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Book Review – “An Applicant’s Guide to Physician Assistant School and Practice 2nd Ed.” by Erin Sherer, PA-C

May 17, 2012 in Clinical PAs, Current PAs, PA Pals, PA Students, Prospective PAs

If you’re looking for advice on a subject, you know the best source to ask is someone who has personal experience on the topic. In this case, our topic is not only how do I get into physician assistant school? But also how do I become a successful PA satisfied with my career?

Once a prospective PA, now a practicing PA and educator, Erin Sherer, PA-C is just the person to turn to. Her book: An Applicant’s Guide to Physician Assistant School and Practice 2nd ed. is a valuable resource for prospective PAs, student PAs, and practicing PAs alike.

What I really liked about this book was her easy to read, down-to-earth writing style.  While reading, I kept envisioning the author as a big sister who I could keep in my pocket or as a best friend who shared with me all the nitty-gritty about how it really is in the PA world: the things to avoid, the things to deal with, the great opportunities to take advantage of, etc. Because her advice is directed to people in the different stages of their PA journey (prospective PAs, students, new grads, practicing clinicians) I will format my review to match. Refer to the portion(s) that is/are relevant to you or that you are curious about. I think that you too will concur that that there is something for everybody!

Prospective Physician Assistants

I have to compliment Sherer on her skill to explain what a Physician Assistant is and how the PA differs from other care providers. If you had uncertainties about what a PA is or what they do, I am sure her explanation will answer most, if not all, of your questions. This will help you set your resolution to become, or not to become, a PA.

Physician Assistant School: Aside from deciding you will pursue the PA profession for your career, you must also decide on which PA school is right for you. According to the author, some of the criteria an applicant should consider are: program reputation, location, cost, type of degree offered, program curriculum, acceptance rates, pre-requisite requirements, and the PANCE pass rate. Sherer explains these different qualities in much greater detail and how these items will pertain to you as a future student. Her advice on evaluating a school is very insightful.

Application: I believe that if you read this book before you begin your application process you will find that there will be few surprises for you. As you know, the biggest hurdle that stands in your way at this time is getting accepted into a PA school. To help you, Sherer lists the statistics of the competition so you can gauge yourself against them. She also shares tips on how to prepare yourself so that your application can make a strong impression.  There are essay examples, advice for your letters of recommendation, and words of caution to the applicant regarding how long it can really take to fill out the CASPA application. (Most, but not all, PA schools have applicants apply through the CASPA website.) She also provides several checklists like the “Pre-PA School Checklist” and “The CASPA Checklist” that are helpful in confirming that you have completed everything as forgetting something could be fatal to your application.

School Interviews: If you have been invited for an interview, Sherer writes about what you can expect, what topics you should be comfortable with, what kind of questions may be asked (including examples of appropriate answers), questions you should ask the interviewers, and many other numerous interview tips.

Current Physician Assistant Students

I love how she titles her portion dedicated to the students- “Surviving PA School” (isn’t that the truth?!). Here are the topics that she covers:

Finances: School is going to be expensive. Provided in the book is information about student loans, PA organizations that offer scholarships, and programs that reimburse or pay for your schooling. Budgeting is also explored and an example of a student budget is listed.

Didactic Phase Pearls: Need ideas to help you pay better attention in class, use your study time more effectively, or find a way to manage your stress? Sherer weighs in on how to do just that and more.

Clinical Phase Pearls: Again this is where the advice of experience proves to be so vital. Some of my favorite Pearls listed describe not only what to prepare for but how to deal with those you will be working with.

New Physician Assistant Graduates

I felt like this portion of the book was the strongest in the amount of valuable information.

PANCE: Sherer lists many resources to turn to when studying for the PANCE exam. As the reader, you will learn what to complete before taking the exam and what you can expect at the testing center. After passing PANCE, Sherer lists what will need to be completed for completing licensure.

