Jump to content

Recommended Posts

Looking for some HCE feedback.

 

Been working @ VA for 3+ years, all PTSD research - first two years were as EMG startle tech (running emg testing 1on1, 12 patients a day) working on base with AD marines. 

 

Now last 8 months is PTSD screening (CAPS) appointments with veterans I screen for eligibilty and schedule myself.  Appointments include 2x 1on1 sessions; I assess for validity and we discuss trauma, symptoms and other life stressors in depth, before they are randomized (if I deem eligible) to a treatment program.  Usually 5+ hours 1on1 per patient. 

Also includes lab work, I don't draw blood (no phlebotomy training) but take patients to clinic and process samples after.  Occasionally consult with supervising MD but mostly working solo. MD has no interactions with patients other than if I deem SI to be extreme.  Patients vary, but majority have comorbid diagnoses - bipolar, major depression, BPD, schizophrenia, substance abuse etc. 

 

Planning to take EMT cert in Spring and hopefully work in the field part-time alongside school & VA position (study ends when I start my BS) for next 3 years.

(Already have British college time which accounted for VA position but credits not accepted by CA schools due to how long ago it was/some not transferable)

 

Question is, will any of my psych work count at all towards HCE? I'm aware research is one of those touchy areas. 

 

Thanks in advance for any info.

 

Share this post


Link to post
Share on other sites

My experience was similar to this. I coordinated two hypertension clinical trials and an HPV study prior to applying. My duties were to screen and enroll participants, complete surveys with participants, order CBCs (I did not draw labs), consult with MD, etc. Alot of regulatory paperwork with FDA, IRB, and other agencies. I was able to differentiate my duties between "patient care experience" and "research"

Share this post


Link to post
Share on other sites

Your experience as an EMT will add significantly to your HCE. A few of my classmates had only EMT work. The experience is 1 part of your 'total package' of who you are when applying.

Just out of curiosity you state " Occasionally consult with supervising MD but mostly working solo. MD has no interactions with patients other than if I deem SI to be extreme." What type of training do you have WRT mental health? Just wondering what an 'extreme SI' patient looks like to you.

I served as a Navy Corpsman with the Marines and I saw quite a bit it SI gestures. I believe everyone has a different sense of what an type of behavior would be labeled 'extreme'

Share this post


Link to post
Share on other sites

So my initial appointments with patients tend to go along the lines of consents, HIPAA forms, various measures (PHQ-9, medical history, etc) followed by CAPS, and then a less structured "chat" after, because CAPS usually ends up being pretty intense for them.

 

About 40% of the patients I see indicate feelings of being "better off dead" or that their families would be in a better position if they were.  In terms of SI, plan and intent, mention of a timeline, method, recent attempt. ("I want to jump off X bridge this weekend/I put my sig in my mouth two nights ago/Every day I think about taking all my meds at once" - obviously not usually said so baldly) needs to be present for me to place a psych hold. That includes non-fatal self-harm, not solely suicide. 

 

If there's history of SI in their med charts, or certain aspects of conversation are dropped during CAPS, I tend to finish the appointment talking about certain aspects of home life and med history:

-social support

-religious beliefs

-future plans

-access to weapons/prescription meds

-substance abuse/alcohol.

-previous attempts/self reports of SI

-inpatient psych stays

-clarification of anything they've mentioned during the appointment that raised concerns.

 

However since we're usually talking about combat trauma or MST for a couple hours, I have to build a certain level of trust during the appointment, and often what's expressed in one on one, once we go to the resident psych or supervising MD is not mentioned - usual fear of being held as inpatient etc.  I can place them on a psych hold, involve security, if I am seriously concerned about the immediate safety of the patient and they are refusing a further consult.

 

Patients have to be stable (>3 months since last attempt) before I can enroll them in any treatment program due to the CBT/exposure treatment being pretty intense. 

Sorry for the long reply, - can I ask how long you were a Corpsman?

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Similar Content

    • By StudentPA2020
      My Name is Stephanie, I am 28 years old and a recent graduate with my BS in Psychology and pre-med studies. I am currently applying for my Masters in Physician Assistant studies. I have shadowed abroad in the past for the Foundation for International Medical Relief of Children in the Dominican Republic and Peru this past year and I would welcome an opportunity to observe you work. I would be grateful for any amount of time that you could spare, whether that’s one day or a few and I am very flexible at your convenience. If you are amenable to letting me shadow you, please let me know of some days that might work for you and I will arrange my schedule to make those dates work. 
      I am happy to forward you my resume so that you may see my lifelong dedication and experience to the medical field aside from my studies. I realize that you are busy and that your time is valuable. If you have any questions or concerns, you can reach me by email sdelima1991@gmail.com or phone 603-318-5640. Thank you so much for your consideration—I look forward to hearing back from you.
       
      Kind Regards,
      Stephanie De Lima
    • By Tllehann
      My name is Tessa and I am currently an MA at a dermatology clinic. I am aspiring to be a PA and will be applying during the next cycle. I have worked along side PAs for about 2 years now in dermatology and have experience working in a level 1 ED. However, I am looking for any PA shadow opportunity in Arizona that is not dermatology as I want to branch out and have an understanding of what PAs do in different fields. I live in Glendale but I am willing to travel anywhere in Arizona.
      If you are a PA or know a PA or any open opportunities feel free to reach out to me on here. 
      Thank you! 
       
       
    • By ac2888
      I am currently an undergraduate and I am looking to apply next cycle 2020-2021. I have a list of schools I want to apply to that have pretty late application dates so I could get in as many health care hours as possible before application. I am planning to have ~1000 hours by application and ~2000 prior to matriculation. My GPA and GRE are very high. I have volunteer, leadership, shadowing, and research experience. My question is for schools that do not have a 1000+ hour requirement would it be more beneficial to apply a few months earlier or to wait until I hit the 1000 hour benchmark. Will it make much of a difference? Is it better to apply early because of rolling decisions or try to get as many hours before application?
    • By emilymuff
      I am sure this has been asked before, if so, please forward it to me. But when writing out the description and responsibilities of your various experiences, should the format be a list/bullet point or more of a thoughtful written out paragraph? 
      What I have so far (in an excel sheet), is a list of my responsibilities with a small blurb of something I learned during that experience. 
      Here is an example of one of my work experiences:
      Active duty Navy, worked in hospitals on land and sea             Prepared operating room for surgery                 In charge of setting up sterile supplies                 Assisted the nurse and/or PA in positioning the patient on the operating table         Prepped the patient by shaving, washing, and disinfecting the surgical site         Applied sterile surgical drapes on the patient                Passed surgical instruments to the physician                Assisted the physician during the surgery                 Sutured incision site                   Applied wound dressings                   Learned that each member of the operating room team, regardless of education level, plays a vital role in the patient's safety  
      Any advice/experience is much appreciated
      Emily 
    • By PrePA1208
      I worked as a PRN rehab technician for about 3 months (roughly 20 hours a week) before I became Full-Time (40 hours a week).  How do I record this change in hours? Do I make two separate entries or average the hours per week?  My hours for PRN also varied each week, with weeks working up to 30 hours and sometimes only 15 hours. Do I need to record this somehow? I also do not understand how PA schools validate that the numbers of hours stated are honest. Is there some sort of validation document needed from each employer from past jobs.  Any advice is appreciated, thank you!
×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More