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  1. Hello, I am a relatively new neurosurgical PA in Las Vegas, NV. Recently one of the hospital systems we cover (Valley Health System, UHS) here in Las Vegas informed me that in order to gain first assist privileges in their hospitals, I will be required to have a separate first assist certification. If I were to have gotten my privileges completed one month earlier, I would have just been grandfathered in. What confuses me most is that at a few of the hospitals, they are allowing me to have the first assist privileges until my next reappointment in over a year whereupon I will then
  2. Hello all, Long time reader, first time posting. I recently secured a job at a vascular surgery practice working with 2 different surgeons. The job includes working in all clinical settings (OR, inpatient, ICU, and clinic), but I am especially excited to be in the OR. My start date is at the end of August so I will have some down time before my first day. I was wondering if anyone had any recommendations as to how I can prepare so I can put my best foot forward when I start. Books, online material, videos etc. (I am open to anything really). I do understand that the first year, as a new g
  3. So I am working on my CASPA and have run into a wall. I submitted my transcript because that was always the first thing I was told to do. But my semester ends in two weeks and I do not believe I will have my application ready to submit by then. Will I have to reorder my transcripts to send to CASPA? Or should I just update my grades for those courses? Also, what do I do about future courses where I do not know how the course title will look? Is it ok if those are not perfectly matched to an official transcript?
  4. Hi all, I'm a new grad starting out in ambulatory surgery-- I'm super excited because I love being hands on in the operating room. I was just wondering if any of the Surgical PAs could give some insights about ambulatory surgery? The site I'm going to be working at has 12 surgical subspecialities (list below). From what I gathered through the interview process, I'll be able to get experience in all of them. That being said I'm worried about being prepared and knowledgeable for cases. Anyone have any tips of how to study up, or even get more comfortable once starting? I have a little over
  5. Hi Everyone! University of Florida PA Surgical Residency is having a panel to talk about the post-graduate residency and answer any questions you may have. If you are interested in becoming a surgical PA or are interested in PA school and learning about different specialties, this would be a great way to get some of your questions answered! The panel is this Thursday, 10/1/2020 from 6:30-8:00pm EST. Pre-register with the link below! https://ufl.zoom.us/webinar/register/WN_-mtC55QfROqsJ3kLO5TAXw PA Surg Res Panel flyer.pdf
  6. https://www.fresno.ucsf.edu/actspar Wondering if anyone has any experience/information/thoughts UCSF Fresno, specifically this ACS/Trauma Surgery Residency. Considering relocating for the opportunity. New grad, I liked what I saw during the visit. Not looking for some one to make a decision for me, but any information would be great. Thanks
  7. I have been a practicing PA for 4 years working in adult acute care medicine (ER, ICU, transplant cardiology). I was recently approached by a recruiter for PA position in pediatric cardiac surgery, which would involve OR and ICU clinical work. Even prior to PA school, I had an affinity for pediatrics and loved my pedi rotation. I had always imagined going into pedi cardiac crit care. My professional life took me towards adult care, and unfortunately has not permitted much in the way of pedi exposure. Has anyone made the jump from adult acute care to pediatric acute care? From chiefly medicine
  8. Hello-- Looking to get an idea of what percentage/hourly rate of compensation to ask for. I will be working one day per week in a combined clinic and surgery cases. Currently have 3 years plastics experience including micro. Anyone have any suggestions about what to ask for in terms of reimbursement. This is also a practice that I would consider joining full-time in the future. Thanks!
  9. All, Has anyone experienced being undermined as a PA? I have been a Cardiothoracic surgical PA for 2 years now. And in this new hospital I work at, PAs are not represented much. I believe most of that’s because management is not familiar with what PAs can do, how they can bill, their autonomy, etc. Due to this, their structure has always been having NPs on the floor to round on the post op patients, and RNFAs (nurse first assists) in the OR. The surgeons don’t get involved as much because they‘ve compartmentalized the two groups, and have a head NP and head RNFA who leads their counterpar
  10. Interested in Surgery? An introduction to the OR team By Robert M. Blumm, MA, PA-C, DFAAPA Whether you are a PA student scheduled to start a surgery rotation or an NP interested in moving into surgery, an understanding of the surgical team is beneficial. This article outlines the hierarchy and operation of the typical surgical suite. The Surgeon The surgeon is the attending physician for the surgical patient, responsible for his or her care and treatment while in the operating room (OR).1 Among the responsibilities of the surge
  11. I have a friend who is a fellow new grad PA, and she is considering a 2-year residency program in psych. She has a passion for psychiatry and could see herself making big differences there, however she is worried that she may begin to forget general medicine if she only works in psych for 2 or 3 years. Her other passion is ortho surgery (and other general surgery). She has also considered pediatrics and inpatient neonatal as other close-2nd choices. So, I'm wondering if anyone has had to decide between two fairly distinct specialties or switched between the two, years down the road. In pa
  12. Hi there! I am a new graduate that recently accepted a general surgery job from a local metro hospital. I will have the opportunity to perform a lot of procedures and with time a lot of autonomy. I am excited, but I am also aware of all that I don't know and still have a lot to learn. Is there any advice or textbooks any of you could give? I was a scrub tech for years before attending PA school, so the OR life is like home to me.
