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About AdamPAS

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    Physician Assistant Student

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  1. AdamPAS

    Ipad vs traditional books??

    I use IPAD Pro with The Apple Pencil, and a productivity app called Notability. I think One Note is the Microsoft version, but with mine I can: - Convert a ppt into PDF that includes the notes section - Write all over the PDF - Cut/paste any of my notes, pictures or pieces of the slide as pictures with a snipping tool to move wherever I like in the slide deck - It has a record feature that works with the microphone and to highlight what you are typing at the moment you record what a teacher is saying, which is really nice if you make a connection with something that is not spelled out in the material (obviously must have teachers’ permission) - If you forgot to charge the pencil the night before class, the older model charges in 15 seconds (30 min. Charge) in the lightning plug. Downsides: - Must download, and convert ppt’s to PDF before class if you don’t have WiFi in your classroom - The app costs about $10 on top of the $800-900 I spent on the tablet/pencil I had never used a tablet for school prior to this, and I am the guy who throws the computer when it doesn’t work. Yes, I know it needs to be plugged in first. My IPad has not been thrown yet, and I am a year in!
  2. I agree. Stats will serve you better in the long run than calculus (Pure utility before, during, and as a provider in poring over numerous research articles and data hand delivered to you by drug rep's when you're trying to sort what is quality versus what is garbage in practicing EBM). This is especially true if it is a research based course. Disclaimer: I don't know that a research stats course would always fit pre-req criteria, obviously school-specific.
  3. I had the dumpster fire first undergrad go also. Also fixed myself in the military, then brought the cGPA up from under 2.7 to above 3.1 finishing undergrad in a biology program while working full time to support my wife and young children. I was accepted to a both a civilian program, and the military's. In school now, and I would not trade having had to work my a** off, and sacrifice for my current position. Don't quit, keep pluggin', and all that. If your wallet can possibly take it, it never hurts to apply, especially if you feel you can adequately convey to admissions boards that you have overcome some real adversity while pulling all this off. That shows commitment and stamina, which comes with the maturity needed to complete these programs. Good luck.
  4. Still a student here, but just to comment on the disparity: I understood this to both be a relic of the previously different federal pay scales for nurses versus PAs, and local decision making within the VA system. The laws changed the pay scale last year, so to me this seems like a local constraint placed by an admin that doesn’t value a PA as much. Like I said, I am still only a student, but this would be a big red flag to me unless I was able to talk with the other APPs about upward mobility and quality of life in that area. As a veteran, I would love to serve that population too, but could not place that strain on my family to do it. I hope they offer more in the end. As to the point you are at in your career, I am curious if anyone out there has insight on whether this is a good early career move or not too.
  5. AdamPAS


    I will run with MT2PA's comments. You don't seem too committed to the sciences, which is extremely important to a PA education. I had a similar issue with grades when I was younger. I had to spend several years doing other things to realize that I WANTED to be in school, and learning science. After I "grew up", I put out the dumpster fire I started on my first attempt at a Bachelor's, and started over. You may need a break to figure out what you want to do. Otherwise, if you are paying for school, but not learning, and earning all C's, you're probably wasting a lot of money. All that said, when I was ready to go back to school, I brought my GPA up from a 2.75 to a 3.15 while taking nearly all science and math courses for 3 years. I then applied to PA school, and got in, knowing that I both wanted to do it, and could now handle it. Your chances are not good as it stands. I hope you figure out what you really want to do. If you give yourself enough time, and the right conditions, you'll figure it out.
  6. AdamPAS

    Suit jacket unbuttoned...okay?

    Ya know, I bought my first ever jacket for my interview. It was below zero that day, and when I got out my car at the school, I was wearing my big, warm, fluffy, brownish-stained down jacket. I didn’t even realize I had forgotten my new snazzy jacket hanging in the car until after my interview! I was offered a seat that day with just khakis, a button down shirt, and a tie. Don’t go over the top, first of all. Second, you’re probably like most of us who have not spent much of our adult lives donning suits for big important meetings, and they’re not expecting you to be that stuffy ?
  7. AdamPAS

    ROLL CALL... Introductions (First Post)

    Welcome! Just in case you aren't aware, the Interservice Physician Assistant Program just raised its maximum time in service requirement this year to no more than 15 years for AD Army (no more than 15 by January 1st of the year you would start the program, so that may not apply in your situation, but figured I would point it out in case). Something to consider if you're planning to stay in anyway, especially if you have any college courses already done (You incur a 4.5 year ADSO). Good luck.
  8. AdamPAS

