for specialized aspects of patient care. Probably the most common one in use, due to arguable value, are wound specialists. This is roughly my understanding of the role.
  11. Regardless of money paid, credit hours between programs have no equivalence if there is not an established tradition of accepting transfer credits. I am guessing you are military. I bet if I suggested that nothing in this world is free, you would agree to that. Lastly, while it is awesome to dream about challenging the steps, you know they would never allow it. Both PAs and MDs would find a way to shut it down. Really, it is nearly just as easy to learn step1 on your own and then attend the LECOM bridge.
  12. This is an entirely different issue, though. Those examples have nothing to do with diagnostic skills. They are factual material that is trivial to learn and are good examples of what occurs during Step 1. Your education is more than the facts you LEARN, but the demonstrated ability to integrate new information. They are your examples, not mine.
  13. It seems to me that this forum generally underemphasizes the notion that your education is supposed to prepare you to be able to self-educate any pertinent clinical material. Albuminocytologic dissociation and the pathology of gram negative sepsis are readily researchable and not exceedingly mysterious complex topics.
  14. Isn't this just a copout for making a lousy test, though? It doesn't hurt you, so who cares?
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