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KateD

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  1. Hi PAradmed... just seeing this now. Wondering how it's going for you. I've been in rad onc for just about 2 years now.... I've been very fortunate to have a team who has taken a lot of my input in developing my current position along the way, as I'm their first PA. We're hiring a second APP soon... So in preparation of adding this position we've been working to redefine... or perhaps just more completely define... the PA/NP role and the role of the nursing staff, etc. Obviously we don't see consults completely independently, write XRT prescriptions, and so on.... so initially it was a challenge to get to a place where I felt autonomous enough. But I it's definitely do-able... just challenging. PAs are relatively new to the XRT world. Would love to hear your experience thus far... Kate
  2. Just wondering if there are any PAs out there involved with superficial radiation therapy (SRT) in a dermatology practice... if so, what is your has been your experience? How are you involved?
  3. I agree with the above! Going through a fellowship the past year and having more opportunities to work with various preceptors... really, the days where I find myself thinking, wow, that was an awesome day, are the days where I interacted with patients but also my preceptor -- they were engaged, questioning my clinical reasoning, allowing me either show where I have a clear understanding of the particular case or where I'm missing something... missing a particular lab test or something in my workup... or missing an important pt ed issue, whatever it might be. I've met some awesome people who have been preceptors to me... but just because I think they're great people that I'd like to grab a drink with doesn't mean they were my "favorite" preceptor. Challenge is good. And yes, the student/preceptee needs to be self-motivated to challenge themselves, but you can certainly facilitate in a very meaningful way! There's also literature out there like the "One-Minute Preceptor" that may be helpful... http://www.oucom.ohiou.edu/fd/monographs/microskills.htm
  4. Hey! I was just wondering if you ended up in oncology? If so... what type of practice/how are you utilized?
  5. KateD

    Radiation oncology

    Thanks for the input Joelseff! I was wondering if any PAs had been apart of the contouring/planning... just googling around I've seen some things that allude to the fact that this may be allowed. I guess if it's the docs scope of practice, technically the PA can do it as well if trained? I can certainly see how it could be a scut work though with the "weekly sees" and f/ups... but may allow for some good autonomy managing the unique side effects, etc..
  6. KateD

    Radiation oncology

    Hmm... bump in this post?? Anyone have experience they can share?
  7. I believe the Mayo program is an Internal Medicine fellowship with a heme/onc track as an option... I think I read it was 16 weeks of heme/onc if you choose that track. Also, the MD Anderson fellowship does not only accept people with previous experience as a PA... many fellows are new grads. It's a tough program, but great experience seeing all of the different "sub-specialties" from the medical, surgical, as well as radiation onc side of things. Very comprehensive.
  8. Nice! I'm at MD Anderson!! Maybe we met at one of those "mixers"....? Ha. I'll be in touch about my experience!
  9. ^ What they said!!! ^ Please don't sell yourself short. I have about 3 months left of my fellowship and am interviewing next week for a few jobs in northern California. I can update you with my findings of salary negotiation afterwards, but I can tell you that a classmate of mine as a new grad in a family practice clinic (Dignity Health) started out with 53 and some change an hour... 40 hrs/week, no call, etc. I'm taking this into account as opposed to the AAPA salary report, which I feel is very inaccurate. I do not intend to sell myself short for the experience I have gained this past year. In addition to all of the blood, sweat, and TEARS I've poured into this year... I would never have had this type of exposure if I just went straight to work... even if I went straight to work at the same institution where my fellowship is. I can also tell you that potential employers have been VERY interested in my experience and considering me for certain positions that they were requesting 2-5 years of experience.
  10. What I think is interesting, after reading through this thread, is that the overarching theme is "this won't help ME". And I think they're probably right... the aim of PI and QI is not solely focused on benefiting the clinician --- it's a small piece of a quality improvement effort to improve care as a whole and actually has the patient and their safety at the center. I understand that those who have been PAs for many years (don't get me wrong, I bow down to the PA gods with their experience) and are nearing the end of their careers find it difficult to be motivated to work towards changing the system they've been working in for so long. But healthcare is a mess. And QI/PI doesn't just point out individual providers and slap them on the wrist telling them to be better clinicians -- it's a means to discover and undercover faulty systems, broken systems that don't allow good providers to provide the outstanding care patients deserve, and to improve these systems to ensure we can function at our highest ability and ultimately can provide excellent, SAFE care that will benefit our patients. Maybe it feels like just another hoop, but we have to do something to address the absurd amount of preventable deaths due to medical errors and other overuse/underuse/misuse of care. We can't keep our heads in the sand... real change is a collective effort. I thought this was a good introductory video to QI, for what it's worth: https://www.youtube.com/watch?v=jq52ZjMzqyI
  11. Maybe also approach it from a, "I'd love to shadow to learn more about the PA profession and enrich my experience", as opposed to a "it's a requirement and that's why I need to shadow". It may make someone more apt to donate time to take you on. Sent from my iPad using Tapatalk
  12. Hey, thanks for the reply!!! I appreciate the reassurance. :)
  13. Just a bump in this topic..... I have an upcoming interview. I'm sure the interview process differs across the board; however, I'd love to hear about someone's experience. Anyone? Anyone? Bueller?
  14. I'm a student in SoCal but originally from NorCal and want to head back that way. I just setup a cardio rotation at El Camino hospital in mountain view. I'll let you know what I discover about the PA-friendliness.... Or lack thereof if that's the case. :)
  15. I have about 5 months left of school.... I completed a rotation at MD Anderson Cancer Center in Texas and just LOVED it. I know heme/onc positions will vary greatly depending on the facility, SP, etc.... but I'm looking for anyone that'd be willing to share their experience of working in the heme/onc field in CA, specifically NorCal, since that's where I'd like to end up eventually. Would greatly appreciate any advice, stories.... anything! :)
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