Sunday, February 12, 2012

PA-to-MD/DO bridge programs.... Available but, not common

Bridge Programs to MD and DO:

My Opinion:
Lately several people have been telling me I should be a PA. They dont say directly why other than the fact that they think I am too old to make it to MD. I say screw them. They aren't me and dont really know me. Making broad statements about my future and what they want me to become is not in alignment with my life goals.
   It did get me thinking the past 2 weeks though along the lines of becoming a doc in progressive steps. This is a very common pathway for nurses as they build up their skills over time and icrease their training in phases over several years. I have discovered that there is a serious lack of training steps between the PA and MD/DO levels. A big part of this is that hospitals and practitioners wont benefit much from training more PA's to become docs. It takes perfectly good, actively working PAs out of the working field for 5-7 years to train them. The PA's also loose income during their schooling years back in training that they would otherwise earn gainfully employed. Not a good idea in general.
   While trolling the net I DID find a couple of leads though on the fringes in regard to PA-to- MD/DO bridge programs that are starting to pop up in the US. Here is an announcement I found:

Available Programs and blog: (reposted from Student Doctor Forums)

http://forums.studentdoctor.net/showthread.php?t=731110

http://forums.studentdoctor.net/showthread.php?t=731190

Lake Erie College of Osteopathic Medicine: (3 year track PA-to-DO program)
   http://lecom.edu

LECOM will announce a newly approved pa-c to physician( DO) bridge program within the next 2 weeks. the director of the program( Dr. Kaufman) is a DO who was previously a PA. 
Details available at this point: 
program length 2 yrs, 10 months. 
format: all of ms1 and ms2 then a hybrid clinical yr 
ba/bs degree and mcat required for admission 
first class size 12 seats 
grads eligible for match to any residency but they will prescreen applicants to try to get 50% who are interested in primary care. 
it’s been a long time coming. we need to send the best and the brightest to this so that it catches on and becomes an option at other medical schools.


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A Good conversation about PA-to-MD bridge programs:



Any shortcuts for P.A. becoming M.D.?

My son is in a P.A. program right now, but is thinking he might want to go to medical school, instead. I'd really like to see him finish his P.A. degree first. Someone told me that there are some med schools that will count his P.A. coursework/experience towards their progams, cutting off a year or two of classes. Is this correct?
toledo is offline  Reply   
Old 02-18-2010, 06:17 PM  #2
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There is no such bridge program from PA to MD although the idea has been discussed.

If he wants to eventually get into med school, he should finish his PA program. Med schools are weary of taking people who drop out of degree programs.
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Old 02-18-2010, 06:21 PM  #3
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AFAIK, there is currently no such programs. You could try Googling it....

There have been many discussions concerning this, but they haven't made it much beyond PAs' wishful thinking.
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Old 02-18-2010, 08:01 PM  #4
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Well, it looks like it doesn't exist at this point. But, by the time my son gets his degree, maybe it will. Thanks.
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Old 02-18-2010, 09:04 PM  #5
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It probably will never exist, certainly not by the time you son is done. Things like this take years to plan from the start and I haven't heard of anyone starting. The problem is it isn't like PAs just learn the first quarter of medical school and then stop. They cover a wide range of topics present through medical school, just perhaps not with the same focus and detail. So it isn't like they can say well we know they learned these classes so lets just have them start a year later than everyone else. It's also pretty difficult for medical schools to just insert students into the curriculum.
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Old 02-20-2010, 09:20 AM  #6
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I see your point!

Son could stop his program with a B.S. degree in P.A. studies, saving him 13 months. That only gives him one year to squeeze in o chem, physics, and one semester of calc (assuming his stats class could count as a semester), along with his regular classes. An MCAT prep class would be of help, too. It looks like that could take up as much time as a 3 credit class.

