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  1. School’s Open Robert M. Blumm, MA, PA, DFAAPA, PA-C Emeritus September is a month of new beginnings. For our Jewish colleagues and patients is the celebration of the new year; and for many of our students in the USA, a new year of development and opportunity in school. I was driving to my office on a Wednesday, the first week in September. When I arrived at my main street, I noticed students with bookbags, filled to the brim and ready for a new challenge. Schools’ opening equates to increased traffic during our commutes, more vigilance when driving and an increase in patients in our offices and clinics due to contagious diseases. What are the ramifications for PAs and NPs? We will once again need to become more aware of our patients’ presentations, we need to stock up on diagnostic supplies and become familiar with a greater set of differential diagnosis as infections due to confined spaces and travel will be on the increase. The goal for the students will be to start afresh and to try to excel in their scholastic endeavors. This represents a new opportunity to write a new page in their journey of life. For the healthcare professional, it creates the opportunity for increased conferences and learning new information and skills. What problems will we encounter and what diseases and situations will we need study in order to enhance our knowledge? We will need to recognize the many signs of influenzas and use our diagnostic tests, prescription pads and influence, so that our patients are immunized early. We should be aware of the red flag signs of meningitis, a potential deadly disease. We will be treating hundreds of sore throats, viral illnesses, strep throats, sinusitis and the common cold. It is also a time to expand our examination and to discover those who have psychiatric illnesses such as severe stress as well as those that may have drug or alcohol addiction or who may suffer from sexual abuse. We can also be on the lookout for PTSD in this age group. Yes, these students may have been the victim of a fire, flood, the results of a hurricane, mudslide, rape, and loss of a loved one through violent circumstances. What does the astute PA or NP do in order to perform as expected in this ever-evolving landscape? Here are a few suggestions from a clinician with a long track record of patient care. Stay informed on the current problems and their treatment, as well as the need to refer when indicated. A missed referral can change a prognosis for a patient and create a catastrophe for the provider. Improve your technique of asking questions for your patient history. Perform the proper diagnostic exams and labs and radiological procedures and follow-up on them personally. Start obtaining a pharmaceutical profile on your patients if you have not done this previously. Lastly, consider your exposure to litigation and your options of insurance coverage for a potential medical disaster. This can befall anyone at anytime in their career, when they least expect it. Learn to distrust employer malpractice coverage, which is made to protect them more than you as a provider. Purchase a personal liability insurance policy from your professional organization’s endorsed option as this policy will have the highest rating and exists to protect your interest today and tomorrow.
  2. Hi all, I will be starting PA school in January and was looking for guidance about what path I should take to achieve my goals. If I could start over I might have chosen a different route to get to this point but I graduated with a Bachelors of Biology from Ohio State, went on to gain my patient care experience as a CNA, and applied for PA school. I really want to do something with babies so I am looking at Women's Health/OBGYN. What is the best path to take to get a job working closely with delivery and babies? I know PA's are up and coming and at least in NC are not often hired in most fields working with infants. Finding a Neonatal PA job is like finding a needle in a haystack. Heck even a neonatal PA residency is few and far between. And I am considering labor and delivery but after working nights in the hospital, I like more of the clinic setting. Plus I have never shadowed in L&D so I am not sure what the job specifically entails from the provider standpoint. So that left me considering a Women's Health Clinic. I shadowed a PA in one of these clinics and I loved it but after some research it does not seem there is much opportunity in clinics for OBGYN PA's and most clinics prefer NP's. So I wanted to ask some PAs who are currently out in the workforce and have wanted to work with newborns what their experience was like, how they found the position, and what they did to get there. What would be the best way to make myself competitive for an OBGYN PA provider position and what is the best way to find job openings in that field? Should I seek out an OBGYN residency after school or should I focus on real world job experience doing something that maybe doesn't interest me as much to gain work experience? Are there other possible careers I am forgetting about that will allow me to practice as a PA and work with infants/delivery? I am also strongly considering pediatrics as another option which seems to be much more readily available to PAs but I have always been fascinated with the reproductive system so I appreciate the gynecological portion of women's health as much as I love obstetrics. Any advice would be greatly appreciated! I do not want to end up in the same position I did immediately after college where think about what I should have done differently if I could start over. I want to do it right the first time so I do not struggle to get into a field I love because I don't have a crucial experience in my toolbox. Any help is greatly appreciated! Thank you!
