Avaya24 Posted August 3, 2015 Share Posted August 3, 2015 I'm a PA with 22 years experience. My sister is a NP with 5 years experience in Cardiology with her FNP degree. The huge issue she had with her training was the willy nilly, leave it to the student attitude of her brick and mortar NP program. She spent most of her time with a moderate volume NP in a rural location - great primary care experience for her. However, she left her training with ZERO procedural experience, not one OR experience, no in-house hospital experience managing hospital patients, no ICU - nada other than her experience as a BSN, though valuable, she agrees is NOT the same thing. She discussed with her program about some assistance accessing sites for a more varied clinical experience. She was told to work that out on her own. Further, she was NOT allowed to do a clinical without a NP preceptor somewhere in the mix which completely restricted her options. No way, no how would her program allow her to do a clinical in an urgent care with access to lots of procedure opportunities because it was with PAs and MDs - no NP in the mix. I could have hooked her up with great alternatives but her program said no to them all. She did not feel well prepared clinically coming out of her program. She knew she would be going directly into cardiology, where she is most comfortable but should she ever wish to change to primary care or urgent care, she feels short-changed. Though crazy, she can flip her shingle up unsupervised with no oversight but I still require cosignature of charts for patients in whom I've diagnosed and managed complex disease, unstable angina, mullerian defects, ectopics, and for procedures that I can do in my sleep in urgent care that she's NEVER performed. It is what it is, until our profession decides we need to change it. Link to comment Share on other sites More sharing options...
JBH11 Posted August 3, 2015 Share Posted August 3, 2015 ^How did she adjust going right into cardiology? Did her program allow her to participate in cardio rotations? I imagine it's a tough specialty to acclimate to Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 3, 2015 Moderator Share Posted August 3, 2015 ^How did she adjust going right into cardiology? Did her program allow her to participate in cardio rotations? I imagine it's a tough specialty to acclimate to she probably did cardiology as an rn before np school. Link to comment Share on other sites More sharing options...
PAFT PRESIDENT Posted August 4, 2015 Share Posted August 4, 2015 Several years in cath lab and was one of three RNs hand picked by the electro doc to do his subspecialty procedures - run offs, tilts and whatever other strange procedures that search for cardiac zebras I know little about. Link to comment Share on other sites More sharing options...
RealityCheck Posted August 5, 2015 Share Posted August 5, 2015 Has anyone heard back from the author or the magazine? I know AAPA sent a letter too. I am curious to see how the author spins this or the magazine responds. PA month is October - any chance we could get a whole issue??????? Years and years ago I sent a letter to the director of the TV show ER because they butchered the PA role on the show by showing her Professional Review with the ER head nurse. I got a letter back - on show letterhead and all - thanking me for my insight and letting me know they had heard from many others and obviously needed to do more research. They never really corrected the PA thing on the show - the character ended up leaving at some point after becoming HIV positive from her errant husband…….. I have yet to see a PA correctly depicted on a TV program or even in a movie. Maybe we can start with a magazine first…….. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 5, 2015 Moderator Share Posted August 5, 2015 the PA on royal pains on the usa network is actually pretty good. she owns the practice, knows as much as the doc, and always has the right piece of equipment in her bag for the disaster of the day. Link to comment Share on other sites More sharing options...
Joelseff Posted August 5, 2015 Share Posted August 5, 2015 the PA on royal pains on the usa network is actually pretty good. she owns the practice, knows as much as the doc, and always has the right piece of equipment in her bag for the disaster of the day.Divya? I stopped watching that show 3 years ago. Got sick of Hank wearing his stethoscope wrong and him always explains in Medicalese to the pts and it's ALWAYS a zebra. I was a little intrigued with the whole Boris illness thing but lost interest. Maybe I'll check it out again. I didn't know she owned HankMed. Sent from my S5 Active...Like you care... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 5, 2015 Moderator Share Posted August 5, 2015 Divya? I stopped watching that show 3 years ago. Got sick of Hank wearing his stethoscope wrong and him always explains in Medicalese to the pts and it's ALWAYS a zebra. I was a little intrigued with the whole Boris illness thing but lost interest. Maybe I'll check it out again. I didn't know she owned HankMed. Sent from my S5 Active...Like you care... she started it and hired hank in episode 1 because she needed an sp. I only see the occasional episode. Link to comment Share on other sites More sharing options...
delco714 Posted September 8, 2015 Share Posted September 8, 2015 she started it and hired hank in episode 1 because she needed an sp. I only see the occasional episode.I'm 8 episodes deep into royal now.. Love hate with the PA on it.. Like being a bad medical assistant to seeing patients on her own.. Seriously! My wife tells me it's just a show :/. Then again the show is full of terribly poor depicted medicine. Oh well. Link to comment Share on other sites More sharing options...
