Friday, July 3, 2020

An Open Letter to all Graduates of Foreign Medical Schools and Others Interested in PA Programs in the United States

After reading a number of questions about acceptance into PA programs a prevailing theme has emerged. Many international physicians stated that their interest in becoming PAs stems from dissatisfaction with the hours or volume of patients they are seeing in their own practices in their native countries. So, what is my advice? That you make an honest, soul-searching assessment of what it is you are seeking. PAs are Not an MD Surrogate If you have a prevailing feeling that your MD is a superior credential and that you will be functioning as an "MD Surrogate" in the US, then perhaps you don't fully understand the concept of a PA/supervising MD team. Every good PA knows very well our limits in the scope of practice which have served us and our physician mentors very well for over 40 years. We aren't, and never will be physicians! Nor will you, if you practice as a PA within your scope of practice. PAs Don't AlwaysHave Regular, Predictable Hours? You may also want to investigate why you believe that coming to the United States to become a PA will ensure that your hours will be regular, predictable and better than what you have now. Your hours will depend completely on the medical practice or hospital which hires you. Expecting that as a PA you will have it easier than you have it as an MD may be a false assumption. Many PAs work very long, grueling hours in emergency rooms, critical care, hospitals, public health facilities, family health care, community clinics and countless other fields in addition to volunteer work on their own time. The person who inquired about coming to a US PA program because PAs in Canada are still new and not well respected might do well to step back for perspective. R.E.S PA-C T PAs in the US are the single most serially tested group of medical providers in the world. We are currently changing a decades-old requirement for national board certification exams every six years to maintain our treasured "C" on our credential, indicating board certification. But if you look closely at the environment which mandated our test schedule it reveals that we have been regularly asked to "prove" our knowledge, skills, and trustworthiness for those same decades. Each of us went through some version of facing the "newness" question about what is a PA and scrutiny and occasional rejection by physicians, nurses, and patients. And most of us will tell you the struggle to prove ourselves is hard. And at one time it may have been necessary. But now, for most situations, when you join a medical practice, your patients already know what a PA is and how we function with their physicians. In Canada, your PA profession, though in comparative infancy to the US, needs great people to choose it, build its competence and support its growth rather than abandon it and go to already proven territory. If you believe in rigorous academic and clinical training then wouldn't you want to be in the vanguard in Canada demanding that rigor? The Good With the Challenging I treasure my life and work as a PA in California and Florida. Anyone fortunate enough to come here as an immigrant looking for anopportunity to serve in the medical corps is warmly welcomed and will be honored by our ranks. But when you choose this path to PA make sure you are seeing the good with the challengingand accepting that part of being in medical care. Every place in the world demands a near-total commitment of time and the humility to be comfortable caring for impoverished people, people of every cultural and ethnic background, just as you are doing wherever you currently live. Your challenges are the same as ours in that regard. The United States PA programs are unparalleled in preparing a workforce to address the overwhelming problem of inadequate access to health care. But we may not be a panacea for overworked, over-scheduled and feeling unappreciated, at times. Sincerely, and with good wishes for your success, - Martie Lynch BS, PA-C Did You KnowCurrently, 165 PA programs accept international students for a complete listing of these PA programs click here. The Long Road to Practice Today's post comes to us via the comments section and was written by physician assistant Margie Lynch, PA-C. I receive many comments and emails from internationally trained doctors looking for career options here in the United States. In fact, as an undergraduate, while working in the campus health clinic, I had the privilege of being trained by a foreign medical doctor from India who had transitioned to a laboratory tech in the United States. The truth is, in many instances, a foreign medical degree is non-transferable and the barriers to practice prevent many highly skilled, well-intentioned international providers from coming to the United States. And like the MD I worked with, their skills and training may go to waste. This is a shame sad there are many clinics and hospitals in the US that would benefit from culturally competent bilingual practitioners. And like the MD I worked with, their skills and training may go to waste. This is a shame sad there are many clinics and hospitals in the US that would benefit from culturally competent bilingual practitioners. This