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DizzyJ last won the day on November 8 2017

DizzyJ had the most liked content!

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About DizzyJ

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    Physician Assistant

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  1. I just applied for my Alaska license and their process needs some updating.
  2. I've been a preceptor for 11 years and have precepted for my local programs. I have practice experience in multiple specialties and one of which is psych. Not many psych PAs out there.
  3. I've attempted applying for NP teaching positions and never get an interview or am specifically to they can't hire PAs. Sadly, I can't even get my local PA programs to take any interest in my desire to even give a guest lecture.
  4. DizzyJ

    Out of state education/in state job

    It can potentially be a problem. It depends on who is making the decision when reviewing your application. I've applied to states I've never even visited and got a job, but also got passed over for the job because of never being there and not having any ties to the state/area. Where you live at the time of application shouldn't matter, but to some people it does. The time it takes to get licensed in whatever state you are moving also plays a role. I wouldn't let any of the stop you from applying wherever you want to go.
  5. A few years ago an NP colleague and I were both going back for doctorates....guess which one of us got tuition reimbursement?
  6. I just used DSM, Stahl's and uptodate. Between those 3 resources I was able to find everything I needed.
  7. I had the title of Assistant Medical Director before. Currently, Director of Health Services.
  8. DizzyJ

    doing VA disability exams?

    I did them for a few months and the charting, as stated, is awful. Someone would come in with 10 complaints and I just wanted to walk out because it took so much time. Never again.
  9. DizzyJ

    Excuse notes

    I was at a practice (outpatient psych) that charged $100 to fill out short term disability papers and $75 for an off work note. The owner felt "those who really need it will pay the price".....We were to put on the printed discharge to provide patient a work slip for so many days and then they would type up the note and charge the patient. So, I would just type it up and run quickly to the printer to give it to the patient myself.
  10. So, the physician doesn't have to be waivered, but has to be eligible. Would that mean the physician would still need to complete the 24 hours of training to become eligible? They just aren't taking the last step applying for the free x-waiver.
  11. We already have a variety of master's degrees one obtains upon completion of PA school and while it would be nice if we had one unified degree name, we don't, and it doesn't cause any problem now. I've seen MPA, MS, MSBS, MPAS, MMSc, etc....I wish AAPA/ARC-PA/PAEA would get programs to all issue a standard degree like the MSN is for nurses. Anything to get rid of the dreaded masters of physician assistant studies.
  12. Make sure you check hospital bylaws. When I worked inpatient at my main hospital there was no requirement for a physician to see the patient every day. They only needed to co-sign my H&P. If I went over to our other hospital they required a physician to see the patient every day.
  13. I would relax as it was only your first day. You should be getting the feel for how the practice/schedule flows as the surgeon told you. Being that you are a certified PA, hold a license to practice, and presumably having a DEA, you should already be trained on opioids. With such high stakes involved with prescribing opioids, only you can make sure you prescribe them oppropriately. You can discuss safe prescribing with the surgeon and PMR, but it all falls back on you if your name is on the RX. Make sure you are aware of all state requirements when prescribing if there are any restrictions. On a side note.....I think an ortho surgeon seeing a lot of patients for opioid refills and not pre/post-op visits is...well not the norm. In my experience the ortho practice I've been at does ZERO chronic pain managment. Nobody comes in for a refill of an opioid unless they just had surgery. They are referred to pain management if we can't fix them with surgery or injections. It could be nothing, but also could be something.
  14. Tough situation. As stated, your SP should be coming in and examining the patient admitted under their name and you feel is unstable. You’re in a bad spot and I’d make sure your d/c summary states your concerns about discharging too early and risks of suicide. State that your SP and psychologist want her discharged and you’re just following orders basically.

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