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surgblumm

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surgblumm last won the day on August 18 2019

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About surgblumm

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  1. I agree with the first half of your observation with the exception of wanting no supervision. As an experienced PA, I know the limitations of some of my colleagues and lack of supervision can be a goal after five to seven years of practice which is similar to a residency. I feel their is a very decreased application of physical exam skills being practiced in all of the medical professions, from physicians, residents, medical school students as well as PAs and NPs. As a seventy year old I am both concerned and fightened as I feel that I came from the golden stage of medicine having practiced fo
  2. Sage Advice for New Graduates Robert M. Blumm, PA-C Emeritus, DFAAPA Congratulations! Many of you will be graduating from your PA & NP programs in the coming months. You are about to set out on a clinical career journey that could be as long as forty years. A few years ago, my wife and I planned a trip to Italy where we would visit all of the sights of Rome and Florence. Twelve days in Europe was a gift to ourselves - for me after many years of practice and for her, a lifetime of teaching Humanities to high school students. Our journey started six months before
  3. Sage Advice for New Graduates Robert M. Blumm, PA-C Emeritus, DFAAPA Congratulations! Many of you will be graduating from your PA & NP programs in the coming months. You are about to set out on a clinical career journey that could be as long as forty years. A few years ago, my wife and I planned a trip to Italy where we would visit all of the sights of Rome and Florence. Twelve days in Europe was a gift to ourselves - for me after many years of practice and for her, a lifetime of teaching Humanities to high school students. Our journey started s
  4. Sage Advice for New Graduates Robert M. Blumm, PA-C Emeritus, DFAAPA Congratulations! Many of you will be graduating from your PA & NP programs in the coming months. You are about to set out on a clinical career journey that could be as long as forty years. A few years ago, my wife and I planned a trip to Italy where we would visit all of the sights of Rome and Florence. Twelve days in Europe was a gift to ourselves - for me after many years of practice and for her, a lifetime of teaching Humanities to high school students. Our journey started six months before
  5. All of the comments that suggest leaving now are good choices. start simply in something like Urgent Care, learn how to treat varied medical problems and in a place with supervision by either a PA who has experience or a Doc. You can make this fun but you need to start slowly.
  6. Great idea and a plan for implementation. The conferences will be difficult because they need to be approved by the AAPA and this is not clinical but I have gotten a few of these on the agenda. Good luck. BTW - it's been 25 years and I think I still have some of the original articles that I wrote. Too many leaders were too busy shining the buttocks of the AMA.
  7. Are we not stressed enough in our lives that we need our professional organizations to wordsmith letters of fear and confusion? Yes, someone needs to be held accountable and it is probably an overinflated ego of someone in middle management. Send a letter to someone that can correct this, Dawn Martin Rios.
  8. Future Standards for PAs and NPs Bob Blumm, PA, DFAAPA, PA-C Emeritus Standards: it seems as if everyone is talking about them today. We are either creating standards, improving standards, setting new standards or raising standards. Ultimately, as decades pass, standards grow, and this seems appropriate considering the health care needs in the United States and our world standing in that sphere. Like most Americans, I had always assumed that we were naturally - Number One - but was disheartened to discover that my assumptions were grounded in my patriotism and not in evide
  9. They are difficult to enforce and win but I love a state that makes them obsolete.
  10. This is still one of the most profound posts on our site. I have sent this out as a forward to hundreds of PAs who do not utilize the site or who have not seen it, but their questions demonstrate that they need to hear it.
  11. I have noticed the same thing when I go to a few social media sites. Leadership on any level in professional associations and in churches and other religious institutions usually average 4%. Involvement in the PA profession is probably 10 % due to the new PAs but we seem to be missing the boat. I, too, have spoken with colleagues who recognize my name on social media sites and have read one or more of my articles but they rarely, if ever, comment. I guess we will never get gratification from our attempts to make this a more cohesive and unifying profession. Name change is our largest issue of
  12. More than fifty years of serving patients in these United States. With so much history, it is more than a damn shame that we are the most unrecognized clinicians in healthcare today. Yes, we are the ASSISTANT and its killing us,
  13. I had this when I was hospitalized for Covid-19. They only used asclutation of my lungs and a NA brought in the TV and placed the stethoscope. Frankly, I was very disappointed. I did not see an NP or PA for the five days in the hospital and I did not see a physician. They knew I had a 42 bradycardia but no living person entered my room to listen to my heart. While the physician on the other side of the TV was talking to me she was interrupted by someone to read a chart for a fifteen second portion of time. I think this is the most impersonal manner to receive healthcare and a person can no lon
  14. I agree with the comments concerning the time involved and the voluminous records to search through particularly when you have a guy like me who was Vietnam Era, Agent Orange heavy exposure, wounds, and many jumps which jar the skeletal system. I waited until about fifteen years ago and it took many years to have them make decisions about things like hearing , regardless of the fact I had many encounters with explosives I never complained about hearing when discharged as what 21 year old does? My lung nodules were from 9/11 so that was also tossed but the Agent Orange was responsible for
  15. I would not be complaining after doing such a short job search. Read the literature: Some PAs find a job within a few weeks and others up to six months. This is why I encouraged my students to shine during their rotations because that person or department may be a future employer.
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