    Resource page for the student veteran pre-PA

    How about attending PA school while an actively drilling reservist or guardsman? I know that when I was accepted to a civilian school at first, one of my main concerns was how to fulfill my army reserves obligation after moving out of state for an intense grad school program. I have also served with others who have had a rough time finding the balance between fulfilling the unit's mission, and keeping to a strict school schedule. Of course, there are benefits too, like funding, but also networking and contacts for LOR's for those who may have spent most of their careers as non-medical. Sorry, I can't point to any specific resources, but those are some ideas that maybe someone more creative than I can help others with. Oh, and some PA schools are particularly vet friendly. A list may help point others in the right direction. Idaho State University is one of those to start your list off with. Good luck!
  9. I believe there was already a bill passed allowing this in Colorado earlier this year. Of course it is a limited scope that the pharmacist must operate under. House Bill 18-1313, which looks like it just expands prescriptive authority to include the following: Universal Citation: CO Rev Stat § 12-42.5-601 (2017) As used in this part 6: (1) (a) "Collaborative pharmacy practice agreement" means a written and signed agreement entered into voluntarily between one or more pharmacists licensed pursuant to this article and one or more physicians or advanced practice nurses licensed in this state, which statement grants authority to the pharmacist or pharmacists to provide evidence-based health care services to one or more patients pursuant to a specific treatment protocol delegated to a pharmacist or pharmacists by the physician or advanced practice nurse. (b) A "collaborative pharmacy practice agreement" may also mean a statewide drug therapy protocol developed by the board, the Colorado medical board, and the state board of nursing in collaboration with the department of public health and environment for public health care services. Where before, according to how I read the House Bill, their prescriptive authority was specifically for OTC, and under the sponsorship of a state-run benefits program only. I am still a student, and don't practice yet, but I imagine that even with this limited amount of latitude in prescriptive authority there is plenty of room for error. The bill is below. I am no lawyer, but the language looks vague enough that a pharmacist could be delegated patient visits by a physician, and that pharmacist could 1. evaluate, 2. diagnose, and then 3. prescribe drugs according to a state protocol. Maybe I misread this, like I said, I am no lawyer. However, the potentially dangerous part is with that 2nd task. HOUSE BILL 18-1313 BY REPRESENTATIVE(S) Ginal and Becker J., Winkler; also SENATOR(S) Aguilar and Priola, Crowder, Fields, Gardner, Jahn, Kefalas, Marble, Merrifield, Tate, Todd, Zenzinger. CONCERNING THE ALLOWANCE OF A PHARMACIST TO SERVE AS A PRACTITIONER UNDER CERTAIN CIRCUMSTANCES. Be it enacted by the General Assembly of the State of Colorado: SECTION 1. In Colorado Revised Statutes, 12-42.5-102, amendthe introductory portion, (27), and (32) as follows: 12-42.5-102. Definitions. As used in this article 42.5, unless the context otherwise requires or the term is otherwise defined in another part of this article 42.5: (27) "Pharmaceutical care" means the provision of drug therapy and other pharmaceutical patient care services by a pharmacist intended to achieve outcomes related to the cure or prevention of a disease, elimination or reduction of a patient's symptoms, or arresting or slowing of a disease process. In addition to the preparation, dispensing, and distribution of medications, "pharmaceutical care" may include assessment and evaluation of the patient's medication-related needs and development and communication of a therapeutic plan with defined outcomes in consultation with the patient and the patient's other health care professionals to attain the desired outcome. This function includes efforts to prevent, detect, and resolve medication-related problems for individual patients. "Pharmaceutical care" does not include prescriptive authority; except that a pharmacist may prescribe only over-the-counter medications to a recipient under the "Colorado Medical Assistance Act" as authorized pursuant to section 25.5-5-322 C.R.S. OR PURSUANT TO A COLLABORATIVE PHARMACY PRACTICE AGREEMENT AS DEFINED IN SECTION 12-42.5-601 (1)(b). (32) "Practitioner" means a person authorized by law to prescribe any drug or device, acting within the scope of such authority, INCLUDING A PHARMACIST WHO IS PARTICIPATING WITHIN THE PARAMETERS OF A STATEWIDE DRUG THERAPY PROTOCOL PURSUANT TO A COLLABORATIVE PHARMACY PRACTICE AGREEMENT AS DEFINED IN SECTION 12-42.5-601 (1)(b), OR PRESCRIBING OVER-THE-COUNTER MEDICATIONS PURSUANT TO SECTION 25.5-5-322.
  10. AdamPAS

    What major did you pick for pre-PA?

    Ecology & Evolutionary Biology - CU Boulder, because it was really interesting, the department faculty were much more helpful than the molecular biology or physiology folks, and I was able to graduate a semester earlier than with any other STEM degree I might have chosen. I find that I can use the evolutionary biology framework in thinking through some principles of physiology (all levels from molecular ⇨ organismal), and general biology stuff. However, I probably graduated with more hard science in that degree program than most do. Take into consideration that you can do something that interests you, and your electives can be something like biochemistry. I did this somewhat out of necessity given my many previous failed attempts at undergrad that left me with no science education, a crappy GPA, and no upper-level courses when I went back to school and finally finished. I realized I could get all the necessary stuff that would help in healthcare to fit into a degree program that fulfilled other curiosities. All that said, I was lucky enough to have school paid for with the GI Bill, but still had to work 60-70 hours/week between 3 jobs during school to support my family. So, unless your circumstances allow it, I wouldn't pick something like I did that won't be conducive to a job when you graduate.
  11. AdamPAS


