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PAinPenna last won the day on January 24

PAinPenna had the most liked content!

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About PAinPenna

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    Advanced Member


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    Physician Assistant

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  1. I'm in agreement with Sed. Your lack of certification and licensure is making it pretty tough for an employer to stick their neck out and onboard you. It'll get better.
  2. traumajd- I also practice in Pennsylvania , and I am urging you to get up to speed on what is going on here in our state. Senate Bill 25 was passed this summer, removing mandatory collaboration of NPs with physicians. House Bill 100 is still pending for complete passage in the state. The Pa Medical Society is vigorously opposing the bill, but as in many states- the nursing lobby is powerful here. If the NPs gain independence here, we PAs will be edged out for jobs as happening in many other states. We also have legislation pending to loosen up some of our restrictions to practice, the specific details are below: The PSPA has introduced Senate Bills 870 & 871 to modernize our practice Acts, giving the physician/PA team and institutions more flexibility in delivering care to our patients. The Prime sponsors for our legislation are Republican Senator Thomas Killion and Democratic Senator John Yudichak. The legislation builds on our past efforts to: 1. Eliminate countersignature 2. Allow for filing of work agreements 3. Allow for physician/PA ratios to be determined at the practice and/or facility level 4. Remove the requirement for physicians to be on-site at satellite locations 5. Creation of a permanent PA seat on both the medical and osteopathic boards. Upon introduction of the legislation, Senator Killion stated that, “Physician Assistants are a critical piece of the healthcare team. Their education and training is in the medical model and provides both physicians and patients with an excellent resource for healthcare.” He went on to say, “Pennsylvania is one of the premier states for Physician Assistant education, but lags behind legislatively for practicing Pennsylvania Physician Assistants. With this modernization, Pennsylvania will encourage a diverse range of medical professionals across the healthcare delivery system. This legislation will allow for modernization for physician assistants to practice.” The PSPA and our lobbyists have worked hard setting the stage for a successful campaign. But YOU play the most vital role! Legislators want to hear from their constituents regarding legislative issues. The Society is asking all PAs in the state to contact their Pennsylvania State Senators asking them to join Senators Killion and Yudichak in support of Senate Bills 870 & 871. Call, write and/or email your Senator today and ask them to contact Senator Tommy Tomlinson to bring the bills up for a vote in the Senate Consumer Protection and Professional Licensure committee. PLEASE visit the PSPA website and follow the links to support this important legislation. And- please consider joining PSPA and stay informed of important issues related to practice in Pa.
  3. Physician Supervision Requirements for Physician Assistants (PAs) We are updating our regulation on physician supervision of PAs to give PAs greater flexibility to practice more broadly in the current health care system in accordance with state law and state scope of practice. In the absence of any state rules, CMS is finalizing a revision to the current supervision requirement to clarify that physician supervision is a process in which a PA has a working relationship with one or more physicians to supervise the delivery of their health care services. Such physician supervision is evidenced by documenting the PA’s scope of practice and indicating the working relationship(s) the PA has with the supervising physician(s) when furnishing professional services. I guess this is good??
  4. Addiction Medicine PA here - Maximum detection time following amphetamine use is 3 days .
  5. Get your X waiver and do some extra hours at a medication assisted treatment clinic . It’s not hard work, the patients are grateful and not entitled, there is very little documentation required on your notes , and you’d be prescribing 2-3 meds tops
  6. A 3 or 4 day work week (you can still do full time - 3 12 hr shifts, 4 10's etc) can be life changing. It was for me (4 9.5's) Something about a weekday off feels more like a "break". Good luck. You'll figure it out. I have a feeling you can still be a PA and be happy.
  7. I will never get my head around how NPs are licensed to practice medicine by a nursing board.
  8. Addiction Medicine pros : great hours, no call , no weekends , no procedures (to some that may be a con) , adequate time for each visit , patients stay engaged months to years so you really get to know them and their families , super rewarding to see people in recovery cons: it can be heartbreaking to see your patients relapse , Suboxone scripts with your DEA # are at huge risk of diversion , patients lie A LOT
  9. C'mon Pennsylvania PA's - let's do this See you at the Capitol l 9/24! From the PSPA It is vital that we get as many of our members to Harrisburg as possible. Just as a reminder, we will be lobbying to support the modernization of our practice. Our legislation includes the following provisions: Place a Physician Assistant on the Medical Board and Osteopathic Board with a permanent seat. Remove the requirement of a physician countersignature on 100% of patient files. Allows a written agreement to be "filed" instead of "approved" by the Medical and Osteopathic Boards. This will allow Physician Assistants to immediately begin working instead of waiting 120 days or longer for the Medical Boards. Outlines what supervision means, to ensure laws and regulations do not hinder the Physician, Physician Assistant, Patient relationship.
  10. I did - when I worked in Primary Care . Now that I'm in Addiction Medicine I literally love going to work every day.
  11. I was 48 when I graduated from PA school. Doubled my salary from my previous career. No regrets at all. Do it.
  12. I actually agree with a lot of your posts. . Was just curious what brought you here.
  13. I have also wondered why you are so active on a PA forum when you are not a PA??
  14. The craziest part is my only Press Ganey complaints from patients were that I was "too rushed" . I wanted to bang my head off a wall when I saw those.
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