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Profession Comparison Chart
Programs vary. The following represents averages for each vocation.

Category Medical Assistant Nurse
(RN, BSN)
Nurse Practitioner Physician Assistant Physician
(Family Practice)
Prerequisite Education
None

None

Bachelor Degree in Nursing
& clinical hours

Bachelor Degree
& clinical hours
for most

Bachelor Degree

Learning Model
-
Medical-Nursing
Medical-Nursing
Medical-Physician
Medical-Physician
Time in Classroom
134 hrs
Varies greatly
by program.
500 hrs
1000 hrs
2 years
Time in Clinic
160 hrs
Varies greatly
by program.
500-700 hrs
2000 hrs
2 years
Total Post
High School Education
1-2 years
2-4 years
6-8 years
4-6 years
8 years
Residency
None
None
None
Optional
1-2 years
depends on specialty
3-8 years
Degree Awarded
Certificate or Associate Degree
Associate or Bachelor Degree

Master’s Degree

Planned Transition to Doctorate by 2015

Physician Assistant Certified (PA-C)

Most also award Master’s Degree

Doctor of Medicine (M.D.)

Doctor of Osteopathy (D.O.)

Recertification
60 education points or exam every 5 years
1000 hours practicing in area of certification  specialty OR exam every 5 years

1000 professional practice hours AND ~15 CE credits/year OR exam every 5 years

100 education hours every 2 years

Exam every 6 years

MD: 50 education hours every year & ABMS certification recommended

DO: 120 education hours every 3 years & ABMS certification recommended.

Base Salary U.S. National Average 2010

$29,708

$65,541

$89,845

$89,726
$173,175
Duties Performed
Independent Practitioner
MOST STATES
X
Complicated or High Risk Cases
.
.
VARIES
ASSIST
X
Perform Surgery
.
.
ASSIST
ASSIST
X
Deliver Babies
.
.
X
VARIES BY STATE
X
Write Prescriptions
.
.
X
X
X
Prescribe controlled substances
.
.
VARIES BY STATE
VARIES BY STATE
X
Conduct Physical Exams
.
ASSIST
X
X
X
Diagnose
.
.
X
X
X
Treat Illness
.
X
X
X
X
Order & interpret tests
.
ASSIST
X
X
X
Patient counseling
.
X
X
X
X

Source: A Patients Guide to The Physicians Assistant

Post image for What it Means to be a Physician Assistant: My Journey to PA-C

When I was in college all I could think about was providing healthcare to those in need.

I am not sure where this came from, but it was something inside of me since I was quite young.

I remember the excitement I would have when I had the chance to go to my pediatricians office for a physical or to have my ears checked.

He had these anatomy books in the waiting room that I just loved to read.

Even at the age of five years old the body inspired me, mesmerized me!

I wanted to practice medicine so bad that from that young age I made a commitment to do whatever it would take to get to that point. I also made a commitment to do right by my patients. Not just do it because it was a job but do it because I could make the world a better place.

The Journey – Your Burning Desire

It really began in high school. Like everyone I love to goof off.  When I see and treat teenagers today and they tell me “I am just so bored” I try to empathize, but boredom in my opinion is just a lack of imagination, and a lack of belief in yourself… That you have the chops to do what truly excites you.

I understand where they are coming from. Many kids don’t have the emotional and family support that I had growing up. My parents instilled a belief in me that I could do whatever it was that was in my heart. This is the main reason I made it to where I am today.

Many kids will never get this, it is our job to help those kids, help them to attain their true potential.

But I digress…

For me the sciences were inspirational, they were my passion. Math was a hurdle I had to overcome and it was the one thing I wished I could just side-step, but you can’t.  And this is life you have to do things you don’t like to do to make it to where you want to be. So I pushed hard, worked hard, and yes I played hard. But in the end I had a burning desire. Something inside of me that was established at a very young age.

Not Listening to What People Tell You

I tell my kids everyday that they need to be better listeners. Especially to their mom and dad.

But when I made it from high school to college I met a guidance counselor who told me that I would never have what it takes to establish a career in medicine.

How she accumulated this “data” and came to this conclusion is beyond me. But it was demoralizing for me. Came sometime around my sophomore year. I remember it like it was yesterday.

It was as if somebody snuffed  my burning desire. Crushed my dreams and in a way a part of who I was. It would take a spark to start it again.

