Showing posts with label student life. Show all posts
Showing posts with label student life. Show all posts

4.27.2014

PAProgramSearch.com: Great Pre-PA Resource



I recently received an email from Ken Johnson, the developer of PAprogramsearch.com. Ken and his significant other went to the same process that many of us did when searching for PA programs and also encountered the same frustrations. It is difficult to find out which schools have which requirements. I ended up with a spreadsheet of the schools that I was going to apply to, their prerequisites, and checkboxes for the things that I had completed. Since there's no standardization of PA programs and their prerequisites at this time is difficult for students to keep track of.... in comes PAprogramsearch.com.

This website allows you to check off particular classes that you have taken as well as shadowing hours, etc. And then produces a list of schools with the "match percentage". The site is very easy to use it appears to be up to date. I always recommend going to be official program website to double check the prerequisites (as they can change at any time) but this is a great place to start.

Financial disclosure: 
I have no monetary or other connections to this website or the developers . Just sharing a resource. 

Home page

Check off the classes that you have completed and add your GPA/Experience in hours at the top.

A list of "matches" is generated.

4.23.2014

Subcuticular Suturing

I came across this blog post on how to do a subcuticular closure. It is well written with step by step pictures so why reinvent the wheel. I am just going to repost. Enjoy!




Source: http://abnormalfacies.wordpress.com/2012/02/20/running-subcuticular-suture-technique/

6.12.2013

What if PAs Couldn't Suture Anymore?

This a repost from a call sent out by the AAPA based on a resolution brought to the AMA's House of Delegates. Read it and take part in your future scope of practice as a PA.

Join AAPA in responding to negative AMA resolution

While workforce experts are predicting a shortage of providers with the implementation of the Affordable Care Act, the American Medical Association Board of Trustess is proposing a resolution for its House of Delegates that could severely restrict PAs' ability to provide care to patients. PAs should be very concerned about the resolution, which will be considered by the AMA HOD when it convenes on Saturday, June 15. The recommendations are very restrictive and display a misunderstanding of the way PAs and doctors provide care as part of a team. Among other restrictions, the resolution expands the definition of surgery to include repair and removal of human tissue and, although parts of the resolution are somewhat unclear, states that surgery as defined in the resolution is to be performed ONLY BY PHYSICIANS. If adopted as presented, the resolution will call into question procedures like suturing, punch biopsies and vein harvesting, which PAs perform on a daily basis across many medical specialties. The resolution also proposes that only physicians should perform invasive procedures that utilize radiologic imaging. You can read Report 16 of the AMA Board of Trustees in full here.

AAPA is spreading the word about the negative impact this resolution would have on patient care and PA practice, but we need your help. Please review the list of AMA delegates in your state or specialty, and if you have a connection, please let that physician know the true damage that this resolution could create. Also, talk with and encourage physicians in your practice to speak with other physician leaders about the resolution. AAPA's suggestion is that the resolution should be defeated, or modified to specifically state that it does not apply to PAs practicing within the parameters of state law.

For more information on the AMA resolution please contact Ann Davis, PA-C, MS, Senior Director of Constituent Organization Outreach and Advocacy, at ann@aapa.org.


6.08.2013

The PA Mentoring Project

While I was at the national AAPA conference in May in Washington DC, I learned about a new mentoring project that was recently launched. It is called the National Physician Assistant Mentoring Project. Their tagline is "PAs helping PAs". It was started by Robert Smith, PA–C and Habia Collier, PA–C.

The idea is to have more seasoned PAs be mentors for younger/new to the field PAs and PA students. These two physician assistants were very passionate about this program when they came to speak to the AOR.


This mentoring project is in its infancy, however it needs more PAs that are willing to be mentors in order for it to grow.  Check out their website at: www.PAmentoring.org



Hats off to these two for getting such a great idea up and running!






Pic Source: www.euphoricbirth.com

5.30.2013

Free AAPA app

The AAPA has developed an app! They officially launched it at conference and I wanted to give you a little overview. Cost: FREE
Easily accessible links to JAAPA, PA Professional, the PA microsite, and Joblink!

Keep up with the social media buzz and the trending #hashtags.

Keep up with the latest news in the AAPA profession.

5.28.2013

PA MAN - I Love Conference!

This, in a nutshell, is why I love conference. PAs know how to have fun. Hope to see everyone there in Boston next year! Check out the video...





5.06.2013

Old and New Blog Entries

I have had several people email asking me to make it easier to find "old" posts. I have converted the dated section to include "Titles" as well. Hope this helps!

You can also look under the different "Themes".

If you aren't finding what you are looking for... shoot me and email and I will working on adding a post to answer your question.

