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aimyhtixela last won the day on July 25 2014

aimyhtixela had the most liked content!


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    Physician Associate

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  1. Sincerest apologies, John. I was hearing this from the end of a long grapevine and the exact words uttered were "Ohio name change resolution" hence my curiosity. I am very excited about this though and hope this resolution passes. Thank you (and Paula) for your contributions to the profession!
  2. Anyone in Ohio, OAPA, or AAPA know about the resolution that is supposedly being proposed to AAPA for a name change? I come up with nada when I ask Dr. Google. Would love to read/hear/know more about it.
  3. I thought coryza was just 'runny nose'. As in the use here by CDC: "Measles typically begins with high fever, cough, runny nose (coryza)...." https://www.cdc.gov/measles/about/signs-symptoms.html One of the words that stuck with me in medical terminology was odynophagia, I hear that word and I think: I am ashamed. lol
  4. Before and during PA school, I had the opportunity to work with Cerner, AllScripts, Epic, Centricity, and NextGen. NextGen was without a doubt the worst (too much clicking and repetition as mentioned, no quicktexts/templates). Admittedly I've only worked with it for 5 weeks on an FM rotation at a CHC that operated like a circus. Think: double booking, no shows, 24-32 patients in a day, employees were hired not by merit but because they can speak a foreign language, high turnover rate, locum providers who couldn't care any less and don't finish their charts, etc, etc. Count me as one! The ones in the west coast were the most generous from my experience, more so as you go rural. PAs/NPs at our CHC make no less than 150K with base and quarterly bonuses combined plus awesome bennies and support e.g. we each get 2 MAs plus one RN per 4 providers and one RN clinic/pod manager who steps in if the other is busy. OP, there are good, well-run CHCs out there. Although I think in general they are slowly preferring NPs over PAs now because it's hard to find, retain, and pay docs to "supervise" PAs. Our CHC won't hire PAs anymore as a matter of fact (we outnumber NPs here 3:1). But, that's for another thread....... =/
  5. I'm a new grad almost 6 months in working at a CHC in FM. A lot has been said already but I think it is very dependent on the organization. I interviewed at dozens around the country and I can tell you that CHCs come in different flavors. My two cents: 1. Look into their leadership as that will tell you a lot about how things are run (e.g. I interviewed at a CHC whose CEO was a PA, needless to say that it was a supportive environment for new grads). 2. Read employee and patient reviews. Obviously take it with a grain of salt but read comments online from indeed, glassdoor, or facebook to get an idea of what they are like. 3. Don't be afraid to ask the hard questions. Ask about turnover rate, who are you replacing and why are you replacing them, ask to speak with your future SP if possible, ask to shadow a PA there, ask about your support staff e.g. do you get MAs and nurses, ask about support from admin e.g. when was the last time a provider had to fire a patient and how did admin respond, etc. etc. 4. Ask about the make up of their patient population. At the CHC where I work, most are migrant farm workers and for the most part, they are quite grateful for the care that they receive. Each population has a unique set of needs and expectations. 5. Ask about the EMR. Do they have templates or quicktexts? If their EMR is NextGen, run. LOL. For me, what I dislike the most about my job is dealing with worker's compensation and the lack of continuity of care because our patients move around the country. It's true that compliance is tough in the type of population served by CHCs but I've learned not to take that personally. Lately I've been keeping in mind that my patient's health is ultimately their journey. I can prescribe all the pills available to them but if they don't put it in their mouth, there really isn't much that I can do. ¯\_(ツ)_/¯ Best of luck to you!
  6. Personally, I usually say "I will consider your best offer." If they continue probing, I say, "Well, I trust that compensation here is competitive based on current market. What do you typically pay someone with my background and/or experience?" When they say a number I keep a straight face, gently nod my head, and wait for them to change the subject. I negotiate after the interview.
  7. My coworkers have been paying for the monthly subscription of uptodate. They use it for a month (enough time to rack up 50-100 credits) for $50 then cancel the account.
  8. Sharing an email for all of you Washington state PAs:
  9. No offense Boats but I have seen you argue here with other PAs in what crosses the line of demeaning and unprofessional (esp. when arguments become political) but users here are not crying foul. A point is being made here that his counterargument is "your statements are asinine" and "I'm better than all of you just wait and see." If that is not arrogance then I don't know what is. I meant it when I wished him the best of luck. His PA training and education didn't teach him enough medicine by his admission but I would at least hope that it taught him some humility. That said, I suppose it's time for me to step out of this conversation. Namaste.
  10. So you regret going to PA school because of inferior education and training. I'm sorry that your PA school education was that inadequate. PA programs aren't perfect and you should have known that there is still a lot to be learned after the program. If you feel so strongly about the shortcomings of your institution then reach out to your program and help out. But you probably think you're better than that. Where are these clinical outcomes you speak of that show APPs are not on par with docs? One of the pathways in early stages of conception right now for possible PA independence is LMU's DMS program. That's one or two years of didactic and a year of clinical rotations in PA school, three years of experience in FM/IM/EM as a pre-req to enter the program, followed by two years of core science and medical modules plus a clinical residency. Is that enough education for you? Probably not, because you keep boasting the value of all the tests you have to "endure." Give me a break. We all know that med students forget most of what was in Step 1 by the time they have to take Step 2. The Step series is meant to put a number on your application so residencies can compare you against other applicants. Another time it will probably come up is if you were getting pimped. Do you seriously believe that eight-hour exams make better providers? A year or so as a practicing PA and a few years as a medical student and now all of a sudden you are an expert. Your posts exude so much arrogance that for a second there I thought I was on the wrong forum. Have you heard of SDN?
  11. You graduated PA school in 2013 and you're now a third year medical school student. So you hardly spent two years being a PA before jumping ship. How do you know that in ~3-5 years (if you were in primary care) that you would not have reached the same knowledge and skill base as docs do (assuming of course that you studied diligently the whole time)? Why does it sound like your disagreement with PA independence is coming from you feeling like you made a mistake going to PA school so you need justification for doing the MD/DO route? Anyway, the best of luck to you. I sure hope your Step 1 knowledge will make you a better doc in residency.
  12. You're one of the PAs who then decided to go to medical school if I remember correctly. Just purely out of curiosity, if you were not in med school now, would you still disagree?
  13. My comment was to show OP values to relate to. I emphasized 'FM in community health centers' because when people hear those words they hear 'low wages'. My highest offer was 120K starting as a new grad. Surely specialties and for-profits ought to pay more. I agree that nurses make a killing here but that's after a lot of work. My uncle's a retired RN after working nearly 2 FT jobs at Kaiser and Sutter for 25+ years. He was bringing in around $250K which is just ridiculous. I will say though, when your state income tax alone is around 10% or higher it's gotta make you want to cry a little. lol.
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