I am trying to show the ortho practice that I work for that investing in a good US machine and training me (and a few other PAs) on how to use it to diagnose would be beneficial.
Does anyone know where I could find statistics on the cost effectiveness, accuracy compared to MRI, % of practices that currently use US... etc.
I've been digging into journals for most of my information but they like to see numbers from reputable sources.
Robert M. Blumm, MA, PA, DFAAPA, PA-C Emeritus
September is a month of new beginnings. For our Jewish colleagues and patients is the celebration of the new year; and for many of our students in the USA, a new year of development and opportunity in school. I was driving to my office on a Wednesday, the first week in September. When I arrived at my main street, I noticed students with bookbags, filled to the brim and ready for a new challenge.
Schools’ opening equates to increased traffic during our commutes, more vigilance when driving and an increase in patients in our offices and clinics due to contagious diseases. What are the ramifications for PAs and NPs? We will once again need to become more aware of our patients’ presentations, we need to stock up on diagnostic supplies and become familiar with a greater set of differential diagnosis as infections due to confined spaces and travel will be on the increase.
The goal for the students will be to start afresh and to try to excel in their scholastic endeavors. This represents a new opportunity to write a new page in their journey of life. For the healthcare professional, it creates the opportunity for increased conferences and learning new information and skills. What problems will we encounter and what diseases and situations will we need study in order to enhance our knowledge?
We will need to recognize the many signs of influenzas and use our diagnostic tests, prescription pads and influence, so that our patients are immunized early. We should be aware of the red flag signs of meningitis, a potential deadly disease. We will be treating hundreds of sore throats, viral illnesses, strep throats, sinusitis and the common cold. It is also a time to expand our examination and to discover those who have psychiatric illnesses such as severe stress as well as those that may have drug or alcohol addiction or who may suffer from sexual abuse. We can also be on the lookout for PTSD in this age group. Yes, these students may have been the victim of a fire, flood, the results of a hurricane, mudslide, rape, and loss of a loved one through violent circumstances. What does the astute PA or NP do in order to perform as expected in this ever-evolving landscape?
Here are a few suggestions from a clinician with a long track record of patient care. Stay informed on the current problems and their treatment, as well as the need to refer when indicated. A missed referral can change a prognosis for a patient and create a catastrophe for the provider. Improve your technique of asking questions for your patient history. Perform the proper diagnostic exams and labs and radiological procedures and follow-up on them personally. Start obtaining a pharmaceutical profile on your patients if you have not done this previously. Lastly, consider your exposure to litigation and your options of insurance coverage for a potential medical disaster. This can befall anyone at anytime in their career, when they least expect it. Learn to distrust employer malpractice coverage, which is made to protect them more than you as a provider. Purchase a personal liability insurance policy from your professional organization’s endorsed option as this policy will have the highest rating and exists to protect your interest today and tomorrow.
I will be starting PA school in January and was looking for guidance about what path I should take to achieve my goals. If I could start over I might have chosen a different route to get to this point but I graduated with a Bachelors of Biology from Ohio State, went on to gain my patient care experience as a CNA, and applied for PA school. I really want to do something with babies so I am looking at Women's Health/OBGYN.
What is the best path to take to get a job working closely with delivery and babies? I know PA's are up and coming and at least in NC are not often hired in most fields working with infants. Finding a Neonatal PA job is like finding a needle in a haystack. Heck even a neonatal PA residency is few and far between. And I am considering labor and delivery but after working nights in the hospital, I like more of the clinic setting. Plus I have never shadowed in L&D so I am not sure what the job specifically entails from the provider standpoint. So that left me considering a Women's Health Clinic. I shadowed a PA in one of these clinics and I loved it but after some research it does not seem there is much opportunity in clinics for OBGYN PA's and most clinics prefer NP's.
So I wanted to ask some PAs who are currently out in the workforce and have wanted to work with newborns what their experience was like, how they found the position, and what they did to get there. What would be the best way to make myself competitive for an OBGYN PA provider position and what is the best way to find job openings in that field? Should I seek out an OBGYN residency after school or should I focus on real world job experience doing something that maybe doesn't interest me as much to gain work experience? Are there other possible careers I am forgetting about that will allow me to practice as a PA and work with infants/delivery?
I am also strongly considering pediatrics as another option which seems to be much more readily available to PAs but I have always been fascinated with the reproductive system so I appreciate the gynecological portion of women's health as much as I love obstetrics. Any advice would be greatly appreciated! I do not want to end up in the same position I did immediately after college where think about what I should have done differently if I could start over. I want to do it right the first time so I do not struggle to get into a field I love because I don't have a crucial experience in my toolbox.
Any help is greatly appreciated!
Hey - Looking for some advice.
I'm a PA, 4 years out of school, 1 year NSG and 3 years ED experience, currently in the ED. Trying to get a better schedule as we work a ton of nights and weekends, also holidays and on-call. Staff is overwhelmed constantly - I love the nursing and other peeps but I'm getting to the point where I just can't take it anymore.
Ive interviewed at a spine and also a multi-specialty ortho place. Pay is at least 10K less than what I'm making now but better schedule... both include OR/office and one day of call. Spine includes hospital rounding before and after clinic if applicable.
Any advise in switching from ED to Ortho out there? I know the docs and certain things are different for everyone but... I'm worried just spine may be a little bit boring and underwhelming but the doc is cool and seems nice to work with. I'm so torn.
Any advise or help would be appreciated.
I am a PA with 8 years experience in pediatrics (outpatient). I've been toying a little with the idea of going for the CAQ and was wondering if anyone who had gone through the process would be willing to share their experience? My husband is the primary breadwinner in our family and as such I'm sort of at the mercy of his career in terms of where we live, how often we move around, etc. I was thinking having the CAQ would be helpful when moving to a new state, trying to get a new job etc.
My biggest question is in regards to the procedures/patient case requirement. Because I work in an outpatient clinic, we rarely perform procedures such IV medication administration, LPs and we certainly never perform central lines or intubate. Does this exclude me? How does this work- would I need to get experience in these areas before I can be considered for this qualification?
Thanks. Any insight is much appreciated.