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Everything posted by PACali

  1. I am still amazed some people think title change is a waste of time. I trust the process of WPP title change investigation. If the study shows the general public can relate Physician Associate with 'A Medical professional, diagnose, treat, prescribe, serve as a principal healthcare provider ' (AAPA definition) then I have no problem with it. But I highly doubt it. We need a name that clearly state we practice medicine, like Medical Care Practitioner. Associate is not too far off from assistant. If we going to change, we need it once, do it big and do it right.
  2. I have been talking about it on this forum for a while. This is the reality that we are facing. Meanwhile, many people still think NP are inferior to us. There are "NP only" jobs but no "PA only" jobs. I use story like this to scare the new grad so they would join their state organization. We need OTP and name change ASAP
  3. I did it because I still have about 30 years of practice time ahead of me. I see PA become doctorate level trained professionals. I wanted to get it out of the way now than later. Currently, I do part time teaching, but eventually may go into admin role.
  4. I think Medical Care Practitioner is the best alternative we have so far. It is a name that can be easily understood by a 9 or 90 y/o. The whole point of a name change is so people know what we do... we practice medicine, provide medical care. Medical Care Practitioner is perfect. If we going to change the name, lets be straight forward. We don't need a sophisticated name that no one can understand, and we shouldn't have an ambiguous name like physician associate. In my opinion, there is really not much difference between Physician associate and Physician assistant. We are "just" someone's helper and can't make decision on our own. I don't like the word "Certified." Of course we are licensed and certified practitioners. We don't need to emphasize that.
  5. Getting into the C-suite is the answer, and we need to change our title to reflect our responsibility. You are not a assistant or an associate. You are a practitioner of medicine. Everyone talks about how the profession is top 3 base on the US news and report. What most of students or pre-pa don't realized is that the profession sounds "way better on paper" but not in reality. I am in education as well, and I always tell the students it will be a bumpy ride for their career.
  6. Great resource on POCUS Short 5 mins videos http://5minsono.com/
  7. For those in the Medical Practitioner camp, "Medical Care Practitioner" is just as good or even better. MCP is even easier for patient to understand what we do...We practice medicine and provide medical care, We are practitioners of medicine. It is so easy! We need a name that a 6 years old can understand. For those who does not want to be associated with the NPs, "MCP" sounds nothing like a NP. I am just going to say medical practitioner to my patients just to be short. I don't think they will report me because I forgot to say "care." You don't see DOs introduced themselves as Doctor of Osteopathic. They just say doctors or physicians. So for those in the Medical Practitioner camp, lets support the MCP title!
  8. Wow, are you kidding me? If I am the employer, I will just hire NPs. You are right, we fall below chiropractors and even licensed clinical social workers. What kind of enhancement are we looking at? This is bad.We still got A LOT of work to do folks..
  9. Unfortunately, most of the PA, specially newer ones will choose Physician Associate as their initial pick because it is the easiest and most obvious. With those people, after spending just 15 minutes explaining they all agree MCP is a better name, at least in my experience. I really believe the NP might change their name to Medical Care Practitioner if we don't use it. It is powerful name for public relations. Have a good PR is the whole point for a name change. years ago We got rid off the apostrophe "S" and it didn't do much to our image. Let's not make the same mistake. Let's do it right. Let have a clear, concise name. A name within millisecond people know what we do. Stop misrepresenting ourselves as physician's associate because we are not. In California, under the newly passed SB697, PAs are no longer mandated by law to act as an agent or extension of the supervising physician. Medical Care Practitioner was the original name prior to the PA profession development in UK https://www.ncbi.nlm.nih.gov/pubmed/16813540
  10. I see one year residency become a requirement since most of our student do not have adequate past medical experience.
  11. I think Care is in there so we can legally protect the title. I am just going say Medical Practitioner for ease of communication and I don't think there will be any issue. Doctor of Osteopathic introduce themselves as Doctors not Doctor of Osteopathic.
  12. I understand the PA profession values team practice, collaboration and association with the physicians (and all other healthcare professionals) but that doesn't means we need to have the word "associate" in our title. In a law-firm, an associate attorney is a entry/junior level lawyer. https://en.wikipedia.org/wiki/Associate_attorney We are not junior level doctors/physicians. in fact, we are not even physicians. The problem is not only with "assistant/associate" but also with the word "Physician." The whole point of a name change is to let people know we practice medicine. Physician Associate is confusing to the general public. We can still be committed to team practice with the title Medical Care Practitioner. We don't need to emphasize team practice (association) in our title.
  13. No, 15 years from now, Nurse practitioner will become "Medical Care Practitioner." I can totally see that progression with the NPs and we will still be someone's associates or even their associates.
  14. I think programs like USC (32 months) should automatically transition to a doctorate degree. Going through all that, with only a master is a joke.
  15. Are you looking for some type of scientific studies? I don't know there is any, but do we really need one to realize assistant is bad at this point? Base on WPP's last survey 90% of PA Respondents Cite Disconnect Between Official Title “Physician Assistant” and Their Role in Healthcare Even American Academy of Physician Assistant became American Academy of "PA." In the AAPA guide of A Guide for Writing and Talking About PAs They recommend "Use PA as the title of the profession, not physician assistant, in all copy." They understand assistant is a problem.