rocketpropelled Posted September 13, 2015 Share Posted September 13, 2015 I'm 8 episodes deep into royal now.. Love hate with the PA on it.. Like being a bad medical assistant to seeing patients on her own.. Seriously! My wife tells me it's just a show :/. Then again the show is full of terribly poor depicted medicine. Oh well. If you hate it now, wait til the latest season finale, where (spoiler alert) Divya decides that being a PA isn't fulfilling, so she's going to go to med school and be an MD. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted September 13, 2015 Moderator Share Posted September 13, 2015 If you hate it now, wait til the latest season finale, where (spoiler alert) Divya decides that being a PA isn't fulfilling, so she's going to go to med school and be an MD. so the show has an element of realism then....:) Link to comment Share on other sites More sharing options...
delco714 Posted September 14, 2015 Share Posted September 14, 2015 Oh E... *soft chuckle* Link to comment Share on other sites More sharing options...
LESH Posted September 14, 2015 Share Posted September 14, 2015 I hope the rest of the world is smart enough to know that you can never trust the words of a lego man. I guess "Everything isn't awesome"...lol. sorry just amusing myself. Link to comment Share on other sites More sharing options...
LESH Posted September 14, 2015 Share Posted September 14, 2015 so the show has an element of realism then....:) The evolution of the profession....sorry just can't help it. Link to comment Share on other sites More sharing options...
delco714 Posted October 15, 2015 Share Posted October 15, 2015 If you hate it now, wait til the latest season finale, where (spoiler alert) Divya decides that being a PA isn't fulfilling, so she's going to go to med school and be an MD.Ohhhh you!!! You got me, what a ton of Crap you liar ;). I actually liked the series, it was quite entertaining. I heard they just decided on 2 more seasons and maybe a movie? Sweet! Link to comment Share on other sites More sharing options...
corpsman89 Posted July 31, 2016 Share Posted July 31, 2016 So was this article ever resolved? Did the author respond to this? Link to comment Share on other sites More sharing options...
Poetsiren Posted July 31, 2016 Share Posted July 31, 2016 If you hate it now, wait til the latest season finale, where (spoiler alert) Divya decides that being a PA isn't fulfilling, so she's going to go to med school and be an MD. Ohhhh you!!! You got me, what a ton of Crap you liar ;). I actually liked the series, it was quite entertaining. I heard they just decided on 2 more seasons and maybe a movie? Sweet! Oh no, he's telling the TRUTH! I was SO PEEVED that I started screaming at the screen! I loved the PA portrayal. As for this article, my jaw dropped so far and my spine lurched that I had to pick my chin up from my desk..... HORRIBLE! So offensive! And I wish the president of PAFT had mentioned the 2000 vs 700 hours..... I'm so sick of crap like that.....while I was in PA school I even heard a story from a PA about hearing an NP telling a state governor lies about our profession as to why we didn't deserve a resolution to SB41 in KY (for PAs to have 18month preceptorship post-grad). PAs were rallied in Frankfort to get it dropped and NPs were there, too! Two PAs stepped in, but still..... this "NP better than PA training" crap..... ugh. I know, I know..... this is an ongoing fight to get junk like this out of the media! THANK YOU, PAFT! (and I liked so many things today on the forums that I have apparently "reached a limit for today," so let me just say that THIS POST AND COMMENTS ARE AWESOME! LOL!) Link to comment Share on other sites More sharing options...
UpRegulated Posted August 1, 2016 Share Posted August 1, 2016 our np students also don't do nights or weekends. we were told they could only do day shifts m-f so they can work at their regular jobs nights and weekends. Insane. No real medicine occurs during weekdays only nights and weekends. Duh. Stupid NPs. The only way to learn medicine is by staring at a wall at 3:00 AM on Sunday morning when there are no patients to be seen. Far better doing that than earning money and actually working with real patients. Link to comment Share on other sites More sharing options...
UpRegulated Posted August 1, 2016 Share Posted August 1, 2016 My last civilian rotation in second year I was in a rural ER near Toronto when one of my classmates introduces me to the NP student there...first words out of her mouth when she was introduced to him was "Oh, you're one of those guys trying to take our jobs away" - many I'm sure have heard of the asshattery that was going on with the Registered Nurses Association of Ontario a few years back. Anyway, my buddy tells me that his preceptor called the two of them over to look at a chest XRay - NP student looked at it and said it was completely normal...Marc looked at it and said there was a pneumothorax with a 70-80% collapse. The preceptor suggested to the NP student that she start learning some basic radiology if she expected to get a passing grade. She was much politer to us after that. After all that, 95% of the NP's I've worked with have been great...but I sometimes have to wonder about how much they're really learning before they're let loose on society with their licences and Rx numbers. SK What??? A student got an x-ray wrong??? Allow me to elucidate the collective logic of this thread (and many others) in the form of logical propositions: (1) No one understands, especially the media, how awesome PA training is, because they know nothing about it. (2) I, a PA, know nothing about NP training, but ignorance be damned, I'll resolutely declare it inadequate (3) Most NP's that I have worked with are great, competent, and smart. (4) Therefore NP training is inadequate. Anything I missed? Link to comment Share on other sites More sharing options...
