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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 ...
You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
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 ...
We have carved deep into the second half of my first year as
a professional physician assistant. This is the perfect time for a Quarterly
Check-Up to examine some of the biggest lessons over the last three months
We learned that our
patient's beliefs can trump the strongest medicine and that our acceptance
of those beliefs makes us better ...
I remember all of my great
preceptors: The ones who reaffirmed my choice of career or mentored my special
projects or were less of a taskmaster and more of a friend. As a student, I
pictured myself in their position, guiding some wide-eyed student through the
treacherous surf of clinical rotations. I imagined that sage, professorial
People always want to know the secret ingredient. And,
frankly, I can't blame them. In a lot of ways the physician assistant
profession seems too good to be true.
We study medicine for two to three years after obtaining a
bachelor's degree. We practice medicine without post-graduate training or
residency. We can switch specialties without ...
At the risk of sounding arrogant (my close friends are
shaking their heads and thinking, ''That ship has sailed, Harrison...'') I must
confess something: I haven't made a lot of critical mistakes in life.
I'm not saying I am perfect. I am light years away from
that. But if you had to write the tagline for the story of my career thus far,
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 ...
We made it through one quarter of my first year as a
physician assistant. Let's take this opportunity to reflect on some of the
lessons learned during my first three months. It's sort of like your boss'
90-day evaluation, but without the sense of impending doom.
is Tough - Whether you are moving into a new career or a new
Have you visited our blogs lately? Last week, new NPs and nurse veterans battled on the value of floor experience. Our NP & PA Student blogger Terry Clarke, currently enrolled in a fast track NP program, expressed his views on what experienced nurses have going for them and what they still have to learn. Here are a few of the comments your ...