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Showing page 1 of 2 (16 total posts)
  • 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
  • Dealing with Discouraged Patients

    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 ...
    Posted to First Year PA (Weblog) on August 4, 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
  • The Quarterly Check-Up: Part 3

    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 ...
    Posted to First Year PA (Weblog) on October 3, 2013
  • The Lessons Never Taught

    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 Harrison ...
    Posted to First Year PA (Weblog) on September 19, 2013
  • The Secret Ingredient

    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 ...
    Posted to First Year PA (Weblog) on August 8, 2013
  • Holes in Our Armor

    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, it ...
    Posted to First Year PA (Weblog) on July 25, 2013
  • Always a Student

    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 ...
    Posted to First Year PA (Weblog) on April 18, 2013
  • The Quarterly Check-up

    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. Transition is Tough - Whether you are moving into a new career or a new city ...
    Posted to First Year PA (Weblog) on April 4, 2013
  • NPs & PAs Are Talking – NPs & Nurse Veterans, New PA Organization, Primary Care

    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 ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on October 22, 2012
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