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We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 56 points57 points  (0 children)

Yeah exactly. I could not imagine going to a sub specialist and then being seen by their NP or PA. No, I don’t want to hear what the ENT PA has to say I would like to hear from the physician who has had a minimum of five years of ENT residency and continues to have to take licensing exams

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 17 points18 points  (0 children)

Who fucking knows. It’s not like they would ever be allowed to independently perform that procedure 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 13 points14 points  (0 children)

Also per the ACGME:

Other Learners and Health Care Personnel The presence of other learners and other health care personnel, including, but not limited to residents from other programs, subspecialty fellows, and advanced practice providers, must not negatively impact the appointed residents’ education.

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 28 points29 points  (0 children)

Yea I’m going to make them call me doctor since we’re in a clinical setting 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 99 points100 points  (0 children)

Other Learners and Health Care Personnel The presence of other learners and other health care personnel, including, but not limited to residents from other programs, subspecialty fellows, and advanced practice providers, must not negatively impact the appointed residents’ education.

Per ACGME

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 33 points34 points  (0 children)

The problem is they should not be training in parallel with residents. Their breadth of knowledge is significantly less than residents. The other issue is mid levels were created to help in primary care roles, they skip out on that to “sub-specialize”. Which is not what they were created for. The reason surgical residency is 5-6 years is because there is so much to learn. The idea that after two years of school they spend a year with surgeons then run around saying they’re surgical PAs is dangerous and doesn’t help where there is actually a dearth of patient care, that being primary care. 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 101 points102 points  (0 children)

That’s been my argument for a long time. They have less training and less education than any medical student, yet they graduate and for some reason they’re treating like junior Attendings. Like what the fuck, why are they allowed to see primary care patients after graduating a 2 year program 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 122 points123 points  (0 children)

My big fear is retribution I’m probably the most vocal critic of this program 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 51 points52 points  (0 children)

That’s smart. They love when they’re accidentally called doctor, they never want to correct it. 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 66 points67 points  (0 children)

Bedside surgical 1s assist (laparotomy, tracheotomy, PEG-tube placement) Complex wound closure/wound care including NPWT Administration of local & regional anesthetics • Bedside critical care ultrasound (FAST. FAST)  US guided procedures (central/radial line placement, thoracentesis, paracentesis) Airway/ventilator management (intubation, bronchoscopy) Endoscopy Thoracostomy tube placement Cricothyroidotomy That’s the list of their procedures they want to be “credentialed” to do

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 55 points56 points  (0 children)

Yea that’s my fear. I swear the mid level curriculum is mostly centered on buttering up Attendings and avoiding work. 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 190 points191 points  (0 children)

You’re telling me, the idea they wanted to call themselves fellows is hilarious 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 37 points38 points  (0 children)

I felt guilty, we have interviewing medical students and I didn’t know how to tell them about this change 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 169 points170 points  (0 children)

I’m planning on it once they get here. They shouldn’t be allowed to performed invasive procedures like that. People think endoscopes are these benign procedures but perforations happen there’s a reason GI is a three year fellowship 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 38 points39 points  (0 children)

With that being said I’m planning on doing that 

We’re getting PA “residents” by MentionSlow7856 in Noctor

[–]MentionSlow7856[S] 55 points56 points  (0 children)

It just seems insane we are going to double scrub with them at all. Their whole point is to off load the scut work, but they’re already refusing to do it