is a shame as there are many clinics and hospitals in the US that would benefit from culturally competent, highly skilled, bilingual practitioners. International Barriers to Practice in the United States According to this NY Times Article, the United States already faces a shortage of physicians in many parts of the country, especially in specialties where foreign-trained physicians are most likely to practice, like primary care. And that shortage has gotten exponentially worse since the passage of the affordable healthcare act in 2014. For years the United States has been training too few doctors to meet its own needs, in part because of industry-set limits on the number of medical school slots available. Today about one in four physicians practicing in the United States were trained abroad, a figure that includes a substantial number of American citizens who could not get into medical school at home and studied in places like the Caribbean. But immigrant doctors, no matter how experienced and well trained, must run a long, costly and confusing gantlet before they can actually practice here. The process usually starts with an application to a private nonprofit organization that verifies medical school transcripts and diplomas. Among other requirements, foreign doctors must prove they speak English; pass three separate steps of the United States Medical Licensing Examination; get American recommendation letters, usually obtained after volunteering or working in a hospital, clinic or research organization; and be permanent residents or receive a work visa (which often requires them to return to their home country after their training). The biggest challenge is that an immigrant physician must win one of the coveted slots in Americas medical residency system, the step that seems to be the tightest bottleneck. That residency, which typically involves grueling 80-hour workweeks, is required even if a doctor previously did a residency in a country with an advanced medical system, like Britain or Japan. The only exception is for doctors who did their residencies in Canada. The whole process can consume upward of a decade for those lucky few who make it through. Fighting Brain Drain The counterargument for making it easier for foreign physicians to practice in the United States aside from concerns about quality controls is that doing so will draw more physicians from poor countries. These places often have paid for their doctors medical training with public funds, on the assumption that those doctors will stay. According to one study, about one in 10 doctors trained in India have left that country, and the figure is close to one in three for Ghana. (Many of those moved to Europe or other developed nations other than the United States.) No one knows exactly how many immigrant doctors are in the United States and not practicing, but some other data points provide a clue. Each year the Educational Commission for Foreign Medical Graduates, a private nonprofit, clears about 8,000 immigrant doctors (not including the American citizens who go to medical school abroad) to apply for the national residency match system. Normally about 3,000 of them successfully match to a residency slot, mostly filling less desired residencies in community hospitals, unpopular locations and in less lucrative specialties like primary care. In the United States, some foreign doctors work as waiters or taxi drivers while they try to work through the licensing process. The InternationalPath to PA Is PA a reasonable alternative to foreign-trained medical providers whose skills we desperately need here in the United States? And just how many PA schools are eagerly opening their doors to these practitioners? This, my friends, is a topic for another blog post. Feel free to share your thoughts in the comments section down below. Warmly, -Stephen Pasquini PA-C Resources Are you or someone you know a foreign trained doctor or a medical provider looking to practice as a PA in the US? Here are some useful resources: Here is a wonderful resource on the topic from the ARC-PA (they accredit US PA programs and determine who may sit for the PANCE exam) Physician Assistant Forum -Foreign medical graduate Dose of PA -From International Student to Physician Assistant NY Times Article -Path to United States Practice Is Long Slog to Foreign Doctors Where PAs and Physician Associates Can Work Internationally You may also like -Where PAs and Physician Associates Can Work Internationally The contemporary physician assistant/associate (PA) movementbegan in North America and Africa in the mid-1960s. As of 2018, the adoption of PAs has spread globally across a variety of health systems and at least fifteen countries []A Surgeon Speaks: 7 Reasons Why You Should Choose PA Over MD I am a fellowship-trained surgeon. Besides the financial aspect, the following 7 points will make your decision of PA vs. MD easy: 1. It takes on an average at least 15 years (after high school) of head in the sand (books) to []The Perfect PA Program Picker: PA School Requirements and Admissions Tool 2018-2019 PA School Admissions and Requirements Table Search and sort through all 256 accredited and developing PA school programs by healthcare experience, resident and non-resident PA school tuition, PA program duration, GRE []

