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rev ronin

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rev ronin last won the day on March 31

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About rev ronin

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    Physician Assistant

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  1. That's the point: the individual accounts don't cost money, the subscriptions do, so I could use the same account I had at my PA program, logged into Group Health's network/subscription, and get CME credit at no cost to me.
  2. You may have institutional access, but I wouldn't write off the Cat I CME unless you are unable to log on to an individual account. It was an option at Group Health, and some of the docs did it, but it seemed too much of a pain to sign in and out in multiple exam rooms.
  3. So, this has come up a bit here and there, and I wanted to address it in a systematic way: Businesses and government organizations are not incentivized to plan for 'black swan' events--that is, those that occur very infrequently and are devastating in impact. I learned this in IT security, working in a Fortune 100 company, that was both quite profitable and had quite a lot of money to address concerns. For the most part, it did not, because numbers didn't add up. 1) Most threats don't materialize within the planning horizon. While a 1% chance of a $4 billion impact might justify a $40 million mitigation plan on paper, there's a 99% chance that won't happen. 2) Your competition is not saving for a rainy day. Whether they can or not, the competitor who wants your job or customers has decided to cut corners, to deliver more goods, or services, or reduce taxes, or whatever. That money that might go for an IT hot site, or a rainy day fund, or extra N95s can instead be used for more marketing, or to reduce hold times, or to migrate to LED lighting. There's always something better to do with money than park it in a "break glass in case of emergency" case. 3) Disaster recovery plans don't work. It's simply too time consuming to keep them up to date as business processes change. By the time you NEED the disaster recovery plan, it's outdated. Or you missed some big contingency that you didn't know about because no one thought to tell the IT DR guys that critical system B depends on system F which was deemed non-mission-critical, because no one knows the ways in which complex systems will actually fail. That's almost the definition of "complex system". 4) There are too many black swan events to plan for. This time, it's an airborne coronavirus. What if it were a meteor? A terrorist attack? A digital Pearl Harbor? Which ones do you fund, and which ones do you not fund? If you fund all of them, there goes your dividends or fiscal reserves or earnings per share... And, again, the vast majority will not happen during the planning horizon. 5) The supply chain is not your friend in a time of disruptive change. All that stuff you WERE counting on being able to get? All your cheaper vendors, driven to that by the bid process, have outsourced everything to China or other low-cost geographies, so even if you specify American-made stuff, you're at most going to get it assembled or finally packaged here. When the world all needs X at once... you're not going to be able to get X, because the suppliers of X have optimized their supply chains, manufacturing processes, and delivery methods to be most efficient and the usual demand for X. So yeah, we're screwed. We were never NOT going to be screwed. It doesn't matter who was fired or not, or who spent money or not, because deep down underneath the finger pointing, our efficiency-driven system has engineered out the capacity to respond to unpredictable events. We have a Formula 1 race car, and we need to go 4x4ing.
  4. Congratulations, you're human. Only, most humans don't even try to process death figures in that range--we just don't have the math to do it. This leads to a lot of stupid political decisions, but that's another topic. To even try to visualize 200,000 human lives snuffed out through gradual suffocation is emotionally devastating.
  5. Has anyone approached the AAs and suggested merging them into the PA profession? Maybe a 1 year bridge and PANCE?
  6. They're not compliments; they're ignorant statements based on patient assumptions. You don't have to *like* them to put up with them.
  7. My solution is to be a slightly to moderately overweight graying guy. I don't LOOK like a nurse. I have no idea how our younger female PAs put up with it.
  8. Look, regardless of your or my personal political beliefs, we need everyone from every part of the spectrum on our side if we want to win this...
  9. That's not a personal attack. Those of you who think *we* moderate things badly... 90% of what makes this site great would never be permitted on Huddle. I'd encourage all those of you us are AAPA members to write AAPA leadership and express their displeasure. Scott, I think it's time for PAFT to start pushing for regime change at the state level when appropriate. Probably at first by offering surveys and endorsements. While we need to be sensitive to local contexts, PAs who are FOR the things that make us less attractive than NPs in hiring decisions have no place in PA society leadership in any way.
  10. Yow. Much worse than Washington. I get 90% of what NPs get, and can't make final impairment recommendations, but pretty much can run the rest of a claim.
  11. Sounds like commercial fishing in Alaska: You work so hard, when you get your ridiculously fat paycheck, you feel like drinking it.
  12. I have one better: I am paid hourly, non-exempt, charting on the clock, so I get overtime. I highly recommend it, no matter what sort of a "per hour" salary cut you have to take to get it, because then any time the practice does something stupid in the EMR, they pay me for the change in work.
  13. I'd add Vitamin D3 to the list, if you're not already taking 2000 IUs or so. Everyone in the Pacific Northwest needs it anyways, and it has a really wide therapeutic range and some indication of protection vs. respiratory infections, so why not?
  14. Family med walk in in Western Washington has dropped, and we've gone to 100% telemedicine visits. For a 4-7 PM walk-in shift, I'd typically get 10 people, now we're not hardly getting any. My hours are sort of cut, but not really, as I am picking up more hours for a sick provider at another practice.
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