  13. Hello, In my pre-pa club a member asked a question about surgery for PA’s. The question was “Is it true that in order to assist in surgery you need to do an extra year of schooling after your PA program? Do this require you to pay more for school? Is this included in your PA schooling years or would you need to reapply for that surgical year?” I thought it was an excellent set of questions, which I would like more answers for.
  14. Hey yall, Im facing a bit of a dilemma. I got a new grad offer for a Surgical Position that is offering me the package below in NYC 105K Base Salary 10% Night differential 20 PTO days, 8 paid holidays, unlimited sick time, 12 weeks of paid salary for sick leave 8-10% Increase every year Health package as well The reason I am conflicted is id like to make a counter offer for more but dont know how to go about it. A friend of mine got a similar deal but 5K more out east without negotiating in the same system. How should I go about negotiating it? What a
  15. Hello All, Our Cardiothoracic Surgery Group at St. Joseph's Hospital in Tampa, Florida is looking to add another PA. We currently have 3 Surgeons and 4 PA's. Salary is based on experience. If you or anyone you know may be interested, feel free to shoot me an email. Thanks! Paolo Calizo, PA-C paopaocali@gmail.com
  16. Hello All, Our Cardiothoracic Surgery Group at St. Joseph's Hospital in Tampa, Florida is looking to add another PA. We currently have 3 Surgeons and 4 PA's. Salary is based on experience. If you or anyone you know may be interested, feel free to shoot me an email. Thanks! Paolo Calizo, PA-C paopaocali@gmail.com
  17. I started a new job in orthopedic surgery 4 months ago with an orthopedic surgical group. Some of the surgeons allow residents to train under them in the OR and clinic. So far, the residents have been cool and I’ve learned some stuff from them. However, I sometimes get the sense I am jockeying for position as the first assist. Ultimately, my role is to assist the primary surgeon. For instance, during shoulder scopes the resident will stand at the head of patient (lateral positioning), then the surgeon, and then I’m towards the feet of the patient. I noticed I’m pretty useless down
  18. Thumper was a respondent on the Becker site and "Optimal" in this setting refers to optimal exceeded workloads which many of us have. Not unlike Thumper, I agree that this is an issue that has ramifications such as this study but affects many more caregivers such as the different techs, nursing assistants, PAs and NPs in the hospital setting and emergency room clinicians as well as surgical staff, including the surgeons themselves. The nurses are the first to suffer as a large group as they are understaffed and instead of a 6:1 ratio of nurse to patient, a night shift nurse can have a 16:
  19. Surgical PAs! I'm curious to know how your schedules are structured. I'm hoping to gain insight on how similar practices operate and hopefully create a more efficient structure for my own group. I'm currently part of a hospital based neurosurgery group consisting of 7 PAs and 7 surgeons (when fully staffed, + 2 surgeons who are there part time). We also have a residency program. PA responsibilities include call (6a-6p), inpatient, clinic, and OR. We work 4 days a week with a rotating day off to keep us under/near 50 hours/week, and 1/8 Saturdays. We are, as a whole, looking for a more 1:
  20. Although I’m not a PA yet, I hope posting in this forum is fine, as I’m seeking info on existing surgical PA’s. So, what’s your specialty? I’m very interested in surgery, but I also would like to have a decent lifestyle outside of work. I’d also prefer to do more lower-risk surgeries versus something like trauma patients. The only PA I know personally specializes in urology. She works a normal schedule, is married, and has a child. I love the aspect of surgery, the idea of savings lives, and even working weekends when they need me - I hope I don’t give off the vibe that I don’t
  21. Hi, everyone. I’m going to attempt becoming a PA and need some advice. I have a good idea on what I’ll be doing to attempt getting into programs, so I’ll go ahead and give you my estimated credentials when applying to a program, sometime in the next 4 years. Bachelor of Science in Psychology with a minor in Health Sciences from Arizona State University. 3.6 GPA Standard GRE scores (haven’t taken any yet, but to play it safe, I’ll just say I’ve hypothetically scored average or slightly above average) Surgical Technician degree from a local technical college with ~ 2,000 h
  22. Postoperative Wound Monitoring App Can Reduce Readmissions and Improve Patient Care Patients gave universally positive feedback about the app’s ease of use and the ability to have wounds monitored CHICAGO (January 19, 2018): A new smartphone app called WoundCare is successfully enabling patients to remotely send images of their surgical wounds for monitoring by nurses. The app was developed by researches from the Wisconsin Institute of Surgical Outcomes Research (WiSOR), Department of Surgery, University of Wiscons
  23. http://www.beckersspine.com/spine/item/24235-the-role-of-the-pa-today-5-thoughts-from-spine-surgeons.html
  24. Has anyone here used NEJM Knowledge Plus to get CME? What is the best CME sources for surgery/trauma/critical care that doesn't cost an arm and a leg plus my left kidney? Thanks
  25. Hey guys! I hear a lot about the autonomy of dermatology PAs and I hear them talk about doing injections on their own and minor surgeries. I also hear about psych PAs saying they do everything the doc does. But I was wondering if there are other specialties out there that allow for this when it comes to being hands on. Or is it basically only a derm thing? I love the whole body and am thinking I'd be more suited for family, emergency, or internal medicine or something along those lines but I'm open to learning about all that PAs can do! Especially because I'd like to be hands on. Do you k
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