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Laundry list...

Start doing background checks on all the board members

Get private embarrassing information about board members from coworkers and employees

Get Irs submissions for the NCCPA since it is nonprofit. 501c required to publish information. Start the for disinformation and get them on their heels against the ropes.

If any PAs live near boards members, I suggest going through their garbage when it is at the curb. Look for targets of opportunity.

Not sure if you're really that over-the-top or have spent the last several months building up a persona so you can advocate such outrageousness without immediately being banned as a probable agent provocateur.

 

Regardless, no, that's not how to do it, and if you want to organize any such sort of petty, vindictive campaign of doxxing and coercion, you're not welcome to do it or advocate for it here.

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Although I don't agree with garbage raids, there is significant level of politics at play.  I respectfully say to my colleagues here that the NCCPA have lawyers and have hired lobbyists to go to state boards of medicine to fight to their agenda.  It's real.  We should not expect anything will be done if we're nice about things.  I'm not saying we shouldn't be professional but let's please not be naive either.  Lobbying, being a strong voice, and knowing we're facing a very rich company, who pay for lawyers, is the real deal.

I meant national politics.

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Well, there went a sip or two of coffee with a nasal snort.

I think we know where Christopher Steele retired to after publishing the 65 page "Trump dossier" detailing Trump's sordid escapades with Russian hookers on lasix....he hangs out here as OverTheHorizon!

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I read the NCCPA's retort email and their transparency is ridiculous.

 

Realistically though, what is the end game here? To get them shut down and undermine the profession? Can you imagine how that would look? I think the AAPA is smart enough they would have a contingency plan in place, but the collapse of our certifying body---especially on fraudulent grounds---would be a devastating blow.

 

I think like always, this forum represents a vocal minority and most PAs are totally unaware and likely dont care as long as they have jobs.

 

Unfortunately, the NCCPA has cleverly succeeded in tethering certification to our jobs. Even if a state doesnt require it, most major employers do. So it's not like we can just stop paying dues and boycott them.

 

I think the best gameplan would be to quietly and strategically fortify the AAPA to be such a juggernaut they develop their own certification exam, and being they are already purveyors of CME, deliver a one-certification + traditional CME maintenance plan that would effectively starve out the NCCPA and render them null. A siege if you will.

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Yes there is proof. NCCPA board meetings have meeting minutes. We need to see all minutes from every meeting for the last ten years.

 

To my surprise Paula, you never asked for "proof" when PA Warner wrote a letter stating the public would be endangered if the PANRE were dropped. Why not ask for proof of that claim? Could it be that you are in fact an agent or surrogate of the NCCPA. I think you revealed your hidden identity.

Sorry, but you're done.

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A certifying body actively lobbying AGAINST the field it certifies.  Disgusted doesn't begin to describe how I felt when I read this POS letter from them.

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Here is a link from AAPA regarding this stuff.

 

https://www.linkedin.com/hp/update/6258803891320692736

 

I could only find it on linkedin.  It might be on AAPA site but I didn't see it there yet.  I do feel as though the AAPA has been in hibernation for years but recently--and now--I do not think so.  As far as I know, the AAPA is really the only true current body, who actually advocates for us and actively is.  The NCCPA are revealing themslves and their self-serving ways and it's deplorable and needs to be delt with.  If you read the link I posted here and others, and you read the NCCPA's postings/writings/emails, you will see a polar difference that the AAPA is transparent and looking at all viewpoints and the NCCPA carefully choses what they say, are not transparent, and actually crooked in doing so...not telling the state boards of medicine the full truths with clear self-serving intentions, of which are NOT out of "patient safety."  I recently joined the AAPA for the first time in years and, having learned what I have, they've really honestly stepped up the game advocating for us.  In some ways, they're all we got.  Please consider joining and supporting.  Things are going down and we don't have much on our side otherwise.

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I don't have a firm position on the NCCPA. I don't think we should kept at any disadvantages with respect to NPs, who are some of my dear friends but clearly are competitors the way the playing field currently is arranged.

 

I also don't know the whole process that the PA bill went through in West Virginia, but...

 

...If you try to pass a law that says the NCCPA will have no future role in your state, I guess you should expect some push-back from them. Especially if you didn't work to get them on your side (somehow) in advance. Maybe having the governor veto a bill that passed both houses unanimously is a bit of a stretch, but it obviously happened.

 

I am not impressed with the NCCPA response, but neither do I like it that two bodies I send money to (NCCPA and AAPA) are using it to fight with each other. I like it about as much as I do having republicans and democrats waste my money fighting instead of reaching compromises.

