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detman

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About detman

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  1. I am about halfway through my clinical year as a PA student and I was wanting to hear from PAs who went on to pursue a fellowship in internal medicine. I really loved my internal medicine rotation and I want to dive in and work through the minutia of internal medicine for a longer period of time before I jump into practicing full-time. Is the Carolinas Healthcare Fellowship for Advanced Practice Clinicians a good option to pursue further education?
  2. I agree that there should be expectations that incoming PA students have a foundational knowledge in health care and where they fit in the scheme of a team-based system. One of my favorite instructors was a PA by the age of 22. She is an extremely dedicated person throughout her educational pursuits and now has become one of the most respected PA specialists in the state. What she lacked in "knowing all the in-and-outs" of medicine, she made up for in ferocious dedication to her schooling and her career. It would be a disservice to the profession to exclude such young students from PA programs. Of course, you are speaking in general terms and I used a very specific example so maybe we can meet somewhere in the middle. We should expect that incoming PA students, especially when they're young, that they have been exposed to the health care system in some form as well as plenty of shadowing experience to get a better picture of what a PA truly is. However, we cannot disregard younger students from their lack of in-depth experience in medicine as it can be safe to say that what they may lack in years and years of medical know-how they make up for in their resilience and persistent resolve to become the best in what they do.
  3. No WAY! I just got the 1st edition a few months ago. I may just get the 2nd edition to cross check and see how up-to-date the new editions is.
  4. I was talking with several doctors recently who I interact with on ocassion. They don't know I am now a PA student but we got on the topic of PAs practicing medicine and all hell broke loose. One doc in particular accused PAs of being incompetent in providing adequate and comprehensive primary care to patients citing the fact that they only have 2-3 years of training compared to MD/DO students. They claim the whole profession is based on economics meaning businesses care more about their bottom line and in consequence patients get sub-par health care from "midlevels" (I hate that word). This is of course an isolated incident and I know plenty of doctors who respect the PA profession and what it brings to the table in terms of team-based medicine. However, this is the first time I have seen such an enraged doctor over another health care provider and it threw me for a loop. Have any of you seen this before? Is this kind of toxic thinking still very much a part of current medical education?
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