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  1. #1
    fammed2002 is offline Member 510 points
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    PAs are trying to replace primary doctors

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    For those who think that PAs are not trying to replace primary doctors readthe following. it is an excerpt from a internet response.the assertion that the care from a PA is better is not true.1) they see less complicated cases2) they have an MD next to them to review the complicated cases.3) I have worked with PAs/NPs and they should not be working independently.To the Editor,To fully address the physician shortage, we must redesign our approach to care.[1] A model that we should evaluate is utilizing midlevel providers for primary care. Many studies have shown care quality as good or better than similar primary care doctors. Let us use the more extensive knowledge and training of physicians for specialty care. Most are going there anyway because lifestyle and financial pressures have squeezed them out of primary care. There are over 25,000 midlevels graduating each year, and can rapidly meet the needs of our aging population.Patrick Watterson PA-CInternal Medicine/Sports Medicine/Occupational MedicineVice President of Finance and Information SystemsBethany Medicalpatrickw@bethanymedicalcenter.com Untitled Document ReferenceRockey PH. Fixing the US physician shortage requires many more slots for resident physicians in training. MedGenMed. 2006;8:52. Available at: Log In Problems Accessed May 22, 2006.

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    fammed2002 is offline Member 510 points
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    continuing

    Page Error full article.

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    AmericanIMG's Avatar
    AmericanIMG is offline Ultimate Member
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    PAs are trained to see patients independently but only w/ certain cases. many PAs over extend themselves and they shouldn't.
    but remember that, even when those who move you be kings or men of power, your soul is in your keeping alone. When you stand before God you cannot say "but I was told by others to do thus" or that "virtue was not convenient at the time." This will not suffice. Remember that.

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    maximillian genossa's Avatar
    maximillian genossa is offline Ultimate Member
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    It is as simple as enforcing current laws pertaining the do's and don't, but as long as their own supervising physicians wink at them and allow them to overstep their responsibilities, then they are shooting themselves on the foot.





    Quote Originally Posted by fammed2002 View Post
    For those who think that PAs are not trying to replace primary doctors readthe following. it is an excerpt from a internet response.the assertion that the care from a PA is better is not true.1) they see less complicated cases2) they have an MD next to them to review the complicated cases.3) I have worked with PAs/NPs and they should not be working independently.To the Editor,To fully address the physician shortage, we must redesign our approach to care.[1] A model that we should evaluate is utilizing midlevel providers for primary care. Many studies have shown care quality as good or better than similar primary care doctors. Let us use the more extensive knowledge and training of physicians for specialty care. Most are going there anyway because lifestyle and financial pressures have squeezed them out of primary care. There are over 25,000 midlevels graduating each year, and can rapidly meet the needs of our aging population.Patrick Watterson PA-CInternal Medicine/Sports Medicine/Occupational MedicineVice President of Finance and Information SystemsBethany Medicalpatrickw@bethanymedicalcenter.com Untitled Document ReferenceRockey PH. Fixing the US physician shortage requires many more slots for resident physicians in training. MedGenMed. 2006;8:52. Available at: Log In Problems Accessed May 22, 2006.
    "Sacrifice turns to revenge and believe me
    You'll see the face who'll say:I love you... I'll kill you...But I'll love you forever
    ..."If I die tomorrow, what will you tell me today?." Hidden Content Previously known as Genossa Maximillian

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    fammed2002 is offline Member 510 points
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    continuing

    I would encourage people to write to the PA who had thosethoughts and express your input.if you think this isnt a issue the gov of Penn. did or will authorizemore PAs supervised per physician.this is all part of the deterioration of primary care.

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    Looking Glass is offline Junior Member 510 points
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    I am a PA currently working in Neurosurgery. My physician and I work very closely together, but he absolutely has final say on every issue. PAs are trained in the traditional "medical school" model, but it is abbreviated. We usually spend 12 full months in didactic education, then 12 months in clinical rotations. There are short PA residency options available, however few PAs utilize these residencies.

    The American Association of Physician Assistants, or AAPA, strongly emphasizes the team approach. You can read our national organization's stance on this relationship if you will go to aapa.org. On the menu bar across the top, click on the drop-down menu that reads "About PAs" and one of the options there is a PDF flier that details "The Physician-PA Team" (complete with references!).

  7. #7
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    A guy with step 2ck PASSED have the same knowledge as a PA.
    So lets just give all this IMG with the exams passed work as PA.
    wait they already try and they shat it down.
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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    maximillian genossa's Avatar
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    The important issue here is if PA's are trying to replace primary doctors, and I would say it is not just PA's but NP's also. Of course none of this could happen unless the States sanction it, and that is slowly happening.
    "Sacrifice turns to revenge and believe me
    You'll see the face who'll say:I love you... I'll kill you...But I'll love you forever
    ..."If I die tomorrow, what will you tell me today?." Hidden Content Previously known as Genossa Maximillian

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    Looking Glass is offline Junior Member 510 points
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    My nurse is currently in NP school, and she states they are being taught that NP's should consider themselves equal with physicians. She has caused quite a stir disagreeing with them. That is completely opposite of my training. We are taught to work with the doctor. In fact, PA's that choose to practice outside the US are urged to find a physician to work with on a regular basis, never to work completely on their own, even in countries in desperate need of more physicians.

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    Quote Originally Posted by Looking Glass View Post
    My nurse is currently in NP school, and she states they are being taught that NP's should consider themselves equal with physicians. She has caused quite a stir disagreeing with them. That is completely opposite of my training. We are taught to work with the doctor. In fact, PA's that choose to practice outside the US are urged to find a physician to work with on a regular basis, never to work completely on their own, even in countries in desperate need of more physicians.
    thats ridiculous and those thoughts will change very quickly upon practice.
    but remember that, even when those who move you be kings or men of power, your soul is in your keeping alone. When you stand before God you cannot say "but I was told by others to do thus" or that "virtue was not convenient at the time." This will not suffice. Remember that.

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