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These people have nearly unlimited power over a large amount of people and stand to gain financially with no way to appeal or make grievances heard. This never ends well.

 

Think about it.  If I was in charge of the NCCPA and benefiting financially...

 

- would I allow 90%+ pass rates to continue and deny NCCPA another $500 for each exam passage?

- would I set up a system of exam question challenge (even in PA school we have this) ?

- would I fail to fight to the death (and spare no expense) to legislate our unlimited power?

 

" The way I see it, folks, each exam passage costs us $500 - if 10% of the 110,000 PAs certify or recertify each year, that is 5 million dollars.  Let's get a chunk of this lost money back.  I want to see exam pass rates below 80% in three years.  How you do that, I don't want to know.  Just make it happen.  

 

We can blame the proliferation of new schools and throw ARC-PA under the bus, and we will still have reasonable pass rates to any layman.  It's not like they can challenge an exam or a individual question, right?  Can you say "test compromise"?  I knew you could <laughter>.

 

We can figure out a way to grow the yearly certification maintenance fees later.  That's only $130 every two years - that's 7.15 million dollars we are rolling in each year.  More than enough to get Janet that condo in La Jolla.

 

Fred over there has been doing a great job wining and dining legislators, so we will soon have force of law and essentially unlimited power in all 50 states.  Let's make some money, people - my Bentley got dirty the other day and my kids needs braces".

 

Tell me I'm wrong here.

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So also, did anyone ever get access to the NCCPA's financial records?  I don't know anything about this, but it should be quite possible to do, since they are a non-profit.

 

You want AAPA to do it?  Now that...would be firing a missile.   Let's see how far off my numbers above are.  I find it pretty hard to believe that they are spending ~15 million a year on maintaining a few databases.  

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Sorry, but you're done.

The above was in regards to overthehorizon and is meaning they are now banned from the forum.

 

They were repeatedly to inflammatory and not what professional PA stands for

 

 

In this time of great turmoil we need logical heads, with forethought and purposeful actions, not what was decribed by overthehorizon

Due to this and past infractions many of the moderators felt it was time for him to be banned.

 

Please lets keep this professional and although we all have different political views we can all play nice in the sandbox.....

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Wait, you mean when you have a problem the proper first response isn't to go through their garbage?  Pffft.

 

Farewell, offthereservashen

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Sorry, but you're done.

 

 

Thanks, and just to calm every one down, I am not an agent of the NCCPA.  I have, in fact, sent them a letter challenging them on their statements and sent it a few days ago. 

 

But, OTH is banned, and I am resting easy that he is not rifling through my garbage. 

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Thanks, and just to calm every one down, I am not an agent of the NCCPA.  I have, in fact, sent them a letter challenging them on their statements and sent it a few days ago. 

 

But, OTH is banned, and I am resting easy that he is not rifling through my garbage. 

are you sure? You can't watch those can all the time....

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Thanks, and just to calm every one down, I am not an agent of the NCCPA.  

 

Sure you aren't, "Paula"

 

IF THAT IS YOUR REAL FAKE INTERNET NAME

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NCCPAs Facebook page is getting buried in 1 star reviews and negative comments.... except for one great review from a lobbyist that works for...wait for it...the NCCPA. I wonder how much we paid him to leave a good review?

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NCCPAs Facebook page is getting buried in 1 star reviews and negative comments.... except for one great review from a lobbyist that works for...wait for it...the NCCPA. I wonder how much we paid him to leave a good review

I still don't have a Facebook page and never want one - or LinkedIn or anything else. I don't Twitter or Instagram or Snapchat. 

I did get a rote response from NCCPA thanking me for my email and letting me know it is being reviewed with the utmost attention...... blah blah blah

Still have to pay for my PANRE and get registered. Yay.... NOT

Think I will be treated fairly on PANRE?

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from today's WV metro News. It seems the conspiracy collaboration between the NCCPA and the governor is continuing and the PAs on the ground are losing the information wars. It is like dealing with a religeous extremists. Nothing said or done is going to change their mind because they know the truth and you just don't get it.

 

Share1

By Jeff Jenkins in News | April 18, 2017 at 12:24PM

CHARLESTON, W.Va. - Because of a veto from Gov. Jim Justice, physician assistants in West Virginia will continue to be required to take a recertification exam every 10 years but that's not a bad thing, according to the leader of a national organization.

Boston University

NCCPA Chair Mary Warner, PA, says 110,000 PAs across the country need to maintain high standards.

Mary Warner, a PA from Boston, is the chairperson of the National Commission on Certification of Physician Assistants (NCCPA), she told MetroNews Tuesday physician assistants have a responsibility to maintain core medical knowledge.