  3. I am a PA with 8 years experience in pediatrics (outpatient). I've been toying a little with the idea of going for the CAQ and was wondering if anyone who had gone through the process would be willing to share their experience? My husband is the primary breadwinner in our family and as such I'm sort of at the mercy of his career in terms of where we live, how often we move around, etc. I was thinking having the CAQ would be helpful when moving to a new state, trying to get a new job etc. My biggest question is in regards to the procedures/patient case requirement. Because I work in an outpatient clinic, we rarely perform procedures such IV medication administration, LPs and we certainly never perform central lines or intubate. Does this exclude me? How does this work- would I need to get experience in these areas before I can be considered for this qualification? Thanks. Any insight is much appreciated.
  4. Good Afternoon PA Family, I am an EMT on my path to physician assistant school and I am looking for someone to shadow in the greater San Diego County area. The specialty of the PA is NOT of the utmost importance, but if I had a preference it would be in ER, Pediatrics, or any primary care. However, I would be grateful for the opportunity to shadow a PA in any specialty. I am very curious, have great interpersonal communication skills, professional, and most of all have a passion for PA medicine. Thank you for taking the time to read my post. If you have any questions, please do not hesitate to contact me on here. Sincerely, Andrew
  5. Hey guys! I'll be starting a pediatric hematology / oncology rotation soon. I would love recommendations on books/resources to help me prepare. TIA
  6. Hey there, I wanted to start a thread where students could chime in to share their experiences while on rotation. I will post one of mine below from my blog PAjourney.com. Feel free to add some of your own experiences in the comments section. Thanks! This is my experience on my Pediatrics rotation: PAJourney.com - Clinical Rotation 1: Pediatrics
  7. Hello all! I am one of the current PA Fellows at Texas Children's Hospital. I wanted to post on here to make myself available to answer any questions about our program or post-graduate training in general. We do a lot of promotion within the TCH marketing/hr world, so here are some of our postings: http://www.texaschildrensblog.org/2015/06/a-fellowship-of-opportunity/ http://texaschildrenspeople.org/why-the-pediatric-surgery-fellowship-for-physician-assistants-at-texas-childrens-was-the-perfect-choice/ Also, feel free to follow us on twitter @TCHPAfellows Most Sincerely, Kelly
  8. Hi Future Colleagues! My name is Aaron Shaw. I graduated in 2015 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=1487803712&sr=8-1&keywords=medical+rotations Thanks, Aaron Shaw, MSBS PA-C
  9. I have some books that could provide good use to a student either in their didactic or clinical year. Blueprints Series: Pediatric Medicine OB/GYN Emergency Medicine (2) Nelson Essentials of Pediatrics 5th Ed Obstetrics and Gynecology 5th Ed by Beckman, Ling, et all Essential Guide to Primary Care Procedures Physician Assistant - A Guide to Clinical Practices Color Atlas of Anatomy Step up to Surgery Clinical Psychiatry DSM-IV And a few others. All are in great shape, with the exception of a couple covers. I'd be willing to sell these for an extremely reasonable price. Just message me and let me know. Located in Baltimore, MD. Thanks!
  10. I am looking for some shadowing opportunities. I am in the midst of applying to PA Schools and would love to experience the various fields. I have used PAshadowonline.com with no success, given that only one PA is currently listed but not available. Are there additional resources/Professionals willing to take on a Pre-PA student? If there is anyone willing to be a mentor of sorts, I would enjoy hearing from you. I love working with people, I am extremely responsible and have lots of medical and volunteer experience. Thank you for your time.
  11. Hello everyone! I recently heard that PAs are able to do an optional residency after graduating, but I can't seem to find much information on this. How does residency work for a PA? Is it similar to residencies done by med students? Would I need to apply to a PA program that has a residency program after graduation, or would I be able to apply for one somewhere else? I am curious because if I were to choose the path of a PA (I am currently debating between med school and PA school), I would like to be able to work in neurology or pediatrics and was wondering if doing a residency would help me find me "dream job". Thank you in advance!
