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Let it snow...let it snow...let it snow.....

Posted By Sam Dyer, Monday, December 10, 2018

Happy December everyone!

I am writing this on a snow day which means most everything in my area is closed. It is beautiful! The good news is that I get a free day, the bad news is that when I go back to work I will be crazy busy with all the DRFs, back injuries, and multitude of other trauma associated with slippery conditions. I am enjoying the relative peacefulness right now though. It's sometimes difficult to relax and take a minute to enjoy ourselves given the go go go world we live and practice in. It's good to sit back and take a deep breath and just be for awhile. I hope you and yours are doing well and making plans for holiday time off with family and friends. I wish you all a safe and relaxing holiday season and a prosperous new year!

Quick updates:

There is still room for you at our inaugural February meeting in Phoenix. What a respite from the cold months! Register now to get the best rates!!

We've had a great response to the practice and salary survey-thank you for your efforts. Look for the completed report in the near future.

The building of our learning management system (LMS) is well underway. We hope to go live with this early in the new year, stay tuned.

Nashville AV (PAOS in the Music City) recordings are now available on the PAOS website-look under the CME section. If you need some hours before the end of the year, or can't go to a live meeting, this is a great option. Remember, you only have to watch the videos and complete an evaluation, post tests are no longer required!

I again wish you all a safe and happy holiday season.

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Happy Thanksgiving!

Posted By Sam Dyer, Monday, November 19, 2018

Happy Thanksgiving!

For this post, I am copying a write up from our BOD secretary (Karla Frick) on Thanksgiving and what are you thankful for? I hope you take a minute to read it and enjoy the message.

Please don't forget about Arizona in February-we have sold almost half of the seats already!

And make sure to respond to the practice and salary survey when you get the email, it is such an important thing to do for our organization!

I hope you all have a safe holiday and get to spend some quality time with your friends and family!

Here is Karla's write up, enjoy!



What are you Thankful For?


This week we celebrate Thanksgiving and reflect back on what we are thankful for.  Like many of us, we have become so wrapped up in our daily lives that we forget to be thankful.  Patients, supervising physicians, staff, schedulers, spouses/partners, kids, extended family and friends all seem to occupy our daily thoughts and focus. It’s often not easy to remember to take time and be thankful for all that we have and all that we are.  But I’m positive that if we all don’t slow down and stop to just simply give thanks, that time will continue to fly by and at the end, we will have missed our chance to enjoy the simple things and be thankful for it all. 


I challenge each and every one of you to sit down for just a couple minutes this week and be sure to thank all of those who impact every part of your life.  Thank your significant others for being patient when your days run long.  Thank your patients for trusting in you.  Thank your staff for putting up with you, especially on those days when nothing goes right.  Thank your kids for making you smile and laugh. Thank your surrounding family and friends for always supporting you.  Take time to even thank someone you don’t even know.  But mostly take time to be thankful of yourself.


It is a known quality that most physician assistants are selfless.  That we try to please everyone else first.  We make sure that our physicians are always happy, that our patients are treated well and with respect, that our staff is helped and supported, that when something goes wrong, we are the first to take blame (after anesthesia of course)!  It becomes exhausting after a while.  So, please, remember that you are worth being thanked.  That your sacrifice to help others is not forgotten and that you should be proud and thankful for all that you are.  


Here are some quotes that may help you reflect on this time of year.


"Let us be grateful to people who make us happy; they are the charming gardeners who make our souls blossom."--Marcel Proust


"I may not be where I want to be but I'm thankful for not being where I used to be." -Habeeb Akande


"As we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to live by them." -John F. Kennedy


"Acknowledging the good that you already have in your life is the foundation for all abundance." -Eckhart Tolle


"If you want to turn your life around, try thankfulness. It will change your life mightily." -Gerald Good


"Make it a habit to tell people thank you. To express your appreciation, sincerely and without the expectation of anything in return. Truly appreciate those around you, and you'll soon find many others around you. Truly appreciate life, and you'll find that you have more of it." -Ralph Marston


