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wdtpac

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wdtpac last won the day on June 15

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About wdtpac

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    Physician Assistant

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  1. You can start your advocacy for the profession by stop referring to us as midlevels....
  2. Interesting... I’d be lying if I told you my blood isn’t boiling that we are not on the list. “If you’re not at the table, you’re on the menu.”
  3. Can someone clear this up; but I was at the AAPA conference last year and could have sworn that WPP was going to present findings in CO 2019. Now it is 2020 they will present findings? Was I just so excited to hear potential change was coming and missed this or was there a delay that occurred?
  4. I have been a preceptor for PAs and NPs for many years and will continue to do so. I believe PA training is far superior but that does not negate the duty to pay it forward to all participants in the healthcare industry. FNP students need PAs and MDs to help guide them to be competent clinicians.
  5. I have worn a suit (no tie) for 13+ years while I’m the clinic. If you see me at a conference, guess what, suit. We cannot be taken seriously as a profession unless we take ourselves seriously and give at least an appearance of professionalism. Besides, it doesn’t cost a lot of money to buy a 150 dollar suit from Burlington....
  6. For incident to services, the physician MUST also see the patient physically AND have a meaningful contribution to the direction of care.
  7. AAPA is the vanguard with federal legislative change for the PA profession. The only way you will have positive change is to be a member and vote in PA leaders that would best represent you. The problem the PA profession has had for the last 10+ years is that the elected officials as a whole consist of an old guard the really does not want change (or if they were for change, they have had poor council that advised them against), in particular name change. Don't get me wrong, I applaud all of those that have devoted their time to serve, as it is often a thankless job, I merely disagree with many of their opinions as to how to lead the profession. Name change, OTP (FPA or whatever), payment parity, PA practice ownership, etc has been forced upon them through the efforts of forward thinkers like Dave Mittman, Beth Smolko, James Cannon, PAFT to bring about change and to realize that we must do something to stay on par with NPs. In my opinion, this year's AAPA election is the most important IF we want to use the momentum created by PAFT and like minded individuals. If you want change, if you want parity with nurse practitioners, if you want to be represented nationally by leaders who feel the same as you, join today and cast your vote!!!! Tell your local colleagues that are or are not members to do the same. We need you!!!!
  8. We are not under-doctors, though I will admit it is very difficult to fully explain our profession to children. We can and do own our own practices (I have 4 clinics, employ 2 physicians and 3 PAs and have support staff equalling 15 FTEs; been doing it for 8 years), depending on the state in which you practice (unless you own an RHC or FQHC as you are federally protected to own these entities). I agree with camoman that we do collaborate with physicians, but not necessarily the same patient. We have our own patient panels and see them exclusively. Our collaboration constitutes whatever the state board deems a requirement for "supervision".
  9. TBH, though physician associate is a step up from assistant, I don't believe it is enough of a shift to make meaningful change in legislative efforts (or to the public at large).
  10. DMS (sorry to those diagnostic medical sonographers out there!) We need to completely revamp our education from the ground up and award the doctorate title. As far as hours for graduate education, we meet or exceed many doctoral programs, yet we are still called assistant. In order to do this, I would agree that we need a more structured undergraduate requirements more in line with the biological sciences before entry (i.e. Full 2 sem org, biochem, pathogenic micro, immunology, histology...). I would also be amiable to mimicking and building on the idea of Lynchburg College of a 9 month residency directly after the program or 12 months for we already out in the field. Make our national certifying test at the level of difficulty/length as family medicine board exams.
