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  • Gaining Independence

    For the past couple weeks, I have been catching myself in the middle of an encounter and realizing, ''Wow, I know what I'm going to do for this patient.'' I tell them their diagnosis, call in their scripts and make a solid follow-up plan. I walk out of the exam room and wonder, ''So is this what being a PA feels like?'' Maybe, but then ten ...
    Posted to First Year PA (Weblog) on September 15, 2014
  • Those little things

    There are days in practice that the hours go by without you realizing it. Patients are in and out quickly, you work hard to complete your charting and tasks become second nature. Then, certain patients come in and make you smile with the things that they say, the mannerisms they exhibit or the way they look at you. Children are the most honest, ...
    Posted to First Year NP (Weblog) on August 25, 2014
  • It's Not Always About the Medicine

    From August 3-8, I went away to Boy Scout Camp to work as the nurse for the week. This is the first year we have been involved in the organization with my six year old son and the first year that we decided to send him away to resident camp. The mom in me decided that there was no better way to be watchful than to be on the same property as him, ...
    Posted to First Year NP (Weblog) on August 12, 2014
  • Q&A with Dr. Debra: Tinea Corporis

    In dermatology, we discuss the importance of identifying and understanding morphology and changes in a rash. Here is a case of a rash with a sudden change in morphology after prescribing medication for her dermatosis. This geriatric patient was being treated with clobetasol cream B.I.D. for Grover disease. You see pruritic erythematous papules ...
    Posted to Dermatology Practice Today (Weblog) on July 31, 2014
  • DNP Essential: Leadership 2.0

    The American Association of Colleges of Nursing published the ''The Essentials of Doctoral Education for Advanced Nursing'' in 2006. There are eight essentials outlining the required competencies of a Doctor of Nursing Practice (DNP) graduate. The second essential pertains to leadership and emphasizes the DNP's ability to facilitate ...
    Posted to NP & PA Student Blog (Weblog) on July 29, 2014
  • NP's Orders

    There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
    Posted to First Year NP (Weblog) on July 28, 2014
  • How to Avoid Absolute Frustration

    Primary care is so imperfect. Each day I could probably find as many things to complain about as complaints my patients come in with, and I am beginning to see why burnout can occur. That is, if you don't have the right perspective. As I forge ahead on this year-one journey, I am creating tenets to avoid burnout. I'm honestly not a huge ...
    Posted to First Year PA (Weblog) on July 21, 2014
  • Visual Dermatology Clinic: Sea the Skin

    This is a photo of a 56 year old male who arrived to our office for a total body skin exam. Patient was born and raised in Washington with a negative history of skin cancer, both himself and family. Patient enjoys sailing and boating and has spent numerous years outdoors. The patient has a Fitzpatrick type 2 and admits to several ''blistering ...
    Posted to Dermatology Practice Today (Weblog) on July 10, 2014
  • The Way Healthcare Used to Be

    I find myself thinking quite a bit about how much healthcare has changed since I was young and trying to figure out how it is that we have come to find ourselves in our current situation. I just want to state, for the record, that I am not that old. I was a kid in the 60s and I had my children during the 70s and early 80s. I am not talking ...
    Posted to Career Coach (Weblog) on April 2, 2014
  • The Power of Brows

    If our eyes are the windows to our soul, then our eyebrows are most certainly the curtains. And it has been studied to be true - eyes are the first thing another person notices about our appearance.  With all the care that goes into taking care of our eyes, I find that eyebrows are often overlooked. The shape of our brows is very ...
    Posted to Aesthetics Practice Today (Weblog) on February 25, 2014
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