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An Open Letter to All PAs: The Time Has Come for a Professional Name Change


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Just out of curiosity, if a name change did occur would it apply to Pathologists Assistants as well? I am a PathA student and we are governed by a different organization than all other types of PAs (still called the AAPA, but its the American Association of Pathologists Assistants).

 

What? Because you have the same initials?

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If we don't pursue interests that are respective of our mid and long term interests, everyone will lose. NPs are subject to their own interests and the medical establishment often try to counter gains that interfere with their own short term interests. In my experience, it is unwise to rely on or otherwise expect third-parties to facilitate changes - too many agendas. I for one have paid-for capacity to join a State organization. If NC is the right group (politically accessible, historically appropriate), I will join despite the fact that I do not practice there.

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I'm "Doc" Adams and I approved this message.

 

My mother always ask, is it not dangerous where you are going?, I always answer; if it's not it will be as soon as I get there.

 

I predict future happiness for Americans if they can prevent the government from wasting the labors of the people under the pretense of taking care of them. -Thomas Jefferson

 

"No one ever won a war by being nicer than the enemy."

THIS GUY'S STUFF IS REALLY CONFUSING LOOKS ALOT LIKE (professional mental masterbation) to me.

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THANK YOU

jmj

بتكمك العربية؟

And colleagues for taking this stand.

I couldn’t agree more. Sign me up !!! It's about time we take this seriously, especially that we really don't ASSIST anyone. Before they cloned SHEEP they cloned physicians in the form of PA's.

The only assisting we have done is as a CASH COW. A nurse in the ER once told me PA stood for Physician Abuse and MD was for More Dollars. WOW Just by pure volume alone.

(MD's 16-20 Pts 8hr shift and PA’s 35-40+Pts 12 hr shift.)Of course the doc's will tell you the acuity they see is greater than PA can see (???) You don't have to have a MBA to do the math on the HARD Numbers. Just ask about the Billing vs. Collection and think about and ask yourself What’s Fair.

20 years primarily Emergency Medicine PA-C

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I still prefer the idea of changing the name to a "Master of Medicine" (and yes I know that we don't all have masters degrees...yet) but I'm fully supportive of this movement as well. Good luck in your efforts. To those who argue that a name doesn't matter, why do you think that companies literally spend millions and billions of dollars on name branding and protecting their trademarks? A name becomes something you trust, you are loyal to, and stands for certain values. The name "assistant" does not conjure up any of the values I wish for my clients to associate with my profession.

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WELL SAID MIKE !!!

I sure like to know a more about CAdams Time in the trench's

 

 

 

quote_icon.png Originally Posted by CAdamsPAC viewpost-right.png

 

Another excited call for professional mental masterbation, It just maybe that CAdams likes this activity.

But some of us are quite chapped. Ever hear the (SHEEP DIP) ? Relevancy here.

 

Opinions are just that opinions.

But just to appease those who know SQUAT about "my time in the trenches" read on; Emergency Medicine (University inner city)5 years full time still doing per diem, Internal Medicine 5 1/2 years (inpatient service actually the first "Hospitalist PA" in that role at a well known East Coast Ivy medical center with faculty appointment), General /Surgical Oncology 4 1/2 years (again at teaching hospitals),Nephrology/ESRD inpatient 7 1/2 years, remote site General Practice 1 1/2 years full time, after multiple locum contracts over 20 years. All after passing the week long PA Certification Boards in BOTH Surgery & Medicine with GOLD STARS!

 

BTW my Supervising Physician is 600-1000 miles away and often the weather is so severe the Coast Guard won't fly in to evacuate my patients , and we often lose our satellite connection/communications with our referral/ recieving hospital. I don't need the approval or support of those with "title envy" to provide quality care or gain the "respect" of the patients and communities that I serve or the physicians I interact with. Carry on with your fight against windmills, I have patient's care and well being to be concerned about.

