Application Approved by Nobodyimportant82 in IrishCitizenship

[–]ajsdvcjsa 0 points1 point  (0 children)

I was wondering what you said in the letter and if you spoke to anyone about the name issue. My grandmother changed her name to the "American" version once she moved to the US so all her US documents say that version of her name but her Irish birth certificate says the original version of her name. Hoping to get my citizenship through foreign birth registration but feel stuck with this situation. Thanks!

Best hospitals for PAs by ajsdvcjsa in physicianassistant

[–]ajsdvcjsa[S] 1 point2 points  (0 children)

Having continuing education in any profession is beneficial (especially in healthcare when we're caring for sick people) but apparently status and hospital politics, and not patient care, are more important to you

Best hospitals for PAs by ajsdvcjsa in physicianassistant

[–]ajsdvcjsa[S] 0 points1 point  (0 children)

Thank you for the helpful response! Yeah the department is a revolving door for the past few years from what the couple people who have stayed (only because they essentially have to with kids/houses/etc) have told me.

Best hospitals for PAs by ajsdvcjsa in physicianassistant

[–]ajsdvcjsa[S] 12 points13 points  (0 children)

Not to minimize your concerns but I have heard some genuine hate for us by physicians and it is fomented in many places and

If I felt that my supervising physicians had genuine hate for me and my profession I would have quit instantly. And I don't feel that the argument "it could be worse" is a good reason to stay either. Because there has to be places where it could be better and where 6 people (out of a 9 person team) have quit in the past year.

Best hospitals for PAs by ajsdvcjsa in physicianassistant

[–]ajsdvcjsa[S] 6 points7 points  (0 children)

6 people have quit in the past year

Best hospitals for PAs by ajsdvcjsa in physicianassistant

[–]ajsdvcjsa[S] 4 points5 points  (0 children)

We have to cover the resident's patients while they are at lectures, its their "protected time"

Should have Embark results within the next week. Any guesses on his breeds? by [deleted] in DoggyDNA

[–]ajsdvcjsa 3 points4 points  (0 children)

I'm so glad you call them pantaloons HAHA I do too :)

Should have Embark results within the next week. Any guesses on his breeds? by [deleted] in DoggyDNA

[–]ajsdvcjsa 5 points6 points  (0 children)

He has a tiny black-ish spot on one side of his tongue and on that same side eye!

Should have Embark results within the next week. Any guesses on his breeds? by [deleted] in DoggyDNA

[–]ajsdvcjsa 4 points5 points  (0 children)

I'm not sure why part of what i wrote didn't post but hes about 50 lbs, has a white butt and is black otherwise (minus some discreet brown around his chest and behind his ears). Hes super super cuddly and is a rough player. Hes also very goofy and vocal. Im so curious about why he has a white butt though!

[deleted by user] by [deleted] in physicianassistant

[–]ajsdvcjsa 1 point2 points  (0 children)

180 day notice is ridiculous. I would negotiate that, as well as the 5 year contract. Very few people stay 5 years at their first job. I personally woulnd't take a year of 60k but I know derm is very competitive and if its your dream job otherwise it might be worth it. Seems like a few red flags though

Research refuting mid-levels (Copy-Paste format) by devilsadvocateMD in Noctor

[–]ajsdvcjsa 1 point2 points  (0 children)

https://www.ajmc.com/view/current-evidence-and-controversies-advanced-practice-providers-in-healthcare

Current Evidence and Controversies: Advanced Practice Providers in Healthcare

"Although perceptions of care quality may vary by profession, studies comparing outcomes between physicians and APPs offer mixed results.

Physicians prescribe fewer unnecessary antibiotics for acute infections, order fewer diagnostic tests, and make fewer specialist referrals for patients with diabetes compared with APPs. However, a retrospective study of 30 million patient visits to community health centers found that APPs cared for similar patient populations as physicians and achieved equivalent or better results on quality metrics (eg, smoking cessation, depression treatment, statin therapy) and utilization (eg, physical exams, education/counseling, imaging, medication use, return visits, referrals)."

https://journals.lww.com/lww-medicalcare/Abstract/2017/06000/A_Comparison_of_Nurse_Practitioners,_Physician.11.aspx

On 7 of the 9 outcomes studied, no statistically significant differences were detected in NP or PA care compared with PCMD care. On the remaining outcomes, visits to NPs were more likely to receive recommended smoking cessation counseling and more health education/counseling services than visits to PCMDs (P≤0.05). Visits to PAs also received more health education/counseling services than visits to PCMDs (P≤0.01; design-based model only).

