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GetMeOuttaThisMess

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GetMeOuttaThisMess last won the day on December 16 2017

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About GetMeOuttaThisMess

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  1. Depending on the layout of exam rooms I have to walk around the patient to get to the door. When mine cough while sitting on the end of the exam table they either fail to cover their mouths (adults much more so than kids), or else will turn their head the other way (toward the door, or left) which means I get to walk through their spray field. I maybe get sick once a year during the holidays traditionally. It was the same in the ED.
  2. When I got mine years ago I was told 70% of average wages max, 60% if provided by employer.
  3. I have had my own LT care policy, in addition to LT disability, as well as one for my wife, since we were in our early thirties. I didn’t want a catastrophic event to impair the other’s life, or the life of our daughter. Now it remains in place for the more likely end of life care costs and hopefully will lessen any decision making/stress for our adult daughter.
  4. I’ll speak only for myself and say just take it. You didn’t say if this is your first PANRE or not. If it is, just take it. The only time out of five that I took a review course (Rosh ‘14) I didn’t think it made a hill of beans worth of difference based on my panel of questions. If you have to review, just go to NCCPA’s site and I believe you can see the percentage breakdown of specialty question types and thus just play the odds. Every time I’ve taken it my scores have gone up, and that includes my next to last one where I was fed up, didn’t study a lick, made sure to work a late ED shift the night before, and still sailed through the thing. The only other recommendation is to not overthink the questions.
  5. Yes, yes, yes; have your own policy if financially possible. Mine was through Mass Casualty.
  6. You want a policy that pays out after the elimination ("wait") period if you're unable to perform the duties for which you are trained. In other words, you could still be a Walmart greeter or Target check out clerk but wouldn't be able to practice medicine. These are hard to find nowadays compared to when I got mine 25 or so years ago. I gave it up last year when I realized that I didn't need it any longer since I now have access to retirement funds w/o penalty.
  7. Scott, I'm right there with you. I didn't vote because whatever is decided won't impact me since I anticipate being gone in the next year or so. That being said, how can we expect people to get involved with professional changes when I don't know how many times over the past decade or so (let's take it back to when Texas obtained prescriptive privileges for example) I've answered questions for other PA's who don't have a clue as to the state guidelines because they haven't taken the time to read them for themselves! I don't think that the argument of "I didn't know" is going to be a viable defense in front of the state board. I may have old man syndrome myself, but I sure as heck read them before I started working (pre-licensure) and continue to do so on a regular basis to make sure that I'm not missing anything. Perfect example is I can't find the qualifier any longer that I found back around 2014 with regard to how much time in the workplace is required to maintain eligibility for licensure. If it was removed I never saw a notification to that effect. I also had to call the board last year to inquire as to why I didn't get a two year license renewal though the change from one to two years had already been passed. I wonder how many Texas PA's up for renewal this year with odd last digit licenses (even start 2020) know that it'll be for two years?
  8. I was living high since I broke the $20K/year barrier coming out in '83 (spine). Most FM grads were getting $17-19K as I recall. Mmm, good Geritol. Now back to my recliner and shawl.
  9. Emailed it to my wife (dental hygiene professor) as well. So stinkin' true. Hey privileged administrators from employers to healthcare systems to insurers! BITE...ME! My solution is retirement. You know who else needs to hear this? The darn patients who think that they know everything and think that they're entitled. Between having to have gotten up at 2 a.m. this morning to go see my elderly, becoming demented I suspect, mother and then come back and deal with patients during a normal day, I'm already fatally injured. Here's another step along this line. What about the damn guilt that one feels when you can't be superman or superwoman to all parties (work, home, extended families) so that they all get the short shaft? You want consistency? THERE'S your consistency. Everyone gets the same short shaft.
  10. Texas requires you to pass PANCE but doesn’t require PANRE. There was a 6 mos. equivalent requirement of FT work during a two year renewal period in the past. Last time I looked I couldn’t find it but I know it was there around 2014 when I was taking care of elderly parents.
  11. At the risk of being redeclared a member of the "back in the day" club we WERE physician "assistants". We weren't licensed and were required to have written authorization from the state medical board before we could lay hands on a patient. Prescriptive privileges? Shoot, we had to have written/verbal authorization from our physician before APAP could be given from an order we had written. While the training was in the traditional medical model and we did rotations and had responsibilities just like the medical students during our training, the cases that we were being trained to care for were not what we're seeing today. For those of us at the tail end of our careers, to keep ourselves current has required self-motivation and drive and sure wasn't something that we were specifically trained for. For the younger population, and for those who graduated more recently, you only know what you see the role as being today. I agree that today's name is not in keeping with what our role is today, with some of us serving as solo providers (as in my case), but it WAS appropriate when the profession was first created. Blame our political leaders for not keeping up with the times. The good news for many of you is that there aren't many of us left, and I'm talking about those who graduated in the early 80's.
  12. Nope. My current employer asked for the same thing. Confirm licensure status (easy enough to do online), and then if offered position get transcripts. It was for this reason that I realized I was never posted a letter grade on my FM rotation. After 35+ years it’s too late to argue the point. Never asked for PANCE/PANRE scores. They probably didn’t know enough to ask, or wouldn’t know how to interpret values.
  13. Or just don’t give steroid shots, and instead give po. Check out half-lives of each and multiple x5 to reach therapeutic level. There isn’t a significant difference in my book.
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