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I'm "Doc" Adams and I approved this message.

 

My mother always ask, is it not dangerous where you are going?, I always answer; if it's not it will be as soon as I get there.

 

I predict future happiness for Americans if they can prevent the government from wasting the labors of the people under the pretense of taking care of them. -Thomas Jefferson

 

"No one ever won a war by being nicer than the enemy."

 

THIS GUY'S STUFF IS REALLY CONFUSING LOOKS ALOT LIKE (professional mental masterbation) to me.

 

 

When and if you ever spend more than a brief time with your "*ss in the grass" in a rifle battalion , you might earn the respect of the Grunts and actually be called "Doc". This is a moniker that those I've known for over 30 years still use when they address me based on mutual respect for our shared hardships and service together. Maybe it's a concept that exceeds your understanding , life in a Combat Arms unit. Guess what , even our battalion PA was referred to as "Doc"!

It's too bad and sad my statements of fact are confusing to you . If I ever show up in your ED as a patient identify yourself so I can request a less easily confused provider.

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I recall "Opinions are just those opinions."

 

Very DISTINGUSHED background! Actually similar to mine, but let’s stay focused on yours for now. Thanks for appeasing those / Me who didn't know SQUAT about YOU.

 

First THANKS For your SERVICEto us ALL.

You don’t need the approval or support of ME or those with "title envy" to provide quality care or gain the "respect" of your patients and communitie. Also Thanks for your permission to Carry on with your fight against windmills. Not to sound as pompous as some but not many concepts exceed my understanding. (NOT REFERING TO YOU).

 

I Hope you never show up in any ED as a patient. I only want the best for YOU as well as all of us. If you do find yourself in the ED you will probable sitting in the waiting room for hours +hours if I am on we can talk then. Whoever the provider is that cares for you is should identify them self to you. It may be as a PHYSICIAN ASSOCIATE. Also you should always request and expect a Clearheaded provider who asks questions and after being informed (by the Pt. / you) can they provide the appropriate care for you. That’s just what I have done. {" NOW I know SQUAT about you "} your opinion is just that,As you said."Nothing to see here , move along. Just exchanging views no need to expend too much energy on this non-event". However if I agreed with it then we would both be wrong. Best of luck to you" DOC" Adams

I'm "PISH" and I approved this reply.

 

“The farther backward you can look, the farther forward you are likely to see”. W. Churchill

“Never give in, never give in, never; never; never; never - in nothing, great or small, large or petty - never give in except to convictions of honor and good sense”. W. Churchill

“Solitary trees, if they grow at all, grow strong”. W. Churchill

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I was just in Best Buy and was helped by a sales Associate (Not a) sales Assistant. I asked him about his title and he said” If I Need Assistance I can get my MRG" That's why I am an Associate"

 

WOW how is it that makes SOOO much sense!!!!

 

You do the work and if difficulties occur you get the MRG (MD? Specialist) Just like the attending MD does when they are in over their heads.

 

If you buy a car a sales associate does the work .And THEN THE MRG CLOSES THE DEAL!!

 

 

I'm "PISH" and I approved this reply.

 

“The farther backward you can look, the farther forward you are likely to see”. W. Churchill

“Never give in, never give in, never; never; never; never - in nothing, great or small, large or petty - never give in except to convictions of honor and good sense”. W. Churchill

“Solitary trees, if they grow at all, grow strong”. W. Churchill

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I don't need the approval or support of those with "title envy" to provide quality care or gain the "respect" of the patients and communities that I serve or the physicians I interact with. Carry on with your fight against windmills, I have patient's care and well being to be concerned about.

 

Hey Doc,

 

First off I wanna say that i have seen your posts on this board for some time and have the utmost respect for you. I am an ex-corpsman (not at the caliber that you were of course).