Igniting Your Passion

I was working as a student in “Hall Health” at the time as a phelobotomist. Demoralized by what the guidance counselor told me, convinced that I was on a nowhere path, I somehow found it into the office of an Orthopedic Physician Assistant.

It was at this moment, talking with this man learning about the Physician Assistant profession that the spark was re-ignited. And from that moment onward I knew what I wanted to become.

Redirecting your Passion

I was pre-med. I spoke to a different guidance counselor who steered me into Zoology…. Yes Zoology. It was not a major as many people belive focused around “animals” or working in a zoo but it is a major focussed around nature, life,  physiology and the essence of all the sciences. For me the spark turned into a fire. I found a love again in what I was doing.

Upon graduation I was now on the deans list, I had made connections in the campus clinic that led to a job as a mobile phlebotomist for Seattle’s Blood Center. From here I established grounding in my work, moved up the ranks to a mobile supervisor, made more connections, took night classes to get my EMS certification and began applying for PA School.

Reaching your Goals:

From acceptance to practice was a long road. Heck from high school to practice is a long road. You will reach many obstacles along the way. If you didn’t you would never learn to be grateful for what you have, these struggles make you appreciate what you have, to value it and later to do good with it.

Every day that I get to wake up and help a patient reach their health potential is a day I am thankful for.

Every day that I get to throw on my stethoscope and do what I dreamed of as a child is a reminder that in life anything is possible.

But you must work hard, never give up (you know all the normal platitudes) but most of all start believing in yourself… Enough to do what you know you NEED to do to reach your goals. Otherwise you will quit when the going gets tough and make the mistake of settling for less.

Post image for My first Day as a Physician Assistant: Faking it 101 (Part One)

I remember my first day on the job like it was yesterday.

I was petrified. When I ask other PA’s about their first day they often proclaim having had a certain sense of calm. For me, it was pure fear.

Possibly it was due to my situation at the time. I was working pretty much solo, in a walk in clinic, in the middle of a rural community with patients who spoke mostly Spanish. I spoke little to none.

The fear had compounded in my my mind based on a variety of predicted scenarios. These of course were bad scenarios that often ended in my patient either dying or coming close to it. I had conceived of millions of different scenarios in my head mostly based on my college obsession with the TV show ER.

I didn’t have enough pediatric experience, my orthopedic skills were shoddy, I had never actually written my own prescription. For the first time in my life I was going to have to stand by my own diagnostic skills.

Doctors don’t have to overcome this fear in the same way PA’s do. They have a residency to ease into it. As PA’s it is just one day you are a student then the next day you’re a prescribing midlevel practitioner.

Honestly, as I write this looking back at 7 years of experience no wonder I was scared senseless.

There is an understandable and probably protective fear that every medical provider should have. That is the fear of doing harm to someone. But there is another fear and that is less protective, it is the fear of looking like a beginner, having to ask for help, letting your patients down.

For me this was difficult. I like feeling in control. I hate doubt. I pride myself on my expertise. But there I stood, vulnerable and scared down to my bones.

I arrived at the clinic early this day of course, which only added fuel to my anxiety. I cleaned my workspace (which of course already was clean because I didn’t have any patients or charting yet) and I sat there in my chair. Living my dream that I had prepared for for so many years. Why did I want to run out of there home to my mom?

I cleaned my stethoscope, made small talk with my medical assistant, I re-cleaned my stethoscope and sat nervously awaiting the clinic doors to open.

And as the front doors of the clinic did finally open there I stood, exposed, nervous for my patients mostly.

In fear that people would discover that I really had no clue what I was doing.

Post image for Why Religion and Health Care Shouldn’t Mix–A Contraceptive Conundrum

A good portion of what I do as a family practice Physician Assistant involves counseling women and men about birth control. I have also gone to public schools and counseled junior high school students about puberty and sex.

One thing is for certain… the answer to solving America’s health care problems is definitely not placing restrictions or further boundaries on access to safe, effective contraception.

Of course right now in the news a big debate is raging over weather or not religious institutions should be required to provide family planning services. These are often the same religious institutions that aim to curb the ever rising rates of abortion. To me this seems backwards.

If I don’t believe in smoking is the best way to curb the rising rates really by denying my patients a prescription for Chantix?

The Contraceptive Conundrum

Of the six million pregnancies that occur among American women each year, nearly half are unintended. As a result, American women experience 1.4 million unplanned births and 1.3 million abortions annually.

