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surgblumm

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Everything posted by surgblumm

  1. We recently passed legislation in the HOD that advocates for a name change and the Academy is going to endorse it, but what are we doing to advocate for ourselves with this new piece of PR? When you graduate you proclaim it to the world. When you become married you are filled with happiness and announce it to everyone. when you have a new baby you create excitement for your family and friends. When NPs started getting FPA they shared it with each other, with all of the medical boards and with institutions that hire them They were proud, excited and fearless and we see the result from their TV
  2. AS I have surfed the social network PA sites, I have seen a number of people who do not understand that this is not our name yet. I don't need to preach to the choir as to what must be done between now and the official title change. I don't know what the Academy or any other leader can do but what has already been done. I would warn PAs not to use the title on their lab coats where they are giving patients the idea that they are more than a assistant until their state ratifies the change. I know I must be redundant.
  3. I think you have a nice deal and M-F eight hours a day is a gift to someone like me who normally worked 80 hours a week or more. You will need to bone up on your hepatology while you give your current practice notice. Their expectations should not be high for a transition but your previous work as a hospitalist , will be invaluable. Go for it!
  4. Looking at your four specialties, I would advise with one reservation on all but emergency medicine. I think your employer will need to know that you are a novice and be willing to give you OJT and a bit more supervision. For UC you need to be able to suture wounds well, read fracture radiographs and chest films at the least. EM is a tough nut unless they are willing to place you in Fast Track with another PA for a few months. I always ask this question when answering about the ER;" would you want someone with your experience to be making decisions on your children or loved ones? Simple things
  5. Between SAS and Ventana, you filled in the information needed. I fail to accept the fact that so many of our colleagues are totally ignorant of the legislative aspects of medicine, particularly when it comes to NPS and PAs. I can praise the legislative savvy of many NPs all day but unfortunately we have too many ostriches with the credentials but not the understanding. That my friends is how physicians and administrators take the game ball.
  6. In reference to Scott's last post----Remember Samson. And the pillars did fall!
  7. Online courses are superb and can be watched or read at your speed and with interruption if you wish. SEMPA is the best conference for those in ER medicine as is Emergency Medicine Boot Camp. The APACVS is the best conference for Cardiac PAs and the preparation for PANRE courses is plentiful, I started Steve's course and do not need to pass PANRE because I am retired. Forget the cost of a program, add food, travel and hotel and you could be on a beach with your spouse drinking Pinacoladas and soaking up rays with a good sunscreen. IMHO.
  8. If this were our marriages, we would be giving our histories a toss to the wind too quickly. I have been at odds with many of the AAPA's opinions for decades but still maintain my voice in this marriage. I am a founder of PAFT and would not divorce this group so quickly. Do we pull the plug on sepsis or do we do our best to resuscitate? I call for some patience as we need to see how it plays out and what a new PAFT BOD can add to the mix. It changes from when it was created and will continue to be in a metamorphosis.
  9. Unless I am wrong, and I think I am correct, regardless of the HOD vote, it will still remain the vote of the AAPA BOD to make this a reality. All of the other arguments have been made over the past twenty five years and are, in my opinion, invalid. And to add to others, who gives a damn what the physicians of AMA think? We need to stand up as a profession like most of the girlie NPs who accomplished their goals.
  10. Thanks for the input. Although I am on a dozen PA networks and manage to keep my finger on the pulse, I am however not in the job search realm. In times past an experienced PA in any specialty had the opportunity to pick and choose, yet today physicians and hospital employers do not seem to be interested in excellence but rather in filling slots and using a person that does not require supervision. I have also noticed a real downtrend in the capabilities and the examination by many providers such as physicians and PAs. I was so disillusioned last week after presenting with a cough of thre
  11. This remains the best advice but many of you are so eager to get employment that you throw this advice to the wind. do the math, it's simple and it demonstrates that it is costly. When you get a contract it is better to bring it to an attorney that specializes in this area and get an opinion that IS better than social media.
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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.
  17. 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.
  18. 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.
  19. 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
  20. They are difficult to enforce and win but I love a state that makes them obsolete.
  21. 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.
  22. 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
  23. 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,
  24. 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
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