 

But I am wondering though, do you feel that a PA desiring a name change is more concerned about "title envy" at the cost of providing quality patient care? Why does a PA or a student who already provides or plans to provide high level care to their pts desiring a title change to better reflect their duties/function etc. bother you? Again I'm not tryin' to stir the $#!T just wondering because i have heard from a couple "old School PA's state similar views. I just dont see how they are mutually exclusive. I also understand that this is an uphill battle, on skates, on greasy ice but is it not worth fighting for?

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Hey Doc,

 

First off I wanna say that i have seen your posts on this board for some time and have the utmost respect for you. I am an ex-corpsman (not at the caliber that you were of course).

 

But I am wondering though, do you feel that a PA desiring a name change is more concerned about "title envy" at the cost of providing quality patient care? Why does a PA or a student who already provides or plans to provide high level care to their pts desiring a title change to better reflect their duties/function etc. bother you? Again I'm not tryin' to stir the $#!T just wondering because i have heard from a couple "old School PA's state similar views. I just dont see how they are mutually exclusive. I also understand that this is an uphill battle, on skates, on greasy ice but is it not worth fighting for?

 

Thanks for your praise, but don't sell your service as a Corpsman short. I worked as a PHYSICIAN ASSOCIATE for 18 years at a "Ivy" university affilliated hospital in multiple departments and at many other facilities with the title of PHYSICIAN ASSISTANT. Neither title had a negative effect on how I cared for patients. In every position I learned new skills and applied previous clinical experiences in my practice. I think emphasis on those events that enable the profession to provide quality patient care and enhance the clinical skills of those in the profession which has advanced the profession ,is where "our" efforts should be directed. Changing names or titles will not make us better clinicians or providers, it may make some of us feel better and soothe ruffled egos ,but whatever title I sign after my name won't improve on or change what I provide to those I serve.

I've watched this parade many times in my PA career and it never seemed to have a route or content that attracted the public to the event. I'm a "Grunt PA" without the professional self congradulatory ruffles and flourishes,who is out in the hinterlands taking care of patients as best I can. Taking care of patients as best I can, that is all I truly care about, anything that doesn't benefit this is a sideshow .You decide if the fight is worth your time effort and yes money.

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^^ Fair enuff Doc!!! I hear ya. I dont think though that EVERY PA for the change is massaging their egos. I for one dont care about what i will be called either but definitely feel that the title of the profession is misleading and inaccurate and that is why i am for it. Titles dont mean squat to me. In the NAV I was a mere HA (E-2) when I started pulling the officer's flight status for giving them codeine cough syrup and 48hour SIQ chits :D but at least in the NAV corpsmen were well known for our function and purpose.

 

I have a question for anyone else. Did the DNP mishmash "open up practice acts" for NP's and if so, how did they get through it? Maybe we can learn a thing or two from our NP counterparts...

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Guest ROC2010

I posted the letter last night on SDN. This morning the thread got deleted and I was banned.

 

the moderators on SDN are so efficient LOL

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Hey all you AAPA, Specialty and State Society Members:

 

Don't forget that the annual AAPA House of Delegates is just around the corner. If you have an opinion about the title "physician associate," make sure that you let your delegates know. Contact your delegates directly if your society is not helpful in forwarding information. Your delegates are there to serve as your voice - make sure that it is heard.

 

It is my perception (and perhaps mine alone) that our professional organization has been run by a clique of timid, like minded individuals for years. It is time to shake things up...

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I posted the letter last night on SDN. This morning the thread got deleted and I was banned.

 

the moderators on SDN are so efficient LOL

 

Wow was that a violation on SDN? that's why I dont ever post on there. its like auschwitz or something...

 

this is what their site says about deleting posts

 

"Once you've posted on the site, it's there forever. We do not delete posts except in extreme cases. Even if we can remove a post that you regret posting, they are often permanently cataloged in sites like Google or the Internet Archive."

 

I guess a letter to call PA's Physician Associate is considered EXTREME!!! wow we are a bunch of rabble-rousers!!!

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