WEBVTT
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Welcome to Joint Effort PAs, where two orthopedic surgery PAs get real about life in medicine.
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From tips and tricks to professional growth, work-life balance, and everything in between.
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We're here to share what we've learned and what we're still figuring out.
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Let's get into it.
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This is great.
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We're back.
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We're back.
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Listen, there is a different spice about this today.
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Yeah.
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It's it's a it's the Friday feels as opposed to the weekend feels.
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I don't know about you.
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Yeah, okay.
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Well, briefly, Beth, your week.
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It was a lot.
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You guys say it every day.
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It's like Jesus Christ.
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Like, it's like the week.
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The week was good.
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I learned something new about myself every single week, right?
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And this week was um, I don't know.
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I I just I'm less of an asshole when I'm stressed out.
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Less of an asshole than you're out.
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I think I think I am.
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So either A, I have reached new levels and I just haven't like gotten to that level recently.
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But um I don't know.
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I feel like the more you run challenging situations, the less challenging they feel.
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Well, yeah, yeah.
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So like you adapt over time, that becomes your more norm.
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I see that.
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Yeah, yeah.
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I was um you're used to such adversity.
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What's the adversity anymore?
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Nothing.
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I will so for today, I had to kind of prep my temp PA for his last day.
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Of course, this was the busiest clinic he had.
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Of course, when I pulled up the names for the clinic, uh, it's a trouble one, trouble one, trouble one.
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And so all week I'm like, I'm not doing this, I'm not doing this.
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So I waited till Thursday, and as we all know, I play soccer Thursday night, right?
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I didn't get home till 11:30.
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So I pop open my computer.
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I sent that email at 12.06 a.m.
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I did it, told him I would do it.
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I did it, but like, what am I doing?
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Not sleeping.
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What am I doing?
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Yeah.
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Yeah.
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I don't know.
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It was, it was uh, it was a fulfilling clinic week, it was a fulfilling surgery week.
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I had, and I've talked about this before, I had a couple MRI discussions where I flipped the patient around during the discussion where they told me there's no way in hell I'm gonna end up having surgery, and they were like, You ain't cutting me open.
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I'd like this date.
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And I'm like, All right.
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Yeah, you're like, wow.
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Yeah.
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No, they were they were uh good.
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I did another one just again.
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This is like this is classic for the week.
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Play phone tag with the patient all week, and then I finally connected with them yesterday, and they say, Yeah, I'd like to come in tomorrow.
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I mean, I you did a really good job explaining.
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I just I really want to see my MRI images in person.
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I really want to do the injection you're talking about.
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I said, All right, well, we can do Friday at like 2 30, right?
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Like, like squeeze it in.
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They're like, What's the latest possible?
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Oh, God.
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I mean, I don't see clinic on Friday, so it's whenever I want to be inconvenienced by a patient.
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So I was like, four.
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She goes, What's the absolute latest?
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I was like, God damn it.
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4 30, you know?
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So I was like, I do it to myself, but I should have said, not an option.
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Tuesday, my friend.
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Tuesday.
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Yeah, yeah.
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Boundaries.
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Nope.
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We don't have those.
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Nope.
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Blew right by those.
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So um, it's okay.
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It was a good week.
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Trained, trained my new PA, said bye to my temp PA.
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Um I don't know.
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It was it was a good week.
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We're doing a lot of stuff right now.
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What about you?
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Good, yeah.
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Lots of cases, lots of good ones, some thumb replacements.
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It was cool.
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Um, just had a fun week.
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Partook of of Beth's tequila this week.
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Beth bought Beth bought us a bottle of tequila.
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Well, yeah, um, Beth and and her husband, yeah, uh, after his elbow surgery, it was the gift to our team that was consumed this week.
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Which side note for a second, we talked about when patients give you gifts, and we decided collectively, even this was like an internal like exchange, tequila's okay.
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Tequila was an excellent gift, yeah.
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That's never not.
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Wednesday morning, we were like, was tequila an excellent gift, we were well writhing in clinic, but um no, it was good.
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Um, we had our team meeting, so lots of lots of fun, exciting things.
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Busy days are or recently switched, or our ASC recently switched to a longer model, longer hours model.
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So they're um they're going until letting our cases run until five o'clock, which is huge.
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It allows us to get a lot more done.
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And every, I don't know, I don't know how you felt about it.
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Every day has felt better to me because I just don't feel as much like we're doing more, but I also don't feel that pressure.
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Um the pressure that when you look at that, it's like 145 and you're like, oh my God, we still have three things left to do.
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Yeah, no, I think it's the expectation too.
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I think the staff understands that if we extend the day till five, as soon as the clock turns two and three, people aren't angry.
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Yeah.
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Like if you haven't started your last case by three, those that thought they'd be on their way home at three get mad.
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Yes, yes.
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So yeah, overall, it was a good week.
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So we want to talk about some current events, semi-current events, but I'm sure you all have seen all the media posts or whatever about this individual who uh pretended to be a PA student at Duke, right?
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Yes.
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She was she was a faux Duke PA student.
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Yes.
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Um this is an in this is an influencer who was posing as a fake PA student from Duke.
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Yeah.
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Now, just so everybody knows, Duke is like the original PA school.
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Yeah, it's a very well-known school.
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This is not like the first year of Duke's program and like, you know, whatever.
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Yeah.
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This is um very well known.
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And for this um very dumb person, uh, posted pictures of her in front of Duke with the white coat on at the hospital, starting my rotations today, you know, had a really hard test today, like made it all up.
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Get ready with me for my rotation.
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Get ready with me.
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Yeah, show what's in my PA bag for school.
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Like, that's literally insane.
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That is.
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Um, so I'd love to tell you like more, but as soon as this um, I guess uh PA students from Duke were like, we have never seen this person.
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What is happening here?
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And kind of she got feedback, the count is gone.
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Yeah.
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I mean, I can pull some pictures, I'm sure you guys all can too.
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Yeah.
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Um, but yeah, it's like so one, it's in North Carolina, right?
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So it's a little bit close to home.
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She has no NCC PA number where she says she is certified.
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So said that.
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Her li or she said that she passed her boards.
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Yeah.
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Yeah.
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She says she's certified in the state of North Carolina.
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Um, she took graduation photos in front of Duke's Chapel, complete with a cap and a master's hood.
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Wow.
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Yeah, which was the wrong color fact check.
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Um, there was a two-hour graduation ceremony on YouTube where every graduate was graduate was called in alphabetical order and her name was never called.
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So I mean, like, it's like ridiculous.
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Um, but anyway, it I mean, impersonating a PA student is one thing.
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Um, doing it when at the number one PA program, like, I don't know, like what's going on mentally with that person?
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Yeah, yeah.
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Like, did you not get in there and therefore this is what you wish you had?
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Is this someone who is not even a PA?
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Like, I like I don't even know.
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Um it's crazy.
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But anyway, it reminded me of PA school time.
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Um yeah, this is a bold statement, but hear me out.
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I don't think that everyone I went to school with has the credentials to be a PA.
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I would agree with that.
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Now, these are people who applied, these are people who went through the academic part, the clinical part, rotations, took their boards, but I feel like uh they were faking it.
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They actually they faked it less than than this individual.
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But like can this begs the question, like, can you do it?
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And yes, I think the answer is yes, absolutely.
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Yeah.
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Uh yes.
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Can you go to PA school?
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Can you go to PA school and put forth the absolute minimum and still graduate with the same credentials as those who did monumental work, who like did all their rotations?
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Um I mean, of course everyone does all the rotations, but uh participated in research projects, did these electives at like um renowned centers.
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Yeah, that same person on paper is the same with the last person in the class.
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It's the same thing, like we were talking about earlier.
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Can you show up to work and do the bare minimum and have the same job title and same salary as somebody else who does, you know, way more, but whatever.
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I digress.
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Yeah, yes, that's you you absolutely can.
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But I can name, and I had 26 people in my PA class, it's not that large, but it was also a long time ago.
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And I remember as we were going through, because there was like some group work or whatever, I remember at various stages, I'm like, how did you get here?
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Yeah, like how are you in in this?
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How did you get here?
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How like what are your academics like that you were okay?
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What what demographic are you filling that has allowed you acceptance into this program?
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Matriculation rates for school play a big role into it.
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Yes, everybody obviously you get into school and they want you to pass and they want everybody to look at, they want their program to look good.
