Get Comfortable being Uncomfortable as a Pre-Pa

In everything that you do, be it as a student, volunteer or liscensed professional, do it with grace. I have had the opportunity to be each one in my short life and while each role has different responsibilities, I always try to give do my best. While you’re applying to schools, you’ll have to be a volunteer shadowing a PA/MD. Your responsibilities are very limited and the day may seem to drag. It can be tempting to not pay attention to what is going on because your job may seem meniscal to that of the preceptor but it isnt.

Use the time in the clinic/hospital start learning your History & Physical skills. Get comfortable with asking questions, performing physicals and learning how to evaluate the lab results. Some people are not as social as others and struggle with this. It takes a few tries to really know how to direct a question and get the information you need from your patients. I’m still learning how to take a great history and I’ve been doing this for a while. You’ll still go over these skills in school but knowing how to interact with your patient is a skill that takes time. Starting early only gives you a great advantage and gets you out of that awkward few encounters

3 TIPS YOU’LL NEED FOR CASPA 2019

By now as a Pre-PA, you’ve researched all sort of questions and tips to help with the application process of getting into Physician Assistant school. While I hope every advice you’ve come along helps to make your journey a little easier, my most important advice is to trust yourself & your instinct. I read through a lot of posts myself when I was applying and 3 things I gathered, which helped to go the extra mile were my : recommendation letter, personal statement and the selection of school I applied to.

Recommendation letter:
While you will need an average of three letters, & atleast one of them from your supervising PA or MD, make sure they put great effort into writing a letter that reflects you. You do not want a generic letter where they just spout basic adjectives. Tell them to include why they think you’ll make a great PA, why you are ready to begin the journey, what strengths & weaknesses, as well as the capacity have they seen you work in. If you have an opportunity to give them a sample recommendation letter that reflects who you are, do not hesitate to take the chance.

Personal Essay:
This is one place you get to shine aside from your grades. You should write about something that reflects you and not what you think the reader may like/want. Ask other PAs, PA-C or admission faculties at your school to review your work. Write multiple drafts & continue to stay true to your story. Once your gpa gets you through the initial screening process, personal statements can make or break you.

School of choice:
Pick schools that support your best interests. Do you have safe & reach schools within your list? Will you actually want to attend the school? What does their support system in the school look like? What is their passing rate? Research schools close to you and those very far. Do not be afraid to look into schools across the country and if they fit you, apply. Some people only apply to one school while others apply to 20 schools, but I always advice a wide range within your budget ofcourse. Don’t apply to schools that you won’t meet their minimum requirements by the time you submit your application or finish your degree. No one has got money to waste.

If you notice a theme in these tips, it was on purpose. Your application should be a true REFLECTION of who YOU are. Not of an idea of what you think the admins are looking for. They go through thousands of apps yearly and can smell B.S a mile away. You got thisโšกโšก

Good luck with your application and may the odds ever be in your favor.

African Men Don’t Honor Their Family

It is very difficult to surprise me but once in a while, when it happens I hold onto that moment. I hold on to see what clues I missed and how to be better prepared next time. Currently reading Ghana Must Go and while the story is unravelling in a unique timeline, I can’t let a scene go. A scene I wasn’t expecting to happen the way it, and I’m sure the characters weren’t expecting it as well.
A character said he believed that the reason Africa is so “backwards” even with bright men and women is because of the lack of respect for family.

“Fathers dont honor their children or wives”.

When I read this, I was pissed. How could you say such a thing, we care for our family & bad leadership is the main reason the continent seem “backwards” to the rest of the world

But then I truly thought about it. Caring doesnt equate respect. While it doesn’t apply to every or only African men, it’s still the truth. I have seen men of various ethnic backgrounds who can fit the picture of “not respecting their family” but this one felt personal because you’re talking about African men and how their action hinders the progression of the continent.

Why do men work really hard to be successful but take on many wives or keep mistresses and children outside of their marriage? Is it a complex or true lack of respect for women? Do they not think of the effect it has on the children and do you think it has an impact on why Africa is “backwards”?

Book Review: On The Come Up

On The Come Up by Angie Thomas
โคโคโคโค/5
Publisher: Balzer+Bray
Published: 02/05/19
Borrow or Buy: Buy

Synopsis: Sixteen-year-old Bri wants to be one of the greatest rappers of all time. Or at least make it out of her neighborhood one day. As the daughter of an underground rap legend who died before he hit big, Briโ€™s got big shoes to fill. But now that her mom has unexpectedly lost her job, food banks and shutoff notices are as much a part of Briโ€™s life as beats and rhymes. With bills piling up and homelessness staring her family down, Bri no longer just wants to make itโ€”she has to make it -GoodReads

On The Come Up (OTCU) is Angie Thomas follow up to her astonishing debut novel, The Hate U Give. OTCU is a relatable story for many readers, especially black families. To avoid spoilers, I won’t mention all the struggles that Bri and her family experience, but I have experienced similar situations and to have a book show such things makes you feel less alone. We see Bri throughout the book trying to “make it”, so her family can be okay and although she is trying to make it as a rapper, there are young women and men just like her who are trying to make it either as a rapper, basketball player, accountant, stylist, nurse, lawyers or engineer and that is why this book will resonate with a lot of people. The songs included reminded me of when rappers actually stood for something and it felt like an ode.

