TOTI PA-C

27. PA-C

[totipa-s]

r/physicianassistant - White House FPA (full practice authority) Petition

0 votes and 2 comments so far on Reddit

Currently at 9K. A long way to go, but we can get there. We aren't fighting for independence, we are fighting to eliminate red tape and improve the availability of quality healthcare across America and our ability to pivot during a crisis!! We love our MDs/DOs and the collaboration we have with them. Their time is valuable and their patients need them as well! Their time shouldn't be needlessly spent reviewing charts/signing orders/signing paperwork if our docs/hospital admin don't think it is necessary (meaning we aren't under review or other need for supervision). This is to optimize team practice and allow PAs to practice at their full scope not eliminate current collaborative relationships!

White House FPA (full practice authority) Petition

The time is now. There are highly qualified PAs who are being forced to sit on the sidelines because they're current SP doesn't work in Emergency Medicine. This is ridiculous.

Let's do what we can to set our profession up for success (we all know this is needed). But more importantly, to remove barriers that prevent us from treating patients in a time when healthcare providers are needed more than ever. PAs have always been collaborative, and a legislative requirement will never change that. Let us take responsibility for our license and practice to our scope of practice.

Here is the petition. It currently has 6,000. Needs 100,000 to get a response. It might not be much, but it's something.

https://petitions.whitehouse.gov/petition/grant-pas-full-practice-authority-function-licensed-independent-practitioners-federal-jurisdictions

Grant PAs Full Practice Authority to function as Licensed Independent Practitioners in Federal jurisdictions | We the People: Your Voice in

Grant PAs Full Practice Authority to function as Licensed Independent Practitioners in Federal jurisdictions | We the People: Your Voice in

Here is a NYT video recently put out that does a great job describing the regulatory burden that is placed on PAs and forces willing and qualified PAs to sit on the sideline.

https://www.nytimes.com/2020/04/04/opinion/physician-assistants-hospitals-coronavirus.html

Opinion | An Outdated Law in Florida Is Preventing Me From Saving Lives

We need to get physician assistants off the sidelines and into the emergency rooms.

Please sign!

@emedpa

@populationpensive

@mrspediatricpa

@cranquis

@digiti-minimi

@brooklynpa-c

@hangrypa

@livingthepadream

@mynotes4usmle

@pa-c

@physicianassistantstudents

Please share, up vote, and make any comment to make this thread relevant.

[totipa-s]

AAPA Conference

PAblrs who’s going this year?!

[totipa-s]

Deployments are hard

I’m the only PA in this country while my SP is in another. Thankfully we have telehealth and technology here so I can call other providers if I need to. Thank god there is a support unit that takes care of the technology portion of it. When I was in another country we had a hard stand building with meds we had to travel all across Europe to obtain and no EMR. I am also part pharmacist and physical therapist and dentist because unfortunately they are not readily available. I am appreciating the excellent standard of care that we give patients in America. I can’t emphasize how proud I am to practice in the states.

I think my last post was hating my job because of how alone I am out here. I live with my patients. I see them everyday. I eat with them every day. I see them in the gym. I see them when I leave clinic to go back to my room. I can’t be myself out here due to the professionalism I have to portray. I’m a female in an infantry batallion, and while all of the men are very respectful, it’s inappropriate to go have beers with the other male officers, in addition to being on call 24/7 to be readily available to go to my Aid station when someone needs me to care for them. Can I have a beer? Nope. Then there’s the officer-enlisted relationship boundary where it’s inappropriate to do fun things together.

I cried. So. Hard yesterday. I’m a brand new female officer and PA practicing alone in a foreign country. I really miss my husband. This is my first Christmas away from him and the rest of my family. I know time will fly by but I really thought that this was going to be easier. I can’t wait to go home.

[simplysupergirl]

So what are you doing Thursday (Sept 7) @ 8pm EST/7pm CST/5pm PST?

A: Vegging out.

B: Drinking wine/liquor/soda/water/drinkofchoice after a hard day’s work.

C: Dancing.

D: Chat with me and @populationpensive and other awesome pablrs on the #pablr group chat on Slack where we’ll be talking about all things rotations or anything else you wanna talk about.

E: All of the above.

Grab your favorite food of choice, your favorite drink of choice, and your wonderful dancing self (and your computer) and join us for a pablr group chat over on Slack on Thursday!

