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Anachronist

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Anachronist last won the day on July 12

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About Anachronist

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    Physician Assistant Student

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  1. Anachronist

    No Achievements

    With that much experience pretty impressive feats might seem mundane to you, try looking at your career (and personal life) through the lens of a 25 y/o MA or tech with a bachelor's degree and 2 years of work experience. Shift leader, gave a talk somewhere, got recognized for something, have additional licenses or courses you've completed, you can include it all.
  2. Anachronist

    PA over NP

    To me it is basically the following, though some may disagree, and I of course respect those disagreements. The bottom line, the role of MDs and medicine itself has changed somewhat over the last 30-40 years, and a highly skilled RN can do most of the run-of-the-mill clinical stuff a MD can, they just can't legally sign off on it. In come "mid level practitioners." Interestingly, I learned that the creator of the PA profession Dr. Stead at Duke initially approached nurses about additional training to fill that role, but they weren't keen on it at the time, so he went about it independently. Anyway, PAs were born a few years later. PA and NP are basically two different paths to "basically" the same thing. Not counting politics, state specific differences, or specialization differences. In the grand scheme there is like a 80-90% overlap. So why 2 different paths? Well, say you have a RN who has been one for a long time and wants to advance; the PA route would be difficult because of the UG prereqs and other academic requirements (not that they couldn't handle it, they would just have a harder time getting accepted, or would have to take a lot of classes post bac). And say you have a medic, tech, etc who wants to advance but can't or doesn't want to go to med school. They would have to start over in nursing to be a NP; and they may have no interest in nursing. Both the RN in question and the medic/tech/etc should have the opportunity to advance, and are capable of doing so, they just have to chose the path that is best for them. (If you can pick from either because of your background, then it boils down to logistics, which you should be able to explain). Now there are of course exceptions like direct entry NP programs and low prereq/GRE/GPA accepting PA programs. But what I mentioned is the overall situation for a great number of PAs and NPs. P.S. The argument of being flexible in practice by not having to "officially" specialize is indeed a legitimate one. It was a big reason why I chose PA over MD, and I wasn't shy about telling AdComs about it. I even know a current 2nd year med student who is taking a gap year just so he can decide which of the 4 residencies in oncology they want to pursue. Getting pigeon holed into a highly specific field is no small sacrifice to make.
  3. Anachronist

    Admissions for Minorities

    If it is of any comfort, I would guess that in my class minorities are overrepresented based on what I saw when I interviewed. I don't know if that is actually the case because I only saw about 10% of the applicants. So yes, some programs are indeed taking those things into consideration. At the interview stage it is a pretty even playing field academically and PCE wise. "Cast a wide net" with your applications and if you're at or above the mean for prior classes, you're very likely to be accepted somewhere. Also I had my fair share of rejections after interview, and I was a second round applicant as well. So even though there probably is some bias (even subconscious), it isn't the whole story. This whole discussion is hard to apply to a single person, it is more of a metadata/statistics problem.
  4. Anachronist

    Admissions for Minorities

    I agree 100% but I'll throw something out there for you to consider that makes things very very tricky. Join me on a hypothetical journey... Say you have "me," but 30 years older and AdComm for a PA program or medical school. I'm (I actually am) a white male from an affluent and very well educated family (I'm the only male without a MD, PhD, or JD). Anyway, I have a handful of applicants I'm interviewing, all with exactly the same stats, down to the decimal, institution, PCE, etc etc, on paper they are all the same person. Now, what it comes down to in the interview is how my interaction with each person goes, how we vibe, and how well I can understand them in our limited time together. Do you think I would form a faster and more complete relationship, understanding the applicant and being comfortable with them, with another white male from an affluent and well educated family, or with any given minority from a poorly educated and impoverished family? That dynamic has already been created, those in leadership positions today are disproportionately white and wealthy, so the odds of a minority applicant from a poorly educated and impoverished family being interviewed by someone with the same background is poor. How do I chose? Do I go with the applicant that I relate to more? Statistically I would posit that will be the white male from an affluent and well educated family; or do I "give credit" to the minority applicant, and if so, how much? It isn't just paper applications, it's interpersonal interaction; and in that respect, the odds are still stacked against minorities without deliberate effort otherwise. Personally, that isn't the case for me, my soul is a blue collar one, and I'm perpetually annoyed by the culture I grew up in; but I'm part of the new generation, not the old one, and even then, among whites, I would wager I'm a minority. So actually finding "me" among AdComms is highly unlikely, and will probably remain unlikely for at least another generation or two. Edit: Worth noting, of course an exceptional student with exceptional interpersonal skills will always be at an advantage regardless of race (and rightly so); but that isn't the subject. I'm talking about "when all else is equal." And that is what affirmative action in all of its manifestations has always really been about. Few, and certainly not me, would advocate for choosing a less qualified person over a significantly more qualified one based on race alone. Though historically that has been the case in favor of the majority. "Racial nepotism" if you will, be it conscious or subconscious.
  5. Anachronist

    Admissions for Minorities

    Is this it? "No Longer Separate, Not Yet Equal" https://www.amazon.com/Longer-Separate-Not-Yet-Equal/dp/0691141606 Also, at least coming from my own perspective as a upper class white male, I found W.E.B. Du Bois' book "Souls of Black Folk" enlightening in a pretty profound way. It was published in 1903 but felt like it could have been written yesterday, which itself was pretty shocking. I also found his description of "double consciousness" both enlightening and tragic. He had a very interesting and dynamic life and some interesting personal philosophical struggles. Anyway, here is some more info about him and includes a bit about the book for anyone who is interested. I would describe it as a combination of a treatise and a very interesting history lesson. https://en.wikipedia.org/wiki/W._E._B._Du_Bois
  6. Anachronist