"But Thanksgiving is more than eating, Chuck. You heard what Linus was saying out there. Those pilgrims were thankful for what had happened to them, and we should be thankful, too. We should just be thankful for being together. I think that's what they mean by Thanksgiving, Charlie Brown." - Marcy


And I want to give thanks for our organization (PAOS) and their dedication to try to constantly improve our profession.  Their desire to reach out to the community and give back through CARES.  Their desire to give back to the profession with the Susan Lindahl Scholarship.  To our members who advocate for all other PAs in our profession.  To all my co-workers and board members who are dedicated to make our organization successful.  But mostly I want to give thanks for those who have served before me and paved the way for all physician assistants.  I am blessed to work in a profession that I love and I am so excited for all that is to come in the New Year. 


I hope that you truly have a blessed Thanksgiving week and holiday season and that you are able to reflect on what you are thankful for. 


Please feel free to post what you are thankful for.  We would love to hear your stories!!


Karla Frick, MPAS, PA-C



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Updates-survey, advocacy, meetings

Posted By Sam Dyer, Thursday, November 8, 2018

Hello all.

We have started our 2018 practice and salary survey. PLEASE respond to this and take some time to complete the survey. It is such an important member benefit and the more responses we have the more accurate it represents us in our orthopedic practice. You can take this survey and use it as a bargaining tool for your position, benefits, salary, etc. Please help us with this. It is one of the most important things you can do for your profession and colleagues.

So we are in the initial stages of developing a learning management system (LMS) for PAOS. I am very excited about this (I'm always excited about PAOS activities). With the LMS, we can better distribute cme content and develop new and different ways for you to get your continuing education. We are hoping to have this up and running by the end of the year; stay tuned.

I am also getting more responses about PAOS C.A.R.E.S. If you haven't read about it, it is in a previous blog. I hope you consider helping us out with this advocacy program and truly make a difference.

Don't forget about Arizona! We have already sold over a third of the seats-this is going to sell out, soon!! Please don't procrastinate on this, sign up now! It is going to be beautiful in Phoenix in February.

Please consider getting involved in the forum discussions. We are posting weekly topics here and our BOD would be happy to moderate discussions. We would love to hear your thoughts on current practice patterns, how you treat conditions listed in the forum, tips and pearls. Its all about sharing your knowledge with others to hopefully help make us all better providers.

That's about all I've got for now.

Happy fall!

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Ortho in the West

Posted By Sam Dyer, Tuesday, October 16, 2018

Let me first start by saying thank you to all of those who have renewed your membership. There are so many things going on with the PAOS these days and I am excited you have come back to join us as we move forward.

And finally, by popular demand, we have opened registration for our first annual west coast meeting in Phoenix in February 2019. Details for the meeting are on the main webpage. We have already booked almost 20% of the spots, so if you want to go to this meeting, you need to register NOW! I expect this meeting to sell out quickly, so please do not delay. Word of mouth spreads quickly! As I have said in previous blogs, our membership is growing rapidly. One of the main reasons for our rapid growth is that we offer quality cme geared toward advanced practice providers (APP's) in orthopedics. We are not trying to educate residents in ortho (AAOS). We are not trying to educate primary care providers in basic orthopedics (MSK Galaxy). Our goal is to provide quality continuing education to practicing APPs that you can use in your daily practice. If Arizona in February doesn't work for you, we will have two more opportunities in 2019: Charlotte in May and San Antonio in late August. And don't despair if the timing doesn't work. Each meeting will be recorded and the AV of each speaker and their slides will be offered for your online education. I am so happy to bring you all of these opportunities for quality education and I hope to see you at one of the meetings!

Disclaimer: If you do not register before the course is sold out, we cannot guarantee you a seat. This means unless you have paid your registration fee and have been given a seat at (any of) the meeting(s), you will not be recognized as attending the meeting and will not be granted cme. Further, we are not responsible if you book your travel/lodging without first making sure you are registered for the meeting. YOU NEED TO REGISTER TODAY AND GET YOUR SEAT BEFORE YOU BOOK YOUR TRAVEL!!! I am not making this up. We are selling out of our meetings and when the spots are sold, that is it. We can't squeeze you in (the fire marshals only allow us so many attendees). You must be proactive and book your spot asap! Please don't delay. You won't regret going to our conferences!