Reality Check 2 Posted August 1, 2016 Share Posted August 1, 2016 Insane. No real medicine occurs during weekdays only nights and weekends. Duh. Stupid NPs. The only way to learn medicine is by staring at a wall at 3:00 AM on Sunday morning when there are no patients to be seen. Far better doing that than earning money and actually working with real patients. 3 am is when reality happens..... Try managing an actively suicidal pt while waiting on the MHPs for seemingly forever or having 3 active traumas at once with the "night crew" and sometimes limited rads and lab available or having a cogent conversation with an ego laden specialist whom you just woke up. Working odd shifts IS about independence, decision making as well as diplomacy and chutzpah. Students who only work "day shifts" miss all the fun and the true test of a student's bare bones ability to multitask, prioritize and show their true colors..... some don't come back or leave crying to their programs. Give me the ones who shine and stick it out, really help and show the desire. Link to comment Share on other sites More sharing options...
RuralER/Ortho Posted August 1, 2016 Share Posted August 1, 2016 What??? A student got an x-ray wrong??? Allow me to elucidate the collective logic of this thread (and many others) in the form of logical propositions: (1) No one understands, especially the media, how awesome PA training is, because they know nothing about it. (2) I know nothing about NP training, but ignorance be damned, I'll resolutely declare it inadequate (3) Most NP's that I have worked with are great, competent, and smart. (4) Therefore NP training is inadequate. Anything I missed? Before you call all PAs ignorant regarding NP training, you should consider that some of us have first hand experience of the woeful inadequacy of some NP training. Just one example from my short career...There was an NP student rotating with an NP at my previous job. Our staff NP was gone and since the student only rotated one day per week she asked if she could spend the day with me. First patient of the day ... I asked her to get an H&P and I would follow. She said something about how she couldn't. I basically gave her a perplexed look. She continued to tell me that she didn't know how to perform an H&P. Curious to as to how this could happen to an practitioner who supposedly can practice independently, I prodded further. I was told that in her online physical diagnosis course they were allowed to tape the "script" of the exam to the wall as long as it wasn't visible on the video they turned in. Just an example. There's more. Is this anecdotes? Yes. Is it universally true? No. But it is happening. And not infrequently either. Link to comment Share on other sites More sharing options...
corpsman89 Posted August 1, 2016 Share Posted August 1, 2016 I currently work in the lab but an NP student (working as an RN at my hospital) mislabeled 3 patient specimens at the same time, and mislabeled 4 altogether in one day. Yikes. Had to write her up for that. She is also very clueless, I get calls from her about things, and wonder how she passed her NCLEX. :/ She is doing one of those online NP programs. Link to comment Share on other sites More sharing options...
RURALMED Posted August 1, 2016 Share Posted August 1, 2016 Insane. No real medicine occurs during weekdays only nights and weekends. Duh. Stupid NPs. The only way to learn medicine is by staring at a wall at 3:00 AM on Sunday morning when there are no patients to be seen. Far better doing that than earning money and actually working with real patients. 2am-4 am is when I have seen and done the most during my 24 hour ER shifts as a PA student. This includes heroin overdoses, trauma, suicidal patients, etc. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted August 1, 2016 Moderator Share Posted August 1, 2016 What??? A student got an x-ray wrong??? Allow me to elucidate the collective logic of this thread (and many others) in the form of logical propositions: (1) No one understands, especially the media, how awesome PA training is, because they know nothing about it. (2) I, a PA, know nothing about NP training, but ignorance be damned, I'll resolutely declare it inadequate (3) Most NP's that I have worked with are great, competent, and smart. (4) Therefore NP training is inadequate. Anything I missed? Ahem....I've been to NP school. While I wont call it inadequate because obviously studies have not born that out and I e known many excellent NPs, I will say it is lesser. Though I'm a firm believer in the motivation of a person is more important than the credential behind their name, given the same person with the same prior exeperience as a nurse, they would go farther having PA training than NP training. Link to comment Share on other sites More sharing options...
jmj11 Posted August 1, 2016 Share Posted August 1, 2016 Just remember that the A.M.A. was allowed to censor medical old TV shows to make sure they showed physicians in the best possible light. From the New York Times: Medical dramas have long held up a warped mirror to the country's health care system. In the 1960's, when shows like ''Ben Casey'' and ''Dr. Kildare'' flashed the American Medical Association's seal of approval during their credits, the A.M.A. was allowed to censor scripts. As a result, doctors were rarely shown making mistakes or driving fancy cars, much less cursing or having sex. ''In a way it came back to bite them,'' said Joseph Turow, a professor of communication at the Annenberg School for Communications at the University of Pennsylvania and author of the book ''Playing Doctor: Television, Storytelling and Medical Power.'' ''People would say, 'Gee, how come my physician isn't like Dr. Kildare?' Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.