Upcoming topics from emails received include the following:

-Suturing techniques
-Scubbing in for the 1st time
-Better note writing tips
-Making the best out of your rotations
-Important neurosurgical exam findings

5.05.2013

Blog for Women in Surgery

I recently came across this blog... seems to just be starting up, but has lots of promise. I've added it to my favorites list.



4.02.2013

Perinatal Infections

Perinatal Infections...

TORCH

Toxoplasmosis
Other (syphillis) - I always hate when "other" is one!
Rubella
Cytomegalovirus
Herpes










Source: Hardcore Pathology by Wahl

3.24.2013

NHSC Loan Repayment Webinar

Looking to utilize the NHSC to take care of some of your student loans? NHSC just put out a webinar explaining all of the rules/regulations associated with partaking in the Loan Repayment program.



2.08.2013

Challenge Bowl Time

Interested in competing in the AAPA National Challenge Bowl this year? Check out some video footage from last year!



1.30.2013

New PA Student Site

Check out the new microsite dedicated to PA Students! I was part of the team that worked hard to put this together and the AAPA was an integral part of giving us the funding to get this up and running. It is a "one stop shop" that was created BY PA students FOR PA students!

Check it out. Write a blog entry for the site. Submit a new scholarship that you found that is relevant. The continued success of the site is dependent on YOU the PA student to help keep it alive with content!

See the About Us section to know where to send your content!




1.01.2013

Do You Use Social Media?

Do you use social media personally or professionally? If the answer is yes to either, you should check out this recent JAAPA article on social media. As we all know, anything that goes up on the internet has an infinite lifespan. Think about protecting your personal life and career...


http://www.socialable.co.uk/

11.26.2012

Billing and Coding. Who Cares?

Reimbursement? Who cares? In short, YOU should.

Scenario 1:

It is time for your annual review and you've been working hard all year. You've stayed late to see extra patients and come in occasionally on your days off to cover the shifts of sick co-workers. You decide that you are going to ask for a raise based on the extra efforts that you've put in, but when you do the office manager states that everyone has been working hard so that alone does not justify a raise. Where do you go next? Your next step should be to present objective data. You should be prepared with not only the number of hours that you have put in this year, but also with your revenue (which you get from your billing records!) If you are able to show that you have increased your billings by a significant percentage, you're more likely to get something extra than if you just say you've been "working extra hard". Know what you are being reimbursed - check your billings bi-weekly or monthly to stay on top of it.

Scenario 2: 

You are working for a small family medicine practice with a couple physicians. You are the only PA. The family practice employs a billing and coding specialist to bill for all visits and procedures completed at the practice. You don't know much about billing and coding so you leave it up to the "specialist" to take care of all that. After all, you care about is seeing patients, right? This year, Medicare decides to audit the practice that you work for and they find several fraudulent mistakes in your billing. You have apparently been upcoding* several office procedures and double billing for some office visits. You are now facing criminal charges for defrauding the federal government and are facing jail time and a $300,000 fine. You try explaining that you never actually did any of the billing yourself, but in the eyes of the law, you are still at fault. Know what codes are appropriate. This is a two-way street. Don't overbill, but don't under bill either. Under-billing can be misconstrued as favoritism toward certain patents or it can just hurt the bottom line of your business. Its a Goldilocks and the three bears thing... not too much, not too little... but just right.






Both of these scenaios are real and they show the importance of understanding reimbursement/billing/coding. You've worked really hard to become a PA, don't lose it all because you didn't want to be bothered with the paperwork of billing. 















*upcoding = adding additional codes so that you are paid more money than you should get

Pic: http://www.tormont.com/en/Products-in-English/English-Products/GOLDILOCKS-AND-THE-THREE-BEARS/102518-118-1042.aspx

11.23.2012

6 Salary Negotiation Strategies


This entry is a repost from the PRSA Job Center. I thought it was relevant and worth a repost- It makes a lot of the same points that I stated in another one of my entries earlier (Negotiations 101).

Six Salary Negotiation Strategies

Navigating the salary negotiation process can be tricky. You don’t want to overplay your hand, but you can’t afford to sell yourself short either. Many job seekers shy away from negotiating out of fear they’ll blow the deal.

But here’s a little secret: Most employers expect to engage in some back-and-forth discussion at the bargaining table. In fact, more than one-third of executives interviewed by Robert Half said they’re more willing to negotiate salary with top applicants than they were one year ago. Only five percent of hiring managers are less willing to negotiate.

