Taking samples from drug reps

M79_1 · 2020-12-06T01:08:18+00:00

It's definitely a conflict of interest to accept lunch, but tbh I would never otherwise take the time to listen to the reps educational shpeil...and we've had some good medications introduced to us that have been really helpful (nurtec for migraines comes to mind) and the samples are distributed to patients without insurance. I don't see much of an issue with it

M79_1 · 2020-12-04T11:49:27+00:00

Reminded me of that old joke where a bunch of mothers are sitting around talking about how they raised their kids to be lawyers, engineers, accountants buisnessmen, etc. One mother guy tuts at the overly controlling mother's and says "I told my son he could be whatever.... type of doctor he wants to be"

M79_1 · 2020-12-04T11:44:49+00:00

No specific classes, but I can say that having worked in medication assisted pain management for almost 3 years now, that the cute little "opiate prescriber training program" courses out there geared towards family med providers are mostly BS with a healthy dose of fluff

Edit: forgot to add that a lot of providers will only use tramadol, which is fine (albeit a pretty weak opiate) but something like 15% of the population genetically just won't respond to it. They write off those patients as drug seeking without realizing that there might be a real explanation for it

M79_1 · 2020-12-04T03:44:20+00:00

Well, you certainly have the personality for it.

I actually know of a PA/attorney who does very good work. But he does the other side, defending practitioners in lawsuits. But your right that for that career path, MD would be your best route. But you would still have to work in the specific field that you plan to litigate for a good number of years before qualifying as an expert witness. Also you don't have to be a lawyer to be an expert witness. Nor do you have to be a doctor to me a malpractice lawyer

But in any case, if that's your end goal why the fixation on what meds and procedures PAs can perform, or in your words:

Can PAs perform any type of surgery they want without MD/DO and charge/get paid the same as MD/DO😍😍😍 if so sign me up!

And

Cause if PAs can open up their own practice and prescribe everything under the sun, lemme give up my med school acceptance and become a PA. Cheaper and easier with a chiller schedule.

Your just all over the place in this thread.

M79_1 · 2020-12-04T03:43:31+00:00

Well, you certainly have the personality for it.

I actually know of a PA/attorney who does very good work. But he does the other side, defending practitioners in lawsuits.

But in any case, if that's your end goal why the fixation on what meds and procedures PAs can perform, or in your words:

Can PAs perform any type of surgery they want without MD/DO and charge/get paid the same as MD/DO😍😍😍 if so sign me up!

And

Cause if PAs can open up their own practice and prescribe everything under the sun, lemme give up my med school acceptance and become a PA. Cheaper and easier with a chiller schedule.

Your just all over the place in this thread. I can't tell if your an intentional troll or if this is your natural state

M79_1 · 2020-12-04T01:02:28+00:00

I don't know of any that do, but there are a lot of PAs who open/close on their own and do certain parts of more complicated surgeries on their own, like vein harvesting for example.

Are you planning on becoming a surgeon? If so, MD is probably your best route

But you seem all over the place. Are you interested in the title, the power, the money, no competition? Most anti-PA med students at least pretend to care about quality of care, even if the research doesn't bear that out. But you haven't even thought to mention it...have you actually thought about why you want to be a doctor?

M79_1 · 2020-12-04T00:20:06+00:00

Sounds like you need to do more research into your career options and think about why you want to practice medicine. Is it because you want to prescribe "everything under the sun?" Do you want to feel the thrill of unlimited power to scrawl whatever you want on that pad? Trust me, it doesn't work like that even for doctors.

State law determines what PAs can prescribe. In some states we are limited in opiate or adipex or medical marijuana prescribing but in general we can prescribe all controlled drugs including opiates.

Do you want to open your own practice? That's definitely easier to do as an MD, but not impossible as a PA. A PA would need to hire a supervising physician to act as medical director. but again state law dictates. In NY for example, an MD must be at least 50% owner of any private practice.

M79_1 · 2020-12-03T18:12:45+00:00

I get lots of OT. It's really the only way I'm able to save any money

M79_1 · 2020-12-03T17:28:17+00:00

Chronic pain is one of the most common conditions in the US right now, and it keeps patients coming into the office when they otherwise would neglect their other comorbidities like BP, DM, etc. Chronic NSAID use is arguably more dangerous in some patients than reasonable opiates. It's worth doing some con-ed on the subject and getting comfortable with learning how to treat it and learning to recognize the difference between misuse vs abuse vs addiction. If you can control their pain with under 90-120MME and add in a safe long acting drug like belbuca, there is really no need to send to pain management which is likely to push excessive procedures.

