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haeriphos

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About haeriphos

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  1. I just started mine, have done 10 of the questions so far and they're pretty straightforward. I was worried that they would allow someone unfamiliar with the content to just google the answer but I don't get the sense that would work very well. Uptodate is great for confirming an answer or narrowing in on the specifics, but if you're clueless on the question then you probably aren't going to figure it out in the few minutes you have allotted. This is my first PANRE so I don't have anything to compare it to. I've also worked in quite a few different areas of medicine which means I'm definitely not an expert on any of them. Despite that, I haven't had any problem answering them so far. I really like being able to do a handful at a time over the quarter but I wish you could work ahead into future quarters. Doing this for two years is a little daunting.
  2. Sir, have you considered corrections medicine? You sound like just the kind of person we're looking for!
  3. The transition is easier if you're already working in an agency with an eligible position. For example, in the Bureau of Prisons we have many clinicians who start as Civil Service employees and then convert to PHS when recruitment opens up. It's also possible to advance within your agency through both program and geographical moves.
  4. Don't forget our brothers and sisters in the NOAA Corps. Though there are only a few hundred of them they are also a uniformed service.
  5. If you accept your conditional offer then you'll begin the process of commissioning. It involves interviewing with the agency, passing a physical exam (health exam not physical fitness test) and medical history, and undergoing a thorough background investigation. Your paperwork will go before some boards within the USPHS and, after everyone signs off, you'll be commissioned. My entire process from start to finish took just under six months but there are many variables, so yours could be shorter or longer.
  6. I spotted this nice little blurb in one of our regional papers. There's obviously some confusion about his title as they refer to him as "Dr." but I looked him up on Mayo Health System's website and confirmed he's a PA. Janesville residents hope to bring about Mayo Clinic doc's return A petition which sat in the offices of nine local businesses for three days, received over 320 supportive signatures. Residents in Janesville let their voices be heard, hoping to make a change in the Janesville community. At the Oct. 15 Janesville City Council meeting council members discussed residents’ passion for a certain Janesville doctor. “He did things for the people of Janesville that we haven’t seen in a long time,” said Janesville community member Al Buhler. Buhler and Janesville resident Gary Cummins spoke at the Sept. 22 City Council meeting, telling the council of their desire to bring Dr. Ken Bentson back into the community. Bentson served as the physician assistant at the Janesville Clinic for four years before transferring to the St. James Mayo Clinic location. Cummins said they like the current doctor, Dr. Jeff Wheeler, however, many patients had a connection with Bentson. According to Mike Santo, who spoke with staff at Mayo Clinic Health System, Wheeler is leaving the Janesville location and relocating to a different Mayo Clinic by the first of the year. Mayo Clinic Health Department spokesman Micah Dorfner confirmed Wheeler's departure. Wheeler joined the Janesville clinic staff in July. While the council doesn't have the authority to tell Mayo Clinic Health System who to hire, council members decided to table the discussion until the Oct. 15 meeting. The council will then consider writing a letter supporting Bentson's return. “We have heard that Mayo is possibly considering bringing Ken back at either a part-time or full-time position as a doctor and we don’t know if that is partly because of the petition that was signed,” Santo said at the Oct. 15 meeting. According Dorfner, there will still be coverage once Wheeler leaves Janesville. "We have nurse practitioner starting in Janesville in January or February and we're still looking at getting a physician there as well," said Dorfner. http://www.southernminn.com/janesville_argus/news/article_5fd51fa7-82a9-5dac-aaa8-f00a8065ca45.html
  7. I think I'll throw my .02 in here as well. Like emfdj, I also work for the BOP. While he works at a pen, I work at a medical center; this is a very different environment. The medical centers are somewhere in-between a SNF and a hospital. My facility has, for the most part, great staff. The COs (correctional officers -- NOT guards) are happy to work there, there's a nice mix of nursing (new grad to the indispensable nurse you always hope is working), and our docs and midlevels are all very competent and approachable. In my opinion, it's a great place to work. But, like any job, there are high points and low points. Things I like: No coding. I use ICD-9 to track my diagnoses but I don't have to bill level of service or worry about reimbursement. My patients are going to be there tomorrow. No rush to discharge. If I get to you today, great... if not, I'll get to you tomorrow. If my patient starts getting inappropriate I can order him out of my exam room and there will be consequences for him. I feel very safe. Some of the inmates will have shanks on them but I don't need to worry about a gun coming into my exam room. And there's always a CO or two just down the hall. And I have a radio. And wicked ninja moves. If you get in trouble, everyone will