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greenmood

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greenmood last won the day on January 17 2018

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About greenmood

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    Physician Assistant / Hospitalist

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    Physician Assistant

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  1. Most of us who work in hospital medicine have weighed in over the years in this forum, if you skim and search a little. Find the right place, ask the right questions during your interview to test the culture. I have a great relationship with the physicians in my group and work at the top of my license.
  2. Bolding is mine. This is where your frustration is coming from, and I think it will help if you reframe your thinking after taking in the comments from previous posters. It's not required, but may make you stand out. Just like a 4.0 GPA is not required but may make you stand out. Many programs list a 3.0 GPA minimum but their matriculated class average is much, much higher. Should we be angry at them and call them out for selecting more competitive applicants? Or should we see that for what it is - an opportunity for an applicant with a lower GPA to get through the initial selection process an
  3. I just want to add, OP be careful with the x, y, z part here or you may lose your listener. I don't want to hear about my 41 year old female's broken bone from 5th grade unless the leg was amputated and she's here with an infection in the residual limb. Consider. You: Mrs. Smith is a 41 year old female here with right pyelonephritis. She has medical comorbidities significant for poorly controlled type 2 diabetes and morbid obesity. Medical history is notable for recently treated chlamydia and childhood history of VUR. She noticed dysuria and gross hematuria about 3 days ago, and deve
  4. Depends on what grade you earned. But let’s address your assumption that community college is automatically easier than wherever you are now (it’s not). Why would that impress an admissions committee? You need to demonstrate the ability to handle the course load of a rigorous PA program. So figure out what the problem is and then attack it. Show some growth!
  5. It sounds like there was an attempt made to bring this up during the rotation at your midway review, but it perhaps was not direct enough since you left that discussion not thinking their concerns were especially serious. Presentations are hard, and there is an art to them. It's very challenging to master, and made more so when you don't have control over your anxiety. @Carolina is right, practice often helps. I find many students try to cram too much information into the presentation, which makes everything worse. They don't remember the important parts and I have difficulty helping navi
  6. Depends. Many/most PAs work for health systems and don't set their own prices for care, visits, labs, testing, etc. The only part they can control is what they actually bill for. But a clinic can set its own prices. So a primary care office in rural Minnesota might bill a patient $100 for CPT code 99392 (well child visit, age 1-4). The same visit in another state or office might be billed out at $250. There is no rhyme or reason, it's whatever the clinic can get away with. It's the same reason spaying your cat costs $300 in Chicago and $25 + a firm handshake in rural Iowa. Some provi
  7. GPA doesn't help land a job. That's down to the interview, your resume, your letters, etc. Many students are hired before they even graduate, so as long as you pass even the PANCE scores don't matter. I'm not sure about residency. I assume if they are weighing two otherwise identical new graduates GPA might come into play.
  8. You have a single withdrawal on your transcript after two years of college. So try to stop there. Reconsider your class schedule for the coming semesters. You know yourself as a student now. Don't sign up for a course load you are unlikely to manage well. You cannot withdraw from a class that has already been completed - whatever grade you got is there now, and you will have to own up to it. Retaking the classes later and doing well can show growth, but the lower grade is still factored into your overall GPA for the purposes of CASPA.
  9. My experience is a very soft lateral mobility. I started as a hospitalist within a subspecialty surgical population (mainly liver, pancreas, upper GI malignancies with coverage of the breast and endocrine surgical services). So I only took care of postoperative patients who had undergone these often massive, dangerous, operations for aggressive high mortality cancers. I got very good at managing a lot of niche things like pancreatic leaks, fistulae, acute liver failure, short gut syndrome, and breast/neck hematomas. But I also got very good at managing sepsis, GI bleeding, pulmonary embol
  10. Basically, we have a "doc of the day" who is responsible for triaging admissions requests from the ED, outside direct transfers, and ICU transfers to the medical services (we have 14 medical lists, each carrying a census of 14-16 patients typically). It's based on a mixture of census and geography. Several of the services are for special populations, so sometimes it's based on those criteria as well. We have a rotating team of admitters (PAs, NPs, and MDs) who do all of the admission work, leaving the rounding teams free to focus on the established patients. When the admission is complete, the
  11. My shelf. I found the little green/yellow Lange Hospital Admissions very helpful when I started, as well as the Pocket Medicine guides.
  12. For real. And way to haul in here and resurrect an 8 year old thread on your first post. Look back at school-me, giving advice like a boss. But seriously it stands today. PT aide is great experience, especially if you work in a hospital setting where you get to see lots of patient variety and acuity. If all you're doing is outpatient sports medicine with healthy 20 year olds it's a different kind of experience.
  13. See my bolded responses above. HCE isn't less important than PCE. It's a different kind of care. I like UGoLong's suggestion of dividing some of this up into almost separate job descriptions. You did a lot of stuff. The thing is... I know you don't like the idea that this doesn't count towards some CASPA definition, but it's still impressive experience. I don't think you're going to do yourself any favors by trying to pass it off as something it isn't. Admissions committee members can read a job description. They know what PCE is. So regardless of how you categorize it for CASPA, someone with
  14. Move closer, seriously. My commute was an 45-60 minutes, but it was on a lovely, quiet, commuter train where I could study and sleep and be a person. If I was driving I would have never survived that. All that time lost. Yuck.
  15. I got married during the break between fall and winter quarters of didactic year. It was fine. I was back in my seat 48 hours after saying my vows. We took our honeymoon after I graduated and passed the PANCE, and I started my job when I came home. What helped was planning as much as possible before I started school. Got my vendors lined up and everything. Then I delegated the SHIT out of the daily grind. My now-husband took care of business - it's his wedding, too - and my sister helped.
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