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  1. Hello, I recently made a post yesterday and got some great feedback. You can read more about my background and thoughts there. Feel free to give more insight. I am reading all comments and using it sort of as a guidance in making a serious life decision. You can check it here: However for the professional PA's who are currently working, my main question for you today is: Are you satisfied as being a PA? What are some things that Physicians do that you can't in your specialties? Give me concrete examples! A lot of people say autonomy, wide scope of practice, vertical mobility, etc. But what exactly are those day-to-day job differences or limitations that you have noticed in your specialty as a PA? Or do you feel like you have full autonomy? I am interested in either Internal Medicine (Hospitalist) or Emergency Medicine. But if it's pretty much 90% of the same job as Physicians, then I am not sure if 7 years of medical school is worth it for me. I know people usually recommend PA to MD mostly if you want to go into either surgery or a specialization of some sort. Can't wait to read your thoughts! Hopefully your comments and answers will give me and others in similar situations a strong resolution.
  2. Dear PA Student, My name is Dr. Leonard. I am a physician assistant and a PA educator. With the ongoing pandemic my concern for the future of the current PA students, especially those on clinical rotations, concerns me. This is why I am emailing students about PA Excel and their HELP line for PANCE review. I used this program 6 years ago and it has only gotten better! It is a PANCE review like no other. I do NOT work for PA Excel, although I may do some anatomy and physiology review for them in the future, but I love and believe in their product! But check them out for yourselves, do your homework but I can guarantee this program is the best and most affordable. And because I am such a big shot, lol jk, no but I know the CEO, he gave me my own code to give students to get them 30% off. I was like, a third? That is crazy. Anyways, I hope you use it. Feel free to give this code: evan30 to anyone and everyone you care too whom you think would benefit from this impressive PANCE review. They have virtual clinical rotations as well that are ARC-PA approved; if your PA program is struggling to get clinical rotations during this pandemic. Here is the direct link: https://helpcampus.com/membership-options/?_s2member_vars=page..level..1..page..78996..Lw%3D%3D&_s2member_sig=1586375631-f3148aa7ff0f97cb30a3a2450088f0f8 But here is the main website page in case you think I am sending you some crazy spam link lol: https://paexcel.com/ Twenty-five universities use PA Excel for their entire program to use. I think this is a good way to a. stay fresh for rotations and b. prepare for the PANCE. Again, the discount code is evan30. Best of Luck and Good Studying, Dr. Leonard, MS, PA-C
  3. Hi, I have two interviews this week, one with a private urgent care clinic and one with a hospitalist general IM program at a teaching hospital. I am looking for some good interview questions I may not have thought of yet. Here's what I have so far. 1. New position or taking over an old position 2. Shift model 3. Call time and holiday/OT pay 4. Average # of patients per day 5. What does the patient population look like 6. How many providers work per shift 7. Support team 8. PTO, CME, benefits, malpractice coverage 9. Lab services 10. EMR system 11. Orientation time Am I missing anything? Let me know your questions and any advice you may have!
  4. Looking for recommendations for good prescribing software . I've seen Epocrates, Uptodate, Dynamed, these offer prescribing guidance and basic interactions A new one is LotsofMeds - this one checks full patient data against drugs, like a full spectrum interaction checker which has not been done before. It also has adverse effects comparisons which is very handy.
  5. Hi Future Colleagues! My name is Aaron Shaw. I graduated last year from the University of Toledo Medical Center PA School. I have been practicing Neurosurgery the past year in College Station, Texas. Over the past two years I have been writing a book for: Students going into PA school, Current PA students, MD Students, DO Students and NP Students. On February 15th, 2017 my book was published and it is on Amazon for sale! Honestly I wish I had a book like this before and during PA school as life would have been much easier. I used this book and purchased a few practice tests from the NCCPA before taking the PANCE and passing it with flying colors the first time! It is my hope that you will check out my new book and hopefully make your study sessions much higher yield! Below is the Amazon website for my book! All the best to all those applying to PA school and for those studying for the PANCE. https://www.amazon.com/Medical-Rotations-Time-Succeed-Training/dp/0692836616/ref=sr_1_1?ie=UTF8&qid=1487800429&sr=8-1&keywords=medical+rotations Thanks, Aaron Shaw, MSBS PA-C
  6. Does anyone know if the credits that you make studying Physician Assistant are transferable to the Physician career? I'm planning studying PA in UMass Dartmouth, Massachusetts but I would love being a doctor in the future. The problem is that I cannot move to Worcester, MA, where the medicine career is available. So I would like to know if in the future, if I have a chance can I transfer these credits and studying medicine? or do I have to start the physician career from zero? Thank you. I would like to read your opinions.
