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    • By Gilyprepa
      Hey everyone, there are still tickets available for those who are interested in the Loma Linda PA program. We have changed our event from zoom to being ON CAMPUS. There will be prizes raffled off. Due to some restrictions still being in place, the tickets that are being sold will only allow one person per ticket. More info on the flyer and event bright website. Thank you so much! Hope to see you there. https://www.eventbrite.com/e/llus-3rd-annual-pre-pa-conference-tickets-145958073527
      prePA conference final draft flyer On CAMPUS.pdf
    • By surgblumm
      What’s In A Spoonful?

      Robert M. Blumm, MA, PA-C Emeritus, DFAAPA


       

       
      Being a grandfather or grandmother is one of life’s most rewarding experiences. While reliving the early stages of life with our grandchildren we can enjoy their movies and get a second chance at some which we may have missed. I was recently watching Mary Poppins with my grandkids and found it delightful and uplifting. For days, I was rehashing that famous song in my head, “just a spoonful of sugar helps the medicine go down.” As a clinician, I paused with some concern as I had to ask myself: What, actually, is a spoonful?

      It is in the purview of physicians, NPs and PAs in pediatrics, family practice, internal medicine, urgent care, emergency medicine, retail health care and geriatrics to examine their patients who present with symptoms of a cold, allergy symptoms or a cough, resulting with a note recommending some form of OTC medicine. We commonly use the phrase “one or two teaspoons” and either document (or fail) to document this dosage.  Either way, the potential for creating an iatrogenic poisoning or a drug reaction is quite high. It is always important to know what medications your patient may be taking - a critical practice which should accompany every patient encounter, whether new or not. Most PAs and NPs enter healthcare with the idea of working for 30-40 years but prudent attention to malpractice prevention can never start too early. Thorough, thoughtful practice can illuminate cross-sensitivity to prescribed OTC drugs. We need to look at OTCs as carefully as we would any prescribed medication, and it is equally important to know the age and weight of your patient, as a spoonful may be too little or too much. If the patient is a pediatric patient, the parent may be confused by the description of a spoonful and give a tablespoon, a teaspoon or a pediatric feeding spoonful. Children who are taking a drug, particularly an OTC drug, have a much greater possibility of a reaction.

      For many of our senior citizens on polypharmacy, there are many potential drug-drug-interactions that will increase or decrease the effectiveness of their other medications making way for hypertension, severe hypotension or rhythm changes related to their cardiac drugs.  For a moment, consider the patient on Coumadin. This drug has restrictions on other medications, as well as foods and alcohol which can greatly affect the INR and create a life- threatening bleed in the brain or in the GI system. I was scolded by my cardiologist a few years ago for taking a class lll antiarhythmic with herbal drugs or vitamins and minerals. He made me wait an additional hour in his office, then had me step into his private room and asked me, “What is it that you don’t understand about taking NO additional supplements or herbs?” As a healthcare professional, he was shocked at my actions. These substances can interact with my prescribed drug regimen to the degree that I could have developed Torsade’s De Pontes.  He asked me if my need to take supplements - including fish oil, glucosamine and chondroitin - surpassed my need to live. His direct approach about my nonchalant attitude regarding supplements certainly got my attention!

      Being careless can lead to a poor outcome for the patient, as well as a possible lawsuit. What can the collective “we” do to prevent a patient incident that is negative or life threatening? Check for other medications, review current drugs, look at age and weight and be cautious to write an OTC medication unless aware of all of the possible reactions. Is there anything else to glean from this? Another related concern is failure to document the other medications and to cross reference all contraindications, which are frequent causes for litigation involving PAs as well as NPs and particularly in the setting of the Retail Healthcare Clinic or Urgent Care Center. The same focus should apply to Telemedicine since it has become particularly popular during the pandemic. These concerns should encourage clinicians to consider how to best protect themselves, their professional futures and their families from litigation due to negligence.

      Accuracy is the name of the game and is the mandate for all healthcare professionals but owning proper professional liability is the safest solution for potential error. It is not a coincidence that you are reading this today, but a heartfelt concern of a colleague who wishes all PAs and NPs a long and successful career. You do not want to create a life-threatening situation or worse. Our ultimate goal is to retire with professional pride and satisfaction – with NO history of careless nonchalance or, pardon the expression, “sloppiness”. Perhaps this “spoonful” of advice might help…

    • By FuturePAHopefully
      Hello Pre-PA Community!
      I want to start off by thanking this forum for the tremendous help and wealth of information provided for my own Pre-PA journey & want to give back to the community. A little bit about myself, I was a low GPA/PCE Applicant who was able to research admission strategies that landed me an acceptance to the #1 Physician Assistant Program in the United States - Duke University. Working as a tutor & academic coach for over 5 years, I value and appreciate those who invest in their future goals and want to help them along their journey.
      After spending several months researching how to get into PA School on the first try, I am proud to announce I have developed a strategy that allows one to emphasize their strengths and be accepted to their top-choice schools! My Interview Rate for all my applications were 80%, and my Acceptance Rate after the Interview was 90% through implementing pre & post interview strategies that increase memorability and subsequent acceptance. While I was looking for affordable Pre-PA services such as Mock Interviews or Personal Statement Review - I found them to be VERY expensive. While working a low pay PCE job, I found it difficult to afford these essential services. I want to give back to students at an affordable price to help save money for applications (an already expensive ordeal). I have created my own Physician Assistant Mentorship Service where I will be providing the MOST AFFORDABLE services available to motivated and driven students.
      Please visit pathtopa.youcanbook.me to schedule any one of the services offered. These services are especially useful if you are seeking guidance to joining this amazing profession (non-traditional students) or you are a driven first time applicant who wants to an acceptance their first cycle. Additionally, with EVERY SERVICE I provide a One on One Zoom Call to ensure that my advice is 100% tailored to your needs.
      Please feel free to ask about any of my services or about myself! I have just opened up my availability for February so check it out & share with family and friends.

    • By LOLfPAschool
      So my particular PA school uses the PACKRAT to determine if students are ready to take the PANCE or not at the end of clinical year (this is new and never counted like this before). This year's most recent PACKRAT version national average is apparently a 167, 20 points higher than the last 3 averages on PAEA's website and 40 points higher than last years national average of 128 (according to my PA school). They have informed us that if we do not get within the 2 point standard deviation, they will not allow us to take the PANCE until we reach an adequate grade on the PACKRAT. Can they legally do this?
      According to PAEA, the PACRAT can be done open book so these scores are skewed and shouldn't count for my class.
      There is nothing in our program handbook about the PACKRAT being a requirement for graduation.
      PLEASE HELP!!
    • By KimberlyM54
      Hello all! 

      My name is Kim and I am a demonstrated pre-PA coach and a current PA-S with a high success rate of client admission. I am currently available to take on new clients. I offer services including the following: personal statement editing/feedback, supplemental essay editing/feedback, interviewing prep/coaching, mock interviews, general pre-PA application advising sessions and pre-PA planning for the future. During the 2019-2020 cycle, I was invited to 7 interviews but only chose to attend 4 as I was accepted to my top choice by the 4th interview. I was accepted to ALL programs that I decided to interview with. Please email me at prepacoachkimberly@gmail.com if you are interested in learning more about my services. I also offer these services to other pre-health students as well.
       
      Happy holidays, 
      Kim 
       
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