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DizzyJon

DizzyJon

PA-C Emergency Medicine
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  1. DizzyJon

    Why do some practices prefer PAs to NPs?

    It really just boils down to whoever has the final say of PA vs NP and what their opinion about each profession is. For many specialties, either can fill the role. It just takes one admin with a poor understanding of education or practice laws to exclude one of the professions.
  2. DizzyJon

    Nobody gets my credentials right

    All lot of this is just the labeling programs lab/pharmacy/etc use. One Dr. ________ space is listed and they don't have an option to change the title in the computer system. One would think they could have changed this by now. You have zero worries of other's mistakes when your orders/RXs have proper labeling.
  3. DizzyJon

    Certification - Need your opinion

    The BON has nothing to do with the OP being able to sit for the exam or not. If she wants to be recertified then she needs to do whatever the certifying bodies tell her she needs to do.
  4. DizzyJon

    Occ Health Director

    Looking for some feedback at salary range for a position of Director of Occupational Health. The position would oversee 3 facilities in regard to staffing, training, policies, budgeting, etc....everything basically. This is NOT a large healthcare system. This particular department has about a 2 million operating budget.
  5. DizzyJon

    Difference between Ph.D and Ed.D

    Thank you, for respectfully disagreeing and then restating what I already said. An EdD can have a dissertation but also could have a capstone/project.
  6. DizzyJon

    Nurse Practitioner Overtime Pay

    I agree, your employer can make you do that. It sucks, but not illegal. You should certainly get extra pay for this. You are salary and not entitled to overtime pay, but these are now additional shifts worked and you should negotiate an hourly or day rate that comes with a differential for the shifts being on the weekend and working 12 days in a row.
  7. DizzyJon

    What Kind of NP to become?

    There is no specific track for plastics or any surgical specialty really. I would say ACNP may be better route, but that's just because you will get inpatient clinicals. Maybe you could manage to get a surgery rotation. The concensus model is saying FNP should be inpatient and ACNP shouldn't be outpatient, but you need to look at the specific laws in your state. Neither FNP or ACNP are traineed in surgery, but either could potentially do OR and office in plastics. Do you have a relationship with this plastic surgeon already? If not I wouldn't keep high hopes of actually landing a job in plastics. There just isn't very many jobs in that specialty. Another option is consider doing a residency/fellowship in surgery.
  8. DizzyJon

    Length of Orientation for New NP

    When I did acute care we had all new NP/PA providers with an experienced provider for their first month. Every patient/decision/order was reviewed. At week 3-4 we would know if the person was ready or not to be put on the schedule. Some were and others were not...at all. So, another month could be added if needed. Had one no where near comfortable into her 3rd month and she elected to leave on her own. Ran into her several months later working in the ED and she was thriving.
  9. DizzyJon

    Opinion about a nurse's erros

    I always recheck abnormal vitals/weights that seem off. It is my responsbility 100% to make sure they are correct and not an MOA, MA, RN, etc....Weights are extremtly important in pediatrics for dosing consideration and watching for failure to thrive. The only error was you questioning the weight to be incorrect and then not rechecking it....and having a thread about nurse errors when there was no nurse present in the story....well you're a nurse...so I guess the title can apply since it was your error.
  10. DizzyJon

    DNP Question- Please help!

    This DOES vary by state. There are some states that forbid the use by DNPs or specifically state you must immediately identify yourself as an NP if you do use Dr title. Last list I saw wasn't very long.
  11. DizzyJon

    Board certified within X years

    that's why I put the " * " with a statement there may be some states where it is possible to practice without national certification. I acknowledge I did forget about the FNP-BC....there are so many letters involved in nursing. I actually don't see the -BC very often. My point was making a distinction between what being board certified is to a physician vs an NP/PA. While also noting that it is common for NP/PA to say (and I'll add in "hold a piece of paper in their hand") they are board certified after passing our certification exam. My corrections to my original post and acknowledgement of sensitivities of the readers.
  12. DizzyJon

    Board certified within X years

    Not exactly. For instance a graduate of an accredited PA program can take their national certification exam up to 6 years/6 attempts post graduation. While being NCCPA certified could be, possibly be, considered as "board certified", it is not exactly the same as MD board certification. For MDs, board certification comes after taking USMLE, completing advanced training (residency), and sitting for a specialty exam. The USMLE is more comparable to what PAs and NPs do. Not in content/depth/structure, but as in we all must pass these exams before we can move on to the next step post finishing school. For MD it is residency (although they can take step III before residency or after being accepted into residency) and for NP/PA it is generally licensure and working. The term "boards" amongst PAs and NPs is often used as in passing a national certification exam, but not the same as being board certified/eligible physician. As a PA/NP you can't gain licensure* or a job just because your are eligible to sit for the national certification exam. The statement board certified/board eligible mostly relates to physicians who have completed residency, but one could argue that PA/NP can use the term board certified to mean they passed a national certification exam. *there may be some states that still allow for temporary licensure after graduation, but before becoming certified for PAs and perhaps a caveat to this in regard to NP as well.
  13. DizzyJon

    What do you prefer to be called?

    Can you show me a physician without MD or DO after their name? One that is licensed in the US? So you're saying there are physicians that can't go by the doctor title because they don't have a doctorate degree nor MD or DO credential? What do they call themselves? If you say "doctor" then that would imply the title doctor is specific to someone with a certain education and not degree earned.
  14. DizzyJon

    What do you prefer to be called?

    I'm not saying a degree as in the piece of paper. I'm saying exactly what you said. They review their schooling overseas and determine it to be the equivalent of an MD....medical doctor...thus every physician has a title or credential of doctor in the US. Correct, we aren't disagreeing. Just good discussion is all. While I'm a doctorate holding PA and agree I can use the title, I'm open minded to see there are good points on both side of the discussion about who should use the title of doctor. I don't use the title because I use my legal title that allows me to practice and I've practiced for a decade before having a doctorate.
  15. DizzyJon

    What do you prefer to be called?

    Does the US system though take a foreign medical graduate and determine they completed an equivalent educate and grant them the MD credential? I've never seen a physician without MD or DO after their name. I think it's time to bust out the drinks a little early and RELAX. I agree physicians often don't disclose what type of physician they are.
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