Many readers have compared OTCU to T.H.U.G and I believe that’s not fair. T.H.U.G was a completely different story while OTCU pays homage to Angie Thomas love for rapping, the black culture and day to day struggle of an average black family. Both books has a strong plotline and shows that Thomas isnt afraid to speak her mind on concerning matters.

Bri was a character was lively and although her decision making skills needed more work, it added to the overall coming of age story line. There were alot of likeable characters that different people will relate to.

A great read and looking forward to her next release !
Leave a comment if you’re going to read or what you think of the book!


Happy Book Day!!

OB-GYN, Ophthalmology & Internal Medicine

Since my General Surgery rotation, I have completed OB-GYN, Ophthalmology and Internal Medicine as well. Each one was unique in its own right.

OBGYN : I enjoyed this rotation much more than I originally thought I would. It allowed me to get ALOT of hands on experience. I completed history and physical, breast exam, vaginal exam, pap smears, ultrasound, D&C, assisted during labor, on hysterectomies and much more. Although it was beautiful to assist on births, I realized that I loved the GYN aspect than the obstetrics. I can see myself as a GYN PA which is something I never thought I’d say.

Ophthalmology: This was an elective that I chose after I couldn’t get my first few choices and it rocked! I didn’t realize the amount of people who came into the clinic for acute and chronic eye problems. I got to work with some of the best residents and attending’s who taught my classmate and I the ropes. I worked on minor procedures such as removing a pterygium, cyst, complete full work on patients, learn to use the tonometry and much more. Ophthalmology was different from other specialty because you’re not doing a physical on the whole body, so I had to learn the anatomy of the eyes all over again, which parts to focus on depending on the complain of the patient and what sort of treatment to prescribe. It was a great experience that I will always carry with me.

Internal Medicine: My first rotation of the year and I’m glad it is over. I honestly felt like this rotation went on forever because it wasn’t my favorite one. I had a great team but IM was too slow for me. There wasn’t any “hands on” work which made it hard for me to like it. I enjoy doing something with my hands, which is why I like surgery. There are only so much venipuncture you can do until you’re over it. I did learned that you must advocate effectively for your patient while on this rotation. I had to speak up regarding the treatment plans for some of my patients and I had an attending who listened to us. Always keep your patient needs a top priority.

Take away points :

  1. Ask questions. If youโ€™re not sure of a lab value, vitals, status or information, donโ€™t make it up to look good for that moment. Just say, โ€œIdk, but Iโ€™ll check & get back to youโ€. It shows that youโ€™re taking responsibility and not placing a patientโ€™s health in jeopardy.
  2. Introduce yourself. Never walk into the delivery room without prior introduction of yourself. I have seen some students walk into the room and proceed to assist with deliveries without any introduction. It is simply rude and unprofessional.
  3. It is more than okay to quote Uptodate. Everyone uses Uptodate because that is one of the fastest and easiest ways to cross reference your treatment plan. Don’t be embarrassed.
  4. Use your down time wisely. IM had a lot of downtime and I used those moments to study. I brought my PPP and laptop to clinical so I never have an excuse for not working. I would ask the team if they needed help and when they don’t, I’ll study
  5. Be open. I didn’t think I’d enjoy my elective but I did. Just remember that each experience has some value and it is teaching you to know what type of PA you’d like to be.
  6. Plan ahead. Look up the direction to your rotation site and plan for any mishap. Pack your lunch ahead, have a snack in you pocket, dress warm for the winter hours because you don’t want to be tardy or get sick

How did I PASS my EORs??

  1. I prayed ALOT to God.
  2. I printed out the topic list from PAEA (our school uses their EOR exams).
  3. Read Pance Prep Pearlโ€™s according to the topics needed. PPP went everywhere with me, literally.
  4. Blueprint OBGYN and First Aid OBGYN textbooks
  5. StepUp to Medicine for IM
  6. OnlineMedEd videos for an โ€œin lectureโ€ recap & took notes.
  7. Rosh Review and Smarty Pance for questions. I also used Rosh boost EOR exam for OBGYN & IM.

Any questions, comment, e-mail and check out my Instagram for frequent updates.

My First Rotation : General Surgery

When I found out I had Surgery as my first rotation, I was nervous. I heard horror stories about surgery, how tough and terrible some of the team members were. But, I was also excited because I have an interest in it. In my mind, it was either going to solidify if I can be a surgical PA or scrap that idea entirely.

