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Top tags: advocacy  education  injection  outreach  Salter IV  service 

NASHVILLE!!!

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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PAOS C.A.R.E.S. III

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!

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PAOS C.A.R.E.S.

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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Where is my 401k?

Posted By Sam Dyer, Tuesday, October 31, 2017

I don't know about you, but one thing I follow closely is my benefit package and money. I don't mind getting an extra Saturday, or requirement to change scrub colors, or a new EHR system, or a new law regarding opiate prescription regulations. These types of things are just par for the course and part of our jobs, you just have to roll with it. But when someone starts talking about changes to my benefits or compensation package, I bristle. If you follow the news, you know that congress has been batting around the idea of limiting the amount you can contribute to your 401k as part of a tax restructuring plan, and possibly substituting Roth IRAs in its place. This would be exceedingly painful for me personally. I think it is just bad policy. I have this number in mind, and if the 401k deduction goes away, well, that number changes. What can we do about this? I'm not sure how much influence we as PAOS members would have, but I do plan to contact the AAPA to see what their stance is and if they can advocate for this not to happen.

This discussion provides a segue into another issue. I would like to talk about retirement issues at some point. There are many of us who have more working years behind us than in front, and I think it a worthwhile topic to discuss. Do any of you have any thoughts on the matter? I think I will start a forum on it. What topics would you like to discuss? I think financing retirement, long term care insurance, social security and others are all relevant issues. What do you think?

 

 

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Opiod epidemic

Posted By Sam Dyer, Wednesday, October 18, 2017

According to the Department of Health and Human Services, opiod use and abuse is a significant public health concern (click here). As of this writing, representative Tom Marino has withdrawn his nomination to lead the White House Office of National Drug Policy (IE drug czar) over a potential conflict of interest (click here). An interesting story on CBS 60 minutes aired last Sunday which fueled this event.

On a more personal level, my state legislature is rolling out legislation regulating the prescription of opiods. The highlights of the legislation include limits on prescription quantity (5 days for acute pain and 7 days for post op), mandatory search of the patient's previous 12 month prescription profile on the state website by prescriber or delegate prior to prescribing opiates (also mandatory reporting of the prescriptions by pharmacies to the state with potential for audits of both prescriber and pharmacies-legal ramifications if non compliant), documented PA/NP consulting with MD if pain clinic role on prescriptions for > 30 days, and eventual mandatory E-prescribing of all scheduled substances. My state also requires that at least two hours of category 1 CME per cycle be in opiate prescription practices.

How is your state responding to the 'opiod epidemic'? Do you feel that increased regulation is a necessary way to control the problem or is it creating a further burden on your ability to practice (or both)? Many states offer free prescription cme through their medical boards; the PAOS will continue to offer it as part of our conferences to help you with this requirement. I would advise you to check with your state medical board for updates as this will probably affect us all at some point.

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PA day/week

Posted By Sam Dyer, Friday, October 6, 2017

Happy PA day/week to all of you!

As our way of saying thank you, please check out the free video on our main page that you can use for category 2 cme, compliments of the PAOS. Thank you for all you do!

I hope you have a great day/week!

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PAOS annual survey

Posted By Sam Dyer, Tuesday, October 3, 2017
I love the fall! It is my favorite time of the year (all except for leaf management--which I don't really mind). Halloween, Thanksgiving, Christmas, New Years, all are right around the corner...I hope you are looking forward to these times with family and friends as much as I am. Before we get to those dates, I need your help. Please take 10 minutes to complete our annual survey when it is sent to you in the next couple of weeks. This is such an important benefit to PAOS membership. It gives you objective evidence to use for salary negotiation, benefits packages and a comparison of financial and practice patterns of your colleagues. New this year, we will be able to customize the data per state (will continue to have regional and national data as well). Please take the time to do the survey when it comes to you. Thanks for your help.

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Salter IV fracture

Posted By Sam Dyer, Thursday, August 31, 2017
So working in a walk in ortho urgent care, I see all sorts of general orthopedic conditions. I never knew there were so many nursemaids elbows until I started it. You can imagine the LBP, the knee OA, the ankle sprains, etc. But every so often I get something I don't see very often. This is a Salter IV fracture of the middle phalanx. The kid was playing football and the ball impacted his finger awkwardly. Given the skeletal immaturity, will be treating this conservatively with a splint for a couple of weeks followed by buddy taping and early ROM.

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Fun in Baltimore

Posted By Sam Dyer, Monday, August 28, 2017

Welcome home Baltimore attendees!

I'm taking a day off from my clinic job to catch up on emails and other tasks. I hope you all had safe travels and are back with family and friends. My thoughts and prayers to our colleagues in Texas; I hope that you all weren't affected by Harvey and if you were, I wish you a speedy return to normal.

PAOS sent all attendees a post conference survey, please complete it so we can have more information on how to improve our future meetings.

What did you like best about the meeting? I was quite impressed by the first ever poster presentations. Kudos to all of you who entered a project! Well done! I hope that we can expand this effort next year. We are also planning on student papers/presentations linked to the scholarships. If you know of a deserving student, please direct them to our scholarship page.

Also please utilize the forum section we have created. i would like to increase our member engagement.

Thanks to you all who made Baltimore a success.

Sam

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