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Dichotomy

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  1. Thank you for these inputs B2PA and CC56. I appreciate your insight. I agree with all that you commented. Deployment and such. I am absolutely fine with getting deployed. Although I thought the AF is more stable than most of the other branches, and being an officer equals "possibly" better experience in term of pay, work demand, family need balance, etc... I am also drawn to the AF PA residency that will get me a Dr. after my years of service. I still searching for more info on this last point in term of how long do i have to wait before starting the residency, is there an exam to take for acceptance or once you show interest you are guarantee to do it and can start ASAP. Also I have an AF base in the city where I live that always seeks PAs in ortho. My other question is can I request and be guarantee an Ortho position especially since my current position in the VA in ortho? My plan is to do the Ortho residency in the AF and work in the field after that. Finally, is there a required years of service post residency? Thanks in advance for any info.
  2. Hello all, Can those experienced with these two settings, please comment. I am currently a FT VA ortho PA, thinking of joining air force as Ortho PA. 35 yo, Family with 3 young kids. Also have an MPH degree. A year out of PA school. I appreciate any feedback, advise, guide, opinions. Thanks!
  3. Hello PA nation, Considering all other things equal, will you do IR over Ortho? This is the federal gov system. I would like to hear from senior or those who have experience in both field. The pros/cons, future career prospect, etc... Thanks!
  4. Can you please advise couple better ones ? I know of the PAOS one coming up in Nashville and another one in Dallas this November I think. New grad in ortho here, so never been to any yet, but planning on going to one this year. Thanks
  5. PAcali, I don't think the argument here is that of US vs Them. My direct partner at work is a NP and we get along just fine. I personally have equal respect for NPs, it is an achievement worth rewarding after all. The reality is that while PA/NP do the same things,... etc, we definitely have different training and background. Those of us who work directly with NP can testify of this to a certain extend. What we are trying to achieve here is to be recognized by our true identity, not as "an assistant" (very misleading) but rather as practitioner (which makes perfect sense), in this case Medical Practitioner. I sort of look at it as the MD/DO deal: Equal respect (... should be anyways), sort of different/modified pathways to the equal doctorate degree, but each practicing the same medicine.
  6. The following is from the comments section of the recent Medscape article about PA/NP: "....I'm a pharmacist/pharmacology professor, and know likely more about drugs than most MDs do. I however never pretend to be a physician as I don't have "adequate training", and neither do PAs. In a time when science and medicine move at a mind-boggling pace, lots of MDs struggle to keep up despite their more advanced training. The last thing we need are half-educated health care personnel (I know this will not sit well with many, but that's what it is, or there would be any difference between the education requirements). The biggest risk not necessary a "mistake" of PAs (although one gave me an amoxicillin prescription some time ago despite my specifically mentioned penicillin allergy, and when I pointed it out, stated "it's OK - it's amoxicillin, not penicillin". After a similar event a year later with other prescriptions involving two completely incompatible drugs, I simply refuse to be seen by a PA now as I would like to live a little longer). The 'real problem" is the high risk of missing "something" (I know, I know: that happens with MDs, too, but with what frequency compared to the PAs). I have the highest respect for nurses, PAs (and obviously pharmacists), as long as everyone stays in their lane. ASSISTANTs by definition "assist" - they don't work independently. If you want to do that, go to med school!..." https://www.medscape.com/viewarticle/895312?nlid=121968_429&src=WNL_mdplsfeat_180424_mscpedit_fmed&uac=179069PK&spon=34&impID=1615392&faf=1 Folks, this is a REAL PROBLEM --- These comments really drive this topic home!
  7. To OP, I sympathize with you as a new grad myself. I can only imagine the feeling but I hope you find some much needed encouragement here. Cideous, I am equally sorry for your experience and thankful she is now doing fine. As a new grad, and having already received couple of these calls from friends and families, what would you have done differently? Others opinion welcomed.
  8. Wow 20 years and only 113K ??--- What GS is that, and does that include locality pay? Which state is this? BTW - You aren't a failure, I think it's the federal government that is failing us. The VA really needs to review PA pay scale. I understand benefits and such is enticing but still much more need to be done for PAs $$ -
  9. I couldn't agree more. If we are going to make the change, "let's get it right". No disrespect for those here advocating for "a progressive approach" (i.e.. Use Physician Associate since it has been on the radar for a while & MP is a newer idea...), however, IMO Physician Assistant = Physician Associate = PA. Therefore, considering what we are trying to achieve here, let the title reflect who we are & what we do thereby changing the mindset of the general population & getting the respect that is due, being proud to say I am a Medical Practitioner as opposed to the current title which, in all honesty, I am sometimes ashamed to present myself as - Not because of who I am or what this profession entails, but just because of the sounding of these 2 words: Physician Assistant. So folks, let's come together and get this done right once and for all. Additionally, I am not sure if the titles MD, DO, DPM, DDS, RN, NP, PT, RT... have ever gone trough what we are experiencing in this our great profession. So, I think whatever title we are proposing should be definitive and yet appropriate of our profession. #Medical Practitioners!
  10. Shazu, The PA program application is done via CASPA on an annual basis. There, you can enter all your application materials including a personal statement, transcripts, etc. Now, you are a "non traditional applicant" being a medical graduate from India, as such I suggest you directly contact the program(s) that you are interested in, to discuss your case and the best course of action. Finally, most programs have an admission page with details on the application process and requirements. I would check those as well. I hope this helps and best of luck to you.
  11. Great discussion. I'm glad we are all engage in this cause. After all, it is our duty to be proactive and fight for our rights and the future of our profession. Here is my take on this. All PA programs shall now be the standard "more or less 27 months" + 1 year residency like the Lynchburg model, leading to a Doctorate degree which I proposed be called DMP to sort of mirror the DNP model. Our new title shall be Medical Practitioners and the medical workforce shall now be comprised of 4 different type of Doctors or Providers: Dr. John Doe, MD. Dr John Doe, DO Dr. John Doe, DMP Dr. John Doe, DNP I believe the added residency requirement will bring about 2 major changes to our profession and degree. First, It will definitely highlight the superiority of the PA education to the NP. Second, it will sealed the concept that PA education closely mirror Medical school training. This will gradually efface any association of PAs with NPs among the general population. There also has to be a national movement by PAs to make these changes known to the public and lawmakers through education, advertising, etc... so they know who we are, what we do, and what education and experiences are required to be a MP.
  12. Thank you all for your inputs- They are not willing to raise the offer any higher after multiple negotiations. Malpractice is covered. Base offer pertains to day hours with $5 and $8 xtra for evening and overnight shift respectively. No other incentives.
  13. Hello all, I've read few posts on full time employment offers (contract) for new grads in terms of what a contract should look like (Salary, Hours, CME, PTO, vacation, # of patient, Retirement plan, etc.) and red flags to be aware of. Now, can someone elaborate on the dynamics of a PRN or Casual offer. Basically, I will graduate in a month and taking the board a month later. Got an interview for a ER job. Got a call the next day from HR stating "We would like to offer you a position on a casual basis until something opens up later. Rate is 57.75/ Hr, would you like to take it ?" I said thanks, will get back to her about my decision. I would like to have your opinion on this. Is this typical of PRN position? No mention of a contract term, malpractice coverage, CME, etc ? Any red flag here? What other question would you ask? Is the hourly rate okay, should I negotiate more since apparently there is NO benefit ? What's reasonable? This is a major hospital systemic in the midwest. Thanks for your feedback!
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