If you’ve never joined that’s totally alright, just send me or @populationpensive a message or email ([email protected]) with a message saying “I WANT TO JOIN THE PABLR GROUP CHAT” with your email address and we can send you an invite to join. It’s totally free to join!

[simplysupergirl]

Reblogging for tomorrow!

[emedpa]

Reblogging temporarily for anyone who wants to join us tomorrow on slack.

[totipa-s]

I'll be there!!

[totipa-s]

[totipa-s]

"No offense, but PAs aren't as smart as doctors. I mean, physical therapists are actual doctors"

Says the patient with ITBS x8 months, who took ibuprofen one time for one day, and decided it didn't work. Who it also took 3 consults to get him to go to physical therapy twice, decided that didn't work as well, so he stopped going. Yup. PAs are the problem dude.

[totipa-s]

My day

So I don't have a schedule yet because we're working in a deployment clinic as well. Here's a list of my daily responsibilities - see sick call in the morning - respond to any telephone consults. Most are updating profile or physical limitations - get 4 or 5 emails from other providers that begin with "hey I saw your patient..." - update tracker for deployment list. Who needs a waiver for their medical condition? Who isn't deployable at all? - what warrior transition packets should I work on? - what patients need to go to a medical board and leave the Army? - medics are triaging patients and asking me if I'd like to see them. - medics leave First Sergeants waiting in rooms for an hour while I've already been done with their encounter for an hour (wtf?!?!?) - Try not to lose my shit - email battalion commander about patient statuses for deployment - DONT CRY - waste an insane amount of time Uptodating - ask for help every 20 minutes - attempt to finish charting before moving onto the next patient - WHY IS MY AHLTA CRASHING - I'm getting the wheel of death and I swear it's wasting me an hour and a half of my day Drowning and falling so behind. Being on your own is rough.

[totipa-s]

Day 3 of practicing as an Army PA. I feel like I forgot everything.

[totipa-s]

Reality is setting in

BOLC has ended. I graduated Friday. This week we’re doing some trauma training and then next week I learn more about my actual job. I have so much stuff to do in the next couple of weeks: Disclaimer...do not let this newly acquired “C” fool you into thinking that I can adequately adult for myself. I just pretend and sometimes in life it works.

o Apply for an NPI number as requested by credentialing o Apply for a DEA number (just thinking ahead) o Finish compiling credential packet o Make copies of my diplomas and training certificates o contact my gaining unit Senior PA o Get my DA photo, awards and training records updated so I can get promoted to Captain o Put a slideshow together about deployment physicals

Then I get to move into a new house with my husband and have 30 days to just RELAX and settle with each other after focusing on ourselves the past 3 years. 

[totipa-s]

Sooo today guess what we did?!?

Threw shredded pieces of rubber tire at each other like children for at least a half hour because we were bored. And learned how to transport patients in a black hawk. That was pretty cool too.

[totipa-s]

It's like diet and exercise actually work for losing weight?!

I've lost about 15 pounds since I passed my PANCE. I'm so excited!

[totipa-s]

I’m having so much fun!

So as many times that I’ve been to JBSA, I have never truly appreciated this city. Maybe because the only time I’ve been out and about was going to and from school and maybe on the highways once a month. Traffic is a nightmare here in San Antonio if you’ve never been. HOWEVER, I’m beginning to understand why people love to come back here.

One of my preceptors at my phase 2 clinical site told me “You’re going to be practicing medicine for the rest of your life. Never again will you have almost 3 months to enjoy your time and not have to think about anything else.”

So far I’m living up to that, except for this whole credentialing packet that I have to do for my next job. So. much. paperwork! Besides that I’m having so much fun with the new people that I’ve met. I am FOR SURE making up every last second that PA school has sucked from my life. I’m also trying to remember my conversations I had last night. I don’t know why, but while telling this third year medical student that wants to be a general surgeon, the surgeons I respected the most were assholes, turned into me telling him about my experience at the most recent Fort Hood shooting. I woke up this morning and thought why I even talked about it? 

I’m starting to become homesick and I miss my husband and animals. My dad sent me pictures of our cats this morning:

and our poor puppy... We think that the neighbors dog did something to him. He’s on a couple antibiotics right now for his wound.

Makes me so sad! 

