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NeoTrion

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About NeoTrion

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    Physician Assistant

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  1. I graduated earlier this year and felt that the workload was appropriate. I did have to set aside specific time away from the family or from work to get things done. If you are disciplined enough to do that then you shouldn't have a problem.
  2. I did not like my eko. To much ambient noise. I still use my Littmann that I got 5+ years ago. It is showing its age and is missing a few buttons but works great. Not impressed with eko and only use it as a last resort when my electronic Littmann or cardiology STC can't be found.
  3. I would just pick up the phone and say "By the way did you see this?" I have done that in multiple specialties and it usually ends up with a pause on the phone. It doesn't matter to me if they think I am an arse. There have been times when I have called them and they put the blame on someone else and it was probable. I would want to know if I missed something but probably an issue of just trying to move on to the next patient and refer out.
  4. Arthropathy that is the stance I have taken and have pushed them to the SP. Neither myself or the other APPs I work with do not mind letting them see these patients as we have a full load of patients without them. I am just looking for someone that can point me to the law in Texas on this one. I remember learning about this in school years ago but wanted to ask the brain trust here if they can point me to it in writing. Personally I do not want to see them if trust cannot be built in the first place. I can always remember that you rarely get sued by friends and those that trust your judgement. Thank you for removing the apostrophe Medicine Power.
  5. So lately we have had some patient's request to see the MD only. That is honestly no skin off my back and I am happy to let the MD see these people. As I recall there is a law in Texas that says the patient has the right to see a MD if they request. Does anyone know where I can find the text to that law?
  6. Sounds like splash damage and you were hit by it. I would think more could be said, but perhaps they used the old "you can resign or we can fire you" bit. If you find out more it would be interesting to share. It would help others in the future that come against the same situation.
  7. We had the same problem at a hospital here in Texas. We had to get our state chapter involved and claim the restriction of trade. They were making this decision based on a nursing position statement that the Board of Nursing posted on the website. The admin, that was made up of all nurses with the exception of the legal counsel and the CMO, stated: "we have to protect our nurses." Our state chapter reached out to the medical board and basically pointed out that the nurses are deciding who can practice medicine in our state. That caused a meeting between the medical board and the nursing board, and hence that position statement was heavily edited. The nursing board now recognizes PAs. We then went back to the hospital admin that then tried to blame it on corporate. When the state chapter lawyers contacted corporate they had no idea what that hospital was talking about. Eventually, we were given parity with the NPs at that hospital. The nursing admin was not happy about that, and neither was the head of the medical privilege office which was run by an RN. The key was the help we got from our state chapter. I will say this little hospital in Texas was educated and credentialing from Baylor and MD Anderson considering PAs and NPs was shown to them on paper. I had the CMO and CNO say "that is them and this is our hospital." They did make it sound like their hospital was better than either Baylor or MD Anderson. Basically, they did not want to be educated The only thing they responded to was a legal counsel to legal counsel discussion. It is the main reason why I choose to get involved in the state chapter. The difference was that I was already on medical staff there and not trying to get a job. This may be worth going to your state chapter or asking why you need a co-signer. In our state, we have no OTP but NPs are not independent. Neither requires a co-signature unless admitting or discharging. I should add that the NPs in the hospital were not opposed to us and even the RNs were happy to take orders from us. The RNs in our department also signed a petition. Our obstacle was the RNs in administration.
  8. NeoTrion

    HB2250 and HB4066

    So TAPA has had two bills come out of committee so far. HB 2250 schedule II and HB4066 are up for consideration on the house calendar committee but has not been scheduled to be heard. Time is starting to run short. So Texas PAs help is needed to put pressure on the calendar committee. Members are posted below. If you live in their areas it would be good to send a letter and put some pressure on them. Time is growing short to get these bills on the calendar. Rep. Four Price Vice Chair: Rep. Joe Moody Members: Rep. Joe Deshotel Rep. John Frullo Rep. Craig Goldman Rep. Oscar Longoria Rep. Will Metcalf Rep. Tom Oliverson Rep. Eddie Rodriguez Rep. Toni Rose Rep. John Wray
  9. I know this has been a topic with some members here, but I just received an email from TAPA looking for applications for committee members and committee chairs. I know some people have not made it in before, but you can't win if you don't play. I am on two committees but will be giving up a place in one, but I am trying to hang on to my place in another. It may not happen, but I would like someone from this forum to get my seat if it does. I would like to work with some of my respected peers from this forum as well. We have a large amount of experience on this forum to draw from, and our efforts with getting different schools of thought were successful with the AAPA.
  10. Can't make it in May, but I am definitely interested in meeting everyone in person at another event.
  11. I am in Texas. This is actually a hot topic for us, and many of us want to see some headway made.
  12. Asking mainly because I am working on my doctorate, working, and on two different committees in TAPA. I have been a member of PAFT since I was a student and wanted to see if I could take more of a leadership role. My employer is not the best with taking time off and is stingy with CME money. The meetings with TAPA have all been on my dime, so there is the financial aspect as well. I do that because I can contribute in areas that I do well in, and I was challenged to "put up or shut up" by former mentors. I am trying to see if I can fit something else in rather than commit and then reconsidering. I have respected many of the officers in PAFT and really want to work with them in person. I may need to wait until after I finish my classes. Not personally looking for a resume punch/notch, but I do want to be more involved. Thanks for the info SAS.
  13. Any chance you might consider sending your latest draft to me? I am working on something similar in my state and we are looking for some language to guide us and get the ball rolling.
  14. What kind of time commitment are we looking at here?
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