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IMHO there is a great deal of potential in this specialty. This article is a few months old but the numbers are solid... https://www.managedcaremag.com/archives/2018/1/shrinking-psychiatrist-shortage According to this article ' Nationally about 1,800 PAs, or roughly 2% of the total number practicing, specialize in psychiatry'. Looking at Psychiatrist shortage ' From 2003 to 2013, the number of practicing psychiatrists declined by 0.2%, to 37,889 nationally by 2013. During the same decade, the number of adult primary care doctors increased by 9.5%, to 211,121 total, and by 14.2% to 862,444 among physicians overall'. ' By 2015, 60% were 55 years or older'. I know.... You are thinking that new grads need experience for this type of work. This is not true. The right personality and an opportunity are all you need.... That and a desire to work in mental health, I should say... Of course you can apply for a clerkship. I found 7 programs here: https://medicine.yale.edu/psychiatry/education/medstudents/pa.aspx https://medicine.uiowa.edu/psychiatry/education/fellowship-programs/physician-assistant-pa-psychiatry-fellowship https://www.houston.va.gov/Education/Physician_Assistant_Residency_Mental_Health/Physician_Assistant_Residency_Mental_Health.asp https://www.novanthealth.org/careers/psychiatric-fellowship.aspx https://www.carolinashealthcare.org/education/Center-for-Advanced-Practice/Fellowships/Behavioral-Health https://medicine.missouri.edu/departments/psychiatry/fellowship-program/physician-assistant-fellowship http://www.brookdalehospital.org/psychiatry-residency.html
I know from personal experience that battling with attention deficit hyperactivity disorder (ADHD) while in PA School can be frustrating and exhausting. If anyone is interested, I wrote a blog post on the topic that I will link below. Hopefully you can use some of the suggestions I offer. And feel free to comment with your own suggestions/experiences below. PA Journey | ADHD and PA School
If any of you have (or think you might have) ADHD and are considering PA School, check out my blog post to read about my experiences and strategies for dealing with the disorder. I hope you find it helpful! And feel free to comment below with your own suggestions. PA Journey - ADHD and PA School
Just wondering about any experience anyone might have had. More out of simple curiosity than anything. I've been following a patient, mid-40s male, bad genetics for HTN, not great on lifestyle either. Nonsmoker, but no structured exercise, diet a mix of healthy and very much not. This person was on 10mg lisinopril for over a year, which worked nicely to get 120s/ 80s (previous to meds, he gradually crept up to consistent 140s/90s for long enough he was "sentenced" to meds). The lisinopril caused a dry cough even at that low dose, so triamterene/ HCTZ was next. The first week on that, he had a few 150s/100s, plus reported headaches, vague somatic symptoms ("not pain, not tingling, just a weird feeling" in the volar forearms, not light-headedness or vertigo, just "a weird feeling" in the head). After about a month, BP is okay, 130s or 120s/ 90s but with as many high 90s as mid-80s. This person also has ADHD, and did some reading online. It's been pointed out that guanfacine is used for both HTN and ADHD, and the patient (rightly, I think) points out that 10mg of methylphenidate, while helpful for their symptoms, is probably not helping the HTN issue. Would it be crazy to add guanfacine to the Maxzide and maybe kill two birds with one stone? They would stay on the methylphenidate. I can find recent stuff about the drug for ADHD, but that's in teens. For HTN, I can't find anything that isn't from the 1980s. Does anyone use it anymore?