In 2007 The Alan Guttmacher Institute, which specializes in reproductive health issues, released a massive study showing that abortion rates rise and fall in synch with the availability of family planning services.

From the Guttmacher Institute’s news release, its study, and the Washington Post report, we learn that states which fund programs to make family planning services widely accessible had lower rates of unplanned pregnancies — and women having abortions.

In recent years, many states cut back on these programs, making poor women and girls more likely to have unintended pregnancies. Meanwhile, the religious right is aggressively campaigning both to end the availability of abortion and to limit access to contraception.

The United States has sky-high rates of unplanned pregnancies and abortions. As Guttmacher President Sharon L. Camp told the Washington Post, “Unintended pregnancy in the United States is twice as high as in most of Western Europe. As a direct result, abortion rates are twice or three times as high as European countries.

There is no reason why abortion rates need to be as high as they are.

At What Cost?

The direct medical costs of unintended pregnancies were US$5 billion in 2002. Direct medical cost savings due to contraceptive use were US $19 billion.

National Cost of Teen Childbearing

Teen childbearing in the United States cost taxpayers (federal, state, and local) at least $10.9 billion in 2008, according to an updated analysis by The National Campaign to Prevent Teen and Unplanned Pregnancy. Most of the costs of teen childbearing are associated with negative consequences for the children of teen mothers, including increased costs for health care, foster care, incarceration, and lost tax revenue.

Contraception, unsafe abortions and complicated pregnancies

The risk of a woman dying from pregnancy-related causes during her lifetime is about 1 in 4,800 in the USA and 1 in 17,400 in Sweden as compared to 1 in 7 in Niger.

Worldwide some 200 million women of childbearing age want to delay or avoid pregnancy, but 137 million use no method of contraception at all.

Every year, 190 million women become pregnant, at least a third of them unintentionally.

Nearly 50 million women resort to abortion every year, and 19 million are done under unsafe conditions. An estimated 68,000 women die each year as a result. Millions more suffer infections and other complications, such as infertility.

Family planning can prevent the serious health consequences of becoming pregnant
within six months of an abortion (anemia, membrane rupture, low-birth weight, preterm delivery).

Contraceptive use drastically reduces the chances of unintended pregnancy. Over the course of a year, only 8% of women using the pill will become pregnant, compared with 85% of sexually active women not using contraceptives.

This fact alone helps explain why the 7% of U.S. women at risk of unintended pregnancy who do not practice contraception account for almost half of the country’s unintended pregnancies.

WOMEN IN NEED OF CONTRACEPTION, 2000
State Overall, # in 000s With public support
% of all # in 000s
U.S. Total 33,983 48.2 16,396
Alabama 496 55.6 276
Alaska 72 44.4 32
Arizona 606 52.0 315
Arkansas 280 58.9 165
California 4,281 49.3 2,111
Colorado 537 42.6 229
Connecticut 438 36.8 161
Delaware 93 43.0 40
District of Columbia 85 48.2 41
Florida 1,699 49.9 848
Georgia 988 47.8 472
Hawaii 138 44.2 61
Idaho 141 56.7 80
Illinois 1,568 44.3 694
Indiana 735 48.6 357
Iowa 325 52.0 169
Kansas 309 50.8 157
Kentucky 442 54.3 240
Louisiana 520 59.4 309
Maine 152 52.0 79
Maryland 637 38.1 243
Massachusetts 880 38.0 334
Michigan 1,215 46.3 562
Minnesota 598 42.3 253
Mississippi 310 62.6 194
Missouri 665 51.4 342
Montana 89 61.8 55
Nebraska 197 51.8 102
Nevada 239 46.0 110
New Hampshire 158 39.9 63
New Jersey 1,101 35.9 395
New Mexico 207 61.4 127
New York 2,557 46.7 1,195
North Carolina 924 49.2 455
North Dakota 72 58.3 42
Ohio 1,369 48.1 658
Oklahoma 372 58.3 217
Oregon 390 50.5 197
Pennsylvania 1,528 46.8 715
Rhode Island 143 46.2 66
South Carolina 458 53.3 244
South Dakota 82 57.3 47
Tennessee 646 51.2 331
Texas 2,469 52.8 1,304
Utah 292 50.3 147
Vermont 72 52.8 38
Virginia 835 43.8 366
Washington 708 45.1 319
West Virginia 182 60.4 110
Wisconsin 634 46.4 294
Wyoming 51 56.9 29
Source: The Alan Guttmacher Institute (AGI), Women in Need of Contraceptive Services and Supplies, 2000, AGI, 2003, <www.guttmacher.org/pubs/win/index.html>.