  16. We are not on par with NPs at this point. In my opinion, NPs are surpassing us in many areas and the PAs are barely catching up. In the eyes of legislators, NPs have more autonomy than PAs in most areas in the country under the current law. Here in California ,the newly passed SB675 just barely put PAs on par with the NPs in 2020. In the eye of administrators, there are jobs for both PA and NP and there are jobs for NP only. This is just my personal observations here in California. Many reports have been promoting increase NP scope of practice and utilization without mentioning anything about PA. Like this one just came out this month: Long Overdue: Full Practice Authority for Nurse Practitioners In the eye of Public perception, many patients know what a NP is but PA is assistant. I would like to know how many NPs out there got asked the question "when are you going to finish medical school." My point is, you don't have to worry being on par with the NPs because we are not even close. The NP profession is surpassing the PAs in many areas and we are just playing catch-up.
  17. Well, base on the limited comments that support Physician Associates on PAFT Facebook page, I have concluded the following reasons: 1. With Physician Associate, we get to keep the PA acronym. My counter point: I think the PA acronyms has no value, I am sorry but we are not IBM or BMW. Even with people knows what a PA is, they still think we are just assistants. 2. Physician Associate sounds more appropriate for our job description. We're not so much assisting but associating and collaborating with the physicians. My counter point : We can still be associating and collaborating without the "Associate" in our name. We can be Medical Care Practitioner and still be associating and collaborating with physician just like any other healthcare professionals such as pharmacists, PT/OT, OS, or even other physicians. Why do we need to have "associate" in our name to be an Associate? I hope WPP surveys the general public. If the general public think Physician Associate is someone they can trust with their medical care, as a principle medical care provider more than MCP. I will not complaint. The whole point of a name change is let people know we practice medicine not just an assistant. It looks like we may get an upgrade to "just an associate." Medical Care Practitioner fits well in many settings in my opinion... Partnership with physician, ownership, upper managements, get into the C- suites. With Physician "Associate", people just going to ask.. where is your physician? Medical Care Practitioner, we practice medicine and provide medical care.
  18. That's how I feel with my students in clinical rotation. They don't really care about the PA politics, but each one of them have over $100,000 loan to pay off. I try to tell them to get involved if they still want to have a job in the future. I also remind them that the Physicians will not watch our back. In a micro level, yes, we get along well with the physicians in the same department but in a macro level between organized medicines is a turf war. Regarding the name change, I hope WPP also surveyed the general public. If the general public think "Praxician" is someone they trust and will refer their friend and family as their medical provider, heck i am okay with it. I highly doubt that is the case.
  19. Really get to know your hospitalist and surgeon's stylehelps too. I would really try to get know them, understand their practice style within reasonable of course. That makes my job a lot easier.
  20. So far from what I've gathered from people around me, it is almost 50/50 between Medical Care Practitioner Vs Physician Associate. Maybe Associate has a slight edge. Their reason for associate is so we can keep the PA acronym I want to ask what is point of keeping the acronym? Is the PA acronym as well known as BMW/IBM? Not where I come from (California). Second reason is they think it might be cheaper to change to associate than MCP. Maybe change 3 words vs 1 word is 3X as much "ink" we need to change all the documentation? I don't know if that is true, but I have hard time believe that since we are almost in 2020, everything is digital, you can make a change with a click. The whole point of a name change is let the public/administration/legislator know that we practice medicine. We need a name that has "medicine" in it. Medical Care Practitioner- We practice medicine and provide medical care. mic drop moment lol
  21. What is a good resource to find out state laws for PAs? To find state law, please check your state organization and AAPA. You should be able to find a lot of good resources there. Will the PA profession crumble? It won't crumble, PA is here to stay. Except there will be less job for the PAs compare to the NP. There are jobs out there hire both PAs and NPs and there are jobs only hire NPs. what can I do to make sure I protect the profession? Participate in advocacy for the profession. If you don't have the time, at least pay your dues to your state organization and AAPA. Get your peers to be involve in advocacy. Also, I would like to mention that I still see PA students that don't really understand the profession. They think physician are always there to hold their hands. They think PA will not get sued, only physician will. They need to understand they will be making important decision as a PA. Patient can get better or get hurt base on your decision. You aren't just an Assistant. You could get sued independently and physician's name will be dropped if clearly not their fault.
  22. I agree. I don't recommend new grad going into ED. Don't get me wrong, I've known people who did it but they were excellent students and have ER expereinces in the past (ER techs, ER nurses). Working in the ER is not easy. What I found most difficult is for new grads to navigate themselves in the ED. The nurses can often misled you and you get into trouble, the consultant can give you a hard time because you don't know what you are doing and physician thinks you ask too many questions. I also don't really trust EDs that hires new grads, unless you know someone who already working in that ED and recommended, otherwise I don't even bother. These ED jobs are usually new grad mills. They also place new grad just in the Fast Track. There is nothing wrong with fast tracts, I love fast tracks. But ask any experiences PAs, Fast track can be a dangerous place. You are the gate keeper! Patients in the main ED gets all the lab tests in world. It will be hard to missed things in the main ED. The triage nurse will tell you the patient don't need anything, just treat and street. I personally have seen lower back pain turn into a dissection, "sciatica" turn into a acute limb ischemia, toothache turn into a MI, eye pain turn into a stroke. You will also see large volume of patient in the Fast track. It will be very stressful for a new grad. If you are a pa student reading this post, I highly recommend doing a residency.
  23. I am just wondering why these aren't available to PAs?
  24. "The new residency program for nurse practitioners at the Betty Irene Moore School of Nursing has opened its applications. While nurse practitioner residency programs exist at other institutions, this is the first one to be funded by the Health Resources and Services Administration, according to Debra Bakerjian, a School of Nursing clinical professor and principal investigator. The $3.5 million grant is monumental for the nursing community since it depicts federal recognition of the importance of nurse practitioners in primary care. " https://www.hrsa.gov/
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