Military creates new "doctoral" residency program for PAs

[Tired]

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DScPAS ????? Frankly - at the Masters level and now the Doctoral level - "PA Studies" is really a ridiculous degree title - and it isn't even standardized, some schools give out other titles for the Masters degree of PA's. The PA's should get organized towards standardizing the degree name - particularly for Doctorates!!! AND BTW - "Doctor" as I'm sure most of you know is an ACADEMIC title so if an NP or a PA recieves an academic degree that is a doctorate - then they are entitled to be addressed as "Dr" and if the MDs get bent out of shape over it - the that is just too too bad because they do NOT own the title. Other healthcare providers with doctoral degrees are called "Dr" - but check their nametag and the it the DEGREE listed behind their name - so people are actually smart enough to know that there is a difference - the OD isn't going to treat something that isn't part of Optometry; and the PsyD isn't going to treat something outside of psychotherapy or counseling, nor the DPM isn't going to operate on somethinng other than their foot; and the DDS or DMD is going to mostly work on their teeth - although some do more and are the best for intricate Maxillofacial surgery. These specialists stay inside their scope - but as I said earlier, its the MDs who abuse their position. Legally they have set things up so that only their degree and a state license to "practice medicine" is required - but that doesn't mean that they actually have the skills; I know of people who were screwed over by expert opinions" from MDs representing themselves as a particular type of specialist, but they can legally call themselves that even if they have had no specialist training in the field, nor have done the appropriate residency, let alone that they do not have a board certification in that field. For example - someone who had to submit to an "independent medical exam" for a disabling injury; the MD (FMG in this one case . . . . with a Moscow accent so thick it was unintelligable) represented himself as both a Neurologist and Rheumatoloigst (as required by the insurance company's rules) yet he obviously didn't know what he was doing - it was later discovered that he had no training in either, no certification in either field - the only board certification he held was as an allergist . . . . now you tell me what specific training he had involving intricate neurological and rheumatological disesases that qualified an allergist to render an "expert opinion" which coincidentally supported the exact position held by the workers comp insurance company . . . . and which denied benefits to the injured worker . . . . what it actually was constituted Medical Fraud !!!!! But getting back to the universal MD's position that only MD's are really qualified to call themselves "Dr" and that it takes an MD to practice medicine (most DO's aren't that egotistical) Let us compare . . . . despite the idiocy of their government's socialized medicine system, British physicians in general are superbly trained . . . . what degree to they hold????? well, most have an MB (or BM) which is a Medical Baccalaureate - a Bachelor's degree !!!!!! In the British Commonwealth, the first medical degree is a bachelors, the MD / Medical Doctorate is an advanced research and teaching degree (and where being addressed as "Mr" instead of "Dr" is a higher title . . . but that's like a flashlight is a "torch" - a car trunk is a "boot" and a cigarette is a "***" . . . . and an MB is called doctor because of centuries of language that equated doctor with physician - other academic doctorates were called "Professor" . . . . . . . So, if the person treating me is called "Dr" and the initals after their name are DNP or DNSc or DScPA (or let me suggest to the PAs that they use DScPM for Doctor of Science in Medical Practice or DscM for Doctor of Science in Medicine or even DScP for Doctor of Science Physician - because if they have a doctoral degree and are independent, then they aren't Physican Assistants any longer - they are physicians of a very particular type !!!!!!) And if the MDE's don't like that - they maybe they can get their professional society (re: "union" or "trade guild" to loosen up those artifical restrictions on Medical Schools that keep them from increasing enrollments - since keeping the population of physicians low, increases demand and surprisingly results in higher wages/profits for the physicians that there are . . . . . . Imagine that!

Allow me to translate:

"I wanted to be a doctor, but couldn't get in. I shall now exact my retribution by posting drunk on SDN!!!!"

 

[smq123]

If I had more time and if most medical schools didn't have a bias against older students, I might be working toward getting in to medical school - but PA School or an NP program are better choices for me.

I call on this one.

Many of my med school classmates had long careers in other fields, and went back to med school. The average age of entering MS1s across the country is increasing. It's pretty well accepted that MD/DO schools do not hold your age against you.

If you went to PA school because it was shorter and cheaper, fine. But don't lay the blame on med schools and say that they're "biased" against older students. 👎

Well Kubed - I'm sorry that you can't follow along - maybe I should truncate things into itty-bitty bit-sized pieces for you.