Some Final thoughts

I know there is a ton of data here. But I think it comes down to this. If the goal of the religious right is to save lives then they need to preserve access to contraception.

If conservatives want to save money and reduce taxes then they need to preserve access to contraception.

If conservatives want to protect the constitution then they need to remove a biased religious based judgment from medical decision making.

And this is why religion and health care shouldn’t mix!

I have had the unique joy of working with some great physicians during my career. Physicians who get what I do, treat me like a colleague and understand my utility: Both to my patients and to the medical practice.

I have always worked as part of a large hospital and thus my relationship with my supervisor is probably a bit different from many other PA’s who may be working for “their boss” per-say.

Regardless, the best working relationships are the same as those that make a great marriage: They include a large dose of mutual respect and appreciation

1. A Willing Mentor and a Willing Student

I place this as number one because I think it really is the most important, especially if you are a new PA. Feeling comfortable with your supervisor has the potential to save lives. The majority of medical errors I see PA’s make (rare as they may be) are usually a result of making decisions that you aren’t comfortable with. Having a good working relationship with your supervisor, one that is open to ALL questions will give you the security to need to do your job well.

Now that I have been practicing for several years it is not uncommon to find myself in a position to help many of our new doctors. I always am impressed when the doctors are willing to hear my thoughts as well. It is a two way street.

2. A Mutual Understanding of What you Can and Cannot do

It is a good idea to sit down together and discuss your strength’s and weaknesses. Don’t be afraid to be honest. Yes, you may be ashamed that you just took this new family practice job and you have never really done a pelvic exam on a “real” patient (my situation). But that is OK. If you are open about these things  and you don’t try to act like you know it all you will learn how to do it right. It may take a few attempts and again that is ok. But if your supervisor understands where you are coming from up front this will make everything better down the road.

3. Patience – Lots of it

This was a hard one for me. It is inevitable that some of your most complicated patients will arrive on your busiest days. Your rooms are full, you are an hour behind and you just what the answer: STAT – minus the teaching moment.  But the best teachers are also the ones who understand that value of a teaching moment. Waiting to get an answer to your question may be the number one deterrent to asking a question. But I will encourage you to dig deep and have patience. I can remember these moments (and there were lots of them) but it was always worth it. I learned something that I now probably use every day.

4. Availability

When started my first job I was required to work Saturday Clinics. This wouldn’t have been bad except for the fact that I was alone. As a new Physician Assistant this is a tough situation and one that can be anxiety provoking. The only thing that made this tolerable was knowing that somebody had my back. Unfortunately this was not always the case. Make sure that you work this out with your supervisor and if you are new it is important that they are not just “available” by phone but that they are actually available when you need them most. Nothing is worse than that dial tone when you really need a helping hand.

5. Honest (and supportive) Feedback

The best supervisors can give good constructive criticism but also know how and when to give you a pat on the back from time to time. I love critical analysis of my work, it makes me a better Physician Assistant. But when that is all you get it can become demoralizing. On the opposite side of that coin is the supervisor who thinks everything you do is pitch perfect. In this case you may feel good but there will be no growth in your work.

Having a supervising physician that is present, kindly critical and has a desire to see the best for your patients is a perfect world!

What if you are not getting what you need?

This is a good question and needs to be addressed. If you are working in a toxic environment you need to let someone know. If this toxic environment is your employer then it may be time to start looking for a new job. There is no shame in this you have worked hard to earn your degree, you are smart and capable don’t let a bad working environment shape your (or your patients future).

Post image for How Much Does it Cost to go to Physician Assistant (PA) School?

 

When I was attending PA School in 2001 the annual tuition was in the range of $9000 per year.

As we know most college costs have nearly doubled or tripled since that time. So I decided to take a look and do some math. Here is the breakdown of my school (UMDNJ) and the projected annual cost of tuition in 2012.

