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Joelseff

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Joelseff last won the day on April 4 2019

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About Joelseff

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    GI/Hepatology PA

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    Physician Assistant

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  1. Kind of my point [emoji4] Sent from my SM-G975U using Tapatalk
  2. I have precepted for 2 PA programs and 3 NP programs. I think it depends on their school and their previous experience. My PA students on average are prepared well for rotations. The NP students were more variable but with a little extra tutelage on patho, phramco etc, I thought did pretty well but I will say my BEST student (I actually had her replace me when I left my last job) was an NP... But... She was an MD in the Philippines and an RN for a couple years here[emoji4] and quite frankly she admittedly relied more on that experience and knowledge than what she learned in school. My best PA student was a previous RT and attended a top school. I have had some previous scribes come through and as far as basic clinical sciences got that down pretty well. They needed a little more guidance on taking a reliable hx and also on clinical skills but in the end did well. Sent from my SM-G975U using Tapatalk
  3. https://www.aapa.org/news-central/2019/12/your-top-questions-about-the-title-change-investigation-survey-answered/ Here is an update from aapa. Found it in my LinkedIn... It discusses why Medical Practitioner was ruled out...(Spoiler Alert: for the reasons we have already expressed here...) Sent from my SM-G975U using Tapatalk
  4. I think so too... Deja Vu? I better take my Keppra. [emoji23] Sent from my SM-G975U using Tapatalk
  5. They wanted my carrier and if I knew my policy number. I thought it was weird. I called my insurance carrier when I got back and they said some states don't cover professionals under good Sam laws and that might be why they asked... I dunno. Sent from my SM-G975U using Tapatalk
  6. This same thing happened to me about 10 yrs ago from SF to Honolulu. They asked for a "Doctor" over the PA system (another problem with our initials lol) and no one stepped up so I said I was a PA. Got the "Whats that?" I said I practiced Medicine. They said "like a doctor?" I said "something like that, now, how can I help?" Apparently, A guy went on a binge drinking spree and was really sick midflight. Long story short he was dehydrated and pickled so I gave him a few bags of fluids via IV which they had in the plane, EKG was NL which they also had on the plane! and he felt much better. A nurse and EMT came up after and asked if they could help and then this Plastic Surgeon came up. This was when the Pt was already stable. I had the surgeon talk to the Hawaiian airlines office on the phone because they were asking for my malpractice insurance. I said "Hang on there's a doctor here" and handed the surgeon the phone. Lol. It all ended well. We didn't have to divert the flight and paramedics took the guy when we landed. I missed my movie and meal. All i got from Hawaiian Airlines was a pre-written form letter and no voucher lol. Sent from my SM-G975U using Tapatalk
  7. Off topic but regarding TRT: The key term in TRT is "REPLACEMENT" but some pts want above NL levels so they can juice up. I used to be an HIV specialist and had many pts with Low T because of the virus or their meds. I REPLETED a lot of pts and kept them at NL levels usually with topicals that prevented peak and trough effects. A few wanted to get juiced but I would educate them and tell them I was not there for them to look like an Adonis but to restore normal testosterone levels. I would routinely check T levels and adjust the dose or hold med if they were too high. The topicals were good for this if they stayed within the dose. If a Pt was on injection then I switched them to gel, some would complain because they don't get that initial boost from the injection (which usually comes because they were in a trough level the few days before the next injection) but they would not have the trough effect either so I would educate them on why they don't get the "testosterone high." Sent from my SM-G975U using Tapatalk
  8. I'm hanging in there Bro. Been a long time. Sent from my SM-G975U using Tapatalk
  9. Check with CAPA though but it is my understanding that it does not allow us to "hang our own shingle." It won't change corporate laws which govern who can own a practice. It really just removes certain restrictions in what we can do in a practice setting and removes us from being attached to a specific physician in our practice. The DSA is replaced with a practice agreement which is between the PA and the practice not a CP/SP. I want to clarify that this is NOT OTP. It's just some parts of OTP. Hopefully get OTP or more of it I'm the coming years. It does put us in parity with the NP practice regs in California. Sent from my SM-G975U using Tapatalk
  10. I work IN GI too... Outpatient. Our group covers two hospitals but only the Docs do...for now... I would ask for time and half pay for the weekends and an equivalent day off during the week and would have in writing that they can only schedule you for weekends only once or twice per month and it would require advanced notice. Sent from my SM-G975U using Tapatalk
  11. Here's one! [emoji16] https://www.yourdictionary.com/medician medician Noun (plural medicians) (chiefly in science fiction) A physician, a medical doctor; a medic. Origin Perhaps a blend of medic and physician. Sent from my SM-G975U using Tapatalk
  12. [emoji23] Allopractitionacticator Sent from my SM-G975U using Tapatalk
  13. What about "Allopractor?" [emoji848][emoji52] Sent from my SM-G975U using Tapatalk
  14. That's like Realtor[emoji2400] totally made up but now every RE agent is called Realtor[emoji2400] whether they are one or not. Sent from my SM-G975U using Tapatalk
  15. Well, judging from the response to those names here and in the huddle I don't think anyone voted for them lol. I had to read it a few times and after the survey thought it was "Praxian" which sounds like a Star Trek alien race... Clinicist had some logic but was still very off the mark. With those choices, it looks like the purpose was to corner us into the two choices of MCP and Physician Associate. I posted before about why Medical Practitioner is unlikely allowable (legality etc) thus the "Care" being added. Physician Associate should have been expected in any Title change conversation/survey. I'm waiting for the end result. If anyone remembers I have always been for a title change and I, for one, am excited. I see the glass as half full like most PAs, though some here and on the huddle act/post like that the glass is half full of piss [emoji23] Sent from my SM-G975U using Tapatalk
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