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Um but uh at what cost of the people coming out of the program?
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You also don't want to send off somebody subpar to work at X hospital and send from your program is a representation of your program.
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Um but yeah, I mean, you had you have many people you've told me about that were in your class that were questionable.
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Yes, yes.
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The question that I want you guys to think about is how much of PA school actually measures whether someone will be a good PA.
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Okay.
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It's it's minimal because But it doesn't translate.
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Yeah.
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Like a little snapshot in four weeks of OB is not gonna determine.
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Yeah.
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Especially if my OB, wait, my OB, my OB was in Connecticut in a private practice.
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And you did everything the first day?
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And I did everything the first day, right?
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I showed up and the doc was like, hey, I'm stuck at the hospital.
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Can you do my first like 10 pap smears?
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I'm like, holy shit.
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Um, but that situation, well, maybe that situation could determine if you're gonna be good or not, but like, I don't know, I think they're all mini snapshots of a bigger picture.
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It's very hard to say that just because you successfully passed PA school, you're gonna thrive in the profession.
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So, and you'll see this everywhere, right?
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The textbook genius.
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So the person who got through PA school because they just have like an amazing photographic memory.
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Yeah.
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That doesn't necessarily mean you're gonna be a good PA.
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However, you will do great in the academic part.
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They sit in a classroom all day.
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Yeah.
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Okay, right.
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Get great grades on your test because you can remember all the side effects and all the generics for for the, you know.
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You're a good test taker.
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You're a great test taker.
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Pharmacology comes easy to you, right?
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Eydetic memory, yeah.
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Whatever you want to do.
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But then but then you put that person in front of a patient and they just like physically they like can't interact with a patient.
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We had a lot of those in my class, well, I won't say a lot, but we had some of those in my class where like academically they did very, very well.
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They were the 4.0 GPA, they came not straight from undergrad, some of them, yes.
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They came relatively soon from undergrad.
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Yes, and just excelled academically, got into school because of that.
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Yeah.
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And then you put them in front of the patient and they don't know how to talk, but they can answer the questions.
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So, in when I went to PA school, again, Hannah, you have to remind me, I forgot what Elon does, but four years of undergrad and then PA school at the time was two years plus whatever tack on for like the master's degree.
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So it's like two and a half, twenty-seven months.
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Yeah, twenty-seven was ours, yeah.
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Some schools now is undergrad flows into PA school and the whole thing is like five and a half years or something.
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Oh, yeah.
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Yeah, but anyway, there's like a school entry thing or something for the entry.
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But you will have students that go directly from undergrad, they graduate in May and then they start PA school in July, right?
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Um, myself, I worked for a year, then I went to PA school, and you have some people that do this as like a second profession.
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I went to PA school with um my friend who lived in New York City and worked for like a talk show.
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She was in communications and worked on the Maury Povit show, like in the early 2000s.
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Yes.
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I know she was she's great.
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She was she struggled with the academic part because she was like, damn, I've been out in the classroom for a while, but in rotations, killed it.
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And I think that that is like that makes the better PA.
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But but here's the question though like when you have a student who's it's like medical school.
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You have a student who's always been a student, yeah, right?
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They go to school, then they go to high school, then they go to college, then they get into med school, then they don't know anything about the classroom, then you get them out in the wild and they don't know how to interact with people.
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So um I think PAs, we had a little bit of the undergrads that went right into PA school, and then we had a lot of like second career people, and then like a lot of people like me, kind of in the middle where they did something for a year or two and then went back to PA school.
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So I think um I think the ones that are just students excelled academically, but really floundered in clinics.
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And that's tough because I feel like the academic requirements for PA school right now, it's so hard to get into and it's so heavily stressed that like that seems to be what they want.
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Yes.
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When it seems to me that most of the people that I know that did the best aren't people that had the best GPA undergrad-wise.
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I'm just speaking about myself, I didn't have the greatest undergrad GPA, it was hard for me to get in, but like school itself, I mean pharmacology, yeah, like I had to stay up late at night memorizing that, but I didn't find PA school like challenging from an aspect of interaction portion because of the life experience.
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Well, for instance, I interviewed somebody recently who went to undergrad and then from undergrad to PA school and has been out of PA school for a year plus and is looking for a job.
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And again, like red flag, hey, how come you've been out of school for a year and you haven't been employed yet?
00:14:35.679 --> 00:14:36.240
What are you doing?
00:14:36.399 --> 00:14:37.120
What are you doing?
00:14:37.840 --> 00:14:46.320
Um, we had got to the point where we were discussing like offering terms of the position, and they wanted full tuition reimbursement.
00:14:46.559 --> 00:14:47.840
And we don't offer that.
00:14:47.919 --> 00:14:50.720
We are a private practice, that's not something that we do.
00:14:50.960 --> 00:14:55.759
And they didn't take the job because they've always been a student, their loans are through the roof.
00:14:55.840 --> 00:14:58.480
And I'm like, yeah, but understand life experience.
00:14:58.639 --> 00:15:01.519
Yes, guess what continues to become more expensive?
00:15:01.759 --> 00:15:03.600
Your loans when you're not paying them off.
00:15:03.840 --> 00:15:04.799
When you're not working, yeah.
00:15:04.960 --> 00:15:13.440
So I mean, people that just don't have like life experience that just go from classroom to real world, I feel like there's something like, I don't know, there's something missing.
00:15:13.519 --> 00:15:25.039
But anyway, those that are really, really book smart sometimes struggle interacting with patients, sometimes struggle with the abstract or when a clinical scenario does not match what the book said it should be.
00:15:25.360 --> 00:15:30.240
So I think knowing the textbook is not the same as practical medicine.
00:15:30.399 --> 00:15:30.639
Yeah.
00:15:30.720 --> 00:15:32.960
Yeah, you need you need a healthy balance of both.
00:15:33.120 --> 00:15:33.679
Yeah.
00:15:34.000 --> 00:15:41.200
Now let's take the person who maybe isn't book smart, but the person who got through all of the rotations and didn't do shit.
00:15:41.440 --> 00:15:41.840
Yes.
00:15:42.080 --> 00:15:43.039
Did you have any of those?
00:15:43.360 --> 00:15:45.759
The never scrubbed in surgical student.
00:15:46.000 --> 00:15:46.159
Yes.
00:15:46.320 --> 00:15:47.919
So what that's what we are deeming them.
00:15:48.080 --> 00:15:48.399
Yeah.
00:15:48.559 --> 00:16:04.399
Um here, and I'll say this like I think that it is very possible to get your way through clinical rotations and make your marks and you know, pass your EORs and everything without being fully committed to it and faking it, so to speak.
00:16:04.559 --> 00:16:07.759
Because I'm gonna be honest, like, I faked it for a couple rotations.
00:16:07.919 --> 00:16:09.519
Oh my god, I wasn't into it.
00:16:09.679 --> 00:16:10.480
I faked it.
00:16:10.639 --> 00:16:11.600
I'm a faker.
00:16:11.759 --> 00:16:12.320
I said it.
00:16:12.480 --> 00:16:13.440
Oh my god.
00:16:13.919 --> 00:16:16.000
Um, OBGYN specifically.
00:16:16.159 --> 00:16:17.919
Now, did I actually do the thing?
00:16:18.000 --> 00:16:23.759
Yes, I maybe maybe I won't say I faked that one because I did have to do a lot of pap smears and I wasn't super excited about that.
00:16:24.000 --> 00:16:30.159
Um, but I think there are ways to get out of doing certain things that you don't want to do.
00:16:30.480 --> 00:16:40.559
Yes, when we had our physical examination class, I remember we had you know, had a partner and you had to perform the physical exam for a grade, right?
00:16:40.799 --> 00:16:43.039
So you have all the preceptors watching you, whatever.
00:16:43.279 --> 00:16:45.759
So I remember telling my partner her name was Sandy.
00:16:45.919 --> 00:16:49.919
I remember telling her, I was like, all right, so for this, to check femoral pulse.
00:16:50.000 --> 00:16:50.159
Uh-huh.
00:16:50.240 --> 00:16:51.519
And I was like, I'm getting all up in there.
00:16:51.600 --> 00:16:51.679
Yeah.
00:16:51.919 --> 00:16:52.559
Getting all up in there.
00:16:52.639 --> 00:16:54.879
And she was like, nah, I'm just gonna put my hand, I'll just hover.