Tuesday, May 26, 2020

The Essentials of Medical Argumentative Essay Topics You Can Benefit From Beginning Right Away

The Essentials of Medical Argumentative Essay Topics You Can Benefit From Beginning Right Away In most instances, essays normally have three sections including an introduction, the most important body, and a conclusion. The introduction should offer general information which will be included in the write-up. An argumentative essay example will reveal the should possess some crucial components which make it better in the practice of convincing. You have to make sure you remain on that 1 side during your whole essay. So as to compose an impressive essay, you should decide on a very good topic. Argumentative writings is a particular kind of a paper. In order to supply an in-depth understanding about the argumentative essay, it's better to take a look at some of the greatest examples of argumentative essay. The essay should have a little bit of structure, unlike a normal essay. Your essay should consist of recent statistics and data from reliable sources. Writing an argumentative essay can at times be confusing since you don't necessarily understand how to compose a convincing argument. Writing a persuasive, argumentative essay can be challenging, and at times it can find a little confusing. You don't need to find super technical with legal argumentative essays, but don't forget to do your homework on what the present laws about your preferred topic actually say. If you are only searching for interesting medical essay topic ideas, have a look at the list below. If you feel you'll hardly succeed making your own topic, consider trying to find good ideas on the internet, at resources that provide useful guidelines on effective essay writing strategies. The most effective argumentative essay topics are the simplest ones. Care ought to be taken that the data utilised in the essay is related to the topic. Recent argumentative essay topics that are related to society is going to do. At times you might require some expert help with argumentative essay topics. Complex subjects may get rather harmful. Religious fundamentalism is an increasing threat to our society. With excellent arguments, it is going to be simple to create your perspective. Evaluating the topic can help to comprehend what the question requires and assists in offering the suitable answer. If you're assigned to write an argumentative essay, you will need to be prepared to defend a particular point of view. Of course, when you were given a very clear job to write on a certain topic you won't need to wreck your brains seeking something exciting and crucial to dwell on. It is possible to also restate the ideas that you've discussed in the body paragraphs in order to make your point valid. On the flip side, if you choose a controversial topic you have very little interest in, you'll find it quite tricky to finish the assignment. The Ultimate Strategy for Medical Argumentative Essay Topics It's important to select debatable argumentative essay topics since you need opposing points that you may counter to your own points. If it comes to any class in the health care field, studying and essay writing can have a lengthy time. Our crew of professional writers with the crucial experience and writing skills is always prepared to fulfill your demands and exceed your expectat ions. It's thus crucial for students to go through medical school essays examples to obtain a concept of what it is that they are anticipated to do. Medical Argumentative Essay Topics: the Ultimate Convenience! To help you recognize which issues to discuss, we've listed the very best health care essay topics below. Topics related to health provide a great range of choice. The expense of healthcare is just one of the most crucial troubles. The price of running the health care is quite costly. The End of Medical Argumentative Essay Topics The net has made our life a good deal simpler. The music business is mafia-like controlled and thus the CD prices are high. If you can't locate a controversial topic on the list that suits your passion, there are a great deal of different resources out there. The path of completely free choice is pretty slippery, so be cautious on your way. There's, clearly, a limit on the variety of pages even our finest writers can produce with a press ing deadline, but usually, we can satisfy all the clients seeking urgent assistance. Hence, it's not surprising why healthcare has a great effect on an individual's life. Attempt to know why such devices may be dangerous and begin to compose an essay on cellphone addiction. Everyone understands that excellent medical experts are valued extremely high in the usa.