    Admissions for Minorities

    Also worth mentioning in the grand debate that I think gets missed sometimes, is "how do we proceed?" It can be strongly argued and I think is generally accepted that minorities are underrepresented as a whole in society (economic, education, leadership) due to historic blatant racism (the aforementioned letter that someone posted; and my own father telling me that his black friend was denied officer training school because he was a "negro," well after military desegregation, as pretty powerful testament). Even if racism (conscious and subconscious) was magically obliterated today, poverty being overrepresented in minorities would still exist, and is still a detriment that will take many generations to equilibrate. So, the question then is... how do we proceed? Is it enough that we do everything possible to remove race (and racism from being detriments) so that race alone isn't a factor in someone's "success?" I think most enlightened folks would agree that yeah that is a good start; and/or, and it is a very big and/or; do we do even more, and create an advantage for minorities, making minority race itself favorable in an attempt to "undo" past racism at a detriment to the present majority? That is where the heated discussions seem to start. More simply, do we just eliminate race from the equation and let it balance itself over time, or do we forcibly correct the equation by actually injecting a counterbalance of race into it? And even if the answer is yes, then "how much?"
  7. Anachronist

    Admissions for Minorities

    This may be of interest, from PAEA and apparently using CASPA data; demonstrates both race/ethnicity as a whole and gives GPA and GRE breakdowns including applicants vs. matriculants. Overall trends related to this topic, minorities are underrepresented and also have overall lower GPA and GRE scores. Data missing that would be of interest is who actually gets interviews vs matriculants. i.e. are minorities being underrepresented because of academics, or because of interviews, or both, and how much? If because of academics, that is a tough egg to crack and involves K-12 and undergrad institutions, if because of interviews, that is more easily remedied (I say that because of the other applicants I encountered during my interviews, everyone was "qualified" and it seemed like basically a toss up at that point). https://paeaonline.org/wp-content/uploads/2017/12/Applicant-and-Matriculant-Data-from-CASPA.pdf
  8. Anachronist

    Admissions for Minorities

    Discussion is largely irrelevant as there is no baseline for the applicant pool that does not represent the population as a whole. Literally everything will be anecdotal. In my class for instance Asians (whole continent, not just the Pacific rim) are grossly overrepresented compared to the general population (local and national), but so are women. But I don't have any data concerning the applicants, so it is impossible to determine any relationship between application/acceptance.
  9. Anachronist

    Submitting GRE scores

    To my recollection, CASPA will retain a record, but they will have to be resubmitted to each program when you do apply. You just login to ETS (the GRE folks) and then tell them what programs to submit to when it's application time, and pay the fee of course.
  10. Anachronist

    CNA or Personal Care Aid for PCE

    I agree with the above about CNA all the way between those two options; personal care aid time isn't counted strongly, if it is even counted at all. They want to see you working with multiple patients a day as part of a medical team. CNA varies widely from state to state, for instance in FL you can take a 1 week course for $400. In other states, it is months and thousands as you described. Search around, include "crash course" in those searches. I did a 1 week course in FL and even though I never utilized it, the training and insight I got was worthwhile. If you are in a "months and thousands" state, you may alternatively (or additionally) consider some of the other popular options. EMT, Phlebotomy, Medical Scribe, Medical Assistant.
  11. Anachronist

    GRE Magoosh anyone? Trade

    30+ programs and no acceptances? No interviews either? I sense something very wrong, any idea what it is? 3.2 GPA alone shouldn't do that given your PCE and volunteer experience I wouldn't think.
  12. @hmtpnw pretty much nailed it. Just keep improving, and on that note for PCE, yes, home health isn't weighted as heavily as working in a practice seeing multiple patients and interacting with MAs and providers (at least for all of the programs I applied to), definitely branch out.
  13. Also, for what it is worth. Try to keep in mind that the attorneys are just after money (I'm related to a DUI/personal injury one ?). If someone isn't covered, they seldom try to come after them personally, even if they have assets, it is a long road to actually get them even after a settlement; a check from the insurance company is what they want. Also don't let it become personal, I watched my dad go through that, he was eventually dropped from the suit but it took a toll on him. The family is just doing what the lawyers tell them to and they may or may not have any personal grudge toward you or anyone else; and they probably don't understand everything that is going on. You're most likely just another name to them that the lawyers want to use to get at the insurance company.
  14. Anachronist

    Non-trad getting PCE

    It also depends on your proficiency/deficiency as well and what will serve you. For example, I was prior EMS, so MA/PCT/Phleb really wouldn't do much for me. I decided to scribe after finishing undergrad and it was a pretty great experience. But if you've never spiked an IV bag and don't know how to take vitals, then MA/PCT/Phleb is a good start. If that's the case, then I would say try one of those for a year, and then scribe for a year; the different exposures will compliment each other well.
  15. Anachronist

    Military credit: corps school for medical terminology

    As long as it appears on an official transcript then it should be ok, for MedTerm anyway. Most of my prereqs were my undergrad degree but I also used almost 10 year old MedTerm from EMT school. No program I applied to and received an interview at (no program at all, just to make that abundantly clear) asked about MedTerm. I think it is one of the least critiqued prereqs. I was asked for some syllabi for other classes, and told flat out that my EMT A&P would not be accepted (had to take it again postbacc). But no one ever mentioned MedTerm. I would say go for it, if it becomes an issue, take it in the fall at a CC (I was accepted to a program with A&P still in progress) so it shouldn't be a big deal.
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