Erin Sherer, PA-C

Starting a New Career:  There are so many things to consider when beginning a new career as a PA. What specialty will you practice? What setting will you work in? Are you interested in contract work or per diem? Or would you rather be full time with benefits? Should you do a residency or fellowship? Where do you even begin to find a job? And what qualities should you look for in a supervising physician? All of these questions are answered in detail.

What I thought was very unique and helpful was that the author listed the benefits and cons of different work settings; there was also a questionnaire where your answer would list what environment you may want to consider working in.

Resume: Clear advice on creating cover letters, curriculum vitae, and resumes is appreciated in this section of the book.

Job Interviews: Tailored advice unique to the PA job interview is listed. While you are receiving your interview, Sherer warns that you should be interviewing the job as well: look for certain attributes in the prospective employer. If you do receive a job offer, be sure to go over your contract.

Job Expectations: Hopefully Sherer can calm any anxiety you may have over your new job by informing you about starting salary, how to get over first day jitters, billing, and what to understand about malpractice claims and insurance.

Clinically Practicing Physician Assistants

Finding satisfaction with your career is key to your success, and success is key to finding satisfaction with your career. Each PA’s definition of success will be unique to his or her circumstances, but Sherer describes in detail what one can do to continue to have satisfaction with his or her career. These topics include: continuing education, knowing when to ask for a raise, being able to identify when it is time to move on and acting upon it, learning how to work with difficult co-workers or deal with difficult situations, promoting yourself as a PA, and continuing to build lasting relationships.

Final Thoughts

This book is rich in resources, self-evaluation tools, information, and valuable advice. During my review, I felt inadequate in listing all of the material available as there is so much to write about. I hope I was able to at least give you a taste of the feast of knowledge that Sherer has to offer about the PA profession. If you decide to read :  An Applicant’s Guide to Physician Assistant School and Practice 2nd ed. you will not be disappointed.

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Physician Assistant School Pearl – Focus on the Roots

April 19, 2012 in PA Students, Prospective PAs


There are two major approaches to learning medicine: Content-centered and principle-centered. Knowing the difference is critical. A content-centered approach may allow you to pass your courses. You may even pass the boards, get licensed, find a job, and function just well enough to perform at a basic level and stay employed. However, you will not find much satisfaction in your career, your understanding of medicine will be limited, you will consistently find yourself frustrated, and you will never be able to grow into an outstanding clinician. A principle-centered approach, on the other hand, will provide the foundation you need to truly have a remarkable career, one where you consistently feel stimulated, where you challenge yourself to develop further and further. Consequently, you will stand as a tall, full, flourishing oak of knowledge and ability.

Here’s the difference. A student who is content-centered focuses on the individual leaves of the tree while the student who is principle-centered focuses on the roots. When learning about coronary artery disease the content-centered student pulls out the list of typical symptoms and management options and tries to memorize, whereas the principle-centered student seeks deeper understanding of involved pathophysiology and fundamental pharmacology in order to make sense out of why those symptoms occur, and why we choose certain treatments over others.

When learning about physical examination the content-centered student learns the techniques so she can perform well enough to be checked off the list during her practical exams. The principle-centered student wonders why certain techniques are performed the way they are performed. She asks, “Why do I need to use a bracing finger when using an otoscope?” or “Why is it important to listen to the apex of the heart with the bell of the stethoscope while the patient is in the left lateral decubitus position?” And not only does she ask, she seeks out the answer, even though that practical exam is only going to assess whether she performs the technique correctly, not whether she understands its purpose.

There are two major advantages to choosing a principle-centered approach. The first is that when you make sense out of the material, you retain the information much better. Secondly, when you strive to understand principles, you start to see connections everywhere. Oftentimes the principles underlying one disease process or treatment approach also apply to many others. In other words, focusing on the roots allows your knowledge base to be connected to every leaf of the tree whereas focusing on the individual leaves supplies no such connection. That student who sought to understand principles during her physical examination course will learn much more once she begins her study of cardiology.

Always ask “why?” Make sure you attach meaning to everything you learn. To the extent possible, master as much physiology, pathophysiology, anatomy, basic pharmacology, and laboratory medicine possible. These are the roots. Nourish them. Before you know it, you will be enjoying the fruits of your labors.