Tuesday, May 19, 2020

Essay about Mittell’s Television Genre Theory and Louie

Originally published in Cinema Journal 40, No. 3, Spring 2001, Jason Mittell’s â€Å"A Cultural Approach to Television Genre Theory† conceives of television genre as a cultural category rather than merely a textual component. In the decade since the original publishing of the article, television has evolved out of the multi-channel era and into the post-network era. In this new television landscape, genres are no longer a fixed entity1, and there is great academic potential in the in the study of television genres. The text, Thinking Outside the Box: A Contemporary Television Genre Reader, aims to explore and analyze genre in the current television landscape, and the Mittell article, republished in the book, serves as an entry point to such†¦show more content†¦Finally, this concept of genre will be applied to the development of the central questions in my final project. LOUIE: A GENERIC DISCOURSE Mittell suggests that genre studies should negotiate between specificity and generality, and offers the following as an approach: â€Å"The second way would be to start with a specific media case study and analyze how genre processes operate within this specific instance. Such projects might isolate a variety of starting points—an industrial formation, audience practices, a textual instance, a policy decision, or a moment in social history. We may start with a textual case to motivate our study, but we must still examine how genres transcend textual boundaries and operate within audience and industry practices as well.3† Also, according to the article, â€Å"we should focus on the breadth of discursive enunciations around any given instance, mapping out as many articulations of genre as possible and situating them within larger cultural contexts and relations of power.4† So, any generic discourse must begin with a full understanding of the context of a particula r text—in this case, Louie. Louis C.K. is one of the most influential and respected stand-up comedians working today. He has written for The Late Show with David Letterman, Late Night with

Friday, May 15, 2020

The Fantastic Author Of The World s Most Wonderful Children

Biographical Summary The fantastic author of the world’s most wonderful children’s stories is Charles Lutwidge Dodgson, or better known by his pen name, Lewis Carroll (Heath). Coming from a clerical family in Cheshire, England, Dodgson grew up to be a fairly interesting mathematician, deacon, and writer (Heath). Ultimately prospering in the art and absurdity of children’s literature, which is what Carroll is best known for today. Who would later become the famous â€Å"Lewis Carroll†, was Charles Lutwidge Dodgson. He was born January twenty seventh, 1832, as the third of eleven total children to Frances and Reverend Charles Dodgson, whom he was named after (Tyle). Growing up, Charles Dodgson was raised by gentle mother and a father who†¦show more content†¦Some psychoanalysts argue that these supposed friendships were pedophelic while other agrue that they were harmless, but still fascinating, and make his literary words even more enticing (Heath). Regardless, Dodgson often spent afternoons with the daughters, creating fanciful stories on a whim. The youngest of which was Alice, who one day prompted Dodgson to create an improvised story that would one day become what generations know as Alice’s Adventures in Wonderland (Tyle). It was first put into print when young, Alice begged Carroll to write the story down so she could later reread the wonderful tale (Tyle). Once he had decided he w ould publish the story, illustrations were added by John Tenniel and Alice’s Adventures in Wonderland was published in 1865 (Tyle). Due to its profound success, Carroll penned the less popular sequel known as Through The Looking Glass and What Alice Found There, published in 1872 (Tyle). Following this publication, Carroll received much praise for how he depicted logic throughout the story (Tyle). Being an extremely math-oriented person, Carroll included some of his own mathematical findings involving logic, syllogism, and construction of puzzles into almost everything he ever wrote (Ables). In fact, in terms of quantity, most of what Carroll wrote was mathematical rather than fiction, but it is his