No...maybe you should START USING YOUR FRIGGIN' ENTER KEY ONCE IN A WHILE!

For the love of God, they're called "paragraphs." An ellipsis is NOT the same thing as an indent!!

Christ.

P.S. And kudos to Castro Viejo for being able to wade through that stream-of-consciousness rambling. But shouldn't you be saving your eyesight for all the vascular work you're going to be doing? 😉

 

[core0]

I call on this one.

Many of my med school classmates had long careers in other fields, and went back to med school. The average age of entering MS1s across the country is increasing. It's pretty well accepted that MD/DO schools do not hold your age against you.

If you went to PA school because it was shorter and cheaper, fine. But don't lay the blame on med schools and say that they're "biased" against older students. 👎

We're not claiming him. I can't even follow his bio. You do have to be able to write some in PA school after all. Big props for the drunk posting though.

David Carpenter, PA-C

 

[Tired]

We're not claiming him. I can't even follow his bio. You do have to be able to write some in PA school after all. Big props for the drunk posting though.

Damn, he's not even the last kid picked for dodgeball, he's the kid who's told to keep score.

Besides, based on the posts I'm not convinced he's in any kind of school at all.

 

[Old_Mil]

People with far less discipline and, I hate to say it but, intelligence than the family docs of yesteryear will be your primary care "doctor" if these people get their way (and they probably will).

This is not to say that there aren't some fantastic NPs. I've met a couple that could put most MDs to shame in their intelligence and their breadth of knowledge. But the majority I've worked with are simply not possessed of the same mental faculty, nor the same training. They would get eaten alive by the MCAT, let alone the USMLE. Which is, of course, precisely why many of them went the NP route instead.

Patients could simply ask, "yeah, but why did you go into DNP school instead of the NP-to-MD school?" for which they would have no real answer other than the honest one, which is, "Because I couldn't cut it in med school."

While there are always exceptions to the rule, you've hit upon the basic issue. Whether it's a DO who gets in to a less reputable DO school with a poor MCAT and subsequently evades the USMLE by hiding behind his/her COMLEX score, an NP, or a PA - everyone wants to find a shortcut to being a doctor.

The AMA and MD medical schools need to quickly - and rapidly - expand the numbers of seats available. Don't make the training any less rigorous, and if someone wants to try their hand and fail out after a year or two so be it. This would remove a great deal of demand from the collateral vessels so to speak.

 

[Castro Viejo]

P.S. And kudos to Castro Viejo for being able to wade through that stream-of-consciousness rambling. But shouldn't you be saving your eyesight for all the vascular work you're going to be doing? 😉

Working in this craphole I refer to as "the institution" I've learned to read and understand "Idiotnese."

 

[Castro Viejo]

While there are always exceptions to the rule, you've hit upon the basic issue. Whether it's a DO who gets in to a less reputable DO school with a poor MCAT and subsequently evades the USMLE by hiding behind his/her COMLEX score, an NP, or a PA - everyone wants to find a shortcut to being a doctor.

Osteopathic physicians are on the same side and their training is similar and just as rigorous. To imply that they're less than an allopathic physician is plain stupid. I don't agree with their irresponsible politics in expanding the number of osteopathic school seats willy-nilly in an effort to swell their numbers, but that's another issue.

The short cut "doctors" are, as you describe, the ancillary staff that is out to obtain a Mickey Mouse doctoral degree, vying for the right to be addressed "Doctor" in the hospital, and wanting to do more with substantially less training.

The AMA and MD medical schools need to quickly - and rapidly - expand the numbers of seats available. Don't make the training any less rigorous, and if someone wants to try their hand and fail out after a year or two so be it. This would remove a great deal of demand from the collateral vessels so to speak.

The cost of admitting every person on the block who wants to go to med school and having some of them subsequently fail is a HUGE undertaking for government sponsored student loan programs and could destroy the system for deserving and very qualified students.

The AAMC is expanding the number of medical school seats available. You should realize that as the pool remains relatively static, as far as qualifications are concerned, any expansion in the number of seats will invariably make the dumbest person admitted truly the dumbest person admitted.

 

[Castro Viejo]

We're not claiming him. I can't even follow his bio. You do have to be able to write some in PA school after all. Big props for the drunk posting though.

Holy crap, he's 50?

That's a lot of school to make up there. Why not start with the third grade?