Thankfully, I loved my time in General Surgery. I loved the types of surgeries we did, the patient care and how the team worked together. I got to work autonomously for majority of the time by taking H&P, writing my notes, presenting to the Residents or the Attending. I also was 2nd assist in all the surgeries I scrubbed in on ( the lovely job of retracting, suctioning, guiding the scope at times, and closing) because the Interns were the 1st.

I got feedback from various people such as how well I did with my h&p, patient/provider interaction, overall professionalism as well as things to work on (i.e- how to work on my notes, suturing, knot tying, and other placed I can improve upon).

Take away points :

  1. If you dont know it, dont say that you do. If you’re not sure of a lab value, vitals, status or information, don’t make it up to look good for that moment. Just say, “idk, but I’ll check & get back to you”. It shows that you’re taking responsibility and not placing a patient’s health in jeopardy.
  2. Read about the usual Gen Surgeries.ย I only got pimped ( when MDs ask you questions about medication, anatomy, physiology, etc on the SPOT, mostly likely in the OR while retracting lol) a handful of times and only once was it embarrassing. I advise reading your basic blood vessels of the GI tract, anatomy of the GI, and any interesting case coming, read about it!
  3. Be attuned to your surroundings. Pay attention to the discussions happening around you because it looks bad if someone ask you for an update on a patient on your team and you don’t know what is going on. The team is constantly busy, moving at a fast speed that it can be overwhelming the first few days, but if you just ask what can be done to ease their workload, it will help you find your footing much better and faster.
  4. Follow up on your patients. You’re usually assigned one or two patients to follow. Round on them before your AM round, complete pertinent physical exam, ask the patient of they understand the plans and monitor them throughout the day. As students, we get more face time with the patients than the team does.
  5. Work with everyone on the floor. Get the nurses to teach you how to draw blood if you dont know how or not comfortable. Help out the nurses whenever you can. Anyone need a specimens sent to the lab? Volunteer. They’re are doing wound care rounds? Go ahead and offer to assist. You’ll learn from not only the immediate providers but from the axillary team as well.
  6. Feedbacks are important. To have someone who tells you how you’re doing & where you can improve will help you as you round out your time with the team. So, ask the Residents or anyone you’re working closely with about how you’re doing if no one has by your 4th week.
  7. Study while on rotation.ย You’ll have some down time where you can whip out your tablet, notes, or phone and get some questions or videos in before your next case. You can also work on your writeups so it doesn’t pile up for later. Use your time efficiently.
  8. Perfect your craft. Practice how to tie your knots and sutures. Perfect your history taking and your physicals. Volunteer a lot. You learn by doing.
  9. Take care of yourself. You’re going to be up before dawn (I was usually up by 4:30am because my site was very close. Imagine if it was further??). Sleep early, keep snacks on you for busy days. Plan accordingly. Set aside time to study, even if it’s just an hour a day and time to have fun.ย Go out with friends and decompress with loved ones, because it can get overwhelming very fast!

How did I PASS my EOR??

  1. I prayed ALOT to God.
  2. I printed out the topic list from PAEA (our school uses their EOR exams).
  3. Read Pance Prep Pearl’s according to the topics needed. PPP went everywhere with me, literally.
  4. OnlineMedEd videos for an “in lecture” recap & took notes.
  5. Rosh Review and Smarty Pance for questions.

I can honestly say I had a great time in Surgery, which was not what I expected. I complained about my early mornings, but I learned alot in such a short time, often looked forward to the procedures. I am looking forward to the remaining 9 rotations, so wish me luck and watch this space!!

Any questions, comment, e-mail and check out my Instagram for frequent updates.

Book Review : The Hating Game

The Hating Game by Sally Thorne
Rated โคโคโคโค/5
Publisher: Harper Collins
Published: 08/09/16
Buy or Borrow: Buy

Lucy Hutton and Joshua Templeman hate each other. Both are Co Executive Assistant to a publishing company Co Ceo and now must complete for a promotion. Lucy cannot understand Joshua’s joyless uptight attitude and he is baffled with her bright and always helpful attitude. As they both continue to play their games, they realize there is something building between them, but is that another game they’re playing? And who will come out victorious?

Looking for a cute, fast and easy to read RomCom? The Hating Game delivers. I enjoyed the banter between Lucy and Joshua, the games were fun to read through and interesting to see how they both soften towards each other.

I liked how it took placed within a publishing company, I’m a sucker for character who love and breathe books. The tension between Josh and Lucy was funny and felt very real as I read it. Their relationship evolved gradually and with the usual bumps and glides that an authentic one usually has. Love them.

Lucy was a semi-likeable character. I found her somewhat annoying in some scenes but she grew on me towards the end of the book as she became more assured of herself. Love a great character ARC. Makes the book feel more real and true.

Overall, The Hating Game was a sweet read and great debut for the author!

You can buy or Borrow, but totally recommend of you’re in the mood for a light read.

With Love, ๐Ÿ’›๐Ÿ’›