  12. Hi everyone! Your suggestions were really helpful last time, so I decided to post here again! I have been thinking about my plans after undergrad lately and I feel unsure about what I want to do. To be honest, I initially did not want to pursue the medical field because I thought it was not right for me. However, after taking some classes and volunteering at the hospital, I have found that I really enjoy it. I absolutely love the field of neuroscience/neurology and thought I should become a PA to work in that field. However, I have been discussing my plans lately with my classmates and they have suggested that I pursue medical school instead because it will allow me to "enjoy" neurology more than if I were a PA. I originally thought PA school would be a better choice because it takes only about 2-3 years and you are able to do most of the things a physician does. The only problem is that PA school requires some HCE, which may take about a year or two (at least for me because I have only been volunteering at the hospital). Although medical school is 4+ years, they concentrate on your GPA and MCAT scores over HCE and that would mean I just need to take my MCAT and a few classes and I will be good. I think both paths are doable and I am planning on taking a year off, so I could either concentrate on my HCE if I choose the PA path, or work on my MCAT for the med school path. As a side note, I am not pursuing these careers because of the pay. Rather, I want to be able to be in the field of neurology and work with patients, while still getting to understand the mechanisms of the brain. Supposedly I will have a better opportunity to do this if I were a MD/DO, but is that really true? What are your thoughts/suggestions? Thank you in advance!!
  13. I am looking for a good pediatric critical care reference text. I've heard that the big three are · Fuhrman and Zimmerman. Pediatric Critical Care. 4th Edition. 2011 · Shaffner and Nichols. Rogers' Textbook of Pediatric Intensive Care. 5th Edition. 2015. · Wheeler, Wong, and Shanley. Pediatric Critical Care Medicine: Basic Science and Clinical Evidence. 2007. My question is.. I have no way to go see any of these texts in person. Anyone have any good comparisons on the three texts? I would be learning more toward Roger's just because its the most current - however I'm not sure if that is a good enough reason. I'll be using it just as a reference for understanding the sick kiddos I'm taking care of, but I'll be working in Neurosurgery. Any opinions would be much appreciated. Happy Holidays!
  14. I'm slightly more than half way though my Residency/Fellowship program. I'm beginning to look for jobs and am hoping to work in Pediatric Neurosurgery. I am aware of the AAPA Salary Report and do plan to use this when job hunting. Currently, I'm looking for positions in the pacific NW (incl CA), CO, UT, midwest and eastcoast down to NC. I was wondering if anyone had any experience or opinion on salary negotiation and what your residency is 'worth' when job hunting. I know it's very dependent on location, but I'm hoping to be in the 90s for my next position. Any advice or personal experience would be great!
  15. Hello! I am a new graduate, and have searched long and hard to find pediatric practices willing to hire PAs. I was recently offered a full-time contract with a reputable local peds private practice. I have zero experience with medical contracts, and I'm terrible at advocating for myself :( I was hoping some of you more experienced PAs could help me with a few points of concern with my contract. 1. The starting salary is $75k + bonuses. The bonus structure is not included in the contract, and my supervising doc was unable to give me a concrete formula for how bonuses are determined. 2. It includes a non-compete clause of 12 miles and 2 years. My understanding is most PAs will not sign a non-compete, and those who do have much less stringent limitations? In addition, I really don't understand how tail coverage works. Do most practices cover you through the "end" of when a pt can sue you? If I stop working for them, am I no longer covered for any of the patients I ever saw while at that practice? Can I afford my own malpractice tail coverage on a PA salary? There are a few more specific concerns that I need to discuss directly with the MD. These are my big concerns, though. Thank you in advance for any advice!