  11. The LCME (the accrediting body for allopathic medical schools) requires 130 weeks of instruction (which equates to 130 hours) to complete the MD program. Most PA programs are around 80-85. Adding much more didactics to the PA curriculums and you are on par/at the current programs awarding residency slots. Why not create a 2 tiered system for medical education? Why can we not formulate a pathway for PAs to stay as dependent providers, while others that wish to progress, or work more autonomously, or be called DR or whatever, can do so? What is so hard about having a pathway 1, which is relatively identical to current PA curriculum, at the end of the program the student takes the PANCE/and or USMLE1 and is then able to begin practice, under the supervision of a physician as it currently is being done today? Then, have a pathway 2, after the 2 traditional years of PA school, take the PANCE and USMLE1, and beginning another year course to equate for the remaining 50 or so hours needed to meet LCME requirements for accreditation. At the completion of the 50 weeks/hours, take USMLE 2 and try to match for residency (yes I know there is limited residency slots as is, but the point is to have our education system on point with LCME, accredited by LCME or similar accrediting body). Surely, the DO's did something quite similar to this. To me, OTP is silly and an uphill battle that will never be won with the moniker of assistant at the end of our name. I am unsure if any other name besides "doctor" will provide rapport with patients at large and with physician colleagues and legislators. I am also unsure of any other way to placate those of our colleagues and new graduates that wish (or need) more direction from a supervising physician.
  12. https://www.ncbi.nlm.nih.gov/m/pubmed/27798540/
  13. Hckyplyr, I'm not sure there is an argument that a new graduate PA is on par or superior to a residency trained physician in FP; you will get no argument from me. I will however, contest a seasoned PA reaches that point with experience and time. My first 6 years in practice I worked 40+ per week in a clinic setting, 4-5 inpatient, and 15-30 moonlighting in the ER (not fast track). During that time, my learning curve was about as steep as one could imagine, and I remained dedicated to the mantra of life long learning and self education. So, do I think my clinic skill set is equal to a family practice physician after 13 years? You better believe it, and so do the 2 physicians that I employ at my clinics (yes I am the owner, 4 RHC's) as well as the other physicians that work with me in our communities. The real problem that exists in my opinion, is the path for a PA to achieve that level of competence is not standardized and that is something we as a profession need to focus on for the next 10 years. What the answer is to that, I do not know. A formalized residency program just for PAs that awards a doctoral degree? Bridge program that truly gives credit for previous educational experience? Build OTP through the states that allows a path, at the practice level, to which one is practicing autonomously????? Not that your opinions are not valued here, they are, and you make some good points. I just feel that given your situation and current station, the majority are truly biased for the most part.
  14. I think we need to get this to the AAPA for OTP marketing.... lol
  15. "If you want to be a doctor, go to medical school" This sounds like an easy solution; logical, concise, to the point. What this statement does not address is the reality that "getting in" is an impossibility for most PAs that have decided that choosing the PA profession, or wishing to practice at their fullest capabilities with the most autonomy, was wrong for them. Most PAs (myself included) that have thought about going to medical school have quite an uphill battle as we have been practicing in the field for 5+ years before coming to this conclusion (me 13). In order to be accepted, we must have up to date science prerequisites, 5+ years is too long, so basically all science courses would have to be retaken. Right there we are looking at 1-2 years of more undergraduate school at 15 hours + per semester. Then, we have the dreaded MCAT. 6 months of study with review course? Take the review simultaneously with your full load of classes you must retake? Then the application...enrolment only once per year. An individual in this position could very easily take 3-4 years before even starting med school year 1. Don't forget to mention loss of salary for these 10-12 years, time spent away from family, the actual cost of more undergrad and medical school. When LCOM started, I was enthused, but couldn't fathom uprooting my family to the east. They really (bridge programs) have not gained traction, as the idea has not spread across the US. Further, I don't feel that this model is the optimal layout for a bridge program. (We should at very least be allotted one full year of advanced standing for our clinical clerkships in PA school). At the end of the day, I would still like to see the physician (MD/DO/DMS(?)) be the terminal degree for PAs. I would love to live in a world where new grads of PA school, or those that wished to continue to work as they are, dependently, continue to do so. But physicians at large will not allow for us to have advanced standing, and if we do not stay on par with NP's, we will soon be (maybe already are as seen by some) inferior, second class "mid-level" providers. So, we push on, we continue to evolve OTP, we come up with a viable, standardized terminal doctoral level degree; and maybe one day we will regain our footing and be on par with NP's. Even more, if we play our cards right, we may develop a system and reputation in which we are looked at by physicians as colleagues instead of subservient allied health professionals [insert only light sarcasm].
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