Any opinions?
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Old 02-20-2010, 10:30 AM  #7
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NCG's post #2 applies:
Quote:
If he wants to eventually get into med school, he should finish his PA program. Med schools are weary [wary] of taking people who drop out of degree programs.
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Old 02-20-2010, 12:34 PM  #8
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Son should consider staying as a PA for a while in order to minimize debt before attending medical schools. This will also minimize the effect that having a vocational degree will have on his application.
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Old 02-20-2010, 01:55 PM  #9
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Why doesn't he want to be a PA? PA practice offers security, portability and a decent future in today's medical environment.
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Old 02-20-2010, 02:08 PM  #10
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I would rather he become a P.A. for all those reasons, plus the fact that it's half the schooling. His girlfriend's step dad, a physician, told him it's like "Batman and Robin". Do you want to be Robin all of your life? It's kind of interesting, because I guess it's perfectly fine that the girlfriend can be "Robin" all of her life.
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Old 02-20-2010, 02:24 PM  #11
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Just because you don't want to be Robin all of your life doesn't mean you can't be him for a while.
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Old 02-20-2010, 02:58 PM  #12
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Actually, DC Comics right now is running a storyline where the former Robin has moved on to become the new Batman. 
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Old 03-24-2011, 04:50 AM  #13
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There is one new bridge program for PA to MD in the US. Its length is 3 years. Check out LACOM university.They only have 12 seats for now, but I hope that more of these programs will begin to emerge if this one is successful.
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Old 03-24-2011, 01:05 PM  #14
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Do you mean LECOM? It's a PA to DO program that's three years long, but functionally it's the same thing.

LECOM - Lake Erie College of Osteopathic Medicine & School of Pharmacy
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Old 03-25-2011, 06:03 PM  #15
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As a PA student, I would suggest that he at least graduate and work for a while before deciding whether or not to go back for a MD/DO (LECOM is the only bridge program that exists at the moment). Not only would it minimize debt, but it would also give him a chance to feel out the PA realm. Remember, not only would he have to complete the bridge, but would also have to do a residency, so that's at least another 6 years post undergrad as opposed to 13 mos.

It also depends on which area he's interested in practicing - in family medicine/peds, PAs are a lot more like Batman than Robin, to use the analogy from earlier in the thread, and can do much of what MDs do. There are certain specialties where they're utilized more like an extension of the MD (surgical specialties like ortho, for example). It really all depends on your personality type as to what makes you feel comfortable, in my opinion.
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Friday, February 10, 2012

New Cancer Treatment with Electric Fields

Good Article of Dying: Top 5 Regrets of the Dying


http://www.guardian.co.uk/lifeandstyle/2012/feb/01/top-five-regrets-of-the-dying?fb=native&CMP=FBCNETTXT9038


Top five regrets of the dying

A nurse has recorded the most common regrets of the dying, and among the top ones is 'I wish I hadn't worked so hard'. What would your biggest regret be if this was your last day of life?
The top five regrets of the dying
A palliative nurse has recorded the top five regrets of the dying. Photograph: Montgomery Martin/Alamy
There was no mention of more sex or bungee jumps. A palliative nurse who has counselled the dying in their last days has revealed the most common regrets we have at the end of our lives. And among the top, from men in particular, is 'I wish I hadn't worked so hard'.
Bronnie Ware is an Australian nurse who spent several years working in palliative care, caring for patients in the last 12 weeks of their lives. She recorded their dying epiphanies in a blog called Inspiration and Chai, which gathered so much attention that she put her observations into a book called The Top Five Regrets of the Dying.
Ware writes of the phenomenal clarity of vision that people gain at the end of their lives, and how we might learn from their wisdom. "When questioned about any regrets they had or anything they would do differently," she says, "common themes surfaced again and again."
Here are the top five regrets of the dying, as witnessed by Ware:
1. I wish I'd had the courage to live a life true to myself, not the life others expected of me.
"This was the most common regret of all. When people realise that their life is almost over and look back clearly on it, it is easy to see how many dreams have gone unfulfilled. Most people had not honoured even a half of their dreams and had to die knowing that it was due to choices they had made, or not made. Health brings a freedom very few realise, until they no longer have it."
2. I wish I hadn't worked so hard.
"This came from every male patient that I nursed. They missed their children's youth and their partner's companionship. Women also spoke of this regret, but as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence."
3. I wish I'd had the courage to express my feelings.
"Many people suppressed their feelings in order to keep peace with others. As a result, they settled for a mediocre existence and never became who they were truly capable of becoming. Many developed illnesses relating to the bitterness and resentment they carried as a result."
4. I wish I had stayed in touch with my friends.
"Often they would not truly realise the full benefits of old friends until their dying weeks and it was not always possible to track them down. Many had become so caught up in their own lives that they had let golden friendships slip by over the years. There were many deep regrets about not giving friendships the time and effort that they deserved. Everyone misses their friends when they are dying."
5. I wish that I had let myself be happier.
"This is a surprisingly common one. Many did not realise until the end that happiness is a choice. They had stayed stuck in old patterns and habits. The so-called 'comfort' of familiarity overflowed into their emotions, as well as their physical lives. Fear of change had them pretending to others, and to their selves, that they were content, when deep within, they longed to laugh properly and have silliness in their life again."
What's your greatest regret so far, and what will you set out to achieve or change before you die?