andersenpa

Too generous, E! Last time I did the Kaplan test bank and looked up the stuff I got wrong Honestly I'm thinking about ignoring peds and taking that section cold I'm so out of the loop on recert (given how irrelevant it is to real life practice), I figured some young sharp PAs here would know the latest resources on the interwebs. But I will take your advice to heart.... M

Hello all, Recert time again. Lots more online reviews/Q banks etc available. Any recommendations? Medchallenger, myCME, Rosh....help me out here folks. -A

Wrong. I can speak on this as I have worked in both environments. If YOU have that same experience, let us know how they were different. The educational environment and support system in place for residency far exceeds that in OTJ training.

My experience is that first few years of work is not residency-minus-the-low-pay. Well structured postgrad programs have a didactic component, heavy faculty support, and an educational focus that is not present in a traditional PA staff position. I have heard for years about the residency urban legends- one yr residency = 3-5 yrs "regular work" experience, higher salaries, etc. I've never seen data on it. If you haven't talked to APPAP they would be the best source of info.

PAs do not need the tether of a state-endorsed supervisory relationship. It is a top-down mandate that has no evidence basis and is not being clamored for the any group other than the state medical commissions/physician groups. Oh, and OK plenty of backward-thinking PAs. If you as a PA aren't willing to accept professional responsibility for your malpractice-covered actions, then maybe you shouldn't be in medicine. I wouldn't link the need for professional stewardship with financial reward. I understand your point but it is easy to accuse that argument of being ONLY financially based, which invalidates ANY of the principle PAs are endorsing with a goal of striking out "supervision"

Easy. Get rid of supervision. Independent license. Let all scope determinations be made at the level of the practice.

10 demerits for using the word "betwixt"

I may be out of the loop here but did anyone see this? https://www.aapa.org/workarea/downloadasset.aspx?id=548 http://www.nxtbook.com/nxtbooks/aapa/paprofessional_201508/#/9 AAPA model legislation document endorsing collaboration as the descriptive term (that's the old news), but also that 1) PAs are not required to document their collaborating physician with the state and 2) states develop an independent PA board which can be exclusively PA led? This is a pretty progressive document and seems to mirror NP practice acts for all the big things PAs have been asking for. Pasted summary below: The updated model state legislation proposes an administrative process in which a PA presents his or her credentials to a state regulatory agency and receives a license in return. The license is renewable, based on meeting state requirements. The model legislation does not propose that the regulatory authority approve or register collaborating physicians. Any licensed physician or group of physicians (MD or DO) may collaborate with a PA unless the physician’s ability to collaborate has been limited by disciplinary action. The scope of PA practice under the model legislation is determined by what is within the PA’s skills, education and experience. Language describing PA scope of practice being determined by physician delegation has been deleted. The model legislation authorizes PA prescriptive authority, including controlled substances in Schedules II through V, as well as limited dispensing authority. In modernizing the model legislation language, requiring the collaborating physician to assume responsibility for care provided by the PA was removed. Rather, the PA is responsible for their professional actions. The new model also removes the concept that a PA should be considered the “agent” of a physician. In the past, rather than amending health law outside the PA practice act, PAs sought to be able to perform specific regulated medical and surgical tasks as the “agent” of a physician. Current advocacy efforts seek to have PAs specifically named in all relevant health law, removing the need for “agency” language. It is stated quite clearly in the model legislation that a physician need not be physically present as long as the PA and physician can contact one another easily. The details of collaboration are left to the PA physician team. Augmenting previous language that removed the requirement that PAs practice with physician collaboration when responding to a disaster situation, the new model state legislation extends the same authorization to PAs who are participating in volunteer activities. The new model legislation presents a list of options for regulatory models, with the preferred option being a separate and independent PA board. Because the revisions to the AAPA model legislation were adopted in May 2015, they are not yet extensively reflected in current state laws and regulations. Advocacy projects to adopt the modernized model law are underway across the country.

rule #1- don't read the machine's interpretation on the printout.

thebesian (coronary sinus) eustachian (IVC) although a snarky CTS PA would say the 2 bioprosthetic valve replacements at the aortic and mitral position!

I love the photo of him too Basically sitting there saying "Yeah, that's right....."

Great story. Looking fwd to sharing it with the rest of my surgical group!

We've been using it now for over a year (got P&T approval mentioned in the OP) We will be looking at before and after opioid use as well as other metrics (ICU LOS, delirium, mortality, etc)

Your hypothetical is working as a hospitalist. Let them take the general med PANRE. That covers hospitalist and FP pretty well. If people want to continue to take the generalist PANRE then so be it, to cover all their bases (as well as that exam can cover them). I work in CT surgery. I get VERY little clinical yield out ofthe current PANRE. Instead of worrying about how to make specialty exams work for PAs who jump specialties, I ask what is NCCPA doing to serve the specialty PAs who are indedicated practice for many years. I should not need to take 2 exams (PANRE and CT Surg CAQ) when the first one is nearly meaningless.

Well, two things. First, re: the article I linked, it would have been nice to see one of the PAs from the Association of PAs in Psychiatry making comment on an issue regarding their specialty. Second, take an NCCPA staffer pushing the CAQ with a grain of salt. There's a reason speakers need to disclose their relationships before a talk! CAQ, if they wanted to do it right by PAs, should be THE primary recert tool, NOT PANRE. I agree w. you that we need to document competency (knowledge base is an element of competency). If they obviated the USELESS PANRE then the $300 CAQ wouldn't be such a big deal.