Emt212 Posted August 23, 2018 Share Posted August 23, 2018 Hello Everyone! I am a pre-PA student, and I wanted some insight as to what the biggest challenge a PA may face? Or what are some political aspects of being a PA? I just want some first hand knowledge from those who are practicing. I have asked a few that I work with but I want more input. Thanks! Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted August 23, 2018 Share Posted August 23, 2018 I'd say the biggest challenge is getting the 1st job, especially one that provides a good learning environment. Link to comment Share on other sites More sharing options...
BayPAC Posted August 24, 2018 Share Posted August 24, 2018 Biggest challenge: making decisions as md's but with less training, especially during the first few years after graduation; eventually you will catch up (in terms of experience/knowledge) but it takes time, dedication, study to get there. Until then you just hope and pray that no one gets hurt by your mistakes. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 24, 2018 Moderator Share Posted August 24, 2018 dealing with nurses/docs/patients who are a$$clowns. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted August 24, 2018 Share Posted August 24, 2018 Not being seen as a spineless weenie! Don't waste your time trying to be "friends" with everyone just do good medicine!! Link to comment Share on other sites More sharing options...
BruceBanner Posted August 24, 2018 Share Posted August 24, 2018 Professionally the biggest challenge is competency in the first few years. You wont realize how much you dont know until you are working. Expectations often dont line up with your level of training. After you get your feet under you it's probably dealing with the ever-present unfairness administrators and MDs levy against PAs. You wont ever be treated the same as a doc, dont let anyone fool you. You might be close in some measures, but not a true peer. Link to comment Share on other sites More sharing options...
Joelseff Posted August 24, 2018 Share Posted August 24, 2018 Professionally the biggest challenge is competency in the first few years. You wont realize how much you dont know until you are working. Expectations often dont line up with your level of training. After you get your feet under you it's probably dealing with the ever-present unfairness administrators and MDs levy against PAs. You wont ever be treated the same as a doc, dont let anyone fool you. You might be close in some measures, but not a true peer.This. Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted August 24, 2018 Share Posted August 24, 2018 dealing with nurses/docs/patients who are a$$clowns. You will find the need to be a “stretch Armstrong” being caught between these two groups. After 35 years I can rub the floor with my knuckles.Sent from my iPad using Tapatalk Link to comment Share on other sites More sharing options...
Moderator ventana Posted August 24, 2018 Moderator Share Posted August 24, 2018 early in career learning medicine later in career dealing with pointless supervision and having to figure out what this SP wants and to what detail (in spite of knowing that you are practicing good medicine) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 24, 2018 Moderator Share Posted August 24, 2018 1 hour ago, ventana said: later in career dealing with pointless supervision and having to figure out what this SP wants and to what detail (in spite of knowing that you are practicing good medicine) Or not....later in career find a job without chart review....I work alone with no other clinician on site without state mandated chart review. I have a state mandated sponsoring physician of record on a piece of paper in a file somewhere. Link to comment Share on other sites More sharing options...
Emt212 Posted August 24, 2018 Author Share Posted August 24, 2018 8 hours ago, BruceBanner said: Professionally the biggest challenge is competency in the first few years. You wont realize how much you dont know until you are working. Expectations often dont line up with your level of training. After you get your feet under you it's probably dealing with the ever-present unfairness administrators and MDs levy against PAs. You wont ever be treated the same as a doc, dont let anyone fool you. You might be close in some measures, but not a true peer. Thank you so much! That seems to be the consensus! I'll definitely keep that in mind also. I am just prepping for interviews for several programs now. Link to comment Share on other sites More sharing options...
EDtech Posted August 25, 2018 Share Posted August 25, 2018 On 8/24/2018 at 1:52 AM, EMEDPA said: dealing with nurses/docs/patients who are a$$clowns. Preach it brotha. It’s amazing how much the attitudes of docs and nursing staff varies from one location to the next. One place can be great go thirty minutes down the road and your in fear for your license. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 25, 2018 Moderator Share Posted August 25, 2018 23 minutes ago, EDtech said: Preach it brotha. It’s amazing how much the attitudes of docs and nursing staff varies from one location to the next. One place can be great go thirty minutes down the road and your in fear for your license. this. for years. To get respected as a clinician I have found I needed to go to a place other folks didn't want to go. A place which could not recruit physicians. when I show up for work everyone says how happy they are that I am working. the other PAs get this as well. want respect and great scope of practice? the answer is rural or underserved areas or specialties. Inner city, prisons, Indian health, Alaska Native clinics, etc Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted August 25, 2018 Administrator Share Posted August 25, 2018 On 8/23/2018 at 11:52 PM, EMEDPA said: dealing with nurses/docs/patients who are a$$clowns. Don't forget administrators. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 25, 2018 Moderator Share Posted August 25, 2018 22 minutes ago, rev ronin said: Don't forget administrators. fortunately I have worked nights and solo rural 24s for the last 10 years or so. times/places that administrators almost never overlap with. The current ceo of the hospital I work at now has probably seen me 5 times in 5 years, generally in passing. Know about the " parking lot model of hospital management"? 1. record license plate #s of all admin staff 2. pick a random month and record plate #s in parking lot every weekend, every holiday, and every day at 3 am. 3. If your plate is not recorded that month, the hospital runs fine without you and your services are no loner needed. Link to comment Share on other sites More sharing options...
ajnelson Posted August 27, 2018 Share Posted August 27, 2018 this. for years. To get respected as a clinician I have found I needed to go to a place other folks didn't want to go. A place which could not recruit physicians. when I show up for work everyone says how happy they are that I am working. the other PAs get this as well. want respect and great scope of practice? the answer is rural or underserved areas or specialties. Inner city, prisons, Indian health, Alaska Native clinics, etcWorking mostly at a rural Solo coverage site has truly changed my job outlook. Link to comment Share on other sites More sharing options...
Emt212 Posted September 5, 2018 Author Share Posted September 5, 2018 On 8/23/2018 at 2:17 PM, ohiovolffemtp said: I'd say the biggest challenge is getting the 1st job, especially one that provides a good learning environment. Thank you! I feel that is universal with any kind of license too. Getting out there and establishing yourself. In this situation, seeing "what kind of PA I'm going to be" Link to comment Share on other sites More sharing options...
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