Cost of PA School in 2012:

  • $572 per credit for MS Physician Assistant year 1 students
  • $556 per credit for MS Physician Assistant year 2 students
  • $572 per credit for MS Physician Assistant year 3 students

Classes and Credits:

Breakdown of Cost:

First Professional Year

Fall Semester

Credits

Spring Semester

Credits

Microbiology 7 Integrated Anatomy & Physiology 5
Integrated Anatomy & Physiology 5 Pathology 5
Cellular & Genetic Mechanisms 4 Human Development/ Health Maintenance 3
Biochemistry 3 Neuroanatomy 2
Professionalism I 1 Electrocardiography 2
Introduction to Scientific Inquiry 1 Clinical Laboratory 3
Medical Ethics 1 Systems Histology 1
Total Credits
22
Total Credits
21
   

Summer Semester

Credits

 

 

Applied Clinical Research
3
 
 

Second Professional Year

Fall Semester

Credits

Spring Semester

Credits

Clinical Medicine I 11 Clinical Medicine II 2
Physical Diagnosis 3 Clinical Nutrition 1
Introduction to Radiology I 2 Psychiatry 3
Pharmacology 3 Introduction to Radiology II 1
Medical Interviewing 3 Introduction to Clinical Clerkships 2
Applied Clinical Correlates
1
Physician Assistant Internship I
12
Total Credits
23
Total Credits
21
   

Summer Semester

Credits

 

 

Physician Assistant Internship II
8
 
   

Third Professional Year

Fall Semester

Credits

Spring Semester

Credits

Physician Assistant Internship III
12
Physician Assistant Internship IV
12
    Professionalism II 1
Total Credits
12
Total Credits
13

 

Breakdown of Tuition Cost:

First Professional Year

22 + 21 + 3 = 46 credits x $572 per credit = $26,312

Second Professional Year

23 + 21 + 8 = 52 credits x $556 per credit = $28,912

Third Professional Year

12 + 13 = 25 credits x $572 per credit = $14,300

Total Credits: 123

Total Cost: $26,312 + $28,912 + $14,300

Total Cost Tuition:$69,524

Fees

  • $10.00 Program fee per credit x 123 credits = $1,230
  • $250.00 Technology Fee with a course load of 6 credits or more
  • $50.00 General Service Fee *one time fee
  • $75.00 Non-Refundable Registration Fee for Non-Matriculated students
  • $50.00 for Late Registration for Matriculated students
  • $100.00 Continuing Program Status Fee
  • $100.00 Maintaining Matriculation Fee
  • $ 85.00 Criminal Background Check Fee
  • The Student Health Services Fee is $350

Total in Fees:  $ 2,290

In a later blog post I will be discussing the cost of books, medical supplies and general living expenses. Unless you attend part time I think it is impossible to have a job along with the full time PA curriculum.

Also many may have noticed that UMDNJ is a three year curriculum. How does this compare with shorter programs?

Post image for The Best Treatment For Your Patients: Your Time and Attention

Sometimes what your patient really needs is your time and attention.

This of course is not just true in your medical practice but applies to your life in general.

We get so caught up with things that can be measured, we look to our prescriptions pads for the answer.

But I will tell you this: What people really  need is to feel listened to, and to know that you value their opinion.

We are often in such a hurry to get to the next patient. I understand this is usually not your fault. But if you take the time to give the patient what they truly need, you will have an office full of patients.

Patients that are healthier and better off because you gave them what they really needed.

Not just another prescription.

When I was first applying for a job I searched all over to find a good sample of a Physician Assistant Resume. I was reluctant to share mine here, but in the name of helping other PA’s here your go.

Of course this is my resume, I am sure yours will be much more interesting and filled with desirable attributes guaranteed to land you a wonderful job.  If you have a resume and would be willing to share it with our community please email it to stephen@thepalife.com and I will be sure to post it here.

Physician Assistant Sample Resume | CV | Curriculum Vitae

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by Justin Marty

I am turning back the clock 10 years to 2001. I can’t believe that. It seems like just yesterday I was holding that small rain-soaked letter in my hand. The one that said: You have been accepted for an interview.

I was living in Seattle at the time… I was two years removed from my undergraduate degree in Biology from the University of Washington. I was working long hours for the Puget Sound Blood Center and taking night courses to get certified as an EMT.

I had already received two letters of denial: One from Oregon Health Sciences University and the other from Stony Brook University in NY.

It was late and it was pouring down rain.  I remember the street lights and I remember the acceptance letter. Rarely in life do things play out like a true story book ending, but there I stood in the rain, under the streetlights and I shed for the first time in my life real tears of joy.

It is weird to think that acceptance into a college can invoke such emotion. But I knew as I held that letter that I would someday sit here, as I do today, writing about how I get to practice medicine.