Becoming familiar with PANTS… i mean, PANCE!

January 17, 2011 in PA Students, Prospective PAs

I remember hearing about the PANCE for the first time, and being so confused; how does clothing relate to becoming a physician assistant?

Then I learned…they were saying PANCE, not pants. The PANCE stands for the physician assistant national certifying exam. All practicing PAs have to pass the PANCE before adding the “C” to their credentials and before practicing. This ”C” indicates they are certified.

Being a first year PA student, it is easy to dismiss the PANCE- it is at least a year and a half until I can take it, after all, right? Though it is a ways off, I do recommend… THERE’S MORE! Read the rest of this post for FREE! Register for a FREE account by clicking here. If you already have an account, log in by clicking here.

Brain Food

August 9, 2010 in PA Students, Prospective PAs

This mini-post may definitely seem very silly but I think it could be a good reminder for those of us who get really into studying or whatever we are doing and forget it is mealtime!!

After innocently forgetting to eat lunch before our 2:30pm Pediatrics’ exam my stomach angrily reminded me about halfway into the test that I had forgotten something very important to it. Not only was my stomach churning but also my brain was craving glucose so my concentration and problem-solving skills were not as sharp and quick as they normally would have been.

The test went fine but I think you will always perform your best if you remember to eat at least a granola bar and drink enough water (or Mountain Dew for those lovers =) before your exams! It can be easy sometimes to become completely absorbed into a subject that you are studying, or in some cases maybe you feel like you “need” just those 5 extra minutes to squeeze a few last facts in.

Some ideas to help make this easier: Kidnap another PA student in the library and take a break from studying. Chances are they will be ready for a break too and be happy to take a walk to the cafeteria with you for some brain food! Also keeping easy snack food in your locker or backpack is always a great idea. Lastly, many students bring water bottles into the exam room to sip during an exam which I think helps keep you awake![free]

Bottomless Jar Needed for Physician Assistant School

May 10, 2010 in PA Students, Prospective PAs

Physician Assistant ED Image - Bottomless JarMy eight year-old niece asked, “If you had a bottomless jar, what would you fill it with?” What a great question. Wouldn’t it be great to go to the store, pick out a jar, and fill it with whatever you want and it would never run out?! My niece said, “I’d fill mine with money.” Of course, she’s trying to save her money in order to buy an American Girl doll. I tapped my nose and pondered this question for half a second before answering with the utmost enthusiasm, “TIME! I want a bottomless jar filled with more time!”

I’ve thought of this question several times throughout the semester. When I didn’t get a chance to study enough for an exam… grrr, I wish I had more time. When I slept in and had to walk 15 minutes to class….ahh! More time! When all I wanted to do was walk the dog, but I had to study… where’s that bottomless jar?!

It wasn’t until mid-terms, right before spring break, that I realized I don’t need a bottomless jar filled with endless time. What I really need is better time management skills. Unlike most undergraduate programs, Physician Assistant students lead second lives. They are mothers, fathers, employees, wives, husbands, caregivers, and … Physician Assistant students go to school and juggle a hundred other responsibilities at the same time. Without effective time management skills, you will end up neglecting some aspect of your life… school or otherwise. It’s a tricky thing managing your time. Here’s some tricks of the trade:

1. Review your notes from the day’s lectures the same evening.

2. Practice your sleep hygiene… get a good night’s sleep!

3. Read things you don’t understand and skim the things you do.

4. Put your alarm clock on the opposite side of the room so you have to get up to snooze it.

5. Make To-Do lists.

6. Set aside time for FUN!!! And enjoy it!

7. Ask for help when you need it.

8. Delete your Facebook account.

 
I think time management is something I will forever be trying to perfect in my life, as I’m a procrastinator at heart. In reality though, time management is so important in creating a balance between school, family, and keeping yourself from going insane!

So I ask you, if you had a bottomless jar, what would you fill it with?