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JMPA

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JMPA last won the day on May 26 2016

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About JMPA

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    Physician Assistant

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  1. what do you call a doctor that graduates at the bottom of his class?
  2. JMPA

    duties

    if even asked to do that work then the job is #*&# and i would leave, it shows no respect for the provider, they make enough off of you, dont demoralize yourself for their end profit, them them hire a janitor/clerk/nurse ect.
  3. Poor cardiopulmonary history. Certainly would need to do testing do to lack of good history. From what is stated it describes pleuritic chest pain. Should consider pleuritis and pericarditis in differential. Are the vitals pre or post nitro? GI is definitely in my differential. Consider mets.
  4. its NYT, it is fake news
  5. Never accept lower pay for training, it is a red flag
  6. watch your tramadol use, it has many interactions, does not mix well with muscle relaxers, don't forget the cumulative effects of tylenol with NSAID ( a very effective regime), ISTOP/UA/hands on evaluations with good charting should be enough to cover all bases Ramble complete
  7. GABA can work well for neuropathic pain, it is better tolerated with less side effects than pregab, with that said do not stop high doses, wean do to potential for seizure. I do not allow my patients on a combo of opiods and benzos, i do not do it, it is a game of sudden death.
  8. SMFH, why do people undermine salaries? UC is a high risk field, yes COL comes into play BUT I would never do UC as 1099, and certainly not for PC wages, please people know your value and your risks along with average salary reports for your demographic. I would not do 1099 UC, and i would not do UC for under 75/hr in any city. Be careful with 1099, you may not be able to work that way depending on your state laws.
  9. we dont do well exams at my place, you sound like you are working fp or pc not uc. uc billing is much different, somebody is misleading you. minimum of 2 patients a day takes us out of the red
  10. i currently work UC in NYC, have many acquaintances who also work UC, any pay that is lower is foolish do to the high risk and COL. Do you realize that one only needs to see 2 patients a day for UC to be profitable?
  11. not true, average is 75 - 100 dollars an hour for UC in nyc
  12. otp has negative connotations, it is not something praiseworthy. we do not need a review of our title, we need a change. i am not ok with stalling/prolonging this important ideal of our noble profession.we need a mover, a shaker, a revolutionary! well, maybe not a revolutionary but we already fell too far behind the powerful nursing association that has been riding off our credentials for too long
  13. the problem with medical practitioner is the ambiguity, to much overlapping with allied health. Physician associate represents the similar training that PAs recieve. A subtle change such as physician associate makes a marked difference with perception and would improve advancement through legislation while keeping ties to our creation. We can call ourselves medical practitioners now and it is completely lawful, but awful. Of course we are medical practitioners. How about prescribing practitioners or diagnosing practitioners, or physical exam practitioners, or ............. Just keeping it real
  14. commercial drivers must be able to inspect their rigs, this may require climbing/squatting/kneeling/pulling themselves up. If a driver is unable to perform these maneuvers do to a hernia than they are putting others lives in jeopardy. i agree that hernia exams should be mandatory for all CDL drivers
  15. there is a difference between the term physician associate and associate physician. i am all for the term physician associate. i believe that it describes our role in medicine perfectly. it is simple to adopt. it takes away the misconceived notion that we are assistants, and it is currently being used by several programs. anybody can potentially be an associate of a physician so coining the term would be a first step.
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