The Journey

I am on a plane to New Jersey I feel sick to my stomach. Just about a month earlier I had received notice from the University of Medicine and Dentistry of New Jersey that I had been accepted for an interview. Being from California and living in Seattle for 6 years I had spent little time on the East Coast. I had traveled to NJ once as a teenager with my parents on an around the country RV trip.

Jersey I thought? They don’t have trees in New Jersey.

I did not know at the time it was the Garden State.

I arrived at approximately 2pm in Albany NY. I chose Albany because I was able to score an incredibly cheap ticket and I had very little money at the time. I didn’t know how far away it was from NJ, but I had heard that I could take a train to NY and from there to NJ,  and that sounded fun. It was 22 degrees the dayI arrived. That first night I walked to a small bar about 2 blocks from my hotel room and had a beer. I kept to myself and thought about the upcoming 3 days.

The following day I boarded a train to NY City, it was spectacular. In a window seat my cold red nose pushed up to the glass, holding a cup of coffee and a good book. I put the book aside to stare out the window. The trees where white and the tips were clear like glass. The repetitive clock like click of the train car on the tracks slowly faded as we passed into dark endless tunnels and then into Grand Central Station. Where the normal now gave way to the surreal: The beauty and the sharp cold edges of NY City.

I walked all day, non-stop. I took a free ferry ride to Staten Island and back, then walked from the very tip of the Manhattan to the end of central park and halfway back again to Times Square. In Times Square I passed a young intern on the street who asked me if I wanted to attend Late Night with David Letterman. I thought “I have an interview tomorrow in NJ I can’t be on the David Letterman Show”.  But I couldn’t pass this up. So I returned at 5pm and attended the show. Again it was surreal; I was already falling deeply in love.

How I got to Piscataway NJ (the home to UMDNJ), into my hotel room and ready for the next morning perplexes me to this day.  First of all because I remember that no-one in the train station knew where Piscataway was, and because I can’t imagine that I decided to wait till that night so late to try to get to the location of my interview. But I guess it was a different time in my life.

The wonderful thing was that by the time of the interview I was in love. Not just with the idea of PA school but the idea of PA school here. And the journey here lit a fire in my soul and changed my focus:  From one of worry to one of great hope and optimism.

The Interview

6 am holding bagels and cream cheese I met another young applicant in the hotel lobby. We took a cab together to the school where we were ushered into a room with about 30 other applicants.

There were students there at the time volunteering as part of the “meet and greet”. We were in that room for a long time, we had nametags, we introduced ourselves, talked about our goals and why we were there, we then spoke one on one with several of the students and each other…

I remember thinking how amazing it was to be here all the way across the country. I was one of only a handful of applicants from out of state.

From the meet and greet our name was called, we were given a small packet (I can’t remember what was in there at the time) probably just some general info about the program and we were taken to one of the small classrooms where I was placed in a chair sitting directly in front of three instructors and a student who would be asking me questions.

Boy was I nervous, but somehow at the same time I felt this sense of calm.

The night before I had told myself this, and this is something that I have used every time I have an interview or am in a new situation: Be yourself, be humble, be extremely honest, you have skills that this organization/school needs. Let them see who you are.

The first thing they asked me was an icebreaker: “How has your trip here been” “Did you have any trouble getting here”?

What a great first question, because I couldn’t wait to tell them about the beautiful train ride, the lights of NY City, my ferry ride to Staten Island culminated by my stint on the Letterman Show. I could see how their eyes lit up as I talked about it. It was brining something back for them; I was like a baby who had found a new toy. And it was my enthusiasm that shined through.

Then they asked me about my work experience: I was a phlebotomist now; I traveled all over the city of Seattle and the outskirts on a mobile bus. I had worked during the summers at a Special needs youth summer camp with kids with disabilities, I had finished an internship at the University of Washington Laboratory, I had finished my training as and EMT, I held a bachelor’s degree in Zoology. I was engaged to be married.

They asked me about my 2.9 GPA. I explained how my first two years in college had been a part of how I got there that day. How my last 2 years I made dean’s list, how I challenged myself by taking harder classes that interested me. I explained how this gave me a broad base of experience. How this taught me about hard work and the meaning of perseverance.

They asked me about patient care experience. I told them how I hold the hands and arms of patients often when they are the most vulnerable… The job of a phlebotomist seems trivial but I explained to them that it is not. It is about comforting people when they are afraid, easing their worries, taking time to listen to their story. It is what I want to do as a PA.