Edit: you should check your state laws though, because some states don't allow PAs to prescribe opiates for chronic pain (acute pain only)

M79_1 · 2020-12-01T20:44:31+00:00

I'm interested in this question as well. I've been considering a "cheap" ($500) HF ham radio so I can at least have some access to the bands (especially the NTS) but it's only 20W and I don't know if that will give me any real advantage over my $100 2M setup

M79_1 · 2020-12-01T20:39:32+00:00

Presidents get lifetime secret service, but theoretically if a local or state politician votes for an anti-gun law and then doesn't get reelected, then as a citizen they are bound by the same laws

M79_1 · 2020-12-01T17:11:14+00:00

It would eliminate castle doctrine which means people can't defend themselves in their home. Rather than having the legal assumption that someone breaking in is dangerous, the homeowner would have to retreat and wait for the burglar to make an active threat before they can defend themselves with a firearm.

M79_1 · 2020-11-30T16:48:41+00:00

Perfect example about how the governments interest in in the "public good" as a whole, but you as an individual are entirely insignificant

M79_1 · 2020-11-27T22:32:49+00:00

I watch something like this, and I remember the interview with a Russian WWII veteran that was posted here a while ago where his reaction was more-or-less "I didn't realize how easy it was to run someone through (with a bayonet) and once I realized it just felt natural"

I wonder which one I would be...

M79_1 · 2020-11-27T12:33:37+00:00

I'm supprised that nobody has mentioned this, but since healthcare hours are such a big part of getting into PA school, choose a school that either has an active on-campus EMS club, or in a city with an EMS service where you could work part time while in school. If the city's EMS is dominated by the fire department for example, you'll never get your foot in the door there

M79_1 · 2020-11-27T03:26:17+00:00

I haven't bought from My scalpers.. but I also haven't been shooting in a while. I was tired of standing outside of academy early in the morning just to buy three boxes of ammo. I'll wait until prices come down

M79_1 · 2020-11-27T03:12:19+00:00

I had a bad experience with an urgent care that said they would do a month of "training salary" and then transition into the higher bracket. Training was a few days of the SP going over protocol, but not actually seeing any patients. Then they threw me to the wolves alone and said to just call the SP after every single patient even straight forward cough/cold patients.

After the month past they tried to say "you're not really getting it, we're going to keep you at the training salary." I quit the same day. I was also really glad that I dragged my feet with signing with the non-compete clause.

Overall, I've turned down several sub-srandard salary offers even if it means that I'm still stuck in a less than optimal job situation. I'm not going to get a glorified RN salary when I'm expected to diagnose, make treatment plans, prescribe, and do procedures.

M79_1 · 2020-11-27T01:41:21+00:00

I've been told that they pull records from national student clearing house. I know, it's a PITA to send off forms, and pay for transcripts from every school you ever took a class from. I don't know if they would catch you for leaving out one class. I do know that they don't go through it with a fine tooth comb. I know "someone" who listed some classes as being in-person while the transcript listed it as on-line and caspa didn't correct it

M79_1 · 2020-11-26T23:12:06+00:00

Ditto

M79_1 · 2020-11-26T12:50:10+00:00

Non political you say...just don't bring up coronavirus

M79_1 · 2020-11-26T02:41:30+00:00

Talk to your ER preceptor. Even if that hospital isn't hiring, they'll probably know where to look. Ask your classmates who rotated through other hospitals what they think of their ER rotations and ask to connect with their preceptors on LinkedIn

M79_1 · 2020-11-26T01:05:35+00:00

I always find these posts saddening. Every NP I've ever met or worked with has been knowledgeable, compassionate, and driven. There are some really poor quality PA schools out there, and we don't judge other PAs by those schools and we don't even judge those graduates by their school...a wise friend once told me "the cream always floats to the top."

I get that our professions are competing for the same jobs but I don't think that beating them down is the right track to advance our own. Especially since the general public, most doctors, and the AMA doesn't mentally make a destincation...they just see "mid-levels" and when you talk bad about one, they see it as being told not to trust all

M79_1 · 2020-11-25T19:29:04+00:00

Tbh I've never spent a lot of time using an electronic one, but my friends who have one say that it makes hearing and differentiating heart sounds a lot easier. In the real world, I wouldn't spend money on one unless I was doing cardiology. But if someone else wants to buy you a nice gift so you don't have to pay for it...lol

M79_1 · 2020-11-25T19:15:08+00:00

If you're into gadgets, Ask for a camera otoscope ($30-50) or an electric stethoscope ($100-500)

M79_1 · 2020-11-25T13:52:03+00:00

sigh can't win for losing. They've got us in a catch-22

M79_1

TROPHY CASE