00:16:54.960 --> 00:16:57.919
Like, I'll just put my hand like by your femoral pulse and I'll just hover.
00:16:58.240 --> 00:16:59.759
I was like, you bitch.
00:17:00.480 --> 00:17:02.960
Like, so you're just not gonna feel what a femoral pulse feels like?
00:17:03.120 --> 00:17:03.279
Yeah.
00:17:03.440 --> 00:17:05.279
She's like, nah, I just don't, I just don't think I'm gonna do that.
00:17:05.920 --> 00:17:08.079
Yeah, but you're gonna get a grade that says you did that.
00:17:08.319 --> 00:17:10.400
Like she's like, well, it looks like I didn't.
00:17:10.720 --> 00:17:13.200
I know, but you can do that throughout.
00:17:14.480 --> 00:17:21.839
We had someone at our one that I rotated with for our surgery rotation who never stepped foot in the OR.
00:17:22.000 --> 00:17:22.400
That's why.
00:17:22.720 --> 00:17:29.279
But did an amazing job post op rounds checking all the labs, making sure the electrolytes are okay.
00:17:29.440 --> 00:17:34.000
Ooh, this one needs a bolus of, you know, saline, this one magnesium is low.
00:17:34.160 --> 00:17:38.000
So had stuff to contribute, never step foot in the operating room.
00:17:38.160 --> 00:17:38.319
Yeah.
00:17:38.559 --> 00:17:49.599
I can't even like I think in and is that people's way of like molding it into what they want it to be, but contributing in the way that they feel they are best suited to.
00:17:49.759 --> 00:17:55.920
I don't know, but you have to like your rotations are supposed to be the time frame that you have to do everything and trial everything.
00:17:56.240 --> 00:18:10.160
Yeah, but the other thing that like makes it hard to really tease out your school experience and and you know who's good, who's bad, who does it, who does a good job, who face it, is the peer references.
00:18:10.240 --> 00:18:14.000
Like, no one is gonna take a peer reference and say this person sucked.
00:18:14.160 --> 00:18:16.480
They were terrible, they were lazy as shit.
00:18:16.640 --> 00:18:18.720
Yeah, they should, yeah, but they don't.
00:18:18.960 --> 00:18:31.359
I mean, have you, you precept students, have you ever wrote a bad uh so some some schools, not all of them, some schools you cannot fill out the rubric without saying what their weaknesses are.
00:18:31.519 --> 00:18:32.640
Oh yeah.
00:18:32.880 --> 00:18:35.920
I do not have a problem identifying weaknesses.
00:18:38.400 --> 00:18:41.440
We all have we we should have our weaknesses identified.
00:18:41.680 --> 00:18:52.640
Everybody has weaknesses, yes, and I think weaknesses, yeah, but I I don't think um, I think some are a little bit more crippling than others when it comes to medicine.
00:18:52.960 --> 00:18:54.319
Quantity-wise, some have more than others.
00:18:54.880 --> 00:18:56.799
Some are more plentiful than others, yeah.
00:18:56.960 --> 00:19:02.000
Yeah, so yeah, I do think that like if you're a likable person, you can get through your rotation.
00:19:02.160 --> 00:19:13.440
We've had medical students on our team in the past who got through and like, you know, did well because they were likable and they were nice and they were easy to work with and helpful for the team.
00:19:13.839 --> 00:19:17.279
Were they like the smartest and did they take away and learn a ton?
00:19:17.440 --> 00:19:19.039
I don't necessarily know about that.
00:19:19.119 --> 00:19:20.960
Yeah but like we liked them enough.
00:19:21.119 --> 00:19:30.000
Yeah, then you know, we have the complete polar opposite who maybe they were very textbook smart, but didn't uh can't really get aligned people.
00:19:30.240 --> 00:19:30.799
Yeah, yes.
00:19:31.039 --> 00:19:39.119
But I think that there is a way for people to make their way through without um having to fully contribute.
00:19:39.359 --> 00:19:49.200
Yeah, those um at at least in my program, there's office hours, and those that go to office hours and make themselves visible, we are going to call them the suck-ups.
00:19:49.279 --> 00:19:55.440
Yes, yeah, we all have to be a little bit of suck ups in a sense to get where we want to go in life.
00:19:55.519 --> 00:19:55.839
Yeah.
00:19:55.920 --> 00:20:00.799
Um, but some people have it down to a T and really know how to work it.
00:20:01.279 --> 00:20:06.160
My really good friend, and I should text her after I say this because she's going to die.
00:20:06.480 --> 00:20:11.200
Um, my really good friend that I was in PA school with, I haven't talked to in a while.
00:20:11.519 --> 00:20:14.000
She loved our anatomy teacher.
00:20:14.160 --> 00:20:20.000
He was this like 60-year-old African guy that had like an amazing um accent.
00:20:20.400 --> 00:20:23.920
So when he would teach, I don't know, it just you'd like love listening to him.
00:20:24.000 --> 00:20:24.559
Yeah what I mean.
00:20:24.720 --> 00:20:28.400
Like it just made everything sound interesting because his voice was so nice to listen to.
00:20:28.640 --> 00:20:38.400
And I remember like we were outside of the classroom or whatever, we were walking outside, and there was, you know, this was in uh Dobbs Ferry, New York at the time, I think.
00:20:38.559 --> 00:20:41.519
And it was like fall and it was beautiful.
00:20:41.839 --> 00:20:46.160
And we sat down and he was walking like on his way back to class, and so are we.
00:20:46.319 --> 00:20:48.000
So we sat down to do something, whatever.
00:20:48.079 --> 00:20:54.400
So my friend sat down with him and he said, Do you know what medicine is in you know, in my native language?
00:20:54.559 --> 00:20:55.440
And she was like, No.
00:20:55.599 --> 00:21:00.160
And then he said it, and then she goes, What's love in your native language?
00:21:01.680 --> 00:21:04.799
I was like, I was like, stop.
00:21:05.519 --> 00:21:07.200
I was like, dead.
00:21:07.759 --> 00:21:10.079
She said, I was like, what is wrong with you?
00:21:10.240 --> 00:21:11.519
She goes, I I don't, I don't know.
00:21:11.599 --> 00:21:13.119
It like it just came out.
00:21:13.440 --> 00:21:17.200
She was she like had a moment that she fell in love with and there.
00:21:17.680 --> 00:21:21.920
She did, and it wasn't anything like it wasn't anything like what you think it would be.
00:21:22.000 --> 00:21:27.440
She wasn't like trying to get ahead in life, but she was like, What is wrong with you?
00:21:27.599 --> 00:21:28.799
Like, why would you say that?
00:21:29.119 --> 00:21:31.279
She's like, I like I don't even know what did he respond.
00:21:31.519 --> 00:21:32.160
How did I respond?
00:21:32.559 --> 00:21:33.519
How did he respond?
00:21:33.759 --> 00:21:37.680
He told her, he told her what it was, and I was just like, I'm out, I'm out.
00:21:38.000 --> 00:21:39.119
Like I'm like, this is getting weird.
00:21:39.279 --> 00:21:39.680
This is getting weird.
00:21:40.400 --> 00:21:40.720
I'm out.
00:21:40.960 --> 00:21:45.920
No, but you have you had she wasn't this person, but in the moment, I was like, You are that person.
00:21:46.240 --> 00:21:46.880
That's hilarious.
00:21:46.960 --> 00:21:47.119
Yeah.
00:21:47.279 --> 00:21:50.400
I think you know, I I see her as just being so entranced.
00:21:50.480 --> 00:21:54.720
Like she was like almost like the cobra in the in the flute or whatever it is.
00:21:55.359 --> 00:21:56.079
Absolutely was.
00:21:56.240 --> 00:21:59.680
And I was I was like, you couldn't have said like pulmonary system.
00:22:00.319 --> 00:22:03.359
You asshole, you just say love, and she's like, I don't know what I don't know what came over my hand.
00:22:03.519 --> 00:22:07.359
Yeah, like I was literally hypnotized by his beautiful voice.
00:22:07.599 --> 00:22:08.000
Anyway.
00:22:08.960 --> 00:22:10.559
Listen, it happens to the best of us.
00:22:10.799 --> 00:22:11.759
I guess we get it.
00:22:11.920 --> 00:22:13.920
I mean, that has never happened to me personally.
00:22:14.000 --> 00:22:16.559
That's the typic scenario, but I'm sure somebody's not.
