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jlumsden

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jlumsden last won the day on November 6 2016

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About jlumsden

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    Physician Assistant

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  1. The app scores aren’t grouped. The questions are identical.
  2. Received my second six month Press Ganey summary today. I’m just over one year into my job. Results reasonably good, I suppose. Even so, I’m below average for my clinic. I noticed an unsettling pattern in our clinics. We share scores. On the whole, nurse practitioners and physician assistants are scoring lower than MDs. The APs score at about 4.6/5.0 overall. The MDs score at about 4.8. There’s a wide range of personalities, experience levels, clinical interests, and bedside manners among the APs. What accounts for this lower score? Is this common in other institutions? I wouldn’t let it bother me, except the Press Ganey scores are built into our performance evaluations. This ties to our compensation packages. So if there’s some sort of bias, the playing field isn’t level. Do you have similar experiences?
  3. jlumsden

    Quick question about strep

    Forgive me for not referencing the study, but even with strep positive cases, antibiotics shorten symptom duration by about 16 hours, on average. That's it.
  4. jlumsden

    Literature and Journals

    What do you want to learn about? Clinical stuff? Science in general? Being a PA? Free is tough. Does your school offer access to the library yet? Also, could you consider joining AAPA as a student member? It's not free, but fairly inexpensive. This comes with a free JAAPA subscription.
  5. I started applying for positions in May, and graduated in August. I had an early interview, but the real intense search work and interviewing started my final month of school. Your primary focus should be graduating and passing the PANCE, but as others have suggested, it's worth throwing your name in for ideal positions.
  6. jlumsden

    Tablet recommendations?

    Honestly, you shouldn't need a tablet. The Macbook Pro would be fine for taking notes. I would recommend a steno pad and a pen. The action of writing out your notes takes longer than typing. You'll retain the information better, and be less tempted to surf the internet. Material can get dry at times, and it was a huge, not always beatable temptation to surf the net at times.
  7. jlumsden

    Surgical Procedures

    Youtube has tutoring on suturing and some minor procedures.
  8. Why is it you don't want to contact the schools directly? Getting your name in the head an admissions reviewer might not be a bad idea, as long as you aren't emailing them too frequently.
  9. jlumsden

    Senior Moment

    You also posted this three times. :)
  10. jlumsden

    Evidence Based Medicine

    Yes and no. UptoDate is pretty good, although it throws the occasional editorial comment in (i.e. We like to put white pepper in our gravy to give it that extra zing). Dynamed is actually faster at updating their clinical information, but my institution doesn't use it. When you get to the job search, realize you are also interviewing them. Ask what the place does to keep its providers current. Mine has journal club, and a standard work committee that creates and revises evidence based templates based on common conditions. Especially in the beginning, it's important to work at a place that incorporates this into their culture. Finally, be consistent. I use the USPSTF calculator for every physical. I use UptoDate when I am in doubt (and it happens often, as a second year PA). I review UptoDate's Practice Changing Updates monthly. If an appointment feels muddled clinically, I make a point to work on improving my content knowledge in that area.
  11. Programs need the ability to travel to the site, to ensure it is legitimate, and possibly to support the student in the event problems arise. My program also did a site visit to my primary care rotation. Having to travel to these sites presents a logistical challenge, which is only complicated if students are allowed to go to any area of the country. You're likely to experience difficulties for this reason. Also, there is something to be said about letting the program choose your sites for you. You run into experiences that you might not have picked on your own. I spent time in Wenatchee, Washington -- a community I might not have considered on my own. I came to love it, and considered getting a job there. I told my closest friend in my class, he was hired, and he is happy. Good things come out of these unexpected placements.
  12. Part of this will improve in time. You’ll get comfortable with each other in time.
  13. Your stats are competitive. Why based on your stats? Getting into PA school is not just about meeting a bunch of criteria. It's important to meet the prerequisites, but why not look at the program itself? Is it a good fit for you? Look at faculty biographies on the website. Are they interested in things you are interested in? Have they worked in the kinds of PA positions you see yourself working in (i.e. underserved, international, surgical, etc...)? Consider visiting a school or two. Some will let you sit in on a day of lectures if you email in advance. Look at admissions data, which should be on the website. What is the average age of the class? Where are clinical rotations? Some programs have you travel several states away, some keep it close to campus, and some try to give you a mix of rural and urban. Finally, watch out -- some schools, like Weill Cornell in NYC have specific focuses, like surgical medicine. I booked a visit there without realizing it, and I have little interest in being a surgical PA.
  14. Come up with a few stock questions to ask the patient. Things like "Do you live in the city, or in the suburbs"?, or "Did you have trouble finding parking?", or "Have you recovered from the holidays yet?" should work. When they answer, build on their response by asking another question, like "Did you go anywhere fun for Christmas?". It will get easier in time. I'm not an amazing conversationalist, but I do ok at work because the breadth of small talk topics isn't very wide.
  15. The account needs to be in your name.
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