Consider the following six tips for negotiating with finesse:
1.   Understand your market value. Savvy salary negotiating doesn’t involve throwing out a ridiculously high figure and hoping the employer says yes. The best negotiators are well-informed.
Do your homework and support your request with concrete numbers from reputable sources. Review current compensation standards for PR professionals in your area and at your experience level by consulting publications such as The Creative Group’s 2013 Salary Guide. The Occupational Outlook Handbook from the U.S. Department of Labor’s Bureau of Labor Statistics is another valuable resource.
2.   Look at the whole picture. Remember to consider all aspects of the deal, not just pay. An attractive healthcare benefits package, bonus opportunities, a retirement savings plan and perks such as tuition reimbursement or relocation assistance can make up for a lower base salary.
Also, don’t overlook the intangibles when doing your cost/benefit analysis. For instance, flexible scheduling, remote work options and a shorter commute can improve your work/life balance.

3.   Research the firm. Before you start plotting your negotiation strategy, get an idea of how much wiggle room there is. Learn about the organization’s financial standing by reviewing its website and searching for relevant news stories in business and trade publications. If it’s a public company, look at the most recent earnings statements and annual reports.
Ask members of your professional network what they know about the organization, too. If you discover the firm or agency recently announced layoffs or a salary freeze, you’ll probably want to recalibrate your expectations.

4.   Keep it friendly. Always manage negotiation discussions tactfully. You can make a strong case without issuing ultimatums or threatening to walk away if your demands aren’t met. Remember: You’re negotiating with someone who could be your future  boss, not haggling with a used car salesperson you’ll never see again.
Be poised and pleasant, not adversarial. And be a straight shooter. Candidates sometimes falsely claim to have a more lucrative job offer from another company only to have the misguided bluff called and end up with nothing.
5.   Ask to revisit the issue. If the company can’t quite meet your desired salary, ask if the hiring manager would be willing to re-evaluate your compensation in six months. The firm could be in better financial standing by that time, and your manager will have had an opportunity to see the value you provide firsthand. It never hurts to ask, and now’s the time to do so.
6.   Get it in writing.  If your salary negotiation is successful, make sure to get a contract detailing all aspects of the agreement. This includes compensation and any special arrangements (such as a signing bonus, extra personal days or early salary review) you’ve settled upon.
                                                               
Finally, if you decide to turn down an offer, do it with class. Go out of your way to be gracious and appreciative. It’s best to give the employer the courtesy of a phone call rather than a quick “thanks, but no thanks” email.

The bottom line is that you want to do everything possible to leave the door open to future contact. Just because you weren’t able to come to an agreement for this particular position doesn’t mean there won’t be a more desirable or suitable opportunity at the company down the line.
                                                           
The Creative Group is a specialized staffing service placing interactive, design, marketing, advertising and public relations professionals with a variety of firms. More information, including online job-hunting services, candidate portfolios and TCG’s award-winning career magazine, can be found at creativegroup.com.

11.21.2012

Become Great At Knot Tying

Several months back during my surgery rotation, my preceptor and chief resident (Dr. Smith*) gave me some great advice becoming better at surgical knot tying so I thought I would share.

  • Learn the square knot and be able to tie it by perfectly and quickly (by hand and instrument). There are lots of surgical knots to learn, but the square knot will get you through most situations. 
  • Practice tying everyday. You often see medical students/residents walking around with string hanging from the tie their scrub pants or to a loop in their white coat.... this is because they are practicing tying in their down time. I started doing it and it is amazing how much practice you can get during the day - on the elevator, during rounds, on the T on the way to work. Dr. Smith said he still practices tying 100s of knots a day and he has been doing so since his first day of residency four years ago.
  • Make it second nature. When you first start you will need to look at the string/thread and concentrate... however the goal is to be able to tie and tie well while doing something else. Dr. Smith recommended practicing knot tying during your favorite show at home while sitting on the couch. If you don't have scrubs on - place a coffee mug between your knees and use the handle of the mug as an anchor. 
  • Materials. Since suture packs are expensive and I doubt the hospital would appreciate you snagging a bunch of $4-5 brand new suture packs to *practice* tying - there are other options. 1) after each of your OR cases, ask the scrub nurse if there are any opened, unused sutures left that you could have to practice with - if not, they get thrown away and 2) go to a sporting goods store and buy your own. Fishing line (mono filament and braided) are remarkably similar to suture material and you can buy 1800 yds of mono filament line for about $8 and 100 yds of braided for about $6.
This is the brand of braided line that I use. It is similar to "string ties". Purchased it at Dick's Sporting Goods for $6.

Using the arm of a mug as an anchor works great if you don't have scrubs on.


*Dr. Smith is a fictional name.

11.19.2012

Free Book for Your Surgical Rotation

Scribd is a great resource for free textbooks (and not just the cheap ones). You can buy a subscription to have total access (Premium) or you can upload non-copyrighted materials and get a Premium membership for free.

I found this surgical book written for students on their surgical rotations. It is pretty awesome and comprehensive. A snippet from the table of contents is below.