00:22:16.640 --> 00:22:22.240
But in my like in my memory, you know, when you have photographic memory, in my memory, it's like a perfect New England fall day.
00:22:22.400 --> 00:22:26.160
She's sitting on a bench with him, and I was like, she literally was like, What is what does love mean?
00:22:26.240 --> 00:22:27.759
I'm like, oh my god, it's not again.
00:22:28.559 --> 00:22:31.920
Anyway, um, so there's the suck up.
00:22:32.799 --> 00:22:38.880
But the next, the next um, I guess like personality is the fake it till you make it student.
00:22:38.960 --> 00:22:40.400
Now I will tell you something.
00:22:40.640 --> 00:22:51.440
When I first started at one of these jobs that I had, my preceptor said to me, and again, at the time I had more skills than what this preceptor did.
00:22:51.599 --> 00:22:55.359
So when she was like teaching me how to do stuff, I was like, I'm already certifying that.
00:22:55.440 --> 00:22:57.039
I've already done that, I can do that left-handed.
00:22:57.200 --> 00:23:00.160
And she was like, Listen, this is how you do an ultrasound.
00:23:00.400 --> 00:23:04.559
You just hold the probe up to the patient, wiggle it around a little bit.
00:23:04.720 --> 00:23:07.039
You know what I'm saying, girl, fake it till you make it.
00:23:07.119 --> 00:23:09.680
And I was like, I hate you.
00:23:09.839 --> 00:23:11.279
Yeah, like I hate you.
00:23:11.440 --> 00:23:18.240
Yeah, I remember this, and I was just like, I cannot stand that phrase, fake it till you make it.
00:23:18.480 --> 00:23:22.480
But um, anyway, these people are like super confident.
00:23:22.799 --> 00:23:26.079
Um, they use the right words, but they have no idea what they're talking about.
00:23:26.960 --> 00:23:32.240
For example, story time in our um, I don't know, case presentation class.
00:23:32.400 --> 00:23:33.440
I have no idea what the class was called.
00:23:33.680 --> 00:23:35.839
Yeah, I know you got like you got a case study and you got a group.
00:23:36.559 --> 00:23:37.519
You got into groups, okay?
00:23:37.680 --> 00:23:38.079
Yeah.
00:23:38.400 --> 00:23:40.960
This was a, you know, all the keywords.
00:23:41.039 --> 00:23:57.279
This was a 34-year-old female who traveled internationally and she was helping an underserved community, drank the water and came back home and had, you know, cramping, um, uh like loose stools, bloody this, vomiting.
00:23:58.319 --> 00:23:59.599
The labs look like this.
00:23:59.759 --> 00:24:00.720
What's your diagnosis?
00:24:00.880 --> 00:24:01.839
What are your differentials?
00:24:01.920 --> 00:24:02.160
Right.
00:24:02.319 --> 00:24:02.480
Yeah.
00:24:02.640 --> 00:24:07.839
And again, just you're supposed to look at is this, you know, is this um fungal?
00:24:08.000 --> 00:24:08.799
Is it bacterial?
00:24:08.960 --> 00:24:09.680
Is it viral?
00:24:09.839 --> 00:24:11.920
And then, you know, what are the what are the causes?
00:24:12.000 --> 00:24:12.559
What are the treatments?
00:24:12.720 --> 00:24:13.440
Blah, blah, blah.
00:24:13.920 --> 00:24:14.160
Labs.
00:24:14.640 --> 00:24:17.839
So this girl, I'm like, I've been wanting to say her name so bad.
00:24:17.920 --> 00:24:18.640
It's been 20 years.
00:24:18.720 --> 00:24:20.000
I should be able to say it, but I won't.
00:24:20.400 --> 00:24:30.480
She gets up there and she was like, um, so my diagnosis for this case is um traveler's diarrhea.
00:24:30.960 --> 00:24:36.000
Now, the reason why I think it is is because the patient traveled.
00:24:36.640 --> 00:24:42.480
The reason why my rule in is they traveled and they had an upset stomach.
00:24:42.799 --> 00:24:48.480
My rule out as to why this is not the diagnosis is diarrhea was absent.
00:24:48.559 --> 00:24:53.119
And I'm like, is anybody else listening to what this chick is saying right now?
00:24:53.359 --> 00:24:56.319
Like, or you're looking around to see if it's a joke.
00:24:56.640 --> 00:25:01.440
I'm looking around and I'm like, I is everybody like, is no one saying anything right now?
00:25:01.599 --> 00:25:06.319
And she would say stuff like that, and I'm like, You goddamn kidding me, this is like common sense stuff.
00:25:06.960 --> 00:25:12.400
Man, good for her that she could exude that confidence, like that, regardless of the outcome.
00:25:12.640 --> 00:25:19.359
I mean, in a sense, I suppose I'm jealous of that, but like, has she been corrected to this day?
00:25:19.519 --> 00:25:21.359
Do we think she's still out there doing that?
00:25:21.519 --> 00:25:22.640
I do think so.
00:25:22.799 --> 00:25:26.079
I remember like after I graduated, I'm like, let me see if she ever got a job.
00:25:26.240 --> 00:25:28.240
And like, you know, did she pass her boards?
00:25:28.319 --> 00:25:29.119
Oh, look, she did.
00:25:29.599 --> 00:25:30.720
Like, how is that possible?
00:25:31.359 --> 00:25:31.920
That's crazy.
00:25:32.160 --> 00:25:33.039
Oh my God.
00:25:33.119 --> 00:25:36.160
Uh, here's like the next level question.
00:25:36.400 --> 00:25:39.519
That person, I know what I know because I went to school with this person.
00:25:39.759 --> 00:25:53.039
But if that person has a patient in their room and they deliver whatever diagnosis is so confidently, like we are allowing that to happen because patients love confidence.
00:25:53.359 --> 00:25:53.839
They believe it.
00:25:53.920 --> 00:25:55.200
They believe it too.
00:25:55.519 --> 00:25:56.480
Your knee is arthritic.
00:25:56.720 --> 00:25:57.359
Look, here's a picture.
00:25:59.519 --> 00:26:01.119
Your knee is arthritic, here's the picture.
00:26:01.519 --> 00:26:01.839
Stop.
00:26:01.920 --> 00:26:03.279
Oh my god, PTSD.
00:26:03.440 --> 00:26:03.759
Yeah.
00:26:04.480 --> 00:26:04.799
Yeah.
00:26:04.960 --> 00:26:13.039
What about like I don't know that this is fake it till you make it or any of the previous ones, but everybody had this one.
00:26:13.440 --> 00:26:24.000
The I am going to ask a question to make myself sound smarter because I'm gonna insert things in this question that make it seem like I know more than I should.
00:26:24.319 --> 00:26:25.279
Do you know what I'm talking about?
00:26:25.440 --> 00:26:31.519
We had this one girl who literally always used to raise her hand and she was a nurse before, like an RN before going to P school.
00:26:31.759 --> 00:26:32.400
And told you, right?
00:26:32.559 --> 00:26:33.359
No, she told everybody.
00:26:33.519 --> 00:26:34.559
Yeah, guys, I was a nurse.
00:26:34.960 --> 00:26:37.680
But she told us in every question she asked too.
00:26:37.759 --> 00:26:44.559
And she was, you know, there there's always like three or four people who carry the class as far as like voices you hear each day.
00:26:44.880 --> 00:26:47.200
They're always they gotta say something about everything.
00:26:47.759 --> 00:26:56.160
So um, she would always raise her hand, especially if there were people from outside presenting and coming into us.
00:26:56.720 --> 00:27:03.440
And it was a I don't have any exact questions, but something along the lines of, well, what about with this?
00:27:03.519 --> 00:27:08.480
Because we used to do this on the floor, and in this scenario, I've given this med and stuff.
00:27:08.559 --> 00:27:12.160
And and you're like, that's not even what we're talking about at this point.
00:27:12.480 --> 00:27:13.359
Like, are you just flexing?
00:27:13.440 --> 00:27:13.920
It's a flex.
00:27:14.160 --> 00:27:23.839
It is a flex that is smart and strategic because that is a way of demonstrating to the class her competence, yeah, but also asking a question.
00:27:24.079 --> 00:27:24.640
Yes, the pre.
00:27:24.960 --> 00:27:25.920
So they're more of a suck up.
