Sed

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  1. A/A = arthrocentesis/aspiration? I'm not familiar with that abbreviation.
  2. You hurt your knee being a young weekend warrior. Do you: 1. Proceed to the UC because you must've done something reeeaall bad to it even though you can still walk on it 2. Walk it off and see how it does with OTC meds and RICE. If no improvement, you proceed to your PCP for evaluation 3. Proceed to the ER because you must've done something reeeaall bad to it even though you can still walk on it. Get told you have a knee strain but no fracture and you receive a referral to an orthopedist. (What?!). Discuss with orthopod who does not identify fracture or ligamentous instability on exam but orders an MRI due to your continued reported pain 1 week later and demands that "there must be something wrong." Get MRI and discuss results which show literally nothing wrong, not even an effusion, lig strain, or arthritis. And then you decline PT because you "don't have time."
  3. Some may feel that way, although I would say residents rather than interns. It likely depends on your work environment and physician colleagues. I can definitely see that happening in an environment where PAs and physicians do some of the same things, such as ICU, FM, hospitalist, EM, etc. PAs may continue to have to fight for their respect in those environments, as EMEDPA said. Anecdotally, at the trauma center I work at, the hospitalist PAs and trauma PAs are often treated like residents by certain physicians. As a surgical PA, my role is to assist the surgeon, so there's not much autonomy there. But in our setup, there are plenty of things that I'm in control of such as our OR schedule, rounds, wound care, any problems, and pretty much anything patient-related while the surgeon does surgery. I like my assistant role and can't imagine myself going through all that the surgeon did to get where they're at when I'm standing right next to them at the operating table. It's cool to be able to do what I do without the medical school, residency, and fellowship PLUS I have the backup I need in case sh*t hits the fan. I knew I wanted to go into surgery but definitely not as a surgeon. The "assistant" role isn't for everyone. Some fields offer more autonomy but often without the added respect one would expect in such fields. So I think it depends on what you plan on doing with your career, how you feel about potentially peaking, and what kind of environment you end up working in. Physicians themselves are experiencing the squeeze of lowered reimbursement and meeting metrics, so they're noticing less pay, especially surgeons, but they still don't have to fight for the respect and scope of practice like PAs do. Hope that helps!
  4. I'll just leave this right here... http://gomerblog.com/2016/09/anatomy-of-surgical-caps/
  5. That is silly. So who is actually mandating these new changes? You mentioned "they," "the nurses," and "the OR." Are these OR staff members/nurses or directors? Are you a hospital employee? You could be implicated if you do not follow hospital policy, unfortunately. However, if you're a private practice employee, you could always use your surgeon as backup. Either way, it doesn't make a whole lot of sense if your surgeon continues wearing a cap while you're forced to cover every stand of hair. You could always argue that wearing the other garb negatively affects your work (e.g., headache, hot, etc) and you will not compromise patient care to adhere to rules that have been disproved by other studies.
  6. Interesting times indeed. Thank you for your insight!
  7. Agreed. As for the discussion about revocation, I suppose I was just wondering about the NP independence. And yes, it's too early to think about for PAs, but like you said NPs have had it for years. However, it is understanding that most hospital systems still require physician collaboration and cosignatures despite independence. Do you think this will change as lobbyists gain more ground? Do you think we'll see change as more green PAs/NPs are graduated, which seems to be the recent trend?
  8. I too had difficulty finding practices that would allow shadowing. I cold-called random offices and no one would allow it, siting HIPAA. I ended up calling my own health care provider who was/is a PA and they welcomed it. I also joined a club in school that invited an orthopedic surgeon to speak about their career. They also allowed me to shadow, and after graduating, I ended up going into ortho myself. The PA career can be a great career for the right person. Like the others said, do your homework and see what the career is like for yourself. Consider volunteering at a hospital to gain more valuable experience and start developing relationships with nurses and providers. Consider using your bilingual skills as an interpreter or scribe to also get your foot in the door. Good luck!
  9. I read something on Reddit recently that got me thinking: The more I hear about independent practice rights being obtained and the associated opinions of other colleagues, specifically physicians, the more disdain I hear. Does anyone think there will be a turning point in which the independence will be revoked and the traditional "supervised" role will be reinstated? Or has the fate been sealed?
  10. Definitely find out about the call schedule and what kind of call. Is call included in the 40-hour work week or in addition? Is it M-F or will you have to work weekends? Do they compensate call/weekends by giving you time off post-call, for example, if you work a weekend, will they give you that following Monday off? Is there a potential to work more hours if you want in order to make more or bonus structure?
  11. Oh man, that blows. We rock scrubs in our ortho practice. Although I will throw on my white coat every now and then for sh*ts and giggles.
  12. Loving your work is one thing and a great thing. But if you're working so much that your off days are spent recovering and/or you're still not doing all the things you want to, you might be on your way to burnout. Like the above posters said, burnout can creep up on you. Be sure to utilize all your PTO. Consider cutting back on your extra shifts periodically to give yourself a break, hang with family and enjoy your hobbies (see your twice a year comment). Handling your professional, personal, familial, and social responsibilities can all contribute to burnout, so make sure you take a step back like this every now and then to evaluate how everything is playing out. Like some of the others said, you can't get these years back. So make sure you're doing what you want with your time.
  13. That's the way I read the regulations, too. Thank you for the information.