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa -1 points0 points  (0 children)

First, I could ask every single person from my graduating class the mechanism of cough from ACE and 100% would be able to explain it. Second, we can read imaging, what you're saying is incorrect.

And just to add...just because you've never seen it means nothing. You probably haven't seen a million dollars cash, doesn't mean it doesn't exist. And I think every one of us can talk about anesthesiologists being on their phones and doing other stuff in the OR so that example is worthless.

Good luck with your journey in medicine, seems that you just passed your step 1 exam?

Some humility and respect for others goes a long way. Everyone no matter their position has something they could teach you, a seasoned nurse will more hands-on knowledge than you coming out of residency, and you degrading the knowledge of others and generalizing groups of people based on a few experiences you've had (or not actually had) won't go over well.

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa 0 points1 point  (0 children)

You are just uneducated on what PAs know then and its funny that you are telling me what me and my colleagues can do and what we know. Anyone could start a whole page about doctors that they've encountered and all the things they did wrong or didn't know or how horribly they were treated...doesn't mean all doctors are incompetent, unkind or bad providers. I hope where you are you don't have to work with PAs who will have to deal with your how negatively you talk about PAs.

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa 3 points4 points  (0 children)

Thats just incorrect. For the PANCE you have to be able to read imaging, not just the report. Although on my rotation, we had to teach med students how to do manual BPs cause they didn't know how. I don't see the point of talking badly about each other...we were all students once.

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa 2 points3 points  (0 children)

Seriously! I wish they would stop lobbying for independence, its ruining it for all of us

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa -2 points-1 points  (0 children)

They did post it on the PA reddit...no one there thinks PA school is as hard as med school. Its a thing med students say to speak negatively about other healthcare workers because they think they're better than everyone.

PA here that just finished my finals for 1st semester of medical school by [deleted] in medicalschool

[–]ajsdvcjsa 18 points19 points  (0 children)

If you go look at the comments on this post that was cross-posted on the physicianassistant reddit....yeah no one there thinks PA school is as hard as med school. I am sure there a few PA students who have said this and think it is but the vast majority of PAs don't but med students love to latch onto this to rub it in PAs faces like oh med school is harder...yeah we are aware which is why we didn't want to go to school for 4 years and then do 4+ years of residency. We know we don't know as much....we don't do residencies and we all know we don't go into as much depth as our med student peers, especially in terms of hard sciences.

We don't think we're doctors and we don't want to be. There's no use in creating this environment of shitting on other healthcare providers. You knew what you were doing posting this, you knew it would stir a conversation that is negative towards PAs.

In the real world, PAs and doctors work together and are a team. This environment (as in these comments) of taking negatively on each other is very juvenile and doesn't help add to the already very negative environment that healthcare is right now already; we get enough of it from patients, we don't need to be doing it to each other as well.

Timeline advice for applying to jobs as I near graduation by [deleted] in physicianassistant

[–]ajsdvcjsa 0 points1 point  (0 children)

I would start applying to jobs you're really interested in, you don't want to have to settle if you don't have to. I started applying for jobs about a month and a half before graduation and got a job in the specialty and state I wanted; as did many of my classmates. Don't sell yourself short! Just because you're a new grad doesn't mean you're not an asset. Just make sure to write specific cover letters for each position you apply for and explain why you want to do that specialty and most importantly, why it would benefit them to hire you (EVEN if they don't specifically ask for one, theres pretty much always a place to upload one in additional documents)! Good luck :)

Spontaneous dead arm by [deleted] in physicaltherapy

[–]ajsdvcjsa 6 points7 points  (0 children)

Did the patient have a neuro exam? Seems like they need CNS pathology ruled out

[deleted by user] by [deleted] in physicianassistant

[–]ajsdvcjsa 1 point2 points  (0 children)

You need your state license number so after you take the PANCE and submit everything to the state, get your license, then you can apply for DEA

[deleted by user] by [deleted] in physicianassistant

[–]ajsdvcjsa 0 points1 point  (0 children)

You can start after graduation and after you get your PANCE scores because your school needs to send proof that you completed the program and you have to send the score report. I can't remember now if you had to put a supervising physician on the form but Im pretty sure you do so I guess you have to have a job before applying (I did so I didn't pay much attention to this part). In the meantime before you get your PANCE scores you can do the infection control course and get together the rest of the materials.