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What's this in jaapa


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Were there no PAs available to write this article?  Maybe they were busy writing articles for the np journals.  I'm not saying Ms Seckel doesn't know what she's talking about; I'm sure she does.  I'm saying are there literally no PAs who could have done so?  Aren't we capable of this?

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While I don't necessarily advocate for a 'them vs us' initiative, JAAPA editors shouldn't be turning to NPs to author papers. I've not looked into it, but I'm all but sure the Journal for Nurse Practitioners wouldn't allow a PA to write for their publication. PAs as a whole need to be more steadfast in maintaining our seat at the table. Of all the Hospitalist PAs out there, surely they could have tapped a highly qualified IM PA to author the piece.

 

No disrespect intended for Ms Seckel. I haven't read the piece but I'm sure she did a fine job with it. I just think the opportunity for publication should have been given to a PA given it's a 'For PAs, by PAs' journal.

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1 hour ago, delco714 said:

Look at my blue underline..
 
Can any one explain?

May be an assumption that her PA audience is too cavalier to consult with their IM Physician even if not comfortable assessing whether a septic shock pt. is still hypovolemic. That's the way I take it. 

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To me, it looked like a reprint, being in a separate binder etc. As if some pharma company paid for it and provided it to JAAPA. You could ask them. If it was a JAAPA article, I would have expected it to be inside the usual magazine.
It was no doubt a mass produced article. What does that have to do with the content and presentation?
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5 hours ago, delco714 said:
It was no doubt a mass produced article. What does that have to do with the content and presentation?

 


Only that it probably wasn’t tailored to PAs but included as some of the information might be of interest. I suppose we could get all worked up about it, but there is enough else in the world going on that this article is probably pretty far down the list.



Sent from my iPad using Tapatalk

 

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To me, the idea that an np is more qualified for this topic (both writing about it and dealing with it) than an appropriately trained pa is insidiously creeping into everyone's subconscious.

An appropriately trained pa is equal to an np.  Period.  Don't care about the PhD they have.  The letters don't add anything more to their ability to care for a patient.  Why should a PA (now, I'm talking with similar background, not fp or psych) have to run it by anyone and an np doesn't?  Because the have to write PhD?  Granted, I'm not an expert on anything.  But neither is an np with similar background.

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Yep, my standard letter to primary care physicians asks them to call and ask for the "LIP taking care of Mr. Jones" if they have any questions. That is easier than writing 'resident, physician assistant or nurse practitioner'. And less smarmy than 'provider. 

Seems to be clear enough - I have never gotten a query about what LIP means.

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Yep, my standard letter to primary care physicians asks them to call and ask for the "LIP taking care of Mr. Jones" if they have any questions. That is easier than writing 'resident, physician assistant or nurse practitioner'. And less smarmy than 'provider. 
Seems to be clear enough - I have never gotten a query about what LIP means.
PA aren't licensed independent practitioners
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On July 7, 2018 at 10:42 PM, LT_Oneal_PAC said:

To be fair, my current hospital and the military refers to PAs and NPs as “licensed independent practitioners”

Yes, I was going to say the same as well.  Our policies typically say "licensed independent practitioners (MD/DO/PA/NP)".

Also it looks like the person that wrote the article is not an NP, but a Clinical Nurse Specialist (CNS).

 I wouldn't read anything into this.

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4 hours ago, delco714 said:
On 7/9/2018 at 7:23 PM, charlottew said:
Yep, my standard letter to primary care physicians asks them to call and ask for the "LIP taking care of Mr. Jones" if they have any questions. That is easier than writing 'resident, physician assistant or nurse practitioner'. And less smarmy than 'provider. 
Seems to be clear enough - I have never gotten a query about what LIP means.

PA aren't licensed independent practitioners

Depends on who you ask and what are you defining as independent. The license may be tied to someone else but they make independent decisions. They may work at a facility like mine, where they are stated as such. In the military it specifically says they have a collaborative physician and hold independent privileges with them listed under LIP section along with psychologist, podiatrists, NP, etc.

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  • 4 weeks later...
On 7/7/2018 at 6:42 PM, LT_Oneal_PAC said:

To be fair, my current hospital and the military refers to PAs and NPs as “licensed independent practitioners”

An error to my thoughts, PA's are not "Licensed Independent Practitioners". I think more than a few state licensing boards would not be happy to hear of PAs claiming or being assigned this title and expectations.

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On 7/10/2018 at 9:51 PM, EMEDPA said:

what's wrong with that?

Emedpa, PA, DHSc, MS, BS, BA, EMT-P, CAQ(EM), DFAAPA, Sr Member SEMPA 

? yes, I'm kidding. more than 2 is ridiculous. 

humm

maybe I should get this on my card (oops I don't have any cards) to compete with the nursing lobby

 

ventana, AS, BA, MS, MBA, PA-C, DFAAPA, FO2,  Revered Son, awesome husband, Assistant professor of life, generally good dude.....

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My current employer also refers to both NP/PA's as LIPs.  While not a universally accepted title, I honestly believe that based on her background and the intended audience, the author was simply trying to be all encompassing. 

This article was solely written for the education of the reader, not meant to be divisive. If you got something out of it, that is all that should matter.

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Just a couple of comments. I think that EMPA is correct in that the NP Journals are extremely scholastic and there is a bountiful supply of writers who need to publish for their DNP.

That being said, PAs and their publications have become increasingly scholastic but there are few PAs who have a penchant for writing. Jordan Roberts put out a call for those that are interested but I know he is not swamped. We cannot complain unless we first author an article and experience the joy of childbirth.

Lastly, I write often as I have since my childhood and my purpose is to create enthusiasm and to educate. Not everything I write is published, JAAPA has only published me once and I think it is because I do not write by their rules. I speak to NP audiences frequently and have only been in an NP publication once. It was probably an emotionally charged article. If they have enough NP authors they need not go to this humble PA.

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