run to help you. Even that guy that won't give you the time of day outside work. Lots of opportunities for non-healthcare collateral duties. Things that are frustrating: It's the federal government. You are a cog in the machine. Don't expect that your ideas for process improvement will be welcomed with open arms. Co-signs required for all controlled substances, most abusable substances, and anything that costs money. I can write for vancomycin all day long, but I need a cosign for Augmentin and omeprazole! Outside of a medical center you will be flying solo or close to it. I have lots of support at my facility but I've covered a pen before. When I showed up for my first day at the pen, I was the only one in medical. Good thing I remembered where the EKG leads went... ( I <3 nurses) Pharmacy has a lot of control over your treatments. There are many rules for when you can and cannot prescribe certain medications and they are the enforcers of those rules. Just like the inmates, you can become institutionalized as well. I'm going to try to pick up a retail clinic gig on weekends just so I remember how to act appropriately with people who aren't felons. The pay is atrocious for new graduates. If you want to do correctional medicine, go work somewhere else for 1 - 2 years and then call up BOP. You'll get a MUCH better salary than if you start at the prison and work there for those 1 - 2 years. It's just how the GS pay scale works. Even better, do what I did: www.usphs.gov I'll say that my experience has been amazing so far. I've worked behavioral health, "family medicine" as much as you can call it that in a prison, urgent care, long term care, and now I'm on an internal medicine rehab floor. I've taken care of two patients with Hansen's Disease, have a large panel of chronic HCV and HIV guys, many paraplegics, etc. Many of these guys have never had healthcare before they came to prison and it shows. I also get to work with some amazing people inside my facility (wound care consultant for the BOP for example) as well as learn from some of the top specialists in one of the highest rated hospitals in the country. For me, this was an excellent job to take right out of school. Feel free to message me with any questions about correction medicine or commissioning with the USPHS.
  8. Your rank is based on your education and applicable work experience. For example, a new grad PA with a masters degree will receive 6 years of credit which puts you at O-2. O-3 requires eight years, which is the credit you would receive for a doctoral degree, pharmD, MD, etc. I believe that if you joined the Corps as a PA with at least two years of professional experience you would be promoted to O-3. Currently, the only profession that can enter the service at a rank higher than O-3 are physicians, unless you have prior active duty uniformed service experience in a grade of O-4 or higher. Disclaimer: I'm a USPHS officer, but I do not determine your rank. Don't take what I say as a guarantee of what rank you will or will not be assigned.
  9. You, in most surprised phone voice possible: "Really, Sir? You consider this a complicated patient? Can I speak to someone who's been practicing a little longer? Feel free to place me on hold."
  10. I'm seven months late to this party, but I'm a USPHS PA and work in the BOP. It's a great gig (both the USPHS and the BOP); my advice is to take a slot in a medical center if you're a new grad. You'll definitely want to be working with a bunch of other medical professionals while you learn the ropes. If the list comes out and there aren't any medical centers on it, you need to make some calls and talk to the docs you'd be working with at the various institutions so that you can get an idea of what the teaching relationship would be like. One of my PHS PA colleagues staffs a prison with tele-doc support only, and he's a new grad too.
  11. Newly commissioned O-1 in the US Public Health Service courtesy of the SRCOSTEP program. I'll be serving with the Bureau of Prisons for two years after graduation (and hopefully much longer).
  12. For me, it was the PANCE pass rate. 100% first time pass rate for the last two reported years, 98% over the last five. So if you apply and are accepted, remember... there is a method to their madness! And for the finances part of your question, I don't believe there is much other than loans. Not sure if graduate studies qualify for any need-based federal grants or not, and scholarships at Augsburg are small and few. There is a military grant worth a few hundred dollars per semester for students in the Guard or Reserves. If you want your loans paid for, be prepared to work under a program in an underserved area that will pay them off for you (NHSC is the big one).
  13. I stand partially corrected. They submit more conditional offers than they have slots to fill because some people will drop out or be DQ'd during the process. So if they misjudged the decline rate there is still a chance you could pass your interview and not get in. But unlikely.
  14. I agree with the sentiments expressed in the article, but I don't like the idea of "punishing" the child for the parents' poor choices. I also don't like the idea of exposing the rest of a waiting room to an infected child. Maybe I'll make them wait in the coat closet to minimize the risk. Or have them wear a mask that says "MY PARENTS DIDN'T VACCINATE ME SO YOUR KIDS ARE AT RISK" when they come in.
  15. I attended night EMT classes while working a full-time job during the day. That combination was a breeze compared to PA school. Learn how to handle the increased workload now so you're ready when you get the PA-S invite.
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