Thanks all and thanks again to those who have recently renewed!

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Membership drive

Posted By Sam Dyer, Thursday, September 20, 2018

PAOS has increased membership 20% in the last year after member levels were stagnant for awhile. I am delighted that so many of you are loyal to the PAOS and continually renew your membership. I also welcome those of you new to the profession and orthopedics as a career, we are glad to have you join us. As an organization, our lifeblood is you, our members. This is why it is so important for us to grow our membership base. As our membership grows, it allows us to continue to bring you new and fresh cme content in a variety of channels. It also supports several conferences at different times of the year, varying both in content and geographic locations. My goals are to make PAOS your primary resource for continuing education, and to create a community of like minded colleagues who can share their ideas and experiences as a PA professional in orthopedics. I hope you share this vision with me. As a profession, we have strength in numbers and our unified voice will make a difference.

PAOS has been around for a long time, and over the years we have had many members who for whatever reason let their membership lapse. I think some have changed professions, some have looked for other content providers, but many (I think) just forgot that their membership expired. Life happens. Work happens. Family happens. Many things take center stage and membership in PAOS is the last thing to think about until its time to get CME. I understand this very well. We have thousands of former members-and I think many have just forgotten to renew their membership. To those folks I want to make it easier for you. We have simplified the membership categories-this was long overdue and I apologize for not addressing it sooner. We now offer auto renewal so you don't have to remember if you need to renew-we'll do it for you. For those that want a variety of educational topics, I believe that we now have the resources and cme content to provide you with all your cme and conference needs. For those that are no longer members, I want you to come back to us. There is value in a PAOS membership ranging from discounts on quality conferences, books and audiovisual content, to an exclusive national practice and salary survey that focuses on PAs in orthopedics. The survey alone is worth more than twice what PAOS charges for membership. There are so many things that are available to you as a member, I hope you consider joining us.

We will soon be initiating a membership drive focused on former members. I hope that this will bring more members back and allow us to continue to grow, both as an organization and a community of orthopedic professionals.



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Orthopedic apps

Posted By Sam Dyer, Saturday, July 28, 2018
I've been thinking about ways to provide more value to our members, and had some recent discussions with other board members on this topic. The idea of ortho apps came up as something to possibly include with paid membership. This has been on my to do list, and I had some time this morning to do a little research. I found a website that 'rates' medical apps, and through some of the recommendations on this site I did some searching on the Itunes store. I even downloaded a few freebies and played around with them to see if they might be helpful. In my admittedly small sample size, I didn't really find anything that blew me out of the water (so to speak). Maybe because I like a deal and didn't buy anything, only downloaded those that were free. Also, being a typical ortho/surgery/goal oriented person, I became distracted by something else after about a half hour or so of searching. I think this may be something that we can explore for the future, but right now I need more convincing. Do any of you utilize apps in your practice and/or use for patient education? Do you have any specific recommendations to share with our community?

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Posted By Sam Dyer, Sunday, July 15, 2018
I continue to be so impressed with the interest in Nashville! We have already surpassed last years annual meeting registrations and there is still 7 weeks to go! We have also received AAPA accreditation for the meeting and I am told that we will have 23.5 hours of category 1 cme available. And did I mention it is in the heart of Nashville? Lots of great food, live music, and networking with a nationwide audience. If you haven't already signed up, do it now so you can get the early bird rates! I hope to see you there.

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Posted By Sam Dyer, Sunday, July 15, 2018
I have taught another class! This is so rewarding and fun! I had 8 local CHC providers attend, and they all said that they now feel more confident in giving MSK injections. I can't wait to introduce this in Nashville. We recorded my latest workshop and it is being put together in an AV format as I am typing this. We will use it to promote the project. I have also contacted the Tennessee primary care association (organization that oversees CHCs in Tennessee) in the hopes of teaching local providers on labor day. We are also going to advertise this project to PAOS Nashville attendees: please consider being a PAOS ambassador and teaching workshops to your local CHC and/or RHC providers. There may be more than an altruistic incentive.... I have been in contact with the director of the Office of Minority Affairs (a division of the US Health and Human Services). We will use the aforementioned AV to advertise to their audience on a national level. My plan is to create interest on both sides of the educational model and get this ball rolling!

