lckrn2pa (1,896 Views)
Joined Feb 4, '11.
Posts: 166 (60% Liked)
I worked an ER travel assignment at Hilo Medical Center on the big island back in 2006 and loved it. Never had any problems from patients or co-workers. The nurse manager and I did not see eye to eye on many things but it was not racial by any means (she was native Hawaiian, me white guy). It's hard to get travel companies to pay decent there but I went out for $35/hr (most were getting 26/hr) so it all depends on how you sell yourself. I'd probably try to go there on a travel job 1st and see how you like it. Pay wise, it's all union for regular staff so you can go to Hawai'i dept of health web site and look at jobs and pay rates.
Ok, lets look at this from another angle. By your logic, Midlevel's can not give a level of care equal to a MD/DO. So get rid of midlevels. Now, same argument, CNA's, MA's, LPN's can not give the same level of care as an RN so why not get rid of them as well. Since an RN can do the job they do but they can't do the job of the RN then I guess they serve no role, going by your logic.
I'm getting some popcorn and gonna pull up a chair on this one.
Being a new grad, and by your statements, you really are clueless about the important role midlevels assume. NP's and PA's both serve to fill the gap left by lack of primary care docs. Let me ask you this, if you had a medical problem and called your doc how long would you have to wait for an appointment. Most docs in my area its 4 wks or more. How would that number change if they had a midlevel in the office seeing pts? Could cut it by 50%. I've worked with outstanding providers from all camps, MD, DO, NP, PA and all give good quality care. Just do a little research before you label a provider roleless. just my 2cents
There are no bridge programs to go from anything to PA and no part time programs to become a PA. Like Neo said, Extremely rigorous. I'm at the end of my didactic year and since last july we have been in class M-F 33-36 hours per week, I study about 40-60 per week outside of class, I've not worked since July 4th last year and prob won't work til I'm done with school. Our clinical rotations start end of July and by graduation July 2012 I will have 1800-2000 clinical hours in PA school. We go for 16 week terms the 1st year with 1 week of between and got 1 week for Christmas. Clinical year we only get a week off at Christmas.
As a PA you do have a delegation of service agreement with your supervising physician and yes your tied to that doc but they are not looking over your shoulder and most times not even in the same office. As a PA you can jump specialties whenever you like but you can't carry your previous scope of practice with you. Basically if your SP doesn't do it then you can't do it. I could do ER for a few years, move to surgery if I want, jump to pediatrics or whatever I desire without any further education. One thing to consider is PA's re-test every 6 or 7yrs, can't remember but as a NP one and done. Make your decisions based on your own needs, PA school = no work so >school loans but also more freedom to choose your career. NP school = part time vs. full time, ability to work so < school loans, the independent practice chip they so readily toss out. For me personally, I don't want the headache of running my own clinic, just let me see patients and give me my check on Friday. I've seen, worked with and known many NPs that during school they carried that moniker religiously, "I'm going to open my own practice and not ever have to answer to another doc" and several have done so. Most, however, have realized that working to keep the lights on is worse that working for a doc. just my 2cents tho.
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