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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
December 22, 2014 9:56 AM by Fawn Workman of First Year NP

The deadline for this blog snuck up on me. The last two weeks of my personal life have been very, very busy, and Christmas is just around the corner.

Since my last blog posting, I have found out that I was not accepted for the second fellowship position, either. This was very disappointing to me, as I felt the interview went well and I was a good match for them, too. But, there must be something else out there ...


 
December 18, 2014 9:56 AM by Mina Grasso of Aesthetics Practice Today

  1. Greet patients warmly with a smile as they enter your place of practice. Acknowledge them as soon as possible even if you are on the phone or helping another patient. First impressions are created within seconds.
  2. Greet patients on the phone as if they see you smiling.
  3. Acknowledge the patient by his/her name while you are on the phone or in person.
  4. Make eye contact ...

 
December 11, 2014 3:31 PM by Renee Dahring of Career Coach

I've conducted many interviews over the years and can tell you that nothing sinks an otherwise successful interview faster than the candidate who asks no questions. Many candidates seem to feel it is acceptable when asked if they have questions to answer with "no, I think you answered them all". Really? You want to commit to spending most of your waking hours in my workplace and you can't think of one thing to ask ...


 
December 11, 2014 3:29 PM by Keischa Cash of DNP Answers

Since changing from primary care to dermatology I have noticed there are a lot of basic skin issues that primary care providers overlook, and cannot correctly diagnose or properly manage in practice. Some examples are stasis dermatitis, psoriasis, tinea and candida infections, and actinic keratosis. Did you know stasis dermatitis is a result of uncontrolled edema? Or that treating psoriasis with oral prednisone can ...


 
December 9, 2014 2:52 PM by Kimberly Cray of Aesthetics Practice Today

A common aesthetic concern among patients is scarring. Surgical scars, acne scars and scarring from burns are among the most frequently treated scars.     

It is important that patients understand that genetics, as well as skin type and ethnicity, play a large role in wound healing and scar formation. Also, certain areas of the body tend to heal much better, and faster, than other areas. An ...


 
December 8, 2014 1:54 PM by Fawn Workman of First Year NP

December 2nd. It is currently 2:20 pm, one day after when we were told we would find out who got into the second fellowship I applied to and interviewed for. The date changed at least once - at first we were told we would know by the Monday before Thanksgiving, and then it was changed to December 1st. This is the fellowship I interviewed for the day before I took (and passed!) my boards.

I ...


2 comments  
December 2, 2014 3:46 PM by Mina Grasso of Aesthetics Practice Today

As we get into the holiday spirit, we find this time of year to be a bit busy in the clinic and challenging with the patient that we see. Media and advertising many times underplay social downtime. Although some patients don't mind letting others know what they had done, others prefer not to have to answer questions or make excuses for redness, bruising or swelling.

During the holidays some patients take advantage ...


 
November 28, 2014 9:11 AM by Amy Gouley of Dermatology Practice Today

Preparing for this week's Thanksgiving feast and the arrival of numerous family members has consumed my every thought for the past week. Finally, everyone is napping and I have a free moment to reflect on things that I am thankful for.

How many people are thankful for their career as a NP/PA? I absolutely love my job and feel enormous gratitude toward the profession of mid-levels.


 
November 26, 2014 11:54 AM by Julie Schreiner of DNP Answers

Last weekend I went to a fantastic pediatric conference and one of the talks was on preceptoring and how to be successful as a preceptor. During this talk they also gave a plethora of encouragement for NPs to become preceptors and asked those that had been preceptors to raise their hand...only about a quarter of the room raised their hand. This lecture together with the experience of working with a local NP organization ...


 
November 26, 2014 11:21 AM by Renee Dahring of Career Coach

Careful -- how you answer this could make or break your job prospects. 

Obviously, if you are looking for a new job you have put a great deal of thought into your decision. I'm sure if I asked you to list your reasons you would have plenty. But will a potential employer find your reasons as compelling as you do? 

When explaining to an employer why you want a specific job, you must keep ...


 
November 26, 2014 10:51 AM by Kimberly Cray of Aesthetics Practice Today

I couldn't help but notice that a PA colleague of mine had a beautiful display on her medical suite counter.  No frilly flowers or fancy vases.  This was a simple, yet chic, display of a vibrantly modern grass.  Yes, you read correctly. Grass. Not only did this look pretty, it was pure genius.

I soon learned from her that SkinMedica concocted a brilliant skincare educational tool, "The ...


 
November 24, 2014 12:04 PM by Fawn Workman of First Year NP

I'm not sure how to describe my experience of taking national boards. Maybe I should just explain. This is by no means my endorsement of my methods. For one thing, I'd recommend more study time.

I passed a predictor exam about a year ago. After passing my school's comps, I listened to review courses CDs as I drove, and spent some time in my review and quiz books. But I didn't do a live review course, or spend ...


2 comments  
November 20, 2014 10:10 AM by Debra Shelby of Dermatology Practice Today

I received a call from a nursing home staff nurse who stated that this patient "suddenly had blisters appear on the right forearm, wrist to elbow."