Anyway, wanna hear something really random thing I found out a couple days ago? My mom’s best friend from childhood and still today...her son is the “Cash me outside” girl’s bodyguard. I saw it and went-wtf?! He’s a great guy so I’m glad that the articles captured that about him. How bout dat Frank? Go you man...

[simplysupergirl]

CME, say whatttttt?

So you passed PANCE and you’re getting licensed and credentialed and PA school is done and you graduated.

And now the real learning starts with the job and all. And also CME. I get really confused with all the changes that have been happening with our CME requirements and also internal medicine doctors’ because of CME and MOC (that would be my dad’s stuff which I’ve been sort of in charge of keeping up with as well) and the exact numbers of what and which. 

Sooooo I’ve been reading on the CME requirements on the NCCPA website and here’s what I understand is going on. 

*This applies to new grad PAs*

You may start logging CME starting on the date of your certification (basically when you found out you passed your boards).

You are on the 10 year certification cycle. This includes FIVE 2-year cycles where each PA must log 100 CME credits online and submit a certification maintenance fee by 11:59PM PT 12/31 of your certification expiration year. So my year starts on 2016 even though I took PANCE in December and I must complete these 100 CME credits and pay the fee by 11:59PM PT 12/31/18. My friend who is taking her boards in January will have to do all that by 11:59PM PT 12/31/19. Just something to think about when you schedule your boards. I didn’t even think of this. 

Now these 100 CME credits MUST include at least 50 CATEGORY 1 CME credits. The rest may be category 1 or 2 or a combo. 

Category 1 – can be regular activities as approved by certain sponsors, certification activities, performance improvement (PI), or self-assessment (SA). 

Category 2 – “any medically related activity that enhances the role of a PA (including journal reading”. Further information can be found here.

Another thing about the PI-CME and self-assessment CME: NCCPA will give you 50% additional credit for self-assessment CME (so like an activity worth 10 credits will be converted to 15) and the first 20 PI-CME credits logged during the two year cycle will be doubled when logged with NCCPA. 

After your first two year cycle, the next cycle starts May 1 of that year and continues through December 31 of the certification expiration year. 

You can download the NCCPA app and log your CME activities right from your smart phone (iPhone OR android). 

Make sure to keep copies of all your CME certificates. 

References & Additional Helpful Links

http://www.nccpa.net/ContinuingMedicalEducation

http://www.pastudentessentials.com/after-pa-school-2/

https://doseofpa.blogspot.com/2014/04/continuing-medical-education-cme-for.html

http://www.thepalife.com/how-to-get-100-cme-credits-as-a-broke-physician-assistant/

***PS–If you have the Green AAPA book and already passed PANCE you can get up to 20 Self Assessment CME credits until 3/10/2017.

[simplysupergirl]

EDIT: The GREEN AAPA book CME lasts up to 12/31/2017. JUST FYI. (And you can kind of click through the 600+ questions–but you didn’t hear that from me). 

Tagging a few people (tell your friends): @livingthepadream , @pa-slife, @2020-surgery, @totipa-s, @mylifeasapastudent, @countrysidetocityscape, @pocket-pa, @awkwardpa-c, @wherethepagrows, @brooklynpa-c

[simplysupergirl]

CME, say whatttttt?

So you passed PANCE and you’re getting licensed and credentialed and PA school is done and you graduated.

And now the real learning starts with the job and all. And also CME. I get really confused with all the changes that have been happening with our CME requirements and also internal medicine doctors’ because of CME and MOC (that would be my dad’s stuff which I’ve been sort of in charge of keeping up with as well) and the exact numbers of what and which. 

Sooooo I’ve been reading on the CME requirements on the NCCPA website and here’s what I understand is going on. 

*This applies to new grad PAs*

You may start logging CME starting on the date of your certification (basically when you found out you passed your boards).

You are on the 10 year certification cycle. This includes FIVE 2-year cycles where each PA must log 100 CME credits online and submit a certification maintenance fee by 11:59PM PT 12/31 of your certification expiration year. So my year starts on 2016 even though I took PANCE in December and I must complete these 100 CME credits and pay the fee by 11:59PM PT 12/31/18. My friend who is taking her boards in January will have to do all that by 11:59PM PT 12/31/19. Just something to think about when you schedule your boards. I didn’t even think of this. 

