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ADVANCE Blog for PAs

PA Mention in NY Times Letter

Published January 28, 2008 2:24 PM by Terri Schaefer

A doctor who wrote a letter in response to a New York Times article on delays in the emergency department suggested PAs as part of the solution:

If every American had a local primary care center that was open until 8 p.m. and opened on weekends, and staffed with a team of professionals that included doctors, nurse practitioners, physician assistants, visiting nurses, psychologists, social workers, physical therapists and pharmacists, we would have no emergency room delays and health care that costs 40 percent less than we are paying now, and we would have a health care system instead of a mess that is also a dangerous maze.

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1 comments

I worked in a major metro emergency department and absolutely hated it.  The staff was rude to patients and to each other because they'd become so jaded by 'the system', patients were cursing at staff and at each other because of wait times (one example-8 year old boy with obvious displaced humerus fracture:4 hour wait), low pay for providers (PA's and docs) so every time a doc resigned (happened frequently), they couldn't find anyone to hire to work at such crappy pay resulting in even higher wait times for patients because we didn't have enough manpower.  Most of our fast track patients were medicaid people who brought in their whole family just for 'check-ups'.  Half our patients were sent by their PCP's office after they called in to relay symptoms to their doc, who then decided the liability was too great to give advise over the phone.  It nearly drove me to quit.  Oh wait, it did!  I'm now working in a specialty clinic where patients (and staff) behave like civilized sane human beings.  Our ER's are in a horrible state, and I'm afraid it is going to take something horrible happening to change it (like patients dying in waiting rooms, which I'm frankly surprised doesn't happen more often).

Rachael, PA-C January 30, 2008 4:29 PM
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