00:27:26.079 --> 00:27:28.960
Oh, teacher suck up, preceptor suck up, suck-up to everybody.
00:27:29.200 --> 00:27:29.599
I don't know.
00:27:29.839 --> 00:27:34.240
Yeah, but also someone, I don't know, almost like it's like a narcissist.
00:27:34.319 --> 00:27:34.880
Let's take it there.
00:27:35.039 --> 00:27:35.839
Yeah, yeah, yeah.
00:27:37.119 --> 00:27:39.920
There are some tendencies that they're demonstrating.
00:27:40.160 --> 00:27:55.279
So, do you think the structure of PA school, which again, those that whoever is listening to where you are ever where you are in this journey, it is a didactic portion, and then there's the clinical portion.
00:27:55.519 --> 00:27:59.119
So you have to pass didactic to be able to go to clinical.
00:27:59.279 --> 00:28:02.880
Didactic, I don't say it's easy, but it's it's the school system.
00:28:03.039 --> 00:28:05.440
You take a test, you are graded on it, there you go.
00:28:05.599 --> 00:28:06.640
You move on to the next thing.
00:28:06.880 --> 00:28:13.519
Clinical is based on, you know, you take a test at the end of your clinical, but um what you do on site, yeah.
00:28:13.759 --> 00:28:19.359
That's more of a, you know, hands-on portion of the of the program.
00:28:19.599 --> 00:28:22.240
So um I I just don't know.
00:28:22.319 --> 00:28:28.160
Do you think the structure of PA school is are we serving PAs correctly with this structure?
00:28:29.519 --> 00:28:30.799
Well, hard for me to answer.
00:28:30.880 --> 00:28:32.079
I was a COVID PA.
00:28:32.319 --> 00:28:35.759
So we we we everything got passed by us.
00:28:35.920 --> 00:28:38.640
We actually are the fake PAs of the world.
00:28:38.799 --> 00:28:40.720
Yeah, no, there you you guys are.
00:28:40.880 --> 00:28:41.119
Yeah.
00:28:41.200 --> 00:28:41.519
Yeah.
00:28:41.839 --> 00:28:49.200
Because we legitimately were the ones that got to check, we didn't have to check the boxes because they were like, ooh, yeah, COVID E.
00:28:49.359 --> 00:28:51.519
Yeah, omitted because of COVID.
00:28:51.680 --> 00:28:56.240
So actually, we got to take an entire rotation where we were like clicking buttons.
00:28:56.319 --> 00:28:57.519
It was like a video game.
00:28:58.960 --> 00:28:59.599
Yeah, yeah.
00:29:00.559 --> 00:29:04.559
So I would not ask me any ACLS questions if I were you.
00:29:04.799 --> 00:29:05.200
Yeah.
00:29:05.519 --> 00:29:13.440
But I think for that population, which again, I have hired some of you guys, you can see how you do in clinic.
00:29:13.519 --> 00:29:17.039
And I would say that you have probably grown more, and any new PA will say this.
00:29:17.200 --> 00:29:21.359
You grow more and you learn more in your first years than you ever did in PA school.
00:29:21.519 --> 00:29:29.759
And I know that there has to be some rubric of what is a standard for you must do this to then take the boards, to then be practicing.
00:29:29.920 --> 00:29:35.599
But there's just there's such a gap of what you don't learn in PA school that makes you a good PA.
00:29:35.680 --> 00:29:36.000
Yeah.
00:29:36.240 --> 00:29:40.720
I think if there was a way for, and it's almost like fellowship, right?
00:29:40.880 --> 00:29:47.759
If there was a way for PAs to graduate and then mandatory first year of employment, you have to be paired up with someone.
00:29:47.839 --> 00:29:48.480
You have to.
00:29:48.799 --> 00:29:55.039
Someone you work together with someone so you can, I don't know, like co-sign your notes and I don't know.
00:29:55.279 --> 00:29:56.640
Well, that's your supervising physician.
00:29:57.119 --> 00:30:04.559
I know, but in the real medical model, you don't have that unless you are truly, truly, truly at a teaching hospital.
00:30:04.720 --> 00:30:12.000
I also feel like there's a training period that whatever company feels is, you know, deems is necessary or enough.
00:30:12.160 --> 00:30:13.759
And then after that, that's it.
00:30:14.000 --> 00:30:14.240
Yeah.
00:30:14.400 --> 00:30:19.279
You know, I think like a year long and they do have PA residencies, but it's they do, but it's different.
00:30:19.359 --> 00:30:22.400
It's different when you're like, no, this is on me.
00:30:22.559 --> 00:30:27.759
Like my name is on this, like this is my decision versus I don't know, I feel like you're safe when you're in a residency.
00:30:28.000 --> 00:30:28.319
Yes.
00:30:28.480 --> 00:30:28.640
Right.
00:30:28.720 --> 00:30:28.880
Yeah.
00:30:29.039 --> 00:30:37.920
I think I think what I'm trying to say is that just because you are a certified PA does not mean that you're a good PA or that you're competent.
00:30:38.000 --> 00:30:38.319
Yeah.
00:30:38.480 --> 00:30:39.119
Unfortunately.
00:30:39.359 --> 00:30:41.359
I mean the same thing could apply for any profession.
00:30:41.440 --> 00:30:42.799
So we're not getting any, you know.
00:30:43.200 --> 00:30:43.519
PT.
00:30:43.680 --> 00:30:43.920
Yeah.
00:30:44.079 --> 00:30:48.960
It's but back to her, you know, original story with this.
00:30:49.200 --> 00:30:56.079
Do you think how so obviously this person was able to impersonate a PA student because it's not hard to do that?
00:30:56.319 --> 00:30:56.640
Yeah.
00:30:56.960 --> 00:31:00.160
I can easily see how she was able to pull this off.
00:31:00.319 --> 00:31:00.960
Yeah.
00:31:01.200 --> 00:31:02.160
I I agree with that.
00:31:02.319 --> 00:31:02.559
Yeah.
00:31:02.720 --> 00:31:08.640
I mean, you can order the suture kits on Amazon, you can order a white coat on Amazon Scrubs, all of those things.
00:31:08.960 --> 00:31:13.839
Duke University campus is a free country or free area.
00:31:14.000 --> 00:31:16.799
You can walk on and take a picture of wherever you want.
00:31:17.440 --> 00:31:23.279
Um, but if this person was fake documenting it for two years, like what else were you doing?
00:31:25.759 --> 00:31:27.839
Have you seen the movie with Leonardo DiCaprio?
00:31:28.079 --> 00:31:29.440
Um, Catch Me If You Can.
00:31:29.759 --> 00:31:30.559
I love that movie.
00:31:30.640 --> 00:31:31.680
That's one of my favorite movies.
00:31:32.000 --> 00:31:32.720
I love that movie.
00:31:32.880 --> 00:31:34.559
You know, he faked being a doctor.
00:31:34.799 --> 00:31:35.839
He faked being a lawyer.
00:31:36.000 --> 00:31:36.640
And a plat pilot.
00:31:37.519 --> 00:31:37.680
Yeah.
00:31:37.839 --> 00:31:38.079
Yeah.
00:31:38.240 --> 00:31:38.960
Amazing.
00:31:39.200 --> 00:31:44.000
Um, so I think if he can do it, and there was a real life person who did that.
00:31:44.079 --> 00:31:44.640
What was his name?
00:31:44.799 --> 00:31:45.440
Frank or something?
00:31:45.519 --> 00:31:45.599
Yeah.
00:31:46.000 --> 00:31:46.960
Yeah, Abigail.
00:31:47.119 --> 00:31:48.720
Frank William Abignal.
00:31:49.839 --> 00:31:50.559
I love that movie.
00:31:50.799 --> 00:31:59.279
So we have Frank William Abignal, then we have this fake PA student, and then somewhere uh in between all of this are the the actual real person.
00:32:00.000 --> 00:32:03.920
And I guess what I guess why why I want to talk about it is it hurts my feelings.
00:32:04.240 --> 00:32:04.400
Yeah.
00:32:04.799 --> 00:32:07.279
Like I put in a lot of effort.
00:32:07.519 --> 00:32:10.559
I feel like PA school for me meant something.
00:32:11.039 --> 00:32:25.279
And I think if it's so easy to replicate that, whether it's like someone doing it for show and making money off of that on TikTok and whatever, or someone who's just going through the motions to earn the same credentials that I have, I just I don't love that.