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PAOS C.A.R.E.S. part 2

Posted By Sam Dyer, Thursday, June 21, 2018

Hello all.

So I wanted to recognize and thank Jason Mckown from Colorado. He recently did an injection workshop for PCPs in rural Nebraska using PAOS injection models and literature. He also taught several Army medics some basic injection techniques-attached are a few photos.

I have a plan to do another workshop in my area next month, I hope you consider being an ambassador for the PAOS and doing a workshop in your area. Just let us know if you're interested and we will get you the information you need.

On a different note, Labor Day week in Nashville is only a couple of months from now. I hope you all pack your cowboy shoes, hats, and sign up for our meeting and fun! We are all excited about this one and we have some excellent speakers lined up for you too! Make sure to take advantage of early bird rates. If you can't make it, please consider another conference next year - we'll have plenty. And don't forget about our AV material if you can't go but want to learn from home.

Thank you all for your support. Without our members, none of this would be possible. Please tell your colleagues and business managers about us. Like us on facebook and follow us on twitter. Use our career center if your looking to make a change. Use our practice and salary survey if you are negotiating your contract. We are now doing routine posts on the forums, please consider getting into the mix with your thoughts and comments.

That's all I've got for now, take care ya'll!

 Attached Thumbnails:

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Posted By Sam Dyer, Monday, May 21, 2018
Updated: Tuesday, May 22, 2018

Hello to everyone and sorry I have been absent from writing for a while. If you haven’t been to our site recently, you will notice a dramatic difference-we have upgraded the site to make it more engaging and user friendly. We hope you like the changes. I am determined to do better in writing blog posts and I hope you find them helpful and entertaining. I also want to write case studies and post them on our forums for group discussion. I encourage you to provide your input on these posts.

So last year I volunteered in a local community health center (CHC) trying to mentor the primary care providers in musculoskeletal exams and injection techniques. The ultimate goal was to improve under served patient access to orthopedic care-referrals to orthopedics sometimes take 2-3 months for something as simple as getting a knee injection. While I was told that my efforts were helpful, I felt that I did not reach as many providers as I wanted due to scheduling issues and lack of a dedicated orthopedic clinic. What I found was that the most beneficial service that I could offer was to teach common injection techniques to the providers. I subsequently decided to offer a free injection workshop for those that wanted to do more.

I (PAOS) purchased six injection models for training. I also authored and designed an injection booklet (sample excerpt below) complete with pictures and tips on injections (pics below). I then hosted (at my practice) a Saturday morning workshop where I had nine of the CHC providers (MDs, PAs and NPs) attend. It took about 2 hours, and I am told by the CHC medical director that it increased their knowledge and skill and many are now offering injections to their patients. I also created a certificate of completion so that they can have proof for their credentialing authority. I have also been in contact with another large CHC in my state and we are working on setting up future workshops.

This lead me to think why not offer this on a national level? The PAOS has routinely donated money to local charities at our annual conferences as an advocacy effort, but I would like to expand our outreach by being advocates for communities. I want to engage our members to be PAOS ambassadors and offer injection workshops for community health clinics and rural health facilities in their communities. So I introduced the idea to the attendees at our Charlotte meeting and had several people interested. In fact, we have a tentative workshop planned for a rural community in Nebraska. I also plan to introduce this at our annual meeting in September where I hope it gains some traction. I even have a name in mind; PAOS C.A.R.E.S. (Community Advocacy and Resources for Educational Service). If any of you who read this are interested in hosting your own workshop, we (PAOS) will provide training materials and reimburse some of your expenses. Just let us know.

Tags:  advocacy  education  injection  outreach  service 

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