  16. Hi Everyone, I was just offered a position as a FT pediatric GI PA at an academic center/ University Hospital in Eastern North Carolina. I have 10 years of experience working as a PA with most of my experience in urgent care (5yrs traditional urgent care, 4.5 years in Pediatric Urgent care and 10months in Pediatric primary care). My problem is that I feel I am being low balled after comparing to the salary profiles from the AAPA. I am not certain because I am use to working for private companies in an outpt setting. The position offers benefits such as health, dental, vision, PTO, sick days, CME and DEA allotment, 401k/403b option. The position entails me working split output and inpatient, taking call which may include once every other month just to cover the pager from home when SP is out of town. I should never have to go into the hospital at all. There are no weekends and I would be off for major holidays following the schedule of the local university. When I was called with the position HR gave me all this info over the phone and stated the starting salary is $77,500 plus other benefits and I have 48 hours to make a decision.(which is on this Tuesday due to the holiday) I asked about incentive pay or bonuses and she states they do not offer any. I counter offered at the mid to high 80's but they countered with $78,250. This feels like an insult. The salaries of all employees are publicly listed and for Physician Extenders I and it ranges from $55k-96K within different non-surgical specialties. Further insight would be great or if there are other PA's out there that work in Peds GI could you please give me a range of what the average pay should be in this specialty? I would love to stay within the pediatric specialty but I want to be paid my worth. In this area the jobs are few and far between and peds jobs are pretty much nonexistent. Should I try to renegotiate or just continue to wait for other opportunities. Thanks,
  17. HI all, Second year in the midst of clinicals. Looking for a peds rotation in either Chicago or DC area... if ANYONE can help with a contact that would be amazing! Looking for Feb-March 2016 Thanks, Cara
  18. I have an upcoming interview for a rural pediatric practice. They salary was stated at 60,000-75,000 dependent on experience. Since I'm a new grad I'm thinking that they may offer closer to 60,000. Other benefits include 2 weeks paid vacation, 1 week and 2000 for CMEs and full medical, dental and eye insurance. I have over $250,000 in school loans and I'm nervous that 60,000 is not enough money for me. Is this too low?
  19. I'm a first year PA student in DC and am looking to set up clinical rotations in both Boston, MA and Charlotte, NC in either Pediatrics, Women's Health/OBGYN, and/or Behavioral Medicine/Psych. Does anyone have any contacts or resources that may be helpful in setting these up? I'm not too sure where to start looking for possible preceptors. Any advice is appreciated!
  20. Hello, I'm finishing my undergrad this fall, I need 60 hours completed by the end of November. I'm interested in shadowing a pediatric PA however will take any available chances in Nassau County. Please message me Thank You
  21. Hi all! I'm so glad I've found this form, gotten tons of info so far I've been researching PA schools, and from what I've seen, and whats been posted here, it seems as though most of them focus on family practice/ primary care, and want a student who wants to go into that field. What are the schools out there with different focuses? So far I've seen Cornell: Surgery UC Denver: Pediatrics I'm primarily interested in emergency medicine, pediatrics, or international medicine, but I figure if we can get a post together with schools specialties, it can help other students with different interests in mind
  22. Soo I am 3 months into my first job as a PA. I took a job in a BRAND NEW family medicine practice, started by a Psychiatrist who has 6 other very successful psychiatry offices. Well, the fam practice is still not picking up and I find myself VERY BORED. There are 2-3 other physicians in the office who are only seeing anywhere from 3 - 8 patients a day. I dont even have my own schedule yet, and don't know if I ever will get one until the physicians schedules fill up. In the morning I do admission H&P's, and general fam med consults for a psych. hospital. In the afternoon, I dread going to the office so I can sit there and act like a PA student . I feel like I am NOT learning anything!!! I will go in the exam room with the physician (and I am learning a little that way), but most days are super boring. I have not yet been able to manage 1 patient on my own (ok, maybe 1 or 2 at the most). The other physicians say that I should be happy that I am getting paid (90k) to do nothing, but I just dont know. I feel that family medicine may not be for me. I really, really want to do Pediatrics and the Physician who hired me told me that I would be able to see >50% of peds in family practice. Well of course, this is not the case as we are seeing very little patients. I signed a year contract, and I keep thinking that If I go somewhere else at the end of the year that I want to feel confident enough to be independent/on my own.. and I want to have experience. I feel like I am not getting any experience here, and I am just waiting to get fired any day now.. because there is no work for me to do. I have spoken once to the physician who hired me.. and all he said is that hes sorry.. he thought the practice would pick up faster. He said that all his psychiatry practices are "Carrying" the family practice (financially). What do I do.. just wait and hope it picks up or should I actively search for another job?? There is a non-competition contract so I am kind of stuck there. Any thoughts/advice anyone? Or has anyone been in my place before? :sadface: Thanks! Jenni
  23. I have come across through these well known ebooks which I found quite beneficial for medical students and professionals in neonatal and orthopedic fields. I hope these free ebooks will help you in exploring your medical knowledge. Please do not forget to leave your feedback. [h=4]Orthopaedic Basic Science 3[/h] AAP Textbook eBook Collection Regards
  24. I really want to work with children and general family care and I was wondering if there was such thing as a pediatric physician assistant. I can't find much information on it, and the pediatrician that I grew up with didn't have an assistant that I was aware of.
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