00:32:25.519 --> 00:32:31.279
And you want it to be hard enough that like it is meaningful that you matriculated.
00:32:31.440 --> 00:32:31.759
Yes.
00:32:31.920 --> 00:32:40.640
Because if it does not, if it feels like you put in this amount of effort, but other people have the same result but didn't have to put in that effort, that's frustrating.
00:32:40.880 --> 00:32:44.240
It is, it is, but again, like I tell my kids, life isn't fair, you guys.
00:32:44.640 --> 00:32:45.119
It isn't fair.
00:32:45.359 --> 00:32:45.599
Yes.
00:32:45.759 --> 00:32:56.559
Now my question is if you were going to fake some sort of profession or identity on social media, what would you fake doing?
00:32:57.440 --> 00:32:59.599
Um, like a forensic analyst.
00:32:59.920 --> 00:33:01.920
Like uh try a side kind of thing.
00:33:02.240 --> 00:33:03.119
I would try to solve crimes.
00:33:03.359 --> 00:33:07.680
And I would I would solve them with 100% certainty with absolutely no background whatsoever.
00:33:08.000 --> 00:33:08.160
Okay.
00:33:08.480 --> 00:33:09.119
It's like a puzzle.
00:33:09.279 --> 00:33:17.039
Like I would, I would, I would, I would with that fake confidence, uh-huh, like guys, this is who killed him.
00:33:17.119 --> 00:33:17.680
This is who did it.
00:33:17.839 --> 00:33:19.039
Yeah, and like post videos.
00:33:21.359 --> 00:33:21.599
Yeah.
00:33:21.759 --> 00:33:22.079
Yeah.
00:33:24.559 --> 00:33:26.160
Like the blood spatter analysis.
00:33:26.480 --> 00:33:27.279
Amazing.
00:33:27.839 --> 00:33:28.240
I don't know.
00:33:28.319 --> 00:33:28.960
What would I do?
00:33:29.279 --> 00:33:30.799
What would I fake doing?
00:33:31.039 --> 00:33:34.400
Um, like I want to just fake being famous as something.
00:33:34.880 --> 00:33:36.000
I feel like it's not that hard.
00:33:36.079 --> 00:33:37.759
It's we can start that tomorrow.
00:33:38.000 --> 00:33:40.079
Well, I'm trying, I'm currently working on it.
00:33:40.319 --> 00:33:45.599
So me saying I'm trying to fake being famous, it's because I'm actively in that in that realm.
00:33:45.839 --> 00:33:52.960
I was trying to work on our team Instagram account and make us Tuesday night musing, tequila inspired.
00:33:53.200 --> 00:33:54.319
Tequila inspired.
00:33:54.400 --> 00:33:54.640
Yeah.
00:33:54.799 --> 00:33:58.480
Make us the most famous hand surgery team in the entire world.
00:33:58.559 --> 00:33:59.599
And I'm still working on it.
00:33:59.839 --> 00:34:01.279
It's a work in progress.
00:34:01.519 --> 00:34:05.279
Um, but I don't know, like some sort of artist or something.
00:34:05.359 --> 00:34:08.079
I feel like that would be very easy to fake, especially with AI now.
00:34:08.159 --> 00:34:09.519
Like, you can't fake almost anything.
00:34:10.079 --> 00:34:10.880
It saddens me.
00:34:10.960 --> 00:34:15.440
Like, I mean, I I my parents' generation, right?
00:34:15.599 --> 00:34:20.400
They are at that stage where they will probably need to see more doctors more often.
00:34:20.559 --> 00:34:20.719
Yeah.
00:34:20.880 --> 00:34:27.920
Like I want to know that who I'm putting their my hands or their, you know, their future.
00:34:28.079 --> 00:34:31.440
I want to know that these people aren't people that have faked it for their entire career.
00:34:31.599 --> 00:34:31.840
Yeah.
00:34:32.000 --> 00:34:32.159
You know?
00:34:32.800 --> 00:34:34.239
This inspires me to be better.
00:34:34.480 --> 00:34:34.880
It should.
00:34:35.119 --> 00:34:36.719
I don't want to be a faker.
00:34:37.280 --> 00:34:37.519
No.
00:34:37.760 --> 00:34:38.000
No.
00:34:38.239 --> 00:34:38.559
Yeah.
00:34:38.719 --> 00:34:40.159
And it should inspire you.
00:34:40.400 --> 00:34:40.880
I know.
00:34:41.199 --> 00:34:41.679
We are.
00:34:42.239 --> 00:34:44.079
There's a responsibility that comes with this.
00:34:44.320 --> 00:34:45.920
There's a responsibility that comes with this.
00:34:46.159 --> 00:34:48.079
So we need to take it seriously.
00:34:48.400 --> 00:34:48.880
We do.
00:34:49.119 --> 00:34:49.599
Yeah.
00:34:49.920 --> 00:34:57.920
And I think somebody going in and posting on social media about being a PA student is like flattering a little bit.
00:34:58.239 --> 00:35:01.360
It is flattering, but if I were a Duke PA student, I'd be fierce.
00:35:02.079 --> 00:35:02.639
I'd be furious.
00:35:02.880 --> 00:35:08.880
It's flattering because like, ooh, they think we're cool enough that they want to spend us trying to be us.
00:35:09.119 --> 00:35:09.280
Yeah.
00:35:09.519 --> 00:35:10.079
Yeah.
00:35:10.400 --> 00:35:13.280
So think about that for a second.
00:35:13.440 --> 00:35:19.119
I I am cool enough that somebody wanted to fake being like me at one point in my life.
00:35:19.360 --> 00:35:20.320
There you go.
00:35:21.679 --> 00:35:25.280
I'm imagining doing a get ready with me before one of my PA school days.
00:35:25.440 --> 00:35:26.159
It was not.
00:35:26.400 --> 00:35:28.239
We talked about do a get ready with me.
00:35:28.639 --> 00:35:30.480
That's what we should do this week.
00:35:31.920 --> 00:35:32.559
I will do that.
00:35:32.719 --> 00:35:34.239
I will, I will do that.
00:35:34.320 --> 00:35:36.960
And then next week we will just post videos.
00:35:37.039 --> 00:35:37.599
No talking.
00:35:37.840 --> 00:35:38.320
No talking.
00:35:38.480 --> 00:35:39.039
Just clips.
00:35:39.199 --> 00:35:39.519
Clips.
00:35:39.679 --> 00:35:40.159
Get ready with.
00:35:40.400 --> 00:35:41.519
Well, you have to voice it over.
00:35:41.679 --> 00:35:43.360
Your daughter will know how to do this for you.
00:35:43.599 --> 00:35:44.159
I know that.
00:35:44.320 --> 00:35:44.719
Yeah.
00:35:45.039 --> 00:35:45.519
Get ready with it.
00:35:45.760 --> 00:35:46.480
She can voice it over.
00:35:46.559 --> 00:35:48.880
Get ready with me for a day in the OR.
00:35:49.119 --> 00:35:49.679
Get ready.
00:35:49.840 --> 00:35:50.320
We're doing it.
00:35:50.400 --> 00:35:51.119
We're doing it.
00:35:51.360 --> 00:35:51.840
All right.
00:35:51.920 --> 00:35:54.400
Well, I hope everybody's prepared for that.
00:35:56.239 --> 00:35:57.119
Until next time.
00:35:57.280 --> 00:35:58.400
Till next time.
00:36:07.679 --> 00:36:10.159
Thanks for tuning in to Joint Effort PAs.
00:36:10.400 --> 00:36:16.320
If you enjoyed this episode, be sure to subscribe, leave a review, and share it with a fellow PA or med minded friend.
00:36:16.480 --> 00:36:21.280
You can also follow us on Instagram at Joint EffortPAs for updates and extra content.
00:36:21.519 --> 00:36:22.400
See you next time.
00:00:00.000 --> 00:00:05.040
Welcome to Joint Effort PAs, where two orthopedic surgery PAs get real about life in medicine.
00:00:05.200 --> 00:00:09.439
From tips and tricks to professional growth, work-life balance, and everything in between.
00:00:09.599 --> 00:00:12.240
We're here to share what we've learned and what we're still figuring out.
00:00:12.400 --> 00:00:13.599
Let's get into it.
00:00:21.280 --> 00:00:22.079
This is great.
00:00:22.239 --> 00:00:22.960
We're back.
