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Everything posted by dsta

  1. Thanks for the response. I'm going to shadow the department head who will also be my SP and the one training me, so that should give me a pretty good idea of what it will be like. It's an area of medicine I'm really interested in, so I'm hopeful it will be a good fit.
  2. Basically just curious what the the biggest challenges were from your experience. I don't have experience in sleep medicine, so would be interested in hearing what it was like for you starting off and what the learning curve was like.
  3. I'm interviewing for a position in sleep medicine, and I'm wondering if anyone who has worked in or is currenlty working in sleep medicine could tell me a little bit about what you do and what your experience has been like.
  4. I don't work in EM, but thought that EM PAs would probably be best at answering this. Is IM Toradol contraindicated for patients who take baby aspirin? The interaction checks I have done show that these are contraindicated, but I've seen providers give it to patients on aspirin. And what about warfarin and other anticoagulants? Do you ever give toradol to patients on these drugs? I've seen this done as well. I've never had to actually administer it, but there may come a time when I need to.
  5. I also work in Washington and read this part of the newsletter. It seems that most of the disciplinary actions taken on doctors are related to narcotics and most of the actions taken against PAs are due to personal health issues (probably mental health issues) that make it unsafe for them to practice. I did see a recent disciplinary action taken against a PA for missing testicular torsion in a child. I would think there would be more to the story than just a misdiagnosis, but I guess if the outcome is bad enough from a misdiagnosis then it very well could affect your license.
  6. Thanks, but the National Provider Database doesn't give info to the general public correct? I thought only healthcare facilities had access to that information. I could be wrong.
  7. Other than checking with a state medical board, I'm curious what others here recommend doing to check the records of physicians and other providers they will be working with. Things like disciplinary actions, malpractice claims, etc... Also is there a way to find out all of the states a provider has practiced in other than just asking them directly?
  8. Thanks for the helpful replies.
  9. beattie228 can you point me in the direction of those studies? I have read that irrigating under pressure can force foreign material deeper into the wound. Some sources advocate making an incision to widen the wound and gently irrigating it. I have also read some sources that say not to routinely get x-rays while others do. Every source I've read or listened to says the only evidence for treating puncture wounds is anecdotal and there is no agreed upon method for managing them, so that is why I'm curious what others do.
  10. Can those of you who work in the ER share some of your advice on the management of puncture wounds? There doesn't seem to be any clear consensus on how these wounds are to be managed. Obviously the wounds need to be cleaned and any foreign bodies removed as well as having tetanus updated, but how far do you go with exploring a wound if you are not sure if a foreign body is present? For example, if someone has a puncture wound through the sole of the shoe, and no foreign body is visible and the patient doesn't know how deep the puncture went or if there is any foreign material, what would you
  11. Have you joined this organization? I am a new grad PA in Occ Med and am looking for any good resources available and had not heard of this organization before.
  12. I have a question regarding when to administer tetanus immune globulin and am wondering if anyone has any insight on this. According to the guidelines, a person should get TIG if they have any wound that is not considered clean and minor if they have had less than 3 doses to tetanus vaccine (or if they do not know their immunization status). My question is in regards to what is considered a "clean and minor" wound. I realize anything that is contaminated with dirt/feces/saliva is considered dirty, but I am specifically wondering about splinters and minor burns. The reason I am asking this is b
  13. Thanks for the replies. I agree if they value you they will pay you to keep your skills up to date.
  14. Has anyone ever come across a forced arbitration clause in their contracts? I have been reading that this is becoming more and more common in employment agreements, and it basically forces you to waive your right to hire a lawyer in a dispute and restricts you to only being able to settle disputes through arbitration. Seems that these types of agreements favor the employer much more than the employee. Is this something you would completely avoid agreeing to?
  15. New grad here with a couple questions about CMEs as I work through contracting negotiations. I am just wondering from those in the field how much of your CMEs are free or inexpensive and if it is generally necessary to shell out a lot of money to fulfill your CME requirements. Reason I am asking is because it seems that most people I've talked with say that your company should cover anywhere from $1500 to $3000 in CME expenses, however some jobs offer much less than this or offer nothing at all. I'm sure there is a lot of variability here, but if I were to take a job that doesn't cover CME exp
  16. Thanks for the replies. I remember reading somewhere that studies have actually shown people learn better and retain more info from paper books as opposed to electronic. Don't know how much merrit there is to that, but I wonder if my mind would associate my ipad with games, music, movies, which would be harder to focus on reading on the ipad. Anyway, I decided to go with paper.
  17. I was just curious about how others felt about getting their text books on an electronic device as opposed to an actual book. I'm really debating about which route to go. I'm used to paper books, and my main issue with electronic books is that you can't have multiple books open at the same time. However, some people prefer electronic books because you can have them with you on your rotations. For those of you that do use electonic books, why is that your preference?
  18. I don't have access to both books to compare them, but have heard that since it's History and Physical, there probably isn't much, if any, change in content. Was just wondering if anyone familiar with them thinks it is best to go with the 11th or if the 10th is just as good. Thanks.
  19. For those of you that have the ipad, can you open and edit power point presentations on it? I have an ipad and keyboard because I used it for my job, but I'm wondering if I need to get a new laptop. The laptop I have is 7 years old, bulky, and on the slow side so I'm wondering if I should just get a new one or if I can use my ipad for taking to class and just leave my heavy laptop at home.
  20. The Americans with Disabilities Act supposedly prohibits employers from being able to request medical records. So do they get around this by giving the applicant the "option" to consent to disclosing their medical records? I would have thought that "prohibit" means they can't ask at all.
  21. I've looked at licensing applications for various states and they usually ask whether or not you've had a drug or alcohol addiction in the past. In Texas where I live it only asks about the past five years. I doubt it would be something that would affect your ability to be licensed but I'm not the medical board.
  22. It doesn't seem to matter what your undergrad degree is in. Schools accept students from all kinds of backgrounds. A non-science major may even make you stand out from other candidates. Health care experience is huge and GPA is very important too. The fact that you have worked full time while attending school will be to your benefit as well. There is no "correct" time to shadow PAs, but I would shadow as much as you can. Shadowing not only increases your competitiveness, but gives you the opportunity to see what it's like to be a PA and to learn about the profession. I had about 40 hours of s
  23. @wutthechris, "promoting" may have not been the best word. It was mentioned. I don't think they were using it as a major selling point, or indicating that they have low standards. They are both quality schools from what I can tell (i. e., the two schools I have been accepted to). The other school I've been accepted to does have a consistently higher pass rate on the pance so that is obviously something to consider, but they also have quite a larger class size (I recently posted a question as to whether or not class size was much of an issue for students) Now that I'm at the decision making poi
  24. Thanks for the responses. The idea of maintaining my GPA in PA school didn't really cross my mind until a recent interview I went to where the faculty promoted the fact that their GPA requirement is a 2.75 as compared to other schools where you will get the boot if you have below a 3.0. My goal is by no means to just scrape by with bare minimum effort or to go to the easiest schools. I certainly hope that no one who wants to be a PA has that mentality. My ultimate concern is to be the most competent PA possible. I have a 4.0 science GPA so maybe I do not need to worry, but I have to admit tha
  25. Since different PA schools require you to maintain a different GPA, do people usually use that as a deciding factor as to which PA school they go to? Some schools require you to maintian a 3.0 and others it may be around a 2.7. I've heard many students say that even though they had very good grades in undergrad, they had a hard time making good grades in PA school. So I suppose it might be "safer" to go to a school with a lower GPA requirement in order to stay in the program. But of course there are many other factors to consider in deciding which school to attend. Is it really that hard to ma
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