  7. Hey all, I'm pre-PA at UW-Madison, and am one of those people how gets so much peace of mind knowing exactly what I want to do in the future. I've been trying to find the perfect specialty for myself according to some criteria and I'm wondering if anyone could point me in the right direction as to which specialty would suit me best: -interesting field, with lots of variety, and intellectually challenging -good hours (maybe 8-5, somewhere around that general area, not a crazy amount of call, etc.) -very good salary+benefits -hands on but also requires just as much thinking and decision making (using pharmacology, physiology, etc.) -most importantly would allow me to be able to love what I do, as well as to be the best possible father/husband I hope to be. I've looked a lot into CT/CV, and general surgery, ER medicine, and ortho, and all of those interest me a lot, it just seems like they wouldn't be so "family-friendly" as a career. Thoughts? Any advice is MUCH appreciated, thanks so much
  8. Good day to all of you working PAs. :) If I may ask for your opinion regarding a hot topic in medicine. Any specialty would be appreciated as I am interested in variety of things (despite doing my third year of school in Vascular surgery!) Thank you to everybody who responds!
  9. So I was wondering, but are there PAs that operates as a community leader? I usually see MD/DO/RNs working as a community leader in the position as a Health Officer and Medical Officer, but can PAs hold any positions such as Health Officer or Community Leader with such degrees as a MPH and/or DrPH....just curious.
  10. Hi all, I'm trying to compile a nice list of guidelines and recommendations used by PAs for clinical practice. I'm utilizing many of our lectures as a start as many of them list references to these sites. Some of these specialities I do not have lots of content or any at all. This list would be very useful to newly graduated PAs and PA students on rotation. Thanks - all who contribute will be cited as sources for the article. http://www.uptodate.com http://www.jointcommission.org/ Immunization and Pediatrics 2015 Immunization Schedule for Children and Adolescents - The American Academy of Pediatrics (AAP) published an updated immunization schedule for children and teens on January 26, 2015. Dermatology HEENT Pulmonology Cardiology 2013 AHA/ACC Obesity Guidelines 2013 Nutrition Therapy Recommendations for the Management of Adults with Diabetes 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk Gastroenterology 2011 Screening Recommendations for Barrett’s Esophagus (American Gastroenterological Association) American Association for the Study of Liver Disease (AASLD) American Liver Foundation (ALF) European Association for the Study of the Liver (EASL) Celiac Disease Foundation IDSA Practice Guidelines for the Management of Infectious Diarrhea (Infectious Disease Society of America) Neurology Headaches and Migraine Therapy (American Headache Society) The International Classification of Headache Disorders-II (ICHD-II) 4th Zurich Guidelines (2012) - treatment for concussion in sports Concussion in Youth Sports (CDC) - Information for athletes, parents, and coaches American Academy of Neurology (AAN) All Guidelines Recent Guidelines 2010 Revised McDonald Criteria for Diagnosing Multiple Sclerosis Stroke Statements and Guidelines (American Heart Association) ABCD-2 Score (National Stroke Association) NIH Stroke Scale Joint Commission Stroke Core Measures Management of Intracranial Hemorrhage (ICH) - American Heart Association Hunt and Hess Scale for Acute Subarachnoid Hemorrhage (aSAH) Rheumatology 2012 Update of the 2008 American College of Rheumatology Recommendations for the Use of Disease-Modifying Antirheumatic Drugs and Biologic Agents in the Treatment of Rheumatoid Arthritis Orthopaedics Endocrinology Nephrology Urology Obstetrics and Gynecology (Women's health) Surgery Psychiatry Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Hematology/Cancer Recent Updates to NCCN Clinical Practice Guidelines in Oncology National Comprehensive Cancer Network (NCCN) Guidelines for Treatment of Cancer by Site, Guidelines for Detection, Prevention & Risk Reduction, Guidelines for Supportive Care, Guidelines for Age Related Recommendations, Guidelines for Patients American Joint Committee on Cancer (AJCC) Cancer Staging Manual American Society of Clinical Oncology (ASCO) American Cancer Society (ACS) National Cancer Institute (NCI) Pharmacology and Controlled Substances Schedules of Controlled Substances - updated and published annually in Title 21 Code of Federal Regulations 2010 Recommendations for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis (American College of Rheumatology) 2005 Annual Report - American Association of Poison Control Centers (AAPCC) Donation and Transplantation United Network for Organ Sharing (UNOS) Vitamins, Supplements, and the FDA NIH Herbs At a Glance Natural Database - unbiased, scientific clinical information on complementary, alternative and integrative therapies Medline Plus - information for patients about drugs, herbs, and supplements in lay language provided by the U.S. National Library of Medicine and NIH Dietary Supplements for Weight Loss provided by the Office of Dietary Supplements (ODS) FDA Dietary Supplements - including reporting an adverse event with a dietary supplement Consumer Updates for Dietary Supplements Fortify Your Knowledge About Vitamins (FDA) Recalls, Market Withdrawals, and Safety Alerts (FDA) REMS (FDA)
