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AWESOME CME course May 17-19, 2019

Posted By Sam Dyer, 2 hours ago

This is a reminder to all of you who deal with orthopedic injuries and trauma on a routine basis-we will be hosting a long weekend conference in Charlotte in a few weeks. We already have over 200 attendees signed up but there is still room for a few more. Don't delay, sign up soon while there is still space available! This is going to be a great conference! You can find more information and view the brochure on PAOS.org under cme. I hope to see you there.

I am happy to say that thanks to the efforts of Krista Bartlett, we have reached out to every PA school nationwide to inform them of our offerings. As a result, we have the largest number of student members, EVER! We also have OVER 60 applicants for this years SLM scholarships, another record! I am very proud of these accomplishments, and look forward to congratulating the scholarship winners. Good luck to all of you who have entered!

Regarding our LMS: I have to apologize. I feel like I have let you down and I hate this! We were supposed to have this system online and functioning weeks ago, but there has been one issue after another and it is still not ready. I am hoping to roll this out by next month.... For all of the attendees who are awaiting the SA from Arizona, I apologize to you. We want to have this content in the LMS so that we do not have two separate systems to keep track of. I ask for your patience and we will get it to you asap!

Apparently setting up a LMS is not only a problem for us, but the AAPA as well! We have been working with the educational team at the AAPA since last fall to get our Nashville AV online for non PAOS members. Here (click on the word Here) is the link to the Nashville AV in the CME catalog on the AAPA website.This is the first of our offerings in our collaboration with the AAPA. I am hoping this increases our exposure as an organization and gets our quality ortho cme out to a larger audience.

The ballots are now closed for 2019 PAOS BOD elections. Good luck to all of you who submitted an entry for the respective positions available in this years elections.

If you can't make it to Charlotte this year and have room for one meeting, please keep in mind our annual meeting in San Antonio this August. This will not only be a great conference with lots of skills labs on site, but also we are working on a cadaver wet lab! We don't have these often but it is an awesome benefit! Also, the JW Hill Marriott resort and spa is a great destination for families. For you golfers, the PGA tour stops here at one of the two championship level courses on property (The Valero Texas open). Best of all, you can get two things for the price of one; a great conference and a fun family vacation! Nothing like floating down the lazy river in an inner tube with a pinkie droo in your hand! And I didn't even mention the Alamo and the river walk!

I hope you are having a good spring and thanks for your membership! Until next month...


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Texas PA practice update, please respond-link included

Posted By Sam Dyer, Thursday, March 21, 2019

TAPA posted the following information on their website regarding the proposed rule change listed in my last blog post: As of this writing, I do not know if there has been a vote to adopt the proposal by the Texas MB. If you have not responded, please (respectfully) voice your concerns by sending a message to the link listed below in this paste from the TAPA website.

UPDATE!!!

We have learned that the Texas Medical Board will be postponing the adoption of rule 193.21 until at least the late Spring or early Summer.

This rule would have removed the ability for a physician to delegate the reading, interpretation and diagnosis of medical conditions based on radiologic studies- thereby making a significantly negative impact on the practice of PAs across the state.

There will be a stakeholder meeting later this Spring regarding this rule, and you can be assured that TAPA will be present to make sure PA practice is protected.

Thank you to everyone who has contacted the Texas Medical Board about this rule so far! You can continue to contact them at the address they have provided- rules.development@tmb.state.tx.us.

We’ll continue to monitor this situation closely, and will provide more information as it becomes available.

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The Texas Medical Board proposed rule would cripple orthopedic PA practice in Texas

Posted By Sam Dyer, Saturday, February 23, 2019
Updated: Saturday, February 23, 2019

I am writing this today to post a letter written by Ben Kocher, PAOS vice president, to the Texas Medical Board. Our orthopedic colleagues in Texas are being faced with a rule change that would significantly impact their ability to practice. Please take time to read about it on the TAPA site and respectfully respond to the TMB with your comments and concerns.

 

 

From the Physician Assistants in Orthopaedic Surgery (PAOS) Board of Directors:

 

It has come to our attention that the Texas Medical Board (TMB) has proposed a rule change regarding Physician Assistant (PA) practice that we believe would be significantly detrimental to PAs in the state of Texas, especially to our orthopaedic colleagues.  As the primary constituent organization for PAs in Orthopaedic Surgery within the American Academy of Physician Assistants (AAPA), representing over  2,000 specialty-practice PAs nationwide, the organization opposes TAC 193.21(d) and supports the Texas Academy of Physician Assistants (TAPA) position on the rule. 

 

Texas Occupational Code 204 requirements for PA scope of practice are reliant on radiologic procedures to perform diagnosis, develop treatment plans, oversee progression of care, and determine treatment efficacy and endpoints.  These processes are extensively required to practice orthopaedic care and practiced daily by PAs throughout the United States and in Texas.  Patients currently treated for fracture management or palliative joint therapies would be delayed from appropriate care if orthopaedic surgeons were required to supervise at bedside for every reduction or injection. Further, NCCPA-derived PA student curriculum requires initial radiologic didactic and clinical training under physician supervision prior to graduation and certification. AAPA and the American Society of Radiologic Technologists (ASRT) further identify a framework for training in ionizing radiation/fluoroscopy that has been published since 2009. Intentionally broad or vague language contained within Texas Administrative Code for radiologic procedures performed by physician assistants contributes to this continuum of misunderstanding. Texas Occupation Code Section 601.056 regarding Medical Radiologic Technologists incorporates licensed physician assistant authority for performance of radiologic procedures, including those deemed dangerous or hazardous. The key component to updated language is the need to act inherent as a privileged provider that interim evaluation of radiologic imaging provides. Delaying care for the final/formal read by a qualified physician in all cases is not in the best interests of injured patients seen by PAs working in orthopaedic services.  

