In Practice: Reflections from NPs and PAs

May 31st, 2017

Curing the Toxic Culture: First, Honor Thy Patient

Harrison Reed, PA-C

In March I wrote a blog post for In Practice that detailed some of the devastating effects of a toxic workplace culture. It’s worth a read, but the main points are easily summarized: abusive environments in medicine affect nearly every aspect of professional performance and hurt both businesses and patients. They lead to lower productivity, […]

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May 18th, 2017

Changing Health Care — Reflections from Across the Pond

Megan Tetlow, PA-C

I’m an American physician assistant living and working for the government-funded National Health Service (NHS) in the U.K. I also write for this blog about the differences between the U.S. and U.K. health systems. I have thus far been moderately successful at avoiding political discussions in the public sphere. But the recent passage of the […]

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May 11th, 2017

Leaving Against Medical Advice (AMA): A Clinician’s Dilemma

Alexandra Godfrey, BSc PT, MS PA-C

“You’ll have to sign out against medical advice (AMA) . Your blood pressure is high.” The ER physician stood in the doorway of my room. “What difference would it make now?” I asked. The doctor fiddled with the cuffs of his white coat, then glanced at his cell phone. I picked up my car keys. “High […]

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May 5th, 2017

Deep Brain Stimulation Targeting in Neurosurgery, Part III of III

Bianca Belcher, MPH, PA-C

This is the final part of a three-part series on deep brain stimulation (DBS) targeting designed for providers who lack an intimate level of knowledge and/or experience with this subject matter. In Part I, I discussed the ventralis intermedius (Vim) target as well as an overview of DBS, equipment, and programming, and Part II covered the […]

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