  11. Hi I have 800 words on my on my essay I was wondering if I could email someone and they can help me shred it down to 600 which is the CASPA app maximum
  12. Any comments would be greatly appreciated, applying this coming cycle! Picture this: a first post-operative visit, open reduction and internal fixation of a tibia/fibula fracture with the dressing being taken down, and then a four year old vomits on my shoes, and he wasn’t even the patient; the patient, shortly thereafter, became lightheaded and proceeded to pass out. Despite this less than appealing day in healthcare I still want to be a physician assistant (PA). I’ve witnessed medical tragedy, triumph, and mundane days in healthcare, and at the end of all of them I am yearning to become a PA. I come from a diverse medical family and have been exposed to medicine my entire life. My father, a 35-year veteran firefighter/paramedic, and my mom, sister, and grandmother, all registered nurses (RNs), helped expose me to healthcare. My mother is a RN, but also a first assist (FA) as well as a practice manager for a very successful plastic surgeon. From a young age I was not only submerged into the lifestyle of medicine, but also allowed the opportunity to observe, what I would later realize was the foundation of my medical career. At the age of 14, I witnessed my first surgery, which was a facelift and chin augmentation. After that first real exposure to medicine, I knew that medicine was my calling, and finding what avenue of medicine would be my mission. Upon entering college, I began to search for what part of medicine I was meant to achieve. I began my journey spending three years of my undergraduate career shadowing a well-respected general surgeon who specialized in surgical oncology at Tampa General Hospital. Throughout those years I was required to become certified in sterile technique allowing myself to not only observe, but occasionally assist, as well as help set up surgeries. Additionally I rounded with the surgeons, residents, PAs, and RNs; and began to learn more about what the job of a PA really involved. In watching all the parts of the medical team work together in an operative and post-operative manner only reinforced my appreciation of collaborative medicine. Outside of spending my days at Tampa General Hospital, I also began to volunteer regularly at Shriner’s Hospital in Tampa helping coordinate and plan events for the in-patient children and their families. I was in charge of weekly volunteer days with a medical organization at school spending time with the kids helping them and their families get any amenities they made need as well as assisting the medial staff in any way possible. I was able to allow the family sometime to themselves while I stayed with the kids, whether it was coloring, playing video games, making crafts or just conversing about their day. Additionally, my observations of the PA’s that were interacting with the patients expanded my understanding of the role and leadership a PA has in healthcare. While in my final year of undergraduate, which has continued through to present day, I was given the opportunity to work in a major, high volume, orthopaedic practice helping perform various tasks within a clinical setting. On a daily basis I am involved in the perioperative course of patient care, including some outpatient surgical procedures. I interact daily with medical doctors (MDs), PAs, nurse practitioners (NPs), and other members of the clinic staff in helping diagnose and treat patients. Some tasks included triaging the patient, to assisting in minor in-office procedures, to relaying information to the MDs, PAs, and NPs. My experience at this orthopaedic practice has allowed me to take part in a team-based approach to patient care. Medicine has always been a part of my life, and becoming a PA is my next step towards a fulfilling career in healthcare. Working alongside PA’s has taught me many valuable skills such as communication, teamwork, and attention to detail. I know my dedication, determination, and willingness to learn will provide me with the essential tools towards becoming a successful PA.
