EENT List of Most Commons for Physician Assistant Students

Most Commons in HEENT for Physician Assistants

HEENT (EENT) makes up 9% of the PANCE and is one of the most common “bread and butter” medicine topics you’ll come across. Below is a combination of “most commons”, “buzzwords”, and other clinical pearls I have come across since completing my didactic year. I compiled this in order to help myself prepare for the PANCE and for rotations. I hope it helps you in your studies as well.

1. Head
1. Bell’s Palsy - most common acute disease involving a single nerve and most common cause of acute facial nerve paralysis

Fourth Semester at UT Southwestern

Fourth Semester at UT Southwestern

Updated: 08/03/2015

Finishing didactic is probably one of the most bittersweet and alleviating feelings you have ever felt in your life; there really isn’t another comparison, unless passing the PANCE feels the same way or better. Although this semester may have had a less demanding class-schedule and less courses than previous semesters, there was definitely enough work to be done. Between SOAP write-ups, seeing patients in the hospital or in a controlled (OSCE) setting, or preparing for exams, there was never a dull moment. This semester felt like one of the most rewarding because we finished our didactic education - now it is time to review everything, hammering the material in, and ensuring we are competent providers when we graduate.

Pediatrics List of Most Commons for Physician Assistant Students

Most Commons in Pediatrics

• Most Common Congenital Heart Lesions
• Left-to-Right Shunts (Breathless)
• VSD (Ventricular septal defect) - 30%
• Right-to-Left Shunt (Blue)
• Tetralogy of Fallot - 5%
• Most common cyanotic heart anomaly with R-L shunt
• Common Mixing (Breathless and blue)
• Atrioventricular septal defect (complete) - 2%
• Coarctation of the Aorta - most common site is ligamentum arteriosum
• More common in males than females (3:1)
• Pathognomonic signs: rib notching on CXR, “three sign” on CTA

The 80-Hour Resident Work Rule

The 80-Hour Resident Work Rule

In the past, there was conflict with the number of hours medical residents were allowed to work in one week. If you have ever heard of Libby Zion, then you know exactly why that is. She was a patient who died at the age of 18 of serotonin syndrome under the care of what her father considered ‘overworked residents’ and ‘intern physicians’. Because of this, ACGME (the Accreditation Council for Graduate Medical Education) adopted a regulation similar to the Libby Zion Law, also known as the NY State Department of Health Code, Section 405. The regulation put a clinical-hour (‘duty’) maximum on all ‘residents’ of accredited medical training institutions. These ‘duty hours’ are limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities and all moonlighting’ as stated in the ACGME Common Duty Hour Requirements document. The document also states that PGY-1 (postgraduate year-1) residents are currently limited to duty periods of 16-hours duration, while PGY-2 residents are limited to a maximum of 24 hours of continuous duty in the hospital.

20 Phone Apps for Physician Assistants

20 Phone Apps for Physician Assistants
With the immersion and implementation of EMR,  medical phone applications has drastically changed - for the better. As a physician assistant or PA student, you will tasked with “keeping up with the Jones’” in order to monitor the progress of your patients and keep patients interested enough to want to monitor themselves. Products like the Apple Watch and the FitBit have already proven that patients want to monitor their vitals, we just needed a better, easier, and more efficient way for them to do it. I have found the following applications interesting enough to implement into my own practice, but I have not listed any applications for studying here. Instead, these apps offer a variety of services and resources available to you for your patient interaction and monitoring. Take a look at some of them and let me know what you think. If you have found an app that you think is better than some of these listed, let me know in the comments section and I’ll definitely check them out. Thanks for reading!

Practicing EKGs for Physician Assistants

Practicing EKGs for Physician Assistants

I get a lot of requests about EKG/ECG courses in preparation for PA school or the PANCE and numerous people searching for EKG courses are re-routed to my blog, so I put a list of them together for your convenience. I hope that pre-PA students, PA-S, and PA-C are all able to utilize these resources and find one convenient, affordable, and suitable to their situation. I’ve tried to list costs and details about some of them, but they’re all very different and some of them are so new they don’t have reviews yet. They range from basic to intermediate and advanced ECG interpretation. Later, I talk about in-person courses and even free resources. There are also books that you can purchase to help you study, which is how I studied EKGs and I found it most helpful to practice strips - lots and lots of them. If you’re feeling ambitious or you work in cardiology, you might consider becoming certified in EKGs, and I provide information about that below as well. Good luck in your studies to becoming a better PA and understanding these rhythms!

Online Physician Assistant Programs

First Online PA Program

By now you’ve surely heard of the first Physician Assistant, excuse me, Physician Associate program wanting to go “live”. What I mean by this is a fully incorporated didactic online program in medicine resulting in the completion of a master's degree without any prior PA training (no certificate, associate’s or bachelor’s degree in PA studies). Yale first announced this news on March 10th, 2015 and while it has had mixed feelings from across the PA and physician community, technology is changing, education is changing, and the realm of the physician assistant must change too. In this article I will brief you on the background of the program and hopefully provide an unbiased approach to online physician assistant programs.

The introduction of Yale School of Medicine's online Physician Associate program has definitely stirred about much debate. Schools like Yale have an outstanding reputation of graduating highly skilled and well-trained physician associates/assistants, but in April of 2015 ARC-PA did approve their initial proposal, as an increase in class size was necessary.

Third Semester at UT Southwestern

Third Semester at UT Southwestern

They say that the further you move along in PA school, the tougher it gets, and “they” are right. In light of the fact that it is only our third semester, this has been the busiest one, for sure. It feels like we had just started the GI block, but before long we had completed neurology, orthopaedics, endocrine, and nephrology/urology. Alas, we received information about our clinical rotations beginning in the fall about 2-3 weeks ago and I am ecstatic. Not only that, but I now have my very own little. If you were unaware, our program has the big/little system. I am able to pass down helpful information and books to my little to help her navigate through PA school.

Orthopaedics List of Most Commons for Physician Assistant Students

Most Commons in Orthopaedics

• Compartment Syndrome
• Most commonly occurs in lower leg following tibia fractures or crash injuries
• Anterior Cruciate Ligament (ACL) Injury - most commonly injured knee ligament
• Osgood Schlatter’s Syndrome - most common in adolescents that are overactive (too many sports)
• Patellofemoral Pain: most commonly caused by anterior knee pain syndrome, chondromalacia patella, patellofemoral osteoarthritis
• Fibromyalgia - most common cause of chronic, widespread pain in the US

Why I Chose UT Southwestern's Physician Assistant (PA) Program

Why Did You Choose UT Southwestern’s PA Program?

This is a commonly asked question. I get this question about once a week from my blog or in-person when I give campus tours. It is a very difficult question to answer. Mainly because it's difficult to answer without making one PA program shine and all of the others look inferior. There are plenty of wonderful PA programs available, so I won’t spend any time criticizing them. Instead, I will say a few things about the program I did choose. These are in no particular order.

1. Excellent rotation sites: When I was looking into UTSW, they were building 2 new major hospitals within walking distance of the university (William P. Clements and Parkland Memorial Hospital). Those hospitals are now complete and are some of the largest in the southwest region, they offer state of the art facilities, and will include many new rotation sites for our program allowing it to grow in size. In addition, our program phases out bad rotations if they find any not up to high standards (which does occasionally happen) and they find new rotations for students if that does happen.