00:00:23.199 --> 00:00:23.760
We're back.
00:00:23.920 --> 00:00:26.559
Listen, there is a different spice about this today.
00:00:26.800 --> 00:00:27.039
Yeah.
00:00:27.280 --> 00:00:30.879
It's it's a it's the Friday feels as opposed to the weekend feels.
00:00:30.960 --> 00:00:31.679
I don't know about you.
00:00:31.920 --> 00:00:32.560
Yeah, okay.
00:00:32.719 --> 00:00:35.520
Well, briefly, Beth, your week.
00:00:35.679 --> 00:00:36.960
It was a lot.
00:00:38.880 --> 00:00:40.320
You guys say it every day.
00:00:40.719 --> 00:00:41.759
It's like Jesus Christ.
00:00:41.920 --> 00:00:43.359
Like, it's like the week.
00:00:44.799 --> 00:00:45.679
The week was good.
00:00:45.759 --> 00:00:49.280
I learned something new about myself every single week, right?
00:00:49.520 --> 00:00:52.479
And this week was um, I don't know.
00:00:52.560 --> 00:00:55.920
I I just I'm less of an asshole when I'm stressed out.
00:00:56.640 --> 00:00:57.759
Less of an asshole than you're out.
00:00:58.240 --> 00:00:59.280
I think I think I am.
00:00:59.359 --> 00:01:05.519
So either A, I have reached new levels and I just haven't like gotten to that level recently.
00:01:05.760 --> 00:01:07.280
But um I don't know.
00:01:07.359 --> 00:01:10.879
I feel like the more you run challenging situations, the less challenging they feel.
00:01:11.120 --> 00:01:11.840
Well, yeah, yeah.
00:01:11.920 --> 00:01:15.519
So like you adapt over time, that becomes your more norm.
00:01:15.680 --> 00:01:16.239
I see that.
00:01:16.319 --> 00:01:16.719
Yeah, yeah.
00:01:16.959 --> 00:01:18.959
I was um you're used to such adversity.
00:01:19.040 --> 00:01:20.159
What's the adversity anymore?
00:01:20.400 --> 00:01:20.719
Nothing.
00:01:20.799 --> 00:01:26.000
I will so for today, I had to kind of prep my temp PA for his last day.
00:01:26.159 --> 00:01:28.159
Of course, this was the busiest clinic he had.
00:01:28.239 --> 00:01:33.120
Of course, when I pulled up the names for the clinic, uh, it's a trouble one, trouble one, trouble one.
00:01:33.280 --> 00:01:35.680
And so all week I'm like, I'm not doing this, I'm not doing this.
00:01:35.840 --> 00:01:39.599
So I waited till Thursday, and as we all know, I play soccer Thursday night, right?
00:01:39.840 --> 00:01:41.280
I didn't get home till 11:30.
00:01:41.439 --> 00:01:42.560
So I pop open my computer.
00:01:42.799 --> 00:01:44.480
I sent that email at 12.06 a.m.
00:01:44.799 --> 00:01:46.319
I did it, told him I would do it.
00:01:46.480 --> 00:01:48.159
I did it, but like, what am I doing?
00:01:48.400 --> 00:01:48.959
Not sleeping.
00:01:49.120 --> 00:01:49.680
What am I doing?
00:01:49.760 --> 00:01:50.000
Yeah.
00:01:50.159 --> 00:01:50.480
Yeah.
00:01:51.040 --> 00:01:51.760
I don't know.
00:01:51.920 --> 00:01:58.799
It was, it was uh, it was a fulfilling clinic week, it was a fulfilling surgery week.
00:01:58.959 --> 00:02:11.919
I had, and I've talked about this before, I had a couple MRI discussions where I flipped the patient around during the discussion where they told me there's no way in hell I'm gonna end up having surgery, and they were like, You ain't cutting me open.
00:02:12.159 --> 00:02:12.800
I'd like this date.
00:02:12.879 --> 00:02:13.599
And I'm like, All right.
00:02:13.759 --> 00:02:14.719
Yeah, you're like, wow.
00:02:14.960 --> 00:02:15.360
Yeah.
00:02:15.680 --> 00:02:17.199
No, they were they were uh good.
00:02:17.360 --> 00:02:19.280
I did another one just again.
00:02:19.439 --> 00:02:21.840
This is like this is classic for the week.
00:02:22.080 --> 00:02:30.000
Play phone tag with the patient all week, and then I finally connected with them yesterday, and they say, Yeah, I'd like to come in tomorrow.
00:02:30.159 --> 00:02:31.759
I mean, I you did a really good job explaining.
00:02:31.840 --> 00:02:33.759
I just I really want to see my MRI images in person.
00:02:33.840 --> 00:02:35.280
I really want to do the injection you're talking about.
00:02:35.360 --> 00:02:37.759
I said, All right, well, we can do Friday at like 2 30, right?
00:02:37.840 --> 00:02:39.280
Like, like squeeze it in.
00:02:39.520 --> 00:02:41.840
They're like, What's the latest possible?
00:02:42.319 --> 00:02:43.039
Oh, God.
00:02:43.199 --> 00:02:48.319
I mean, I don't see clinic on Friday, so it's whenever I want to be inconvenienced by a patient.
00:02:48.400 --> 00:02:49.520
So I was like, four.
00:02:49.759 --> 00:02:52.479
She goes, What's the absolute latest?
00:02:52.719 --> 00:02:54.400
I was like, God damn it.
00:02:54.639 --> 00:02:55.840
4 30, you know?
00:02:56.000 --> 00:03:01.520
So I was like, I do it to myself, but I should have said, not an option.
00:03:01.680 --> 00:03:02.479
Tuesday, my friend.
00:03:02.639 --> 00:03:02.960
Tuesday.
00:03:03.280 --> 00:03:03.680
Yeah, yeah.
00:03:03.840 --> 00:03:04.479
Boundaries.
00:03:04.719 --> 00:03:04.879
Nope.
00:03:05.120 --> 00:03:05.520
We don't have those.
00:03:05.680 --> 00:03:05.840
Nope.
00:03:06.319 --> 00:03:07.439
Blew right by those.
00:03:07.599 --> 00:03:09.199
So um, it's okay.
00:03:09.439 --> 00:03:10.080
It was a good week.
00:03:10.240 --> 00:03:13.280
Trained, trained my new PA, said bye to my temp PA.
00:03:13.759 --> 00:03:15.120
Um I don't know.
00:03:15.280 --> 00:03:16.400
It was it was a good week.
00:03:16.479 --> 00:03:17.680
We're doing a lot of stuff right now.
00:03:17.759 --> 00:03:18.479
What about you?
00:03:18.719 --> 00:03:19.439
Good, yeah.
00:03:19.599 --> 00:03:22.960
Lots of cases, lots of good ones, some thumb replacements.
00:03:23.120 --> 00:03:24.240
It was cool.
00:03:24.479 --> 00:03:27.039
Um, just had a fun week.
00:03:27.280 --> 00:03:30.080
Partook of of Beth's tequila this week.
00:03:30.319 --> 00:03:33.759
Beth bought Beth bought us a bottle of tequila.
00:03:33.840 --> 00:03:40.800
Well, yeah, um, Beth and and her husband, yeah, uh, after his elbow surgery, it was the gift to our team that was consumed this week.
00:03:41.039 --> 00:03:50.080
Which side note for a second, we talked about when patients give you gifts, and we decided collectively, even this was like an internal like exchange, tequila's okay.
00:03:50.319 --> 00:03:52.080
Tequila was an excellent gift, yeah.
00:03:52.159 --> 00:03:52.639
That's never not.
00:03:53.039 --> 00:04:00.879
Wednesday morning, we were like, was tequila an excellent gift, we were well writhing in clinic, but um no, it was good.
00:04:01.039 --> 00:04:06.319
Um, we had our team meeting, so lots of lots of fun, exciting things.
00:04:06.560 --> 00:04:15.199
Busy days are or recently switched, or our ASC recently switched to a longer model, longer hours model.
00:04:15.360 --> 00:04:20.959
So they're um they're going until letting our cases run until five o'clock, which is huge.
00:04:21.120 --> 00:04:23.519
It allows us to get a lot more done.
00:04:23.759 --> 00:04:26.160
And every, I don't know, I don't know how you felt about it.
00:04:26.240 --> 00:04:32.399
Every day has felt better to me because I just don't feel as much like we're doing more, but I also don't feel that pressure.
