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About spflynn4

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    Physician Assistant Student

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  1. The PA OTP bill is being voted on in the Senate today (can't tell if they've voted yet, they're at recess right now).
  2. Saw today that the bill passed through its first committee with an 8-0 vote (with 1 "no vote recorded", whatever that means). http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB697
  3. Would it help to send ACEP a link to both bills being considered? It seems as though everybody would prefer OTP over a full push for independence, but I wonder if it might be a moot point to convince an organization that sounds like they've made up their mind.
  4. Don't know how much it'll help, but I used the email that she gave in that letter to send her a comparison between SB 697 and SB 323. SB 323 was a full on push for NP independence, which SB 697 is not. I also specifically mentioned the fact that CAPA has letters of support from physicians for SB 697. I'm hoping that she can see the difference between a push for independence and a push for collaboration, but we'll see.
  5. Just sent an email to my local Assembly member, who happens to sit on the committee that AB 890 (the bill for NP independence) is parked in. I told him to compare this bill to SB 323 and SB 697. SB 323 failed in committee in 2016 due to massive pushback from several physician groups (as outlined in the letter that was posted in the OTP thread), while SB 697 is the OTP bill that CAPA is supporting this cycle. I threw in a brief comparison of the training between PAs and NPs (specifically the clinical hours) and asked him how he could vote to support a revived version of a failed bill when there is a better option being proposed. It's tough not to get down when it feels like the hits for NPs and against PAs keep coming. I'm more than happy to be a pain to some state senators/assembly members if it keeps us competitive. I believe that PAs and NPs should have the same laws regarding licensing, independence, etc, but that seems to be a work in progress at this point.
  6. It seems as though you're adding a certain spin to my post that wasn't in there. My point was that I don't think that the Florida bill will happen right now in California, because I"m still not sure how it happened in Florida. If it's altruism, that's great. However, we can't really count on altruism being what drives OTP forward. I also agree with your overall point- the time is now to push for less restrictive PA practice laws. However, it's a good first step. Moving from supervision to collaboration is a good step, and having a practice level decision on the delegation of services is a modernization of largely archaic laws. I will be unhappy if this is the only OTP bill that is brought up or passes in California, but I also understand that it's a work in progress. It's up to us California PAs to make sure that we don't settle for a halfhearted attempt at OTP past this initial attempt.
  7. I'm happy to hear that PAs are included, but any thoughts on why Rep. Pigman would have added PAs onto the bill? It doesn't sound like FAPA was pushing at all for inclusion here. If I'm feeling optimistic, I'd love to believe that someone just believes in midlevel equality (which would be a great goal, IMO), but I feel like I'm missing something here.
  8. We do it pretty frequently. We use a local specialty pharmacy and have the syringes shipped to us. I verify labs before the MA injects the patient, it's usually less than a 10 minute visit. I try to have them come in for an official visit every other injection (at least q1yr) for review of labs and to check in.
  9. It's an interesting strategy. I'm a little unclear- how exactly did PAs get included onto this bill? It sounds like it was an eleventh hour add on to a NP independence bill. This almost goes against OTP, but also would greatly level the playing field between PAs and NPs in Florida. does FAPA have an opinion at all? I just submitted a petition from my SP in support of California's OTP bill, so I'm eagerly watching how both of these turn out.
  10. I'm eagerly following along! Just sent emails to my local reps and I've got the petition printed out for my SP to sign ASAP. We're a PA-heavy practice in the LA area, so I know that we're all big supporters here
  11. You wouldn't happen to have any suggestions for a specialty that would be a better fit, would you EMED? Jokes aside, I think that the fact that endo is part of internal medicine gives you more a wider background than you'd think. Also, it seems like most groups that do endo also have a primary care component to their patient population, so you get plenty of practice with the bread and butter diagnoses. As an endo PA, I agree that my main population is diabetes and thyroid patients. We also see a fair amount of reproductive topics (irregular periods, PCOS) and neurology that intersects endocrinology (pituitary adenomas, we even see some Sheehan's syndrome). It's a basic outpatient schedule- I'm currently seeing 10 patients per day and working up to a goal of 16 per day, with time for charting in the middle of the day. It's not the most adrenaline-inducing field, but I'm fine with that. I will admit freely that it's not for everyone- I do a TON of chronic disease medication management and motivational interviewing for diabetic patients. However, my SP is a really supportive teacher, and I like the idea of getting to know patients over time and seeing the results of all of my work play out. I do wish we had an excuse to rock scrubs every day though, business casual is not comfort forward...
  12. My Rosh score was definitely higher than my PANCE score (I think I was predicted to get a 600 and got a 500). I know that you're probably stressed and freaking out, but try to put things in perspective. Something like 95% of people who take the PANCE pass it on the first try, don't stress about it. I don't know you, you've got statistics on your side here.
  13. My girlfriend and I moved from California to Boston to go to PA school this year. Moving was rough, but we were able to make it work. If you're moving a bunch of stuff, look into getting a pod/upack portable container (from u-haul) for your stuff. It cost us $1500, but we literally packed all of our stuff into it and it was shipped to Boston for us to pick up and decorate our place. We got there two weeks before school started, for many of the same reasons that beattie228 mentioned- getting to know our local area was a big help once we were started with classes.
  14. ^^Exactly what UGoLong said. I had to pay multiple deposits due to the spacing of my acceptances (one came in a month after the other). It's not really fun to have to double deposit, but that's how it goes. My rule of thumb was that you always deposit at the first school that lets you in (if no other offers come in before their deposit deadline), and then compare each other offer that comes in to the school that you've already deposited at.
  15. Don't worry about one rejection. I got plenty of rejections when I applied last year, but the only letter that matters to me now is the one that let me off of the waitlist and into my program. Be confident in yourself and your application, and don't let one program's negative opinion of you throw you off. Just be gracious and stay optimistic about the other 17 applications that you have under review!
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