For those who have been in practice for a number of years, every now and then you get a patient who is a poor historian and getting a past history is impossible. After three years practicing in the nursing home and assisted living facilities, I have become accustomed ...


 
November 19, 2014 10:33 AM by Walton Reddish of DNP Answers

As healthcare providers and patient advocates, we are often faced with convincing our charges that a change is needed. Human nature is to resist change. Most of us settle into familiar routines in our lives and jobs and, no matter how inefficient or unhealthy our routines may be, we are very reluctant to disrupt the flow of our conventions. It is the responsibility of the provider to coax the individual toward healthier ...


 
November 18, 2014 5:16 PM by Mina Grasso of Aesthetics Practice Today

The current treatment of choice for androgenic alopecia (AGA) involves surgical hair transplant, use of Minoxidil and/or Finasteride. For those patients who do not want to undergo the expense and process of hair transplantation, they opt to have more conservative, less invasive treatments.

We have been performing LLLT for over a decade to treat hair loss for men and women. LLLT has been proven to promote hair ...


 
November 18, 2014 4:04 PM by Keischa Cash of DNP Answers

The last time I wrote about leaving my position in family practice and making the big leap into dermatology. Since then I have spent the last 5 weeks fully immersing myself into learning about dermatology. Needless to say, the last 5 weeks have been challenging and I have learned a lot about what I thought I knew, what I never knew, and what I should've known about dermatology. I have also felt a lot of emotions over ...


 
November 17, 2014 1:44 PM by Amy Gouley of Dermatology Practice Today

82 year old Female presented for her total body skin screening and this 0.7cm irregular shaped hyperpigemented macule with variegating colors of pink and brown. The patient could not recall how long she had lesion. The forearm was confirmed a Melanoma.

Her pathology report was the following: ...


 
November 12, 2014 3:31 PM by Renee Dahring of Career Coach

Just to be clear, I don't mean a layoff due to restructuring or downsizing. Many employers have been faced with making some hard staffing decisions in this economy so if you were terminated because of something out of your control a prospective employer probably won't hold that against you. 

But if the situation was more complicated, I can offer you a couple suggestions. 

First of all, ...


1 comments  
November 11, 2014 6:15 PM by Kimberly Cray of Aesthetics Practice Today

The VelaShape III is an FDA cleared, non-surgical device proven to effectively reduce cellulite. What makes Velashape III unique is its combination of Bi-Polar Radiofrequency, Infrared Light Energy, and Vacuum and Mechanical Massage, all in one treatment. 

VelaShape III safely contours, shapes and slims the body, allowing patients to achieve a more toned, contoured and well-shaped figure in as few as ...


 
November 10, 2014 1:16 PM by Fawn Workman of First Year NP

Nurse Practitioner Week is November 9-15, 2014 and as of 2014, there are more than 192,000 NPs in the US. That's up from 140,000 in 2010 - a huge jump that is expected to rise to 244,000 by 2025!

Since I first entered my master's NP program, I have been involved with my local chapter of the Virginia Council of Nurse Practitioners. I have had so many positive experiences with this fine group of NP leaders! ...


1 comments  
November 6, 2014 1:37 PM by Debra Shelby of Dermatology Practice Today

When starting in dermatology, most people look for the dermatology books with pictures and treatment. However, some skip the step of understanding what is happening in the skin and the reason for the morphology seen. Once again, I will recommend the Principles of Dermatology by Lookingbill and Marks. It is helpful to get the principles of diagnosis and understand the differences in presentation that will help ...


 
November 4, 2014 4:34 PM by Mina Grasso of Aesthetics Practice Today

Patients become accustomed to their beauty routines, however, during pregnancy, they must be cautioned to avoid certain procedures and products. Some have been proven to be harmful during pregnancy and others lack adequate evidence of safety during pregnancy.

Laser treatments such as laser hair removal, photorejuvenation, laser collagen rejuvenation, radiofrequency, treatment for brown spots or broken capillaries ...


 
October 31, 2014 3:55 PM by Fawn Workman of First Year NP

I'm Fawn Workman and I am a brand new MSN graduate. I'm so new that I'm still waiting for a test date for my FNP boards! I'm glad you have come to read about my thoughts and musings on my first year as an NP.

Since April, I have logged several thousand miles driving for clinical in another state while living with family members. I've also flown to Nashville for the AANP conference, to Kentucky for my school's ...


4 comments  
October 30, 2014 6:15 PM by Kimberly Cray of Aesthetics Practice Today

1.  Less is more.  A common misconception in skin care is that more is better.  In fact, over washing and over doing it with products usually only serves to irritate skin.  Consistency is more important than frequency, in many cases, and when we say pea-sized amount we mean it.   

2.  Know when to skimp vs. splurge.  Sure ...


 
October 30, 2014 1:48 PM by Amy Gouley of Dermatology Practice Today

This 64 year old female patient with hx of Melanoma in 2008 on mid chest presented for a total body skin screening. Upon examining the melanoma scar on the mid chest, were two 3mm irregularly shaped pigmented macules delicately located on top of the scar. 

A 4mm punch bx was performed on each ...


 

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

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