  13. I've said before that insurance companies need much better education about PAs. Yesterday I had a conversation with a major insurer after they removed my listing from their directory. First they point out that they have removed all PA listings, but have left the NP listings. The reason? Because PAs are not providers. They assist providers. NPs are providers. They consider PT, Massage Therapist as providers too. Their directory is called the "Provider Directory." I've been fighting with these people for three years. This is a nationwide decision. I'm exhausted with these battles and will not take this one on. There needs to be someone bigger than me to educate them. We will soon see NPs paid at 100% of MD rate and PAs paid at 85%. This will greatly de-incentize hiring of PAs over NPs. I find these things very frustrating. It hurts my practice. It hurts patients who can not find me and needs my care. It makes us get paid less because when we bill them, it is harder for them to find me to pay me. I often get this overwhelming feeling that no one really gives a damn about how we are perceived. And also, greetings from Istanbul.
  14. In addition to 10 years as a PA in Emergency Medicine, I spent the 10 years prior to that working in both paid and volunteer EMS. While in PA school, I met many fellow students with similar backgrounds in EMS. Given such a combined history, many PA's would be a perfect fit in Flight Medicine. Not to be crass or conceited and no offense to paramedics and RN's, PA's with that combined background would be the perfect fit. The EMS background gives us the familiarity with EMS protocols and our training exceeds that of RN's and paramedics. However, I have not been able to find a flight medicine program that utilizes PA's or would be interested in developing a pilot program to evaluate how well PA's would perform in such an environment. Given that this is something I would greatly like to do, even per diem, I was hoping someone on this forum might have information on a program that currently utilizes PA's or would be open to it (preferably near the Philadelphia Tri-State area but I would be interested in hearing about programs anywhere). Thank you in advance, -Ken
  15. I just got a job as an anesthesia tech but I'm not sure that what I'm doing is very applicable to the PA profession and I'm worried its not preparing me enough. What health care job is best?
  16. I recently started full time at an opiate addiction center(methadone clinic) as my first job out the gate. It was literally all I could find except a horrible offer for interventional cardiology 65k salary which reeked of trap to me. I applied for an ER position at one of the larger facilities in my region as kind of a joke, however, I have been called and interviewed and am now meeting the head doctor next Thursday. Its really kind of my dream job in that I will be working 3 hospitals one primarily trauma, one primarily medical, and a women and children hospital in their ERs. It would be a 7 dollar an hour pay cut but has much better benefits. The problem is I have only been at my job for a few weeks due to my diploma taking such a long time and this facility waited on me instead of hiring someone else. I am fighting the battle of be true to myself or true to my employer and I must say even though its a very rude move I am leaning towards the ER position if I get it. Thoughts?
  17. Hi there everyone. I am from the Philippines and I want to become a physician assistant. Actually I have already a medical degree. I am already a doctor here in my country practicing for almost 4 years. I did the step 1 of MLE and passed it. (score not so high though). I was supposed to take the remaining steps but the first time I applied for visa as tourist, I got denied. Now I saw this Physician assistant thing and I thought that's just easy to apply. Do I still have to enroll? Is there a tuition fee? How much is the tuition fee? What are my advantages since I am already a doctor. Do I still have to go over it again? Please enlighten me because I wanna know how to become one ( for an international student/ doctor like me). Thanks so much
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