11.15.2012

Cardiac Surgery Made Ridiculously Simple

Cardiac Surgery Made Ridiculously Simple is a good resource if you are heading into a Cardiac rotation. Below are some additional resources listed on this site:

A good reference is: Cardiac Surgery in the Adult 

An online reference text “Cardiothoracic Surgery Notes” for residents 

An online Johns Hopkins Cardiac Intern Survival Guide is available at http://www.ctsnet.org/doc/2695

http://www.nhrmc.org/heartsurgery

11.07.2012

Preparing for PA School Interviews


'Tis the time for interviews at many PA schools and quite a few pre-PAers have emailed asking how to best prepare. Each interview process is slightly different so I would encourage you to reach out to current PA students at the school that you are interviewing at to ask them specific questions. PA school is difficult to get into - so don't waste the opportunity - PREPARE!



Below I have listed some generalized advice to help you prepare for your interviews:
  • Know the history of the profession. Even if they don't ask you about it directly, try to incorporate it into an answer or two. It shows that you've done your research.
  • Have a good (and genuine) answer of WHY you want to be a PA. I have heard many "generic" answers and those are boring and don't set you apart from anyone else. Be able to say not only why you want to be a PA, but why you don't want to be a nurse/MD/radiology tech/etc.
  • Come up with good questions for your interviewers. Remember, you are interviewing them too. Why *this* and not another school? 
  • Ask what their pass rate for the PANCE is and how they prepare their students to pass - after all, that's the goal of your education!
  • During the group session - assert yourself, but don't be too pushy. You need to be remembered.
  • Know about some of the changes in healthcare. Be able to speak intelligently about the role of PAs in national healthcare law as well as state.
  • Be aware of any recent legislation in your state affecting PAs (visit your state chapter website for more info)
  • Be able to answer the "standard" interview Qs: what are your strengths/weaknesses, tell me about a difficult encounter with a patient or boss, etc
  • Wear a suit. 
  • Be able to explain any weird parts of your resume (if you have them) - for example, if you got a "C+" in biology or you took 2 months off to backpack around Europe - come up with a good REASON why, not an excuse.
  • If you had a medically relevant job/career prior to applying to PA school - mention it.
  • Bring several copies of your resume. If no one asks you for it, no big deal - but you don't ever want to be asked (even once) and not have one.


Pic: http://www.snellingnj.com/blog/bid/53533/The-Characteristics-of-a-Great-Interview

11.05.2012

Tips on Finding a Good Elective Rotation


One thing that I have learned from being involved in so many PA and PA student activities is that all PA programs are very different. They all need to meet ARC-PA standards, but the ways in which they meet them varies. For example, some schools have elective rotations, some don't. Some help you set them up, some don't. I have had a few people email me and ask me how to go about setting up their electives, but each program varies so much it is difficult advice to give. Below are some general tips to consider when trying to set up your elective. These tips are helpful only if you know what you want your elective to be - if not, see one of my earlier posts (Choosing an Elective Rotation) to help narrow it down.
  1. Check with your program director. Most program directors have been around the PA profession for a while and have made a multitude of contacts over that time. Much of this is about who you know.
  2. Network, network, network. Attend any and all PA events that you can make it to and don't be a wallflower! Reach out and say hi to people. If you make a connections, get their contact info and follow up.
  3. Join the PA organization for whatever field you are interested in pursuing. You can find most on Facebook or with a good Google search. Some of these organizations are better/more organized than others, but make the effort to reach out to them. They may have a list of mentors that are willing to take students. The cardiovascular PA group is fantastically organized and has offered free student membership in the past.
  4. Check with your state chapter. They may have a mentor program for student members as well.
  5. Contact the department directly. I only suggest this if it OK'd by your school. Some schools do not allow students to directly contact potential sites so... ASK FIRST.
  6. Do your homework on the institution. It is important that you know what type of rotation you are signing up for since your elective is likely something you may seek employment in in the future. Big, teaching hospitals are great because you see a high volume of patients and often see rare/unusual cases, which can be super exciting! The downside is that these large institutions generally have residents and medical students that are fighting for these cool cases as well. These means that you may not get as much hands-on time as you would like - especially in the OR. If you want lots of hands-on experience, you may want to look at a mid-size or small hospital. The down side to this is usually a smaller patient load with more "bread and butter" cases - but you will likely get to participate more and have more responsibility. These are not the exact scenario at every hospital, but are things you consider and ask about before committing your one elective to it.
In the end, hopefully you are successful in getting the elective of your dreams. If not, learn as much as you can from whatever elective you end up in and don't be discouraged. If you weren't able to find a "Trauma" rotation, that doesn't mean that you will never work in trauma. Where there's a will, there's a way.




Pic: http://www.whatsnextblog.com/2008/09/whats_the_best_advice_you_ever_got/