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Welcome to the ADVANCE for NPs & PAs blogs, part of the Healthcare POV: Blog and Forum Community from ADVANCE. Our blogs offer posts covering timely questions, advice and opinions about nurse practitioners and physician assistants, including career issues, education information, and help for new and student NPs and PAs. A list of our most active posts keeps you abreast of the latest discussions. We tag posts by topic so you can easily find posts that interest you. You can also edit your profile to make it uniquely your own to interact with your colleagues on the blogs. We look forward to hearing your voice.
LATEST POSTS FROM EACH BLOG
May 23, 2013 3:40 PM by Raymond Shulstad of Dermatology Practice Today

I have been fortunate enough to have spent the last week at the 2nd annual National Association of Dermatology Nurse Practitioners (NADNP) conference in Clearwater Beach, Fla. It has been personally rewarding to see all the hard work over the last year pay off as the conference has been a huge success. Professionally, it has been wonderful to see the mixture of dermatology specialists and primary care providers ...

 
May 21, 2013 3:31 PM by Kimberly Cray of Aesthetics Practice Today

Question for you:  How do you find your medical provider?

The most obvious of answers to this question is our dear friend, Google. What was life like before this search engine giant? I don't remember. I mean, seriously, who doesn't google twenty things throughout the course of the day? The truth is, however, there are many other great sites specifically dedicated ...


1 comments  
May 17, 2013 10:25 AM by Kelly Wolfgang of The Politics of Healthcare

Editor's note: This blog post is written by Alex Tolbert, founder of Bernard Health.

Our healthcare system is broken partly because consumers don't know what anything costs. As patients become more proactive in making informed healthcare decisions, we all agree this should be fixed. But why is it so hard?

Achieving price transparency ...


 
May 16, 2013 9:39 AM by Harrison Reed of First Year PA

For the PA profession, the AAPA's annual IMPACT conference is like Thanksgiving Day wrapped in Halloween and smothered in the Fourth of July. It really is the center of the social, educational and leadership universe around which the rest of the PA calendar rotates. If you don't believe me, ask anyone who ventured to Vegas two years ago (what happened there, stayed there) or stamped their passport last year ...


 
May 15, 2013 4:56 PM by Renee Dahring of Career Coach

Since there are quite a few jobs out there and it's likely that many of you are contemplating offers this spring, I thought it might be time to revisit employee vs. contractor status. 

Here is the short notes version of what you should know!

What is the difference between being an employee and a contractor? 

If you are an employee, your employer issues you a check ...


1 comments  
May 14, 2013 12:45 PM by Mina Grasso of Aesthetics Practice Today

Over the years we have introduced various medical skin care products and aesthetic procedures such as laser resurfacing, chemical peels and micro-needling that result in temporary redness, dryness and irritation.  At times, instructions for use of moisturizers for irritation from skin care products or post procedures are not specific enough. So much time and effort is taken to learn about products that are therapeutic, and ...

 
May 7, 2013 12:52 PM by Kimberly Cray of Aesthetics Practice Today

Hyaluronic acid is a basic element in connective skin tissue. As a hyaluronic acid filler, Belotero is effective because of its ability to attract and retain water. Hyaluronic acid also helps to nourish and moisturize the skin. Unfortunately, as we age the hyaluronic acid in our skin diminishes.

Belotero is a highly anticipated filler and is unique to all others on the market. It is perfect ...


 
May 6, 2013 11:17 AM by Olga Trouskova of NP & PA Student Blog

With snow still falling in Minnesota in May, my graduation on May 4th was a memorable one! PA school has been a long journey for me and my classmates with its own share of challenges or "fires" as we called them. It consumed our lives. So, it is a bitter-sweet moment as we leave the known and move into a new phase in our lives. This new reality has not quite set in yet, but I feel ready.

As I reflect ...


3 comments  

More dermatological procedures, such as biopsies and excisions, are being done in primary care settings than ever before. With this in mind I want to give everyone some food for thought as to how they can more accurately read the pathology. As clinicians seeing patients, we have the advantage of talking to a patient, seeing their rashes and lesions first hand, and learning of any past treatments they have had.

The ...


 
May 2, 2013 11:08 AM by Harrison Reed of First Year PA

If the Medical Intensive Care Unit has a scoreboard, I don't want to see it. Some days it feels like the home team always loses. Patients that look like they are about to recover take a nosedive. The real fighters eventually give up. The most hopeful clinicians must face the grim inevitable. But sometimes you just need one, good victory.

"The way I look at it, every patient who comes into this ICU should ...


2 comments  
May 1, 2013 4:07 PM by Renee Dahring of Career Coach

I'm not a doctor basher. In fact I'm actually quite the contrary.

Over the course of my career I have worked with some great docs. They have been encouraging, helpful and generally treated me as a peer. During my education I had physician preceptors and early in my career I had physician mentors. In my practice I have consulted with physicians when I found it necessary and on more than one occasion I have ...


3 comments  
April 30, 2013 11:30 AM by Kelly Wolfgang of ADVANCE for NPs & PAs Blog

Editor's note: This blog post is written by Jill Hoffman, ADVANCE staff. She can be reached at jhoffman@advanceweb.com.

At the third annual PharmEHR Summit April 17, leaders in the electronic health record (EHR) and pharmaceutical industries gathered to discuss the status of EHR adoption and potential collaboration between EHR and pharmaceutical companies.


 
April 30, 2013 11:09 AM by Mina Grasso of Aesthetics Practice Today

Growth factors enhance the skin's natural ability to heal and regenerate to produce more youthful skin. Growth factors are proteins that regulate cellular growth and the activity of skin cells. There are multiple growth factors responsible in maintaining healthy skin. As we age, the production of growth factors such as TGFB reduces and contributes to the development of fine lines and wrinkles.

