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primadonna22274 last won the day on August 15 2017

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About primadonna22274

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    Physician and PA-C

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  1. Hi, 

    I was just accepted into the upcoming APAP class. Can I send you a message somehow? 




  2. I rarely check the boards anymore. But, since you asked.... None of the APAP folks have had any difficulty matching to residency of their choice. What you want to do can be accomplished by FM or IM with sports med fellowship, but might be best achieved with PMR with or without sports med fellowship. I’m thankful every day that I went back when I did. I am happier and more fulfilled as a physician where the buck really does stop with me. Good luck! Lisa Sent from my iPhone using Tapatalk
  3. hi. my name is Jill. i just did interview at lecom today. ive been a pa for 7 years, am 32, married w 3 children. i read that u worked some through school. would u mind sharing how much u worked? im currently used to working a full time job and 2 part times... do u think working a shift per week would be doable? Thanks! Jill 

  4. Last I checked there were 19 PA programs in that small state...it's probably more like 20-22 now. Sent from my iPhone using Tapatalk
  5. I think it folded quite some time ago, but I've lost track. It's sad though because they had a good model and people came out well-prepared and respected. As all things in PA residency go, the funding dried up. Sent from my iPhone using Tapatalk
  6. Not likely eligible for deferral unless significant extenuating circumstances. You would reapply. Sent from my iPhone using Tapatalk
  7. The way I read the proposal, it's specifically designed to be exclusive. Likely whoever wrote it has a vested interest in this--it makes some shred of sense to me that the proposal is intended to extend independence to PAs who have completed advanced clinical training, unlike a DHSc. The sticky wicket here is what about all those highly trained residency grads who have loads of experience but only a certificate to show for it? Sent from my iPhone using Tapatalk
  8. LECOM does have a reputation of being rigid. Can't argue with their results though. Go anywhere you want, but don't expect an established program that's worked the way it's worked for 25 years to accommodate you. Sent from my iPhone using Tapatalk
  9. There is an art to telling patients frankly that their lifestyle is directly harming their health. It can and should be done without shame--but this requires a respectful discussion. I like to ask directly: how do you think your weight impacts your knee pain? I have had blank stares from a few folks who honestly never put 2+2 together, but most people tell me they know it's not good. What you don't do is what I used to say in my younger and less tactful days (INTJ me, sorry lol): "The human body was not designed to carry the weight of three people on one set of knees". I used that line a few t
  10. This is interesting. Semantics, though: Doctorate of Medical Science (DMS), not Doctorate of Medicine. The distinction is important because the training is different. I will watch this with interest. Sent from my iPhone using Tapatalk
  11. Mandatory attendance for lecture pathway (I found I learned best this way). PBL and IDP require less time in seat but much more reading and if you fall behind, you are toast. Must not miss mandatory meetings and there is always OMM which is non-negotiable. Anybody who expects to work even half-time in any clinical capacity and is found to miss class obligations will be canned. Would you take that risk at 50+k/yr? I wouldn't. Sent from my iPhone using Tapatalk
  12. Marriage did not last but for many other reasons. Me pursuing APAP was only a small part of many other difficulties. One could argue that I sacrificed home life for career. For me, that was the right choice, but I don't have kids. Sent from my iPhone using Tapatalk
  13. Yes, but difficult. I had a hard time finding work the first year at all--Hamot ED never got back to me and St Vincent's ED wanted full time only. Urgent care was scant at the time (I think there was only a MedXpress and I didn't like their concept at all). PA pay was far lower than I was accustomed to as the area is saturated with 22yo who will work for 30/hr. I did teach a physical diagnosis class for the PA program and that provided a small amount of income and I enjoys it. Really I had no business working M1 anyway as that was the most challenging time academically. I ended up making my f
  14. I support collaborative practice over the supervision model. I would like to see this evolution in the next decade. I truly believe it's possible. Sent from my iPhone using Tapatalk
  15. Hockey player: Proud of you for getting through so far. Remind me, are you M2 or M3? Don't remember...life has moved so fast since I started this journey in 2008-2009. I haven't had much time the past three years of residency to peruse the PA forums. When I do look, I am chagrined to see that there seems to be a rather vocal representation of the "primary care doesn't need a doctor" mentality. Let me tell you about my typical day as a primary care physician. Take just a half day of clinic. I have 10-12 patients, average age 68, with no less than three and generally 5 or more overlapping an
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