Wednesday, May 6, 2020

Movie Review Million Dollar Baby - 1123 Words

In 2004, Clint Eastwood released his dramatic sports film that was nominated for 7 Oscars and won 4 including best picture. Million Dollar Baby is about a woman who must overcome many obstacles to achieve her goals, despite when everyone is telling her that she can’t. Million Dollar Baby tells the inspirational story of Maggie Fitzgerald, a hard working, dedicated, and inspired rookie boxer who will do whatever it takes to be the best. Maggie wants to be a boxer even though she is in her 30’s, which is an unusual age for beginner boxers. The theme is of Million Dollar Baby is that life is unfair but you have to keep working hard anyways to achieve your goals. Million Dollar Baby is my favorite film because it has a complex but understandable plot and has complex characters. It is important to have a complex plot because a simple conflict can often become a bore in a drama film. If the conflict is complex then the audience will be constantly engaged in the film. There are many conflicts in Million Dollar Baby, one of which is that Maggie is trying to be the greatest boxer she can be, even all the odds are against her. Not only does Maggie have a conflict, but the supporting characters do as well. Frankie, Maggie’s trainer, needs security and a father daughter relationship to make up for how he failed to be a good father for his first daughter. Scrap, the gym’s janitor, needs to keep the gym running and protect a rookie boxer, Danger, from being bullied by other members ofShow MoreRelatedMillion Dollar Baby Movie Review Essay798 Words   |  4 PagesMillion Dollar Baby Throughout this course we have discussed about making good and bad decisions in life. In grade 12 curriculum we have watched a movie called A Million Dollar baby cast by Clint Eastwood as an Frankie Dunn (coach), Hilary Swank as an Maggie Fitzgerald (female boxer) and Morgan Freeman Eddie Scrap Iron(gym keeper). 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The children’s novel was written by L. Frank Baum and became such a great success, he wrote thirteen more Oz books. It also sparked a Broadway musical. The movie is seen as a timeless classic. It had a duration of fourteen different writers and five different directors.The Wizard of Oz is a musical fantasy film about a girl named Dorothy who lives in dull, colorless Kansas. She lives with her aunt, uncle, andRead MoreMovie Review : Frozen Is The Hottest New Princess Movie Of 2013935 Words   |  4 PagesMovie Review: Frozen Frozen is the hottest new princess movie of 2013. The film is a 3d Disney animation. Frozen came out on November 27, 2013. It raked in millions for the box office in U.S dollars. Like any Disney movie, the parents die in the beginning. They leave behind two daughters. One of who takes reign as the new queen. Soon the kingdom sees her for who she is. Her magical powers leave her sister desperate to save their sisterly bond. 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Tupac Shakur rapped about problems that inner-city black Americans could relate to, along with his legal and personal drama; you could not get away from Tupac in the 1990’s. From the womb to theRead MoreCase Study : A Lonely Twenty Six Year Old Stood On A Bridge1611 Words   |  7 Pagesthe boredom that threatened to suffocate him. In 1953, Hugh Hefner and his associates founded Playboy in Chicago, and it was also funded in part by a $1000 dollar loan from Hefner ´s mother as well (The Times, 2010). The magazine grew spectacularly into a multimillion-dollar enterprise with five million readers by the late 1960s and seven million by the early 1970s. Playboy became a huge empire and expanded to include clubs, resorts, music, films, television shows and wide selection of merchandiseRead More Shirley Temple2014 Words   |  9 Pageswhose names were: Jack Temple and George Jr. Temple (Shirley Temple). While expecting their first daughter Gertrude played the phonograph and attended dance recitals (Shirley Temple). Finally on April 23, 1929 a beautiful baby girl was born (Shirley Temple). Shirley was a baby who would bring smiles to everyone’s face during the great depression (Hall). They named her Shirley Jane Temple. Shirley was born at 9:00 p.m. She once said Too late for dinner, and so i started life one meal behind

The Race And Ethnicity Of The District Population - 826 Words

Chapter One Introduction The total students in the district population, for the 2012-2013 school year, is totaled at 2,329. Of these students, 74% come from low-income families, 4% are English Learners, 16% are labeled with disabilities, and 1% are homeless. The race and ethnicity of the district population is as follows: 1% are Asian, 46% are African-American, 25% are Hispanic, 23% are white, and 5% are two or more races. There are 822 female students and 876 male students enrolled in school throughout the district. Student attendance is at 95%, the average class size is 24 students per teacher, and the total school days are 175. The mobility rate for the district is 10.5%. The faculty for the district consists of 146 teachers. The female population is 88% and the male population is at 12%. The majority, 88%, are white. 3% of our teachers are African-American, 5% are Hispanic, 1% are Asian, 2% are multi-racial, and 1% are American Indian. Teachers in this district have been teaching an average of 1 2 years. Teachers with bachelor’s degrees are at 45% with the remaining 55% with a master’s degree or higher. In our school, we have 471 students. There are 274 boys and 257 girls. This number is a little higher due to students in the Exceptional Children Have Opportunities (ECHO) program and those shuttled to other schools for special services. Of the current 471 that attend our school every day, 78% are low income, 6% are English Learners, 18% are labeledShow MoreRelatedThe Cabot School District Strives to Meet the Educational Needs of Every Student1344 Words   |  6 PagesStrategic Diversity Plan Outline Mission and Overview The Cabot School district is committed to educating all students to be responsible citizens who value learning, treat others with dignity and respect, and successfully adapt to the demands of a rapidly changing society. 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Out of 2,455 lieutenants, sergeants and officers, only 383 of them are female. This means that only 24% of the officers are women and 76% of them are men. It is very possible that the test to become a lieutenant, sergeant or officer may

