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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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  1. I did the Nebraska program in 2008. It was the cheapest and quickest option. I was forced to get a masters if I wanted to be able to prescribe in my state. In Ohio, when we got prescriptive authority, you had to either have a masters or been in practice over 10 years. This has since changed to allow PAs who have been prescribing in other states, without a masters, to be able to prescribe.
  2. The "safe" answer would be no. Not good for a new grad. However, everyone has different life experiences/street smarts. I did outpatient psych for 2 years and only had about 3 hours "training" by shadowing the doc. Then was given an office and a full patient schedule. I had been a PA though for 8 or 9 years at the time. I had a DSM and Stahl's books and used them constantly. I feel my street smarts/life experience/PA career had trained me appropriately to provide safe care as I quickly figured out psych. Could a new grad, with access to an experienced PA on site, figure it out and provide safe psych treatment? Yes it can be possible. However, if you're the type that needs hand holding and lots of time to be comfortable, then it is not a good idea.
  3. I've transferred my DEA to a couple different states. It was simple and done online. So, long as you have an active license that can be confirmed on the medical board website, it was super quick. I think I was mailed a new DEA cert within a week.
  4. If you sign the form, then you are stating he is qualified to drive. You are basing this on another provider's medical exam. Should the driver get into an accident, your the provider who signed the form. So, you really shouldn't sign a new form making it look like you did the exam because you are then liable should it be called into question that he was not eligible for clearance. On a side note...How easy is it really to be held liable should a driver get into an accident so long as you followed the guidelines? As long as you don't pass someone that should have been disqualified or needed to complete the recommended waiting time. Anyone ever been involved in any litigation with DOT exams or know of any cases?
  5. I start with the ED records and move forward in time. No need to work backwards. As you are going through the ED record you should be able to figure out what was ordered and why. Then proceed to admitting H&P and what additional evaluation was put in process. While you need to look at everything, to make sure something wasn't missed, you also need to figure out what you can weed out and not think twice about. You have to look at every lab, image, and progress report. On a patient that has only been there for a day or two, it takes me minutes to get up to speed. However, with you being a new provider, it should take you longer. Being it has only been 3 weeks, you are likely just fine. 3 months down the line, you should have noticed your speed picking up, but it may well take you 6-12 months before you are even feeling comfortable and then another year before you feel like a rock star.
  6. When I did inpatient, my schedule was a rotation of 3 12's week one and 4 12's week 2. The docs did 7 on/7 off. Don't remember the benefits as it has been a few years.
  7. I think that having an MA in clinical psych will certainly make you stand out over another new grad PA without one. Not sure about the curriculum in your MA program, but if it gave you a thorough understanding in the diagnosis of mental health disorders and psychopharmacology, then I think it could be considered as having experience even though you will be a new grad PA. When I worked in outpatient psych I handled hiring new providers. I would have have looked at you as being a better candidate over a new grad and would consider that with pay as well.
  8. I initially did mine (DHSc) because I wanted to teach or go into admin. The cost was about $30k paid over 3 1/2 years. So, not a big hit to take. The benefit. . . personal goal achieved. I'm a high school drop out with a doctorate degree hanging next to my GED (okay, I don't actually have my GED hanging on the wall, but...). When I finished my degree, I approached several local schools to teach. Nobody cared I had a doctorate or that I was interested in teaching. I did end up in admin (private practice), but can't say it was because of having a doctorate that they chose me. It was toward my last 6 months or so finishing my degree that the DMSc starting popping up. So, since I still have 30 years or practice left, I am glad I got it out of the way and won't need to worry down the road should the doctorate become the entry level. I probably wouldn't have to worry any. There are still many PAs out there without a master's degree and they are doing just fine.
  9. I worked at the Clinic before...once my NP manager told me I "wasn't ordering enough cultures" and her response to my question of why we need to order all these cultures was "I don't know, it is just what we do here"...I knew it wasn't for me. I've had mixed responses from PA friends about working for the Clinic.
  10. When I worked in Cali I was paid OT for anything over 8 hours in a day and over 40 hours in a week. This was only because I wasn't said to have an alternative work schedule (i.e. always working 10 hour/12 hour shifts).
  11. They have a PA program, yet can't get the name right. Experience and Education Completion of at least an advanced healthcare degree, e.g. Doctor of Medicine (M.D.), certified nurse practitioner (CNP), certified nurse midwife (CNM), physician's assistant (P.A.), and a minimum of one (1) year of documented clinical experience.
  12. I have a classmate in my state that has been in psych for over a decade and has no issues getting reimbursed for psychotherapy. So, in my state (OH) it is not an issue of reimbursement. I did psych in California and was able to bill for it. However, as stated above, most of these positions are medication management. Psych NPs and PAs, in my experience, are not scheduled sufficient time with the patient to bill for both the medication management and psychotherapy in one visit. Psychotherapy has to be a distinct amount of time separate from the medication management. I don't recall exactly, been out of psych a few years, but my minimum amount of time to bill psychotherapy had to be 16 minutes. Well, being scheduled 4 patients an hour, I didn't have time to do both and stay on schedule. We had therapists in the office for them to schedule 50 minute appointments with. It is not in the best interest of the patient to get psychotherapy from more then one person at the same time.
  13. Former Psych PA here and also found it to be a struggle to find openings for PAs....thus I'm a former psych PA. One practice is constantly hiring, could be a bad sign, but I keep applying and give my little speech about there being no reason, in Ohio, to exclude a PA from consideration. I've pretty much had it was being completely excluded from positions because employers simply don't understand. I applied for a position with UnitedHealth recently. The posting was for an NP, but in the qualifications it said NP, APRN, CNP, or PA-C. So, I apply and get an email from the recruiter to set up an interview. He then responds and says he just realized I'm a PA and not an NP. They can't hire PAs at this time. I kindly respond and ask way. He says "Some states we can use PAC's but Ohio is not one of them currently. CMS gives us direction on this.". I don't know all the ins-and-outs of CMS, but I'm trying to understand why CMS would set what states PAs can work for UnitedHealth or not. I reply with some information about us both having an NPI and both can get reimbursed from CMS. I worked side-by-side with an NP in acute-rehab and CMS paid is both the same. He responds back now stating that his director of clinical operations told him PAs can't be used in Ohio because the nursing board says LPNs can't take orders from a PA...To which I provided him a document, from the nursing board, specifically stating LPNs can take orders from PAs, and asked him to kindly give that to his director. I'm sure they will be calling me with a job offer any time now HAHA
  14. It would likely be you following someone around for a few hours/day and just see how you interact with them and patients and how they interact with you. Less likely to be where you are actually seeing patients independently.
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