coast2coast, MSN, NP 9,405 Views
Joined Jul 9, '10.
Posts: 405 (42% Liked)
In my experience, students are REALLY afraid of histology when they don't need to be. It's a big departure from gross anatomy like muscles and bones and this can be overwhelming.
So first piece of advice - don't be afraid. It's actually pretty easy and super helpful for understanding physiology later on. If you ever go on to study cancer it's very helpful there as well.
Next. Somewhere near the very beginning of your anatomy book there will be a chapter about cell types and tissue structures. Read this. Figure out the difference between connective tissue, muscle, nervous tissue, and epithelium. Muscle and nervous tissue are pretty straightforward. Spend some time on "epithelium" - it doesn't just mean "skin." Understand that it includes glands and solid organs - anything that relies on layering cells, bunching them together by function, or forming glands and ducts with them. Understand that connective tissue is largely acellular and therefore will look totally unique on slides. Figure out what connective tissue really is made out of.
Learn what an H&E stain is and the difference between the pink and purple bits on a slide.
If you really understand the 4 basic tissue types, the next step will be MUCH easier ...
Finally, identifying specific tissues. This is what will matter in A&P. The best way to study for an histology exam is to practice, practice, practice. Look at slides in lab, and then go home and google "histology of xxxx". There are TONS of online resources for histo. The more pictures you look at, the more you will start to appreciate how different types of tissue (muscle versus epithelium) look under the microscope.
When in doubt, think about how the structure of a tissue might relate to its function. If the slide in front of you has cells arranged in circles around lumens - that's a gland. Therefore it's a secretory tissue - this narrows down your choices.
I've seen students panic trying to memorize what an individual slide of liver or kidney or uterus looks like. Don't bother. Approach histology at a really basic level - the 3D arrangement of individual cells, groups of cells that form tissues, and how that tissue structure helps it perform its function.
The more examples you look at, the easier it will get. Look at liver and kidney slides long enough and the difference between them will become painfully obvious. Really !
Anyhow, hope that helps. As you can tell I am a huge histology nerd .
Personally have seen a good job market for a range of specialties. Graduated from a direct entry program and had a job 2 months prior to graduation, across the country, in one of the worst job markets in the US (California). All my classmates (30+) were hired within months of graduation as well. Never worked as an RN and this has not been a barrier to getting interviews and offers.
I don't understand this one- I thought that elevated TSH always indicated hypothyroid. Can someone explain this to me?
The highest TSH I've ever seen before was 157. Pt very fatigued, low heart rate, low B/P, overweight, and so on.
Do you LIKE this job? Do you find it rewarding? If so, then stay.
if not - you almost have a year of experience. Start applying! I remember how hard this first job was for you to find, but you are no longer green. If this place makes you miserable, get out!
Personally I would be gone in a hot second if someone from the board of ANYTHING showed up in a place like that.
I may be too late for this but ... THAT IS WAY TOO LOW! Waaaaaaaaaaaaaaaaaaaay under average for SoCal. New grads in community centers are starting over 90 at multiple locations in metro LA.
I know you are a new grad and need to get hired, but man oh man I would tell this doc to stuff it and call me when she was ready to discuss a serious salary.
You will never successfully renegotiate for lost income. Realistically you will do well to get 2-3% per year in most places unless you have an RVU structure in place. When you take the job is really your only moment to get what you want/need.
anyhow. PM me if you want to discuss the LA market.
I was offered a full time job at an IM clinic. I asked for $48 per hour compensation with full benefits because i thought this was reasonable for a new grad in southern CA. The average is $44-46/hr.
On my second day of orientation, my boss told me that she is going to switch my pay to salary. She said she will offer me 75k per year. I was really shocked!
I told her that at the hospital, although without benefits, I get paid $52 per hour. Then she said that i shouldn't expect that much because being a nurse is different from being an NP. She also has to train me and that will take time. Then i countered and said i am willing to meet her at $88k. Then she said she can only offer up to $80k. Then i said i also have to make ends meet at home so I will think about it over the weekend.
Then she said she will call me back this weekend for a final offer.
Any suggestion or tips on how to handle this negotiation when she calls me back? Should i walk away from a low ball offer? Or is it worth it to get that experience for a year then go? This negotiating acitvity is exhausting! ;-)
I want to get an offer of at least 86-88k. I am better off working at the weight loss clinic at $60/hr
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