    1. Only in my 3rd semester, but so far most of my studying has been reading/re-reading powerpoint slides, making charts, re-writing notes out on the giant whiteboard I hung in my office, reading textbooks if I did not understand something in the powerpoint slides, and in general, putting in the time. We have 2 exams per week, and for me, each one requires between 15-50 hours of studying depending on the difficulty of the material. I would say I average about 20-25 hours of studying per exam. With that amount of work, I have maintained all A's, so far. 2. Testing is pretty fair. That said, most of the time if someone else thought a question was unfair, chances are they did not think too critically about their answer. If a question is truly unreasonable or was not covered, it is reviewed by the faculty, and test scores are adjusted appropriately. 3. Spent time with family 4. Most who are not successful seem to be those who do the usual things that unsuccessful people do in life (show up late, make excuses, blame others, etc.). However, some find themselves in very unfortunate family situations, and it is their home-life that takes a toll. So a good piece of advice is take care of any baggage you can control before school starts, and remember that life will still happen while you're here. 5. Very doable, just try not to get distracted like I am right now perusing the physicianassistantforum, again...dammit.
  12. AdamPAS

    Altitude sickness

    Not a practicing PA, but just began my Thesis for school on a topic in AMS Diagnosis (admittedly not treatment either). The only prophylactic with good evidence I saw in Wilderness Medical Society’s 2014 CPG’s was, like EMEDPA said, Acetazolamide. Ascent profile is probably one of the most important factors, but of course many need/want to climb higher/faster. For actually treating, Dexamethasone has been a standard go-to.
  13. AdamPAS

    Outrageously High Deposits

    I forked over ~ $700 as a deposit at the first school I was selected for. They were gracious enough to refund that when I decided to go elsewhere, but I had an exception to their deposit policy. I wouldn't ascribe the amount of a deposit as a way for schools to take your money unfairly. I looked pretty recently at the PAEA's annual report, and the vast majority of these schools' budgets come from student tuition. So if you back out and they have an empty seat, all of a sudden they may not be able to pay to have a full, or the right faculty to teach (One of, if not their highest operating expense). This is especially the case regarding all of the private institutions popping up with programs, as they don't receive as much public funding. No doubt, it is a hard bite to chew, but you need to decide if it is worth the gamble. Have they published a deadline for receipt of the deposit? I would wait until last minute for that if you can to see if you get more interview invitations. I remember that feeling of nervousness for months waiting for interviews, acceptance, etc. Think about all the possible outcomes, and whether timing of your entry into the program is your biggest concern. If you turn this school down, and don't get any other offers this application cycle, is waiting one more app cycle worth it to go to a top choice school? I am older than average with a family, so I chose timing, but I think without those factors, my overriding consideration would have been quality (Top-choice Program). Best of luck with your decision, and school!
  14. AdamPAS

    Go for MPH or Paramedic school?

    Your recent grades make the case that you are a hard worker. Judging from your interview feedback, and the fact that you are asking on an internet forum how you should spend potentially thousands of dollars in well-earned money on education you clearly hadn’t originally planned on, I would say that what the admissions committees are looking for is passion. I say that if you work in healthcare already in something you love, keep doing that, work on interviewing skills, and save your money. If you don’t love what you do, then find something you are truly interested in, even if only part-time. If you can do something you’re passionate about, and then relate, or structure your answers to interview questions around that, your interviewers will be truly interested in what you have to say. If they see passion with hard work, you’re in. Don’t spend money on education unless you truly cannot wait to be immersed in that field! Millions of Americans have those debts or regretful expenditures, and you don’t want to be part of that. Keep working hard, pursue some passion(s) you can relate to your desire to be a PA (maybe even volunteering), and then get after it again for the next admissions cycle. The fact that you had applied already 2 years running is a sign to the schools that you are dedicated.
  15. This bill just came up in another thread with some talk about how the AAPA is not doing enough for the profession. Being a student, I had not heard much about it, but decided after reading that thread that I should look it up. I did, and it deserves our support, like the OP in this thread requests! I wrote to my state representative. Thanks to True Anomaly and ProSpectre, who posted in that thread, for motivating this letter. It was said that the AAPA has a template letter to use, but I could not find it. So here is what I wrote, it is attached below. Feel free to copy the words, the ideas, ignore, critique (won't help me much, because it is already sent, but may help those yet to write their letters), or bash. Others stated that under the thread, "Anyone else feel AAPA is doing nothing to help advance PA profession?", that this bill sits virtually unopposed, but let's not take our chances. Also, to the OP, I am sure legislation moves like molasses in winter in most cases, but in the text of this bill, it is written to have effect for services rendered as of July of next year! So hopefully it comes to a vote before they have to amend that. Maybe a few more letters will help get the ball rolling. Letter to Representative Ken Buck on HR 5506.docx

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