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Everything posted by PACShrink

  1. Have not been on here in a bit... I completed the University of Lynchburg DMSc program in May. I am curious to compare the programs. Maybe we could compare notes and post something for our community to utilize to compare the 2. What do you think?? -Scott
  2. Wow. This article is really eye opening.
  3. Congratulations Dr. E. I am starting the education concentration in January. I am excited about the start of the program and a little nervous about managing my time.
  4. I am planning on starting in January. Do you feel that you will complete the program in 12 months?
  5. PACShrink


    If you are a new grad, you will be shadowing for a while. You will probably be fine just applying and waiting until you get your license.
  6. Our practice has 1 MD and ARNP that do addiction medicine. It is in SW Florida
  7. PACShrink


    Books. I was able to convince them to allow me to buy a few textbooks. I did also wo to an addiction medicine conference in Nashville. I had already completed my 150 CME hours, somehow I forgot to mention that fact to them
  8. PACShrink


    This is a complete list of the 150 hours of CME I did for my CAQ. I hope it helps. BTW. I did not pay for any CME. There is plenty to be found for free. CME.pdf
  9. I have a few patients I manage meds for along with their therapy component. I do not have a great deal of experience with eating disorders. I wish you luck, I think it is rewarding and needed work.
  10. There are several screenings we use in Psych. They help to quantify the patient's symptoms. They can also be used for serial responses to track improvement. I have attached a few, I have WAY more. I suggest the PHQ-9 and the GAD-7 for depression/anxiety. They have good evidence to support them. Feel free to ask, anything you want to know. AMEN ADHD.pdf Beck Anxiety Inventory.pdf BED7 Scoring.docx BPQ Scoring.pdf CES-D Depression Screening Scoring.pdf GAD 7 Anxiety Scoring.pdf HAM - A Anxiety Scoring.pdf MDQ Mood Disorder Questionnaire Scoring.pdf PHQ 9 Depression Scoring.pdf PSSI-5-Manual.pdf
  11. This is a great point. The path to becoming a PA is not about competition. Those who are doing well, help your classmates that need help. Remember that being a PA is not just about 'you'. It is about the profession as a whole as well.
  12. Was there a question you had in mind??
  13. Just to add: Florida limits PAs prescribing to schedule III and up. Still, getting your DEA will make you more marketable and will help in your practice. DEA cost may be reimbursable by your employer... I second joining FAPA. I also suggest attending a conference when you are settled. Congratulations on your graduation !
  14. PACShrink

    New grad

    I hate to disagree with my colleagues but, there are jobs in SWFL. I think it is dependent on your specialty and setting. I can tell you with 100% confidence that there are (and probably will always be) plenty of jobs for Psychiatry PAs. It offers a great deal of autonomy and it can be very rewarding. The practice I work part time for is always hiring. They have multiple locations and contracts and they are opening new offices as the practice grows.
  15. Just remember, it is a marathon, not a sprint. Stay grounded by talking with your classmates. Likely they are stressed and feeling the same as you. The time and effort you are investing now will pay dividends for the rest of your life as a PA. Try to find ways to eat healthy and get some physical activity. You must maintain physical health to get through it.
  16. I took it 3 years ago. I studied one a text that one of the staff MDs had from residency. I don't recall the name of the text. Hindsight, I recall there being more on first line treatments and criteria for diagnosis. I had not had much experience with Lithium and Depakote at the time. I was also not as up to speed on the first gen anti-psychotics as I should have been. Somehow I managed to learn enough to pass though. Other states may be a better option for psych PAs. Some states give PAs full prescribing privileges, including schedule II. Good luck to you.
  17. That is great to hear. In some respects I am surprised at how few PAs work in Psych. From the most recent salary report I believe it was about 1%. Outpatient psych care is quite different from your work. Plenty of autonomy and opportunity to grow and learn. I can not see myself doing any other specialty.
  18. Good luck with your applications. It is a hard road to get there, but it is worth it.
  19. It depends on the area and the size of the practice. From my exp. starting around $85k. They usually pay your malpractice, you get 5 or so CME days, around $3k for CME, 15-20 vacation days.. IMHO the biggest benefit is the autonomy in treating your patients. Once you have built up a case load, you can pretty much decide the plan on your own. It is very dependent on your MD. I have worked with some that are wide open on suggestions and some that will not go off label at all....
  20. IMHO there is a great deal of potential in this specialty. This article is a few months old but the numbers are solid... https://www.managedcaremag.com/archives/2018/1/shrinking-psychiatrist-shortage According to this article ' Nationally about 1,800 PAs, or roughly 2% of the total number practicing, specialize in psychiatry'. Looking at Psychiatrist shortage ' From 2003 to 2013, the number of practicing psychiatrists declined by 0.2%, to 37,889 nationally by 2013. During the same decade, the number of adult primary care doctors increased by 9.5%, to 211,121 total, and by 14.2% to 862,444 among physicians overall'. ' By 2015, 60% were 55 years or older'. I know.... You are thinking that new grads need experience for this type of work. This is not true. The right personality and an opportunity are all you need.... That and a desire to work in mental health, I should say... Of course you can apply for a clerkship. I found 7 programs here: https://medicine.yale.edu/psychiatry/education/medstudents/pa.aspx https://medicine.uiowa.edu/psychiatry/education/fellowship-programs/physician-assistant-pa-psychiatry-fellowship https://www.houston.va.gov/Education/Physician_Assistant_Residency_Mental_Health/Physician_Assistant_Residency_Mental_Health.asp https://www.novanthealth.org/careers/psychiatric-fellowship.aspx https://www.carolinashealthcare.org/education/Center-for-Advanced-Practice/Fellowships/Behavioral-Health https://medicine.missouri.edu/departments/psychiatry/fellowship-program/physician-assistant-fellowship http://www.brookdalehospital.org/psychiatry-residency.html
  21. 60 minutes Initial 20 or 25 follow-up
  22. I work Psych in FL. Follow-ups are generally 99214 + 90833. Med management + therapy. New patients are 99205 + 90836 Initial visit + therapy Although, when I was in Virginia working in outpatient psych I only did med management. I worked 4 days, 10 hours. They would schedule 40 appointments, all 99214s. Interestingly, as a side note.. My no show rate was only about 7%. If you want to ask about $ send me a PM. I was able to bill on my own NPI in Virginia. In FL, the practice has the staff MD see each patient after my eval. They just pop in for 5 minutes but, that allows the practice to bill indecent to...
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