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tool man

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tool man last won the day on August 5 2014

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  1. Hello Tool man, 

    I came across your post on "Advice for Students Beginning Physician Assistant School." Thank you for the post, I have learned  A LOT from it  and have signed up for the PA forum to learn more.

    I did think to ask.. " Do you know of or can you recommend any Video PANCE lectures that goes through each modules?" NPs have these resources from CDs, books, and video lectures for eaxh modules.  I am finding hard to come across one. 

    Hope to hear from you soon,

    Thank you




  2. Lisnek, Don't go by what you were taught in school. Don't go by what you heard on rotations. Generally, go right to Sanford's. It gives 1st, 2nd, 3rd choice of drugs. If someone gives you sh*t...tell em to look it up in Sanford's themselves. That usually shuts people up. Exception is if you know your SP prefers one drug or another for common things, I always tailor which drugs I write for by which doc is going to review the chart. One doc I work with doesn't like Hydralazine, the other doc likes hydralazine. If you're like some people here who get 1 out of 10 charts reviewed, then just go by Sanford's and it would be pretty easy to defend your position if you were every named in a law suit.
  3. Sorry MaryFran still reading at a forth grade level. The other good thing about experience in Hospital Medicine/Critical Care is it looks great on your resume. You're regularly managing CHF, ACS, COPD, DM, CRF, GIB's, s/p surgery, PNA.... If you can do all that, it's a lot easier to get another job
  4. Do I like it? Depends what time you ask me. The wonders of modern medicine have people living MUUUCCCHHH longer than they should have, and they lose what ever part of them made them human. Much of Hospital medicine is just nursing home medicine. Endlessly admitting the same gomer you admitted last month...and the month before that...and the month before that. Endlessly filling out forms. And all the discharge nurses and social workers are also enlessly filling out their forms. Now that we've got people living longer....we don't know what to do with them. You're job.......is to take what you learn from the gomers.....and not be so braindead....that when 35 y/o father of 3 comes in clinging to life....you know what to do from your Internal Medicine skills you've developed. When you actually end up saving someone, who is actually save-able...it's a rush...and makes the next gomer more palatable and makes you love your job. Clinic... people are there and gone in 15 minutes. ER... there and gone in 2 hours, but in hospital medicine you actually get time to know your patients(some say that's a bad thing). There are some pts that you grow to love but you know they're gonna die, and there's nothing you can do about it but try to give some comfort. And when they die, it's a strange feeling. You feel like you actually did something, but lost, but still you feel some kind of satisfaction that you did something important. I don't know how to explain it. It can be very satisfying.
  5. I'm amazed no one's said Up-to-date yet. It's what Mrs Toolman uses. It's what every doc on our floors (who can tell sh*t from shinola) uses. Concise, always updated, completely evidence based. When other docs see you reading it on some screen on the floor...there's some reverance. http://www.uptodate.com/ "damn...Tool man's reading Up to date. He must not be as dumb as he looks."
  6. I would go with EMED's advice. It's not so much about money as it is about T..E.A..C..H..I..N..G. Take a 1st job where you're with a doc who is 1) a good teacher 2) will take the time to teach. Money will come after knowledge arrives. High pay with little knowledge is a recipe for major frustration by everyone.
  7. just depends on the school, and how lazy the teachers are about writing new tests each year. At the med school I was at for doctoral program, you could go into the office and see every med school test they ever gave on any subject, make copies or whatever. The secretaries would cull them each year, but I recall looking at tests as far back as 1988. PA school can be a little juvenile at times. They covet to be like a med school but then wimp out, so it turns out like a hard High School with endless threats..."If you don't then we're gonna....". At times it's really sad and pathetic.
  8. I never found study groups to be that helpful, but I can see how some people do like them. Like I say, my style is test banks. Within each question is a stem fact that for some reason wasn't apparent when I just read the book.
  9. It's a mixture of terminology and explanations of what's envolved.
  10. 5 minute clin consult Signs and Symptoms ABC's of Lab Data Netter's Diagnosaurus Dr. Drugs and any abbreviation dictionary
  11. I don't think I listed this book The language of medicine It's a great book to go through a couple of months before PA school starts. Don't worry about review books if you're not in classes yet. Those books are only good if you're about to take a test on, say, cardiology, you go into the review books and go through the cardiology questions. That's why it's good to have a lot of review books, because it doesn't take long to go through 50 questions.
  12. also, give your preceptor some space. It's annoying to have someone in your backpocket the entire day. Asking 69,000 questions. If you have a question that can be looked up...then look it up yourself. If your preceptor has to get paper work done, don't bug him/her. Read 5 minute CC or look up some of the things you wrote down in your notebook.
  13. It's good to carry a notebook with you. If you don't know a word, open you notebook and write it down to look up later. If your preceptor had a teaching point, write it down, so if he/she asks you 2 weeks later, you've had time to look at the point occasionally and will remember. Nothing frustrates preceptors more than when they ask you the same question they asked you two weeks ago...and you still don't remember the answer.
  14. what a HUGE topic. It's overwhelming
  15. I found a couple of books in the library last month. I guess someone already beat me to my 'most commons' book...dang Most Commons in Medicine click the name for web page Most Common Manual Also, here is a great web site. Check out the 'Medical Diagrams' section. I've loaded those into my PDA. Flash-Med.com
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