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About GB2017

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    Physician Assistant Student

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  1. Thank you all for your advice/input. How did it go?? Thank you all for your advice/input!
  2. I'm worried I will fail the PANCE simply because nothing will stick in my brain! The first 9-ish months of school, I remembered damn near everything, and could recall things at the drop of a hat. I have always had a great memory, so this was my norm. The past year or so, however, is a completely different case. I forget entire conversations I've had with people, I don't remember ever having HEARD of a med/disease/test, let alone remember having known it (even though that's the case.) It is such a drastic change for me, but I keep being told over and over that this is normal, and to give it time. Well...I'm 4-5 months out from the PANCE and my scores are lower than ever on practice tests/questions, because I just don't remember! I'm not a bad student, or dumb by any means. My brain just feels fried. I've actually gotten straight A's on all my rotations, and have received job offers at every single one. So why can't I get above a 60% on anything?? Did/does anyone else feel like this, or have gone through a similar thing?
  3. I'm a few rotations in, and other than procedures, I feel like I really haven't done anything. I haven't had my own patients, I haven't done a single diagnosis or written any orders/labs, anything. I feel like I'm just shadowing with intermittent procedures. I really want to practice actually managing patients from start to finish, and I haven't gotten the chance at all. My current preceptor is everything but ignoring me altogether. I've mentioned this to my clinical director, but they don't care. Is this normal?
  4. Thank you all so much for your insight! I appreciate your attempts to take the politics out of a potentially weighty subject to help me with this. One last thing -- could I get a "roll call" of sorts as to who is in a medicaid expansion state and who isn't?? From your comments, it seems that it's a benefit in expansion states and a hindrance in those that chose not to expand, but I wan't to make sure I'm understanding this correctly. Thank you again!
  5. Where were your patients/MA getting their insurance before the ACA? As a follow-up, are you in a medicaid expansion state?
  6. No baiting whatsoever, you'll notice I asked people to please keep their political views out of this. I am in fact doing this for a class assignment. I'm interested in how such a large piece of legislation actually plays out in the real world -- in particular with how it has affected PAs.
  7. Do you mind elaborating a bit more? I'm not quite following how the ACA lead to your being able to work less. Do you get your health care through the marketplace instead of your employer now, which wasn't previous possible due to a pre-existing condition?
  8. Without getting too political, please. I'd love to hear how the ACA has affected you as a PA. Do you see more patients that wouldn't have had coverage otherwise? Or are there a ton of hoops you now have to jump through that make your life miserable? Have you not even noticed a difference? I'd love to hear any and all takes on it! Please let me know what your work situation is like and how long you've been there.
  9. Wow, this blew up! Sorry, I didn't see any emails or else I would have responded sooner. I'm generally very involved and an active learner in lectures. I went to a medium-sized university for undergrad (~25,000) and even in my 350+ person Anatomy lectures, I knew my professors well enough by the end to be able to ask them for letters of rec 3 years later when I applied to PA school. If questions are asked, I always respond. Even now, when I'm studying on my own, or dinking around on my computer trying to stay awake in lecture and have been paying ~20% attention, I'm still able to answer the questions when they're asked. Our lecturers aren't interactive, and are monotonous and bring nothing to the lectures that aren't already on the slides. We aren't connected to a medical school, but our professors ARE very invested in our learning. They just flat aren't good lecturers. Most of them are 1000% better teaching one-on-one.
  10. I have 4 months left of didactic, and I am so incredibly tired of going to class. I find that I only learn from one of our six lecturers, and the rest of the time I'm wasting 6-8 hours/day in class, just waiting for them to hurry up and be done so I can leave and start actually learning. The lecturers are all slow, repetitive, and bring in useless points that take what could easily have been a 30-minute lecture and drag it into 3+ hours. Class isn't exactly "required," but there's no way I could not go, either. I would love to do my own studying during class, but it's a small enough room with few enough students that I can't tune the lecturer out well enough to focus on my own thing, and would risk being called on without having a clue what the question is. Has anyone experienced a similar thing? Anything you found that helped? Please tell me I'm not the only one burnt out from bad teaching!
  11. This is a fantastic resource, thank you!! You're entirely right, it's the empirics that are getting me. It's hard when every professor (there are 7 of them), and textbook (3-4 that I use consistently) give a different preference for empiric tx, and then I have to figure out which is the "test question" answer. This is a great compilation, I really appreciate your willingness to share!! Have you found that this corresponds well to what you actually use in the "Real World"?
  12. That sounds like the approach I started with. I feel pretty good about MOAs, SE/CI, Black box warnings, etc. I'm at the point where I'm just getting really frustrated with not knowing how to actually treat things (or which of the 3 answers on the exam that technically all cover gram negative enteric bacilli is actually best for this particular one). I'm definitely going to keep working on solidifying what I do know! Any advice on how to move forward? I really appreciate your help, thank you!
  13. I am at a complete loss for how to study antibiotics. I tried to learn what the drugs cover (gram pos/neg, cocci, anaerobes, etc.) but there are too many exceptions to those rules. They don't cover ALL gram pos, or ALL anaerobes, for example. Then I tried to learn what bacteria cause what pathology, and the morphology of the bacteria (trying to apply what I'd learned above). Once again, it really wasn't concrete enough. I tried to learn each individual pathology and what drugs are used for each, but... well, that's just not going to stick! Plus everyone has different opinions/favorite drugs that they use. I would love to be able to just pick a favorite from each category and learn them well, and know exactly what I would use for, say, a sore throat (pre-culture). However, for test-taking purposes, when I have to choose just one "best," that isn't going to work either. Every resource I look at says something different, and then of course my professors have yet another opinion as to what is correct. I'm just getting a little overwhelmed, and am hoping I'm not alone in this! Any advice out there?
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