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Everything posted by Hope2PA

  1. A lot of NPs don’t agree with FPA, yet their leaders push relentlessly to improve opportunities for Nursing and NP future. Guarantee those NPs who say they are against it are happy for increased job opportunities. Similarly a bunch of PA’s don’t want an appropriate title change that allows them to be Practitioner’s not helpers and they don’t want any form of independence. They would rather allow the profession to wither. Do PA leaders not have the foresight and power to be as proactive for the profession like NP/nursing leaders. Right now, they are your problem, not the old timer PAs, unless
  2. I was seriously hoping my interpretation was wrong. Guess it is great as a PA, difficult to convince legislators you can practice medicine without supervision when title basically sets the standard.
  3. If there is going to be change, it will be by nursing (FPA practitioners), not "assistants". PA's can't even get past eliminating an outdated, ball and chain title, with a research based proven one in hand. To "be the change", the AAPA and HOD and whomever else makes decisions have to lead the change.
  4. Senate bill to expand physician assistant scope of practice clears final committee stop (floridapolitics.com) Here are a few snippets: Looks like cant practice without oversight (PA's are not Practitioners, you are, at best physician assistant/associate). The bill would also allow a physician to supervise up to 10 assistants. Currently, a physician is limited to supervising four physician assistants. The initial bill also sought to allow physician assistants to practice without oversight. The provision, however, was altered in its first committee to instead modify the current
  5. Did the legislation to give PA's some sort of gradual independence die again? While reading, it looks as if it was amended this past week to leave in "supervision", with no options of more independence. Hopefully misread, however if it is true, and the AAPA/HOD vote keeps your title tied to physicians, your leaders really do not care about future PA's.
  6. Looking at job for Certified Orthopedic Physician Assistant. I assumed this was open to PA's with orthopedic experience. However cam across the following from National Board for Certification of Orthopaedic Physician's Assistants "Candidates must have completed an orthopaedic assistant program, a primary care physician assistant program, or a nurse practitioner program or completion of a related allied health care program and have at least five (5) years of experience in orthopaedic work with responsibility in surgical assisting, history and physical assessment, and immobilization tec
  7. Marketing and perception matters in everything! The research results stated PA, in any form, was not best for the profession and MCP is to those that really matter. How can HOD and leaders just decide to chose the worse option(s). Your HOD and AAPA leaders may know medicine, but do they recall the ethics? By ignoring the marketing professionals they are choosing to provide sub par or negligent care for the health and well-being of the profession.
  8. Congratulations! Did you accomplish this in an NP FPA state? How do regulations between PA/NP compare? It’s great that your employer hired based on your experience and not title. However, it is not always the case. A PA moving back to hometown due to family needs, looking for position in PCP, I discussed resume with office manager. They were extremely impressed, perfect credentials, couldn’t wait to meet with them. Then realized it was a PA. Bottom line, no, we only hire NP because they are independent like physicians. A fairly new grad online NP gets the position, never worked in primar
  9. Just out of curiosity, are you in a state with FPA for NP? Or at least much less restrictions for NP compared to PA? If neither, what do you think the reasoning would be? In my area, they flat out say its the independence issue.
  10. You are saying that if PA's start accepting salaries at least $20,000 below NP's then job outlook or economic fortune will turn in their favor! Is that the answer to lack of PA jobs? Accept extremely low salaries so the cost and headache of supervision would be worth it to admin? Is that what PA's who are against OTP/staged independence and title change are hoping for, to have salaries decrease by $20,000+ just to have a job? Thankfully, it appears more and more PA's appear to be on board with progression over the past few years and are looking toward a more positive outcome. How about
  11. How much cheaper do you want PA's to be? I do not think your statement is necessarily true. In an NP independent state the hospital system hires NP over PA, unless in certain specialties, such as surgery. The primary care independent NP's make as much and often more than specialty/surgery PA's. Admin says it is because they are so much easier to hire and deal with than PA. NP's are still cheaper than physicians, but they will not consider PA, even at a cheaper rate due to the hustle. Thankfully, for future of PA's, many are seeing and working toward the need of OTP, independence, whatever a
  12. My state has had independent practice for NP since approximately 2013. There are jobs for PA's in surgery, some sub specialties, and occasionally, rarely, if urgent care cant find NP. I spoke with one of our hospital admin about a position in primary care a week or so ago. I mentioned a PA friend, 5+ years experience and provided a quick description of background who may be interested. Initially he said she sounds perfect, please have her contact us. I replied great, it has been tough because most of the positions have gone to NP. He then replied, oh yes, it is for NP, they are independent