And last that asked me why I wanted to be a PA not a Doctor. For me this was simple. I had known a Physician Assistant who was changing the world one patient at a time. That is who I wanted to be.

The Letter

Back to the rain soaked night standing on my porch in Seattle, holding that acceptance letter, writing this today.

Life is such a beautiful journey.

You’re Journey!

Wherever this finds you on your path to becoming a Physician Assistant I will say this: It is not just cliché to say that if you want anything bad enough you can get it.

And what I learned during my interview process for PA school was that I had to overcome a fear of failure and many deep rooted feelings of inadequacy that I held onto.

I tell you of my journey because it was the trip around my interview that was the most important part.

It reminded me at an extremely crucial time just how wonderfully amazing life can be. The beauty of simple things and the reason I was there.

Otherwise, had I not had this experience I may have just become another fly on the wal.:

Lost to my insecurities, stifled by a lack of creativity in a moment of intense stress and distraction.

For years I used a palm handheld device. This was before the days of iPhones and Android devices.

This year I upgraded my life and my practice when I purchased my very first iPhone. I will never look back!

Here is my list of the current medical apps I have installed on my iPhone.  These are the ones I use most often.

You can also view My Complete List for a more detailed look at the many wonderful apps that are available. But keep it simple on your phone.  And limit it to the ones you find most useful in your practice.

Essential Free Apps

Epocrates Epocrates – Free
Get quick access to reliable drug, disease, and diagnostic information at the point of care. Epocrates is the #1 mobile drug reference among U.S. physicians. Trusted for accurate content and innovative offerings, 50% of U.S. physicians rely on Epocrates to help improve patient safety and increase practice efficiency.
Shots Shots By STFM – Free
Shots By STFM contains the childhood, adolescent, catch-up, adult, and medical immunization schedules for the United States for 2011. Important information is available for each vaccine, including: basics, high risk indications, adverse reactions, contraindications, catch-up, administration, epidemiology, and brand names.
ICDP Stat ICD-9 Lite – Free
What is the code for hypertensive heart disease with CHF? To find out touch your iPhone four times:
1-20-2012 2-33-53 PM Calculate by QxMD – Free
From the maker of the apps ‘The ECG Guide’ and ‘Pedi STAT’ comes ‘Calculate’, a next-generation clinical calculator and decision support tool, freely available to the medical community.
BMI TOOL The BMI Tool  – Free
The BMI Tool is an in-depth weight management tool developed to assist physicians in the diagnosis and treatment of obesity. The tool features a BMI calculator that quickly gives accurate results in a few seconds. It also displays indications for pharmacotherapy and bariatric surgery, weight loss guidelines, a Basal Energy Expenditure Calculator
Google Translate Google Translate – Free
There are a lot of language specific translation apps out there. But I use this the most. It is free, fast, and allows you to enter any phrase imaginable.
Eye Chart EyeChart – Free
A Snellen Eye Chart is an eye chart used by eye care professionals to measure visual acuity. While the classic Snellen chart is typically placed at 20′ or 6m, pocket-sized versions such as this one can provide useful screens for rough visual acuity.

Essential Paid Apps

Tarascon Tarascon Phamocopea: $39.99
The Tarascon Pharmacopoeia continues its tradition as the most popular and most trusted portable drug reference. Now available for the iPhone, this must-have resource contains vital drug information on thousands of drugs to help clinicians make better decisions at the point of care. The Tarascon Pharmacopoeia iPhone App is part of the popular Tarascon® series which is an imprint of Jones & Bartlett Learning.
1-20-2012 2-23-25 PM Prescriber’s Letter
Prescriber’s Letter gives you unbiased recommendations you can trust on new developments in drug therapy
1-20-2012 2-29-07 PM Diagnosauras DDX – $0.99
This reference tool helps healthcare professionals perform differential diagnosis with speed and confidence at the point of care. With Diagnosaurus you can quickly search over 1,000 diagnoses by organ system, symptom, disease or view all entries. A popular app with over 1,000 customer ratings and an average of 3 stars.
1-20-2012 2-26-25 PM MedCalc (Medical Calculator) – 0.99
MedCalc is a medical calculator, that gives you easy access to a wide array of medical formulas and scores. Includes Detailed information and bibliographic references for each formula. This app has received over 5,077 ratings and has an average of 3.5 stars. According to the developer, it has been downloaded over 700,000 times.

 

Useful Links:

  1. Medical App Directory for iPhone on iTunes

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