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About FiNorman

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    Physician Assistant

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  1. My comment wasn't made to insult you or sonographers. I have a great deal of admiration of their skills and abilities, and I certainly have learned a great deal from them over the years. I also support ARDMS and SDMS regulating sonographers in any way they see fit, as this is their profession. With that being said, PAs have the ability to work with our collaborating physician organizations to create the standards which we see fit, and having a profession outside of our profession dictate how we should train our own profession, educate our selves and attain competency is not how we det
  2. "Is there any device analogous to the Butterfly system for Android phones?" Yes, The Philips Lumify Series runs from certain (not all android devices). The Lumify has the best image quality of all the hand held devices, and approximates the images produced by quality cart system. The Lumify system is inside each of the probes, and since the probes derive their power from the android device they will not work with the iPhone systems (iPhone only has the lightning and speaker ports which do not have enough electricity to power the Lumify probe. The advantage is you only have to charge one
  3. In reference to RDMS and other certifications..... I support what every journey a clinical takes to attaining their goal. However I would remind clinicians that certification is not needed for the performance or billing of bedside ultrasound studies, nor is it needed for the credentialing, or privileging. In fact, ACEP, SEMPA, SPOCUS, and many other provider centric societies oppose "merit badge testing by external entities". This policy specifically refers to ultrasound, but also includes opposition to courses like ACLS and PALS. The reasoning is that requesting permission fr
  4. Hello colleagues, I would like to start by stating I have no financial relationships with any of the parties involved. The only income I receive is from my hourly wage I earn. My name is Frank Norman and I am the Co-Founder of The Society of Point of Care Ultrasound. SPOCUS is a non profit, multidisciplinary medical society which is focused on integrating bedside ultrasound into practice and education. To my knowledge it is the first and only PA led society which is creating national standards of care, training and education for all of medicine. SPOCUS has recently partne
  5. Hello friends, My name is Frank Norman, I am a fellow PA and heavily involved with integrating ultrasound into primary medical curriculum and Co-Founder of The Society of Point of Care Ultrasound. I would like to invite any PA students that are interested in this topic to attend the Yes, iScan Competition and Workshop at AAPA on May 20th. Yes, I Scan- Ultrasound Student Workshop and Competition - AAPA 2019.webloc. Pre-PA students can take part in the workshop by volunteering as ultrasound models, and it's an awesome way of gaining insight into the profession and meeting many of t
  6. The list is building, but we are still looking for volunteers. Our response from schools has been overwhelming. Within 2 weeks we had 15 teams sign up for 12 slots (we expanded to 15 teams to accommodate.). Lots of schools will be present and we are expecting lots of faculty members.
  7. Good afternoon, my name is Frank Norman, I am a PA and president of the Society of Point of Care Ultrasound (SPOCUS.org). On 5/21/18 at AAPAs National Convention in New Orleans SPOCUS will be teaming up with AAPA to create the first ever Yes, iScan Ultrasound competition. This is going to be a yearly event where student teams from PA programs from across the country will compete for the champions cup, by performing more than 15 applications and 120 tasks like measuring the aorta, finding individual nerves, identifying cardiac valves, putting in IVs and much more. We are looking pre-pa
  8. The Society of Point of Care Ultrasound (SPOCUS.org) has gotten a multitude of requests to host POCUS workshops, in a variety of clinical applications. We are establishing a cadre/speakers bank and are actively looking for clinicians who are POCUS competent, and wish to teach at local/national conferences. Are there any members on here interested?
  9. I should have added... if anyone practices in another specialty and is having trouble getting credentialing use the generalist https://spocus.org/Practice-Guidelines. I would also ask that you please reach out to me and let's communicate.... the AAPA is looking for examples of PAs encountering barriers to practice and your situation can help out others.
  10. Great answer SN..... I apologize for the tardy reply, as I just noticed this post. My name is Frank, I am the President of SPACUS, which has now morphed into SPOCUS. http://SPOCUS.org. You should use the ACEP guidelines for credentialing. I would implore you to please reach out to me if you are refused credentialing because you are a PA. This is an issue we are diligently working on, and ACEP and AAPA are actively involved with. Privileging should be solely based on state law, documented experience, and demonstrated competence of clinical practice. Any other basis for refusing to gr
  11. Prima, If you were referring to USC, University of South Carolina Dr. Paul Bornemann, and Dr. Hoppmann have done an amazing job of integrating POCUS into the undergraduate medical education and into the residency program. As of today the American Academy of family practice is preparing standards by which every resident will have to learn ultrasound in order to complete the FM residency programs. Emergency medicine has already identified ultrasound as a skill integral to the practice of emergency medicine and has mandated training since 2007. I am pleased to hear that others are using ul
  12. Are you faculty? What specialty are you in? You don't have to "almost anything". Join SPACUS and I will personally mentor you. All I ask in return is that you give back to the society and pay it forward by teaching someone else.
  13. Good news my friend, there are some misconceptions.... first, the greatest barrier is by far, the cost of the machine. And you are absolutely correct, is not an insurmountable barrier. The days of huge capital expenditures for machines is over. Let's do the math. $400 per student, in a class of 30 students is $12k. With academic pricing SPACUS.org can secure full Lumify machines for $3000/year. That's 4 machines per class, or 8 in a program of two classes. During the lab sessions, 8 machines- 4 students per station, accommodates all students. Now the Training-again not a pro
  14. I was hoping students or faculty could provide me with an idea of what items are typically required to start PA school, and if the PA school makes suggestions as to which to purchase. For example otoscope, ophthalmoscope, stethoscope, scrubs, jacket, computer lap top ect. As a follow up question, if you were a student starting school today and had the option of a $400 "buy in" for each student to have a shared ultrasound machine and the teaching to learn 12 applications while still in school, would you do it?
  15. Very well said Serenity, you are 100% correct. 25+ scans will not make you an expert, but it will give you enough experience to incorporate POCUS into your practice and answer very specific binary questions. The new ACEP guidelines are just waiting for the signature from the ACEP board. They are even more lenient in the initial training requirements and ACEP acknowledges some indications may take even less. I would argue that with just a few soft tissue scans most PAs can improve their practice and outcomes to differentiate abscess vs. cellulitis vs. necrotizing fasciitis. Peripheral I
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