 

PAOS is unaware of any evidence that reading or interpreting radiologic studies in the delivery of care by a PA, while working within practice agreement and granted organizational privileges, is harmful to patients.  Across the U.S., PAs in Orthopaedic Surgery rely heavily on ordering and interpreting radiologic modalities to provide comprehensive musculoskeletal healthcare, as well as emergent stabilization of musculoskeletal injuries.  Restricting the ability of PAs to leverage and interpret radiologic modalities may prevent stabilizing treatment of musculoskeletal injuries and could lead to harmful outcomes.  These roles are imperative in rendering life and limb saving measures to musculoskeletal injuries and conditions.      

 

PAOS stands with TAPA in its request to reject Rule 193.21(d) of the Texas Administrative Code.  Rejecting this code ensures that PAs are able to order and interpret radiologic studies during management of musculoskeletal injuries and conditions.  It furthermore prevents disruption of treatment and prevents potential endangerment of the patients they PAs serve.

 

Comments and questions for this email may be directed to Benjamin K. Kocher, Vice President, PAOS and can be reached via phone at (443) 910-4489 or by email at bkkocher@gmail.

 

 

Sincerely,

 

 Board of Directors

 

 

Physician Assistants in Orthopaedic Surgery, Inc.

PO Box 10781

Glendale, AZ 85318

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Membership milestone

Posted By Sam Dyer, Thursday, January 24, 2019

2019 already? Well I guess I should say that at the beginning of the month as January is going by so fast. It seems the older I get, the faster the times rolls by, the more gray shows up, the more I look forward to the weekend...

But those are subjects for another time. The main subject of this post is membership. I am proud to inform you that we have reached a significant milestone and one that I have been looking forward to for some time. We are over 2000 active members strong! I am so happy about this and I want to thank each and every one of you for your loyalty and belief in PAOS and helping to support our mission.

Last fall in Nashville it was my privilege to meet the founder of the PAOS, Joe Lindahl. For those that don't know, our student scholarships are named after his wife, Susan. When I first saw him walking down the registration hall, he had a look of incredulity on his face, checking out all of the displays, reading the research papers, and taking in the size of the audience in the main lecture hall. Later, when I had a chance to meet and talk with him, he kept telling me how incredible it was-the growth of our organization. It is pretty impressive when you think of it. Imagine a handful of orthopedic PAs who wanted to form a dedicated constituent organization so many years ago and comparing it to where we are now.

Anyway, I want to thank you all for supporting us. We couldn't be where we are and doing what we are doing without you!

Our student membership segment is also growing well, and that is an awesome thing! I have to mention one of our BOD here, as she has been working diligently at contacting PA programs across the nation to let them know about us and our scholarships. Krista Bartlett, our SW regional director deserves the credit for this. Thank you Krista. This has been something I have wanted to do since being elected. I want to engage students who are interested in orthopedics before graduation so they know about us and our offerings. This is where the future of our profession/organization lies and is why we need to cultivate a relationship in the early stages. We are working on student BOD positions and should have these going soon.

Other updates:

Conferences: In addition to the member update of 2019 members for 2019 (seriously, that was the count a few minutes ago), we are sold out for Arizona. Way to go everyone involved! Charlotte is also going to be a great meeting - orthopedic trauma  for general orthopedics. Registration for that will open the first of February, so make sure you sign up as we expect it to sell out-that has been the ongoing theme for the last several meetings. We will be in a different hotel than the last couple of years in a more lively area in Charlotte. It will be a great meeting! And I am told that the speaker lineup for San Antonio this fall is already taking shape. Can't wait to revisit the river walk. And the floating river, floating on a tube with a pina colada in hand. And championship level golf courses right outside the hotel...paradise! Plan your trip now and bring the family for a nice vacation-its a great way to get your cme and relax at the same time! Whatever meeting works for your schedule, make your plans now to come get some quality cme that is way more relevant  to your practice than anything else out there. And that is not just blowing smoke, it is the truth! I think that's another reason why our membership is growing so well.

LMS: We are plugging along with this. I am hoping to have it up and running in the next couple of weeks. I know I have been talking about this for awhile, but it is going to be a nice benefit for you once we get it going. Not only will there be a more user friendly way to do your online cme, we are also going to develop a library of 'old' AV recordings. You won't be able to use these for category 1, but they will count as category 2. And only PAOS members will be able to access this. For those who ask "what else do you get for being a member"? How about unlimited access to all of our 'expired' AV recordings for reference and category 2? Now that is another reason to sign up!

Salary survey: The annual practice and salary survey is now online for members. Check it out to see where you compare to colleagues across the nation, your region, or even your state. Thank you to all who participated in this survey, you make it more meaningful to all of us.

I could go on, but that is enough for now. You all take care and stay warm-spring is just around the corner!

Sam Dyer, PA-C, MHS

President PAOS

 

 

 

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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

Secretary

 

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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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