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CSCH last won the day on March 18 2019

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    Physician Associate

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  1. ^^^ This is the program director. I know one of their grads. She's super smart and has done well. Emory's got a good track record as far as these type of programs go.
  2. Frankly, Georgia is a bass ackwards state when it comes to PAs. That will have very little effect on you as a student, though. Once you’re out and practicing, if you stay in Georgia, your experience will vary widely depending on your practice environment. I don’t feel particularly encumbered by Georgia’s laws because I practice highly autonomous inpatient medicine. But I do feel the sting anytime I need to interact with the state medical board to ask mother-may-I for permission to so much as wipe my nose.
  3. Like many of you, things about my job changed last year for personal and pandemic reasons. I love my unit and my coworkers, but when I asked to come back to day shift, leadership both within my unit and in admin messed up a bunch of stuff and I've been getting the run around for about 5 months. They want be back, and a position should be opening up soon. I just had a talk with my medical director, and he said that if I was considering turning down the job for another opportunity, I should talk to him first and he would see what they could do to sweeten the deal for me and make it something I would want to accept. That said, the center's budget is tight and we haven't even gotten back our CME money, and salaries are fairly well-set for PAs in my role throughout our hospital. tl;dr I have an opportunity to ask my medical director for some kind of incentive/role/benefit, but probably not directly money. What should/could I ask for? My long-term career goals tend toward teaching roles, especially post-graduate education (aka when I grow up I want to run a residency) so I'm trying to brainstorm something beneficial for the CV in that category? But also open to any and all suggestions.
  4. Very interesting. How did you find out about that kind of opportunity? How was your application for the position received? What do you teach? I would not have assumed that nursing programs would be open to non-RN faculty (unless you are/were an RN?).
  5. @UGoLong Your story is so inspiring! I hope I will always keep that same level of passion for learning that you have.
  6. Hi Kimmie! Congratulations on considering the PA profession. I think you will bring SO much to the table. I graduated in a class that included two over-40 classmates (a high school chemistry teacher and a chef) who have gone on to be amazing PAs. It's daunting to consider "starting over" but you're coming in with so many strengths and I think being a PA is amazing and worth it. As far as psychiatry goes, I don't personally practice in it, and I only know one PA who does. It can be a tough field to get into because the PMHNP (psychiatric mental health NP) programs are fairly strong. It may be one of the few fields where I would consider becoming an NP over a PA (blasphemous, I know). It's just hard to compete with that level of specialization. The CAQ-psychiatry seems to be a major plus for those in the field, but you have to get your first job in it and have experience in order to obtain the CAQ. There are also psychiatry residency/fellowship programs (APPAP has 6 programs listed) which can give you additional training as a PA, as well as something to put on your resume that proves your interest and expertise in mental health. Good luck!
  7. ^^^ THIS ^^^ I graduated from a critical care residency (and am currently pursuing a DMSc). I now precept and train NP students and NP residents, in addition to PAs. Every single (not exaggerating) NP I have trained has at some point, without any prompting or questioning from me, made the comment that "NP school wasn't super useful" or "I don't feel like I learned much of what I need to know in school." Frankly, PA schools are far more rigorous (on average) when it comes to fundamentals and number of clinical hours, but NP schools integrate self-promotion, leadership, etc, and nurses have one of the best lobbies in the healthcare sector. I feel like NP schools can benefit from turning their attention more toward clinical knowledge before getting into all the other classes, and PAs need to teach their students to take themselves and their profession seriously. I know it would never happen, but I just dream of someday having one single APP pathway. Imagine if we combined our powers! True disruptive innovation. I also see residencies (or fellowships, if you want to call them that) as a path forward for rounding out both types of clinicians in many fields., and an opportunity for us to train together formally. (We already seem to do a great job working together irl.)
  8. Try the PA student discussion board. You’ll find discussions specific to each school.
  9. The Ventilator Book by William Owens is a classic. Highly recommend.
  10. For CCM, don’t forget Emory. They were the first to get accredited by ARC-PA. Very strong formal clinical and didactic (including simulation labs) program
  11. At the program I attended, I believe grades were only considered as part of your application. A big emphasis was placed on LORs, and even more so on your professionalism and passion in the interview. Pass/fail grading shouldn’t hold you back.
  12. Are you talking Rocky Mountain College or Rocky Mountain University? Both have DMSc programs. College is pretty focused on rural clinical practice. I’m currently in my first semester at University in the education track (they also have leadership and clinical practice tracks). I wasn’t interest in the DMS programs because they spend a lot of credit hours on family medicine/primary care system-based didactics, and I practice in critical care. The RMU program is completely asynchronous, which works well for my weird night shift schedule. I’m currently taking medical/scientific writing and evidence-based practice (Aka how to read papers and how to write papers). In order to graduate, I need to produce a scholarly project (something I could publish) and an educational practicum (which I intend to finish out by basically building a residency curriculum). I chose the program because it had what I felt was the least number of classes irrelevant to my goals (hard pass on community health, global health, aging, etc — though I’m sure those classes would be very interesting and relevant to many of my colleagues).
  13. Thanks for posting this. I hope you'll continue sharing your experience, and I hope someone from LMU does a similar blog-style review of their experience. Do you know anyone in the education track? Any feedback you've heard on it?
  14. Hahahaha yes there’s some weird practices out there lingering around from the Stone Age. I get lots of admissions for smaller hospitals and it’s alternately amusing and infuriating to comb through the records and find out what did or didn’t happen at the transferring facility
  15. I’d like to put in a vote for critical care! (Recognizing I’m totally prejudiced since that’s what I did.) I do agree that EM is definitely the most broad, but I would put CCM in second because we take patients fresh from the ED or floor, and send them back out to the floor, and in between we’re managing all kinds of “floor problems” in addition to the critical ones. A good critical care residency should expose you to medical, surgical, cardiac, and neuro patients, plus plenty of off-service rotations. Some even include ED time as an elective. I can vouch for the fact that I would feel comfortable transitioning to pretty much any specialty, and that I have been offered jobs in a number of other specialties. Not sure how I would be received in the ED because I haven’t applied for that type of job, but I assume my ICU experience would be well-received.
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