00:04:32.480 --> 00:04:37.279
Um the pressure that when you look at that, it's like 145 and you're like, oh my God, we still have three things left to do.
00:04:37.519 --> 00:04:39.680
Yeah, no, I think it's the expectation too.
00:04:39.839 --> 00:04:47.600
I think the staff understands that if we extend the day till five, as soon as the clock turns two and three, people aren't angry.
00:04:47.759 --> 00:04:47.920
Yeah.
00:04:48.160 --> 00:04:53.680
Like if you haven't started your last case by three, those that thought they'd be on their way home at three get mad.
00:04:53.920 --> 00:04:54.800
Yes, yes.
00:04:55.040 --> 00:04:57.759
So yeah, overall, it was a good week.
00:04:57.920 --> 00:05:15.680
So we want to talk about some current events, semi-current events, but I'm sure you all have seen all the media posts or whatever about this individual who uh pretended to be a PA student at Duke, right?
00:05:15.920 --> 00:05:16.160
Yes.
00:05:16.720 --> 00:05:19.519
She was she was a faux Duke PA student.
00:05:19.680 --> 00:05:20.079
Yes.
00:05:20.240 --> 00:05:28.480
Um this is an in this is an influencer who was posing as a fake PA student from Duke.
00:05:28.639 --> 00:05:28.800
Yeah.
00:05:29.040 --> 00:05:34.399
Now, just so everybody knows, Duke is like the original PA school.
00:05:34.480 --> 00:05:35.839
Yeah, it's a very well-known school.
00:05:36.160 --> 00:05:39.439
This is not like the first year of Duke's program and like, you know, whatever.
00:05:39.519 --> 00:05:39.759
Yeah.
00:05:39.920 --> 00:05:41.600
This is um very well known.
00:05:41.759 --> 00:05:55.839
And for this um very dumb person, uh, posted pictures of her in front of Duke with the white coat on at the hospital, starting my rotations today, you know, had a really hard test today, like made it all up.
00:05:56.000 --> 00:05:57.439
Get ready with me for my rotation.
00:05:57.680 --> 00:05:58.399
Get ready with me.
00:05:58.480 --> 00:06:01.199
Yeah, show what's in my PA bag for school.
00:06:01.360 --> 00:06:02.959
Like, that's literally insane.
00:06:03.199 --> 00:06:03.680
That is.
00:06:03.920 --> 00:06:12.319
Um, so I'd love to tell you like more, but as soon as this um, I guess uh PA students from Duke were like, we have never seen this person.
00:06:12.480 --> 00:06:13.439
What is happening here?
00:06:13.600 --> 00:06:16.560
And kind of she got feedback, the count is gone.
00:06:16.720 --> 00:06:16.959
Yeah.
00:06:17.120 --> 00:06:19.600
I mean, I can pull some pictures, I'm sure you guys all can too.
00:06:19.839 --> 00:06:20.160
Yeah.
00:06:20.319 --> 00:06:24.319
Um, but yeah, it's like so one, it's in North Carolina, right?
00:06:24.399 --> 00:06:25.839
So it's a little bit close to home.
00:06:26.000 --> 00:06:30.160
She has no NCC PA number where she says she is certified.
00:06:30.319 --> 00:06:31.040
So said that.
00:06:31.360 --> 00:06:33.759
Her li or she said that she passed her boards.
00:06:34.079 --> 00:06:34.319
Yeah.
00:06:34.480 --> 00:06:34.720
Yeah.
00:06:34.879 --> 00:06:37.839
She says she's certified in the state of North Carolina.
00:06:38.000 --> 00:06:44.800
Um, she took graduation photos in front of Duke's Chapel, complete with a cap and a master's hood.
00:06:45.040 --> 00:06:45.279
Wow.
00:06:45.439 --> 00:06:47.519
Yeah, which was the wrong color fact check.
00:06:47.759 --> 00:06:56.959
Um, there was a two-hour graduation ceremony on YouTube where every graduate was graduate was called in alphabetical order and her name was never called.
00:06:57.040 --> 00:06:59.360
So I mean, like, it's like ridiculous.
00:06:59.600 --> 00:07:04.399
Um, but anyway, it I mean, impersonating a PA student is one thing.
00:07:04.480 --> 00:07:10.160
Um, doing it when at the number one PA program, like, I don't know, like what's going on mentally with that person?
00:07:10.319 --> 00:07:10.800
Yeah, yeah.
00:07:10.879 --> 00:07:14.639
Like, did you not get in there and therefore this is what you wish you had?
00:07:14.879 --> 00:07:17.120
Is this someone who is not even a PA?
00:07:17.279 --> 00:07:18.879
Like, I like I don't even know.
00:07:19.040 --> 00:07:20.399
Um it's crazy.
00:07:20.560 --> 00:07:24.959
But anyway, it reminded me of PA school time.
00:07:25.519 --> 00:07:29.439
Um yeah, this is a bold statement, but hear me out.
00:07:30.319 --> 00:07:37.279
I don't think that everyone I went to school with has the credentials to be a PA.
00:07:38.240 --> 00:07:40.000
I would agree with that.
00:07:40.240 --> 00:07:53.680
Now, these are people who applied, these are people who went through the academic part, the clinical part, rotations, took their boards, but I feel like uh they were faking it.
00:07:55.279 --> 00:07:57.920
They actually they faked it less than than this individual.
00:07:58.319 --> 00:08:02.240
But like can this begs the question, like, can you do it?
00:08:02.399 --> 00:08:05.199
And yes, I think the answer is yes, absolutely.
00:08:05.519 --> 00:08:05.920
Yeah.
00:08:06.160 --> 00:08:07.360
Uh yes.
00:08:07.600 --> 00:08:09.040
Can you go to PA school?
00:08:09.199 --> 00:08:24.000
Can you go to PA school and put forth the absolute minimum and still graduate with the same credentials as those who did monumental work, who like did all their rotations?
00:08:24.240 --> 00:08:33.600
Um I mean, of course everyone does all the rotations, but uh participated in research projects, did these electives at like um renowned centers.
00:08:33.679 --> 00:08:39.679
Yeah, that same person on paper is the same with the last person in the class.
00:08:39.919 --> 00:08:41.840
It's the same thing, like we were talking about earlier.
00:08:42.000 --> 00:08:51.840
Can you show up to work and do the bare minimum and have the same job title and same salary as somebody else who does, you know, way more, but whatever.
00:08:52.000 --> 00:08:52.639
I digress.
00:08:52.799 --> 00:08:55.759
Yeah, yes, that's you you absolutely can.
00:08:55.919 --> 00:09:02.320
But I can name, and I had 26 people in my PA class, it's not that large, but it was also a long time ago.
00:09:02.639 --> 00:09:10.559
And I remember as we were going through, because there was like some group work or whatever, I remember at various stages, I'm like, how did you get here?
00:09:10.799 --> 00:09:13.759
Yeah, like how are you in in this?
00:09:13.919 --> 00:09:14.559
How did you get here?
00:09:14.639 --> 00:09:16.720
How like what are your academics like that you were okay?
00:09:16.879 --> 00:09:22.320
What what demographic are you filling that has allowed you acceptance into this program?
00:09:22.879 --> 00:09:25.600
Matriculation rates for school play a big role into it.
00:09:25.919 --> 00:09:32.879
Yes, everybody obviously you get into school and they want you to pass and they want everybody to look at, they want their program to look good.
00:09:33.120 --> 00:09:38.879
Um but uh at what cost of the people coming out of the program?
00:09:39.039 --> 00:09:47.679
You also don't want to send off somebody subpar to work at X hospital and send from your program is a representation of your program.
00:09:48.080 --> 00:09:55.440
Um but yeah, I mean, you had you have many people you've told me about that were in your class that were questionable.
00:09:56.080 --> 00:09:56.639
Yes, yes.
00:09:56.799 --> 00:10:03.919
The question that I want you guys to think about is how much of PA school actually measures whether someone will be a good PA.
00:10:04.720 --> 00:10:05.039
Okay.
00:10:05.759 --> 00:10:08.799
It's it's minimal because But it doesn't translate.
00:10:08.960 --> 00:10:09.039
Yeah.
00:10:09.200 --> 00:10:14.000
Like a little snapshot in four weeks of OB is not gonna determine.
00:10:14.159 --> 00:10:14