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RURALMED

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About RURALMED

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  1. http://www.healio.com/infectious-disease/practice-management/news/in-the-journals/%7B8bc10435-55bd-48d9-9764-07bb31383263%7D/nurse-practitioners-physician-assistants-more-frequently-prescribe-antibiotics
  2. Has anyone taken a look at the one year FNP programs? I've posted a link to the University of Miami's one-year FNP program curriculum. Notice that 1/3 of their one year program is nursing theory! So, they are essentially allowing RN's without experience to enter a program with two semesters of clinical medicine and 600 hours of clinicals and allowing them to hang their shingle in 22 states. http://www.miami.edu/sonhs/index.php/fnp/plan_of_study/family_nurse_practitioner_1-year_plan/
  3. 2am-4 am is when I have seen and done the most during my 24 hour ER shifts as a PA student. This includes heroin overdoses, trauma, suicidal patients, etc.
  4. I am seeing the alphabet soup trend among some PAs nowadays.
  5. One of the providers where I did my rotation went by Jane Doe, DNP, ARNP, APRN, PMHCNS-BC, CPRP, FAAN. I wonder if she realizes ARNP=APRN What would be wrong with just going with Joe Blow, PA-C? If someone actually needs to know your academic background, he or she probably has access to your resume.
  6. So true! It reminds of a recent Gomerblog article where they make up credentials for Linda Halls, RN, BSN, TRN, ASPCA-C, TLC, BFF. http://gomerblog.com/2016/06/nursing-advice-line/
  7. So I came across this Upstate University guidelines for NP preceptors which states "Physician Assistants (PA) cannot legally precept Nurse Practitioner Students." Now, I know many NP schools do not allow PAs to precept their students and my program does not allow independent NPs to precept PA students, but this seems like a false claim. Does anybody know if this is actually a law in New York? Anyway, it's their loss because all of my PA preceptors have been absolutely amazing! http://www.upstate.edu/con/students/preceptor_guide.php
  8. Thank you @RuralER/Ortho! My background is limited to 2 years of telemedicine and 3 years of CNA work. My work in telemedicine has made me just as comfortable with telephone support vs on-site support. The main clinic which ~30 minutes away is staffed with 4 attending physician dedicated only to teaching residents and providing telephone support.
  9. Hello experienced PAs! I just recently received what I believe to be an ideal position in a rural clinic in WA. The small clinic is brand new with a family physician there 1 day a week. If I accept the position, I would start off working at larger clinic with a residency program and gradually move into the solo provider role after 1 year. The following offer is for full-time Monday-Friday (40 hours/week) without call: - Salary: 95k with incentive bonus (not expecting one my first year) -Relocation/bonus: 10k, partial repayment if I leave before the 3 year contract. -401K with 6% employer contribution - PTO : 21 days first year, 25 second, and then 1 extra day/year up to max of 30. -CME : 3,000 with 5 paid days off. - Full medical, dental, vision, and life insurance - Malpractice with life-time tail coverage (FTCA) - Paid license, DEA, and 3 professional organization memberships - 3 years contract My only concern is the thought of eventually running solo. Thanks in advance for your advice!
  10. What would have otherwise been a positive article and video was negatively impacted by a PA: “Up to 80 percent of what a physician does in a primary care setting a PA can do. They fill a huge niche,” Dr. Linda Sekhon, founding chair for the Master of Physician Assistant Studies program at High Point University, said. I have seen people throw all kinds of figures (70%-90%) and I think they are all absurd, especially in the primary care setting. Sure, a PA may consult with a physician for certain cases, but if this figure were accurate, PAs would be totally incapable of treating about 5 patients per day. Some PAs I know in remote areas of Alaska would laugh at this figure. Does anybody else see this as harmful to our profession? http://myfox8.com/2016/02/09/doctor-shortage-leads-to-high-demand-for-pas/
  11. I am a clinical year PA student in the MEDEX program and I sent Dr. Blackwell, past AAFP President an email a while back explaining why I believe family physicians should preferentially hire PAs. His response is below: "Simon, Sorry for the delay in my response, but your email ended up in my spam folder, which I sadly do not check often. The combination of my work migrating to a new mail service and an unexpected snow break allowed me time to catch up on many things, including clearing all my mailboxes. I apologize as your thoughtful email deserved a response. I appreciate your perspectives, and as you could tell agree with you. Physicians and PAs are natural and powerful team members, and PAs are the only other professional who shares the medical training model. I spent significant time during my officer term meeting with the leadership of the national PA organizations, and am pleased that I think the relationship between them and the AAFP is now stronger than ever. I encourage you to continue to inform yourself about such topics, and be a strong voice for advocacy. That is one area where physicians for sure, and I suspect many PAs fall down compared with our colleagues in other organizations such as APRNs." Hope you are well. Cheers, Reid Reid Blackwelder, MD, FAAFP Professor, Family Medicine Quillen College of Medicine, ETSU Past President, American Academy of Family Physicians
  12. I spoke to Linda Krause of WAPA and she advised that the allopathic and osteopathic boards are fully aligned now. So there is no chart review required for certified PAs. I asked one of the institutions that I am rotating through why they still require a 2 chart/day review, and they said its just part of their policy. They have no similar requirement for NPs. I truly believe the difference is that we have "assistant" in our title.
  13. I agree and was quite surprised to be honest. Ps. Have I ever mention how incredible it is to have you as a liaison and advocate for both professions? Thanks for all you do!
  14. As I was doing some research for my capstone project, I came across this hierarchy in a trauma journal. Although I don't like the word mid-level, I think it is pretty accurate otherwise. Thoughts?
  15. I looked at these laws, but it still appears that osteopathic PA-C require 10% of charts reviewed while allopathic PA-C do not. Is this an error in interpretation or language? "Must an osteopathic physician review and countersign chart entries made by the osteopathic PA? Yes, to some degree. The osteopathic PA and supervising osteopathic physician must ensure that the supervising osteopathic physician timely reviews all reports of abnormalities and significant deviations, including the patients’ charts. The supervising osteopathic physician or designated alternate must review and countersign all charts of a licensed osteopathic PA within 7 working days for the first 30 days of practice. Thereafter, the supervising osteopathic physician or designated alternate must review and countersign 10% of the charts of the osteopathic PA within 7 working days. Every chart of a holder of an interim permit must be reviewed and countersigned by the supervising osteopathic physician or designated alternate within 2 working days."
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