  13. Utah just passed a bill for "sort of" independence after 10,000Hours (5 years) of professional PA work. That is not new grad. Colorado just failed a bill which would have required around 7,500-8,000hours (4years) as PA. Don't think any state has recommended independence for new grad. That is unless you are an NP, because their fairy godmother must somehow magically make them learn in 500 hours what it takes a PA (in Utah), 12,000 hours, counting clinical year, and a physician similar hours, but more education. It still makes getting a job tough on new grad PA's, but better for patients who
  14. Not sure if this will help new grad, but; 1) sell something else and join national and state PA association tell them to change title ASAP for "Practitioner" and continue to push for OTP or FPA. Volunteer to help them and get to know more PA's that may help you find a position. 2) start frequenting any location where you can meet and chat with physicians, nurses, RT, admin, tech's etc. ANYONE associated with local hospital systems. 3) If you haven't, or if it's been more than a month or two(don't be a weekly pest), go into HR and politely check on potential openings. Jobs are often filled befo
  15. PA’s are highly educated medical professionals that use research based treatment to recommend best care for patient outcome. I imagine PA’s want to scream each time patient ignores their professional recommendations. My point is, WHY are PA’s still debating evidence based research for title change done by educated marketing team? You are no better than that patient who comes in and says I don’t care if I die, don’t like what you say, so not going to listen. Your knowledge is medical, not marketing. Hopefully leaders will listen as follow evidence and suggestions from real profession
  16. Where is Texas PA association? Why do states allow these bills to not address PA advancement as NPs go on to another state with independence?
  17. In my area, NP's and PA's are typically hired at the same rate. However, NP's are now the hire of choice. I work in a hospital system with many satellite clinics. PA's actually have it pretty good, being one of the more PA friendly states, at least that is what someone against independence would say. However, I have been in informal meetings about 1-2yrs ago with CEO, CNO and other paraprofessionals, and the general idea, thanks to your title and the CNO describing how NP's have 3years post grad and PA's are only 2years education to assist physicians. Fast forward, last couple months, two
  18. Is anyone aware of the outcome? Or updated info? I understand this was only a step toward allowing PA's FPA in the Department of Veteran's Affairs, just wondering how it was progressing.
  19. Really do Wish you all the best! To bad the title change couldn't have already been voted in and moving forward. Wasn't the "physician assistant" title part of the hinderance last year? I understand many PA's think new title will cost a lot of money, however, maybe if you were Medical Care Practitioners last year, you wouldn't need to be spending time and money now. Takes a lot of effort to convivence anyone that Physician Assistant, or even associate equates to a profession deserving of FPA. Not saying impossible, just MUCH more difficult.
  20. That is the expected new jobs through 2028. Graduation of approximately 9,000-10,000 PAs per year and 30,000+ NP per year. Better hold on to your hats come 2025. All the while, we as a country are struggling with nurse and teacher shortage. I don’t understand how this could be ranked as #1 profession to enter at this time.
  21. Great news for PA’s! Wish they were also included in the $5 million NP’s are getting for post grad fellowships included in the COVID Relief Bill.
  22. This is why they, Docs do not want any form of independence for PA’s and won’t look at options for PA’s . That extra percent is pretty nice at the end of the day. There are ways for PA’s(MCP) and NP’s to provide appropriate care independently, given adequate supervision and required exam similar to Family med board, not watered down NP nursing care version. Not right out of school, or even in 2 years, as many NP’s are doing. My opinion, PA’s need title and serious post grad supervision, plus required some sort of area specific continued education for at least 3 years, then independence. Tak
  23. I was once offered a PRN or contract position and knew the individual doing the hiring. Also was friends with a couple who contracted with the same company. Bottom line, the company, due to some legal or the way money was allotted, could pay LLC at a higher rate than an individual without an LLC. Both myself and the friend, who's spouse owned LLC, were offered positions, only she was offered $5-10 more per hour. I was told I could have same rate if I was under LLC. Although this could have just been that companies policy, If this is something you may do long term, even as side job, it may b
  24. That may have been meant as sort of a joke, however, combination of CAQ, which requires certain amount of experience is actually a good idea. You need the support and $$$. Got to play the political game to progress as a profession.
  25. Haha, Fingers crossed, in 6 months,(I know legislation takes little longer), the new more highly trained and educated MCP can be promoted and the book will be about NP and PA, so MCP must be okay to any patient who actually reads thy BS.. I also know education will not change, but maybe it can be explained better to show differences in providers. NPs always suggest they are better educated because they have 3 years post RN, and at same time say PA is only 2 years. They know most people will not realize it is 3 years of part time, on average, 6-8 credits for 6 semesters to gain NP While PA is
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