I have provided a list of classes and diagnoses I made as a second year PA STUDENT. It has been a wonderful experience. And please remember, I have seen many clinicians who were great in Chem and Calc stink when they have to do CPR for 45 minutes, then the patient dies - so much for the sprains and sore throats comments (although strep can infect the kidneys and knees - name someone who told you that before?)
My goal as a student was to become a PA not an MD. Many good students (some IVY league) failed out of PA school. We lost 4 students our first semester and gained 6 from the class before. The standards are not easier than other medical programs (40 out of 500 were accepted to our program) We have up to 9 full classes a semester - while starting rotations within the first 5 months.
I have made many clinical calls as a student that other clinicians have missed. Some have been life saving. We all work together for the benefit of the patient. The MD's and PA preceptors have been wonderful.
Our classes are taught by PA's and MD's. The PA profession started in the military when field medics/surgeons who were not m.d.'s returned home with skill surpassing that of a usual medical professional.
Last week I worked in neurosurgery clipping the spinous process from a pt. who needed a laminectomy. Scroll down to see the procedures I have done.
Advanced Clinical Skills
Applied Therapeutics I (PAST-610-01)
Applied Therapeutics II (PAST-640-01)
Cardiovascular Diseases (PAST-601-01)
Clinical Diagnostic Procedures 550.01-550.03 Lab
Clinical Diagnostic Procedures 550.02
Clinical Nutrition (PAST-624-01)
Clinical Problem Solving I (PAST-605-02)
Clinical Problem Solving II (PAST-635-04)
Diagnostic Imaging (PAST-650-01)
Gastrointestinal Diseases (PAST-631-01)
Intro to Clinical Practice I (PAST-615-01)
Intro to Clinical Practice II (PAST-641-01)
Obstetrics and Gynecology (PAST-620-01)
Public Health and Comm Med
Pulmonary&Infectious Diseases (PAST-602-01)
Renal/Genitourinary Diseases (PAST-632-01)
The worst diagnosis is the one you do not know about or make- so it is very challenging.
O.R. / E.R. Procedures:
Proximal humeral arthroplasty
Sphincterotomy + fissurectomy
Incision and drainage of cyst
Suturing - both hand and instrument ties
Colostomy takedown (no more bag for the pt!)
Indirect inguinal hernia repair
Umbilical hernia repair
Injections, I.M., I.V.
Emesis secondary to concussion - missed by all but me on physical exam. Pt did not know about massive hematoma on back of skull
Ludwig's angina! my best call to date
Simple arrythmias by diagnosed by pulse, verified by 12 lead EKG
Various murmurs mostly 2/6 systolic
Brain cancer... glioblastoma multiforme (pt was romberg + on physical exam - a lost skill)
Non ST elevation MI (heart attack w/o EKG findings)
Cardiac Ischemia (obese female NIDDM, presenting in church to me with emesis and vague numbness - heart attack until proven otherwise). Family was happy!
Chronic Venous Insufficiency - easy pick-up, hard to treat