Now these 100 CME credits MUST include at least 50 CATEGORY 1 CME credits. The rest may be category 1 or 2 or a combo. 

Category 1 – can be regular activities as approved by certain sponsors, certification activities, performance improvement (PI), or self-assessment (SA). 

Category 2 – “any medically related activity that enhances the role of a PA (including journal reading”. Further information can be found here.

Another thing about the PI-CME and self-assessment CME: NCCPA will give you 50% additional credit for self-assessment CME (so like an activity worth 10 credits will be converted to 15) and the first 20 PI-CME credits logged during the two year cycle will be doubled when logged with NCCPA. 

After your first two year cycle, the next cycle starts May 1 of that year and continues through December 31 of the certification expiration year. 

You can download the NCCPA app and log your CME activities right from your smart phone (iPhone OR android). 

Make sure to keep copies of all your CME certificates. 

References & Additional Helpful Links

http://www.nccpa.net/ContinuingMedicalEducation

http://www.pastudentessentials.com/after-pa-school-2/

https://doseofpa.blogspot.com/2014/04/continuing-medical-education-cme-for.html

http://www.thepalife.com/how-to-get-100-cme-credits-as-a-broke-physician-assistant/

***PS–If you have the Green AAPA book and already passed PANCE you can get up to 20 Self Assessment CME credits until 3/10/2017.

[simplysupergirl]

EDIT: The GREEN AAPA book CME lasts up to 12/31/2017. JUST FYI. (And you can kind of click through the 600+ questions–but you didn’t hear that from me). 

Tagging a few people (tell your friends): @livingthepadream , @pa-slife, @2020-surgery, @totipa-s, @mylifeasapastudent, @countrysidetocityscape, @pocket-pa, @awkwardpa-c, @wherethepagrows, @brooklynpa-c

[totipa-s]

Update

Graduation and freedom are approaching in 2 days. I can't wait to get out of here and spend 2 months in San Antonio again. I have... Rocked the m16 range Rucked 4 miles to said m16 range Refreshed my land nav skills Went through the CS gas chamber with only slight rhinorrhea and burning skin Successfully helped train doctors, dentists, optometrists, nurses, CRNA students, etc to be Soldiers Spoke to one of the command sergeants major who also thinks this course for prior enlisted is bullshit- made me smile Met a seasoned Army PA who had a ton of great advice Tomorrow we go on a fun run with a two star general and graduate Friday! Woo hoo!

[totipa-s]

Update

So I'm at this new course for medical officers. Being prior enlisted and having been through the shenanigans of basic training and having to earn privileges, it's honestly not the end of the world but... We can only wear our uniforms for 4 weeks, no civilian clothes. We are sleeping on rock hard mattresses. We march everywhere together We need a battle buddy everywhere we go We have "fire gaurd" shifts (sitting at a desk in the middle of the night and sweeping/mopping floors) We have half of Saturday and all Sunday to go on pass. Meaning we can walk anywhere on post just not drive (at all, like no access to our cars) off post or leave post at all. We (prior enlisted) are getting ALLLLLL the courses we've had a million times but needs to be taught to the newbies so we all don't rape, assault, murder others and become resilient leaders. I have to do land navigation, the gas chamber, and go to the M16 range next week. All great and dandy but I've done the equivalent to this course already and I'm ready to adult and be treated as such again.

[hangrypa]

One in a Hundred

Friend: I just don’t get why some schools can require kids get certain vaccines. Me: There are many reasons. One of the reasons is herd immunity. To protect kids who can’t get vaccines. Like ones with leukemia. Friend: But that’s only several kids out of a hundred. Me: Think of peanut allergies. Maybe it’s just one kid in the class, but we still don’t bring peanuts to class for that reason. Friend: You know, that’s never really made sense to me either. Why does everyone else have to give up peanuts for one kid? Me: Is it that big of a sacrifice to not have peanuts during the school day? Friend: I guess not. But my point is that if something only affects one out of a hundred people, why do we make a change? Me: Fair thought. Let’s think of it this way. Let’s say you’re walking down a street with one hundred people, okay? Friend: Okay. Me: And you see one suddenly topple over, and he’s unable to breath. No pulse. Friend: Okay. Me: Do you try to resuscitate him? Friend: Yeah! Me: Why? He’s just one in hundred. Friend: But that- I don’t see how… Me: … Friend: I think I get it.