Egans 3 Stage Model free essay sample

The British Association for Counselling and Psychotherapy (2013) is the largest professional organisation for counselling and psychotherapy in the UK. It is devoted to social diversity, fairness and inclusivity of treatment without discrimination of any sort. BACP implement an ethical framework that guides the practice of counselling and psychotherapy, this ensures that practitioners do not lose sight of how they are working which then provides safety and boundaries for the client. Ethical framework for good practice in counselling and psychotherapy is put in place to notify and reassure all members of society, both actual and potential clients, who search for the help of counsellors and those alike. It is vital to form an attitude of responsible helping regardless of the perceived level of the helping activity. This ethical framework, or rules of conduct, whether you are a doctor, nurse or counsellor, all aim to ensure a secure setting in which helpers can work, provide boundaries and practice safe methods so clients can receive the best help possible. We will write a custom essay sample on Egans 3 Stage Model or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Saunders (2011, p. 23) defines ethics as â€Å"a set of moral principles or rules of conduct. † BACP’s (2013) ethical framework supports practitioners by being receptive to differences in client abilities, needs, culture and accountability. The key issues in this framework fall into three categories, values, principles and personal moral qualities. All of these ethical issues are drawn together in order to guide good practice. Consequently, without an ethical framework, practitioners may be influenced by their own values and beliefs which could lead to clients being exploited or manipulated into making decisions based on the practitioners own values. Saunders (2011) suggests there are many ways in which a practitioner could act unethically if there were no ethical guidelines, such as; being overenthusiastic in a way that cannot be maintained, personal problems may get in the way, having a vested interest in a particular outcome, helping more than you are qualified to or to exploit your client for personal gain. Some of the central values of counselling and psychotherapy consist of; ensuring the integrity of practitioner-client relationships, increasing personal effectiveness, enhancing the quality of the relationship between people and alleviating personal distress and suffering. These values signify a vital way of stating an overall ethical commitment, when these values are put into action they are known as ethical principles. Ethical principles are a reference point for practitioners and it is their responsibility to apply these principles by choosing the most appropriate one for that particular circumstance when necessary, choosing between principles may be required and practitioners are accountable for decisions made. BACP (2013) state that there are six core principles, these are; fidelity, autonomy, beneficence, non-maleficence, justice and self-respect. The respecting of a client’s confidentiality is vital in developing trust within a therapeutic relationship. Rogers (1995, p. 117) states that, â€Å"practice, theory and research make it clear that the person centred approach rests on a basic trust in human beings, and in all organisms. † However, there are limitations for confidentiality and trust, for example, if a client has informed you that he is using cocaine as a way of relaxing on the weekend this creates an ethical dilemma. In other words, an ethical dilemma is any situation in which guiding moral principles cannot determine which course of action is right or wrong. In this scenario, keeping confidentiality could be classed as breaking the law, however, as a practitioner it is you responsibility to follow the BACP (2013) ethical principles of fidelity, autonomy and beneficence. The BACP (2013) aims to assist practitioners to identify situations where confidentiality may need to be breached and identify situations where legal or other professional advice would be appropriate. Confidentiality within counselling is conditional and explicit; this must be made clear from the start, verbally and via an administrative contract. Confidentiality and boundaries will be breached if the practitioner feels the client may be a danger to themselves or others, human or drug trafficking and also at the practitioners supervision sessions. In conclusion, working in an ethical manner will unavoidably result in situations where there are challenging obligations. The ethical framework provided by BACP (2013) assists practitioners by acting as a guideline which directs attention to the diversity of ethical issues that may need to be considered. No ethical code of practice can completely ease the struggle of making professional decisions, especially when there is so much change and uncertainty in society. However, by becoming a member of the BACP, practitioners are making a commitment to working in an ethical manner, even if that means making harsh decisions.