Years ...


1 comments  
April 25, 2013 1:53 PM by Amy Gouley of Dermatology Practice Today

Sometimes I enjoy things that occur in the office to spice up the traditional clinic day. Recently, I have had several high school students "job shadow" me for their senior project.  Essentially, they are required to shadow a career they have interest in for eight hours.

I love teenagers and I love my job so it's a perfect marriage! I require them to stop by a week before their scheduled date for a tour ...


 
April 25, 2013 9:42 AM by Anne-Marie Gitchel of First Year NP

I had my first jaw dropping patient last week. You know, working in cardiology, you see a lot of the same thing. Acute coronary syndrome, atrial fib, heart failure...Turn 'em and burn 'em, that's my motto. Thursday, I had my first patient that I was completely side-bombed over.

That day, an 86-year-old female presented to the ED for shortness of breath. She's admitted to the hospitalist service. Labs are drawn ...


5 comments  
April 23, 2013 5:22 PM by Kimberly Cray of Aesthetics Practice Today

Have you noticed that we live in a dehydrated world full of carbonated beverages, caffeine and alcohol? I know people who consume multiple sodas, juices and coffees a day. But what about water? Drinking adequate amounts of water daily is important for overall good health because water aids in digestion, circulation, absorption and even excretion. 

Our skin is an organ (the largest organ in our body, in ...


 
April 22, 2013 5:10 PM by Caroline Pilgrim of NP & PA Student Blog

If there's any lesson I've learned in PA school, it is that mistakes are the fertilizer to grow a healthy clinical year. This month is me versus the OR (operating room) and if I didn't contaminate my glove, then I accidently bumped my head into the surgeons or didn't bury the knot correctly on my suture.

Some of these mistakes I've made four or five times, but by that fourth exasperated, "OH MAN!  Again!" ...


 
April 18, 2013 5:01 PM by Kelly Wolfgang of ADVANCE for NPs & PAs Blog

The National Association of Pediatric Nurse Practitioners conference in Orlando is in full swing. Day two of the event opened with the associaton's business meeting, offering insight into the achievements of the group over the last year, introducing candidates for the upcoming presidential election and sharing the latest association news.

Starting the morning's events, members met both candidates running for ...


 
April 18, 2013 9:08 AM by Harrison Reed of First Year PA

Since graduation, I've had plenty of reminders - good and bad - that I am no longer a student. There is the "PA-C" behind my name and my shiny new state license. A paycheck arrives every two weeks like an airplane dropping supplies on a desert island. And, of course, I now hold myself to an even higher professional standard.

While these changes are pivotal and exciting (and the basis of this entire blog), part of ...


 
April 17, 2013 1:17 PM by Renee Dahring of Career Coach

Dear Career Coach: I am wondering if you have any thoughts or advice about finding a job after age 60. I have been in practice for about 18 years. I am finding it rather scary to quit my job because I am worried about whether I will really be able to get another job. What do you think?

Dear Mature Job Seeker: Employers are looking for two main characteristics when they hire an employee. The first characteristic ...


5 comments  
April 17, 2013 11:56 AM by Kelly Wolfgang of ADVANCE for NPs & PAs Blog

Here at the National Association of Pediatric Nurse Practitioners (NAPNAP) 2013 conference in Orlando, leagues of NPs are gathered for 3 days of educational sessions, CE credits and networking. 

At today's opening session, hundreds of NPs were welcomed to the Hilton Orlando's Orange Ballroom to launch the week's events. NAPNAP president Susan Van Cleve, DNP, RN, CPNP-PC, greeted attendees and mentioned ...


 
April 15, 2013 12:50 PM by Raymond Shulstad of Dermatology Practice Today

There are several presentations for patients who have or believe they have "bugs" in or on their skin. There are the haves, have nots and the "I know I have it and I brought proof but have nots." The haves are easy to diagnose. The most common of these are lice, scabies, ticks, bed bugs and the occasional erythema migracans.

The have nots are those who are told they have something such as the above listed diagnoses ...


 
April 15, 2013 12:47 PM by Mina Grasso of Aesthetics Practice Today

As spring and summer entice the sunshine and warm weather, short sleeves or sleeveless tops and spaghetti straps are the favorite fashion. Yet some people prefer long sleeves and sweaters year-round because they feel self conscious about their arms. 

Due to the social climate of southern California, patients come to our clinic year-round presenting with various complaints about their arms, looking ...


 

ABOUT OUR BLOGS

The ADVANCE for NPs & PAs blog offers analysis of and links to NP and PA professional issues and current healthcare events.

Share the trials and triumphs on the journey from rookie new graduate to experienced PA.

By reflecting on her own experiences as a PA student, Jenna hopes to reach others interested in the day-to-day life of a PA student.

Share the trials and triumphs of the journey to becoming an experienced NP.

If you're looking for your dream job or just want to know what's out there for NPs today, start here with the expert advice of nurse practitioners who specialize in placing NPs in good jobs.

This blog will highlight the latest technical tools that can be used in clinical medicine as well as tools for teaching clinical medicine in an academic setting.

NPs with a DNP degree answer your questions about this practice-focused doctorate for nurses.

Read about new technologies that affect you in daily practice.

What are the latest trends in aesthetics? Our bloggers share their insight and experiences in this growing specialty.

Interested in dermatology or challenged by skin presentations in your practice setting? Dermatology Practice Today examines issues in skin care and skin disease.

NP and PA students have a clear voice here. Find out what your student colleagues are experiencing in their programs. Feel free to post comments and questions to add to the discussions.

This new NP will share the ups and downs of her first year in practice.

Share the excitement and nerves of the first year on the job with this new physician assistant.

The Politics of Healthcare covers the latest developments in healthcare policy and legislation.