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About HMtoPA

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  1. Unbelievable that anyone thinks that something like this is a big deal after the last 4 years with the current POTUS. So she said something vaguely nice about Castro. So what? Bet she doesn't have a crush on Putin. Bet she never grabbed anyone by the p***y.
  2. My point isn't that PAs can't or aren't practicing at a high level. But I know EM docs and trauma surgeons with 30-40 years of practice under their belt with more humility than I saw displayed in that post. There's a reason it ended up as a screen grab on Reddit (clue: it sounded a bit ridiculous).
  3. I got the same email, and then a correction a few hours later. I’m way over my CME requirement anyway, and the maintenance of certification fee was the only thing I had left to do, so I just took it as a reminder to pay it. It’s $180 that I need to pay one way or the other between now and the end of the year, so not a big deal IMO.
  4. You do have a flair for hyperbole ("I can do...better than the MDs can."), but do you have anything factual to back up your claims? For example, where exactly are these "major ERs in urban Chicago, New York, Los Angeles that are run 100& by PAs?" I mean, which facilities precisely? Some of us may want to know for career purposes. And you must know that we most certainly cannot, by definition, run ERs alone in "major level 1 trauma centers."
  5. Yeah, the Butterfly looks pretty slick. I haven't used one, but one of the senior residents in our program has one. The problem is, he still has to use the regular US machine for anything beyond a cursory look because we're required to record our scans fo QA purposes. Also, it's hard for me to justify the $2000 upfront cost (plus whatever the ongoing costs are) when I have a perfectly good (and I assume more capable) full-sized unit on the floor. I could see the Butterfly being useful in austere environments, but then you get a little into the "so what?" realm - by which I mean, ther
  6. I mean, I wouldn't say no if they gave me a certificate, but realistically they're not going to give me something that they're not giving the physicians I'm training alongside with. Besides, if it's considered a core competency of your training program, you shouldn't have to validate that with an additional document.
  7. If you get formal training in US according to ACEP guidelines, an additional certification is unnecessary and cumbersome. If you are like most PAs and not residency/fellowship-trained, I can see why you might be interested in not only acquiring this skill, but being able to document and prove that knowledge with a certification. I think the ACEP position is just that they don't want an outside agency encroaching on their turf and forcing an additional expense and layer of regulation upon them, not to mention that they've incorporated standardized US curriculum into their training for some time
  8. Don't get too hung up on the "tour" thing, as I think you're kind of misunderstanding the nomenclature. It's more or less just slang. Think of it as working a corporate office job in one city for a couple of years, and then being transferred to another location across the country. You would remain continuously employed with the same company. There wouldn't be a "break" in between, other than the time it would take to move, and perhaps any vacation days you chose to take. In conversation you might refer to the period of time you worked in the West Coast office as distinct from your time at the
  9. "Tour" is not a precisely-defined formal term (at least not to my knowledge) but is typically used to refer to any given assignment over a period of time. So I might refer to my "overseas tour" when talking about the 3 1/2 year period when I was assigned to the Naval Hospital in Spain. Or my "sea tours" where I was assigned to 1st and 2nd Marine Divisions, respectively. Or my last "shore tour" where I was assigned to a clinic in Washington State. Each of those was a "PCS" (permanent change of station) meaning that I got orders to report to each location for a predetermined amount of time. They
  10. At one time I was pro-associate, as it preserved the PA acronym, but now it seems like too incremental a change. I like the idea of a clean-sheet, ground-up rebranding, but was unimpressed with clinicist and especially praxician. In a way, I guess any new name would sound ridiculous, until it doesn’t. I think we’re in a tough spot here, and I don’t have any better ideas than any that I’ve seen so far - but I’m glad to see actual movement on this issue finally.
  11. Yeah, I'll be the first to admit that my situation is probably not typical. I certainly haven't been trying to dodge deployment, but I'm also trying to get as much as I can out of the Navy (i.e., specialty training) while I still can. If I hadn't extended (or my extension was denied) and/or I didn't apply to fellowship (or was not accepted) I would likely be deployed right now with a Marine unit or on a carrier. On the other hand, choosing a small FM clinic as my second tour may have also helped me, as I was 1 of 1 PA on site. I'm not sure, but I suspect larger places (like Camp Lejeune) with
  12. Deployment frequency is really variable. Generally, as a PA you will rotate from "sea duty" to "shore duty" at a 2:3 ratio. On a 2-year sea tour, you can expect to deploy once with your unit. On a 3-year shore tour, you may not deploy at all, but you may be pulled at any time to go with a deploying unit. In my case, my first tour out of PA school was 2 years with a Marine infantry battalion, and I spent a full half of that tour either deployed or otherwise geographically separated from my family. I then went a 3-year tour at a family medicine clinic (and while there "extended" for a total
  13. Anyone know what the final contenders are? IIRC from the survey, all of the options were pretty bad...
  14. I'm not saying I don't believe you, but that makes no sense. But that reasoning, none of us should be required to maintain BLS certification, pediatricians should not have to maintain PALS certification, nor trauma surgeons ATLS. Maybe it's a regional thing, but in my experience hospital systems, employers, and insurance companies want to see all of these certifications maintained in order to practice, and it is non-negotiable.
  15. I don't know too much about getting into civilian PA schools, especially these days, but I think you should retake it if you're not comfortable with your score. My philosophy is to control the things you can control, and it sounds like you have 21 days to improve your score - more than enough time. I half-ass took the GRE earlier this year and studied for literally two days and got a 323. I'm sure I would've done much worse without those two days of studying, and I'm sure that I could've done a little better if I'd cared enough to study a little more (say, a couple of weeks). My point is, you
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