"We change specialties and in that what the recertification exam is intended to do is capture the core knowledge that one needs no matter what specialty they are in," Warner said.

In his veto message of the bill (SB 347), Gov. Justice said the lack of recertification could weaken the profession.

"The unfortunate effect of this bill is that it weakens existing professional safeguards governing the medical knowledge and skills of physician assistants that have been serving the public interest for years," Justice said. "Even as it grants greater autonomy to physician assistants."

Currently physician assistants are recertified every two years with the recertification exam required every 10 years. The exam currently costs about $350.00. At the end of 2016 there were 954 certified PAs in West Virginia.

Some of those in favor of the bill maintain the NCCPA worked against it because the organization stands to lose as much as $650,000 a year in test revenue in West Virginia but Warner said the money had nothing to do with it.

"If you have adequate core medical knowledge you'll provide better care–that's the bottom line," Warner said.

Research shows physician assistants change specialties at least three times. Only 15 percent do not change, Warner said.

"Say your specialty was dermatology and you saw someone who came in and you were looking at their skin and they had chest pains does that mean that you would stop what you were doing and call 911? And if they stopped breathing you would do CPR? Of course you would. So there's some core knowledge that everyone needs to have," Warner said.

Warner did not rule out a possible change in the future in how PAs are tested.

"We haven't identified good ways to assess people's knowledge in any other way other than an exam. I can tell you NCCPA is working on that and we're trying to come up with other ways," Warner said.

Current state law requires Advanced Practice Registered Nurses and most specialist physicians to take recertification exams.

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It's an easy media byte to disseminate. 

 

"Certified PAs provide better care". Sounds good, right? Why question that?

 

I'm telling you, we wont win this conflict in direct exchanges and info wars. Until there is solid, verifiable data (and correct me if there is) that re-certification does not result in better patient care/outcomes, we will just look stupid.

 

Fortify the AAPA, mobilize a team to develop a benchmark certification exam and a CME maintenance plan, and at the right moment, implement it. It would take years, but with the right minds together it could be done.

 

The other potential pathway (could even be concurrent) would be to commission a forensic accounting investigation into the NCCPA's finances, and an investigation into their lobbying practices, which could be either very enlightening or perhaps blow up in everyone's face.

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I have never minded being certified or taking the test every 6/10 years. It really doesn't bother me in the least from the testing standpoint.

 

I am truly bothered by NCCPA NOT working with AAPA and not representing the wishes of the 115000 PAs it basically holds hostage as the ONLY certifying body.

 

We need more say in what they do and how they spend OUR money. I don't want one dime of my money to NCCPA going to individual STATE legislature lobbying - unless of course they let us vote on what they are fighting for --- wait - that's AAPA's deal - THEY are the legislative directional body for PAs.

 

So, NCCPA has flown off course and started to dig into areas we never wanted them in on their own agenda and really looking greedy and narrow minded.

 

I agree that making a new certifying body and exam series will take years and a lot of money. 

 

BUT we somehow have to reign in NCCPA as they are NOT representing our interests.

 

All we can do right now is make it clear to them that they are off base and we are not happy - as we formulate legal and ethical methods of disbanding their monopoly.

 

We need legal advice - I just shuddered.

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from today's WV metro News. It seems the conspiracy collaboration between the NCCPA and the governor is continuing and the PAs on the ground are losing the information wars. It is like dealing with a religeous extremists. Nothing said or done is going to change their mind because they know the truth and you just don't get it.

 

 

 

 

 

I can't stand the fact that this Governor vetoed a UNANIMOUS bill.  Nobody is looking at why this was unanimous--that there's a valid reason why it would be.

When I read the quotes the Governor made, it is so stinking clear that he's biased by the obvious connections with the NCCPA.  "...weakens the profession"  ugh.. those are SO not his own words.  I hate that the NCCPA speaks to non-medical people and it's believed at face-value. 

 

A reminder:

The AAPA BOD will be meeting in May about all this and, on their agenda, is to look at the idea of a new re-cert process.  I had a reply from AAPA stating that they're actually looking at business plan projection for it, including how to initially fund it, b/c we all know that, once initially funded, it'll become a revenue producer and pay for itself, and then some.... right NCCPA?! 

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Remember the lobbyist involved had a HUGE conflict of interest having worked for the governor in the past.

Sounds like a lot of pockets got lined and favors granted.

 

I know there are good lobbyists out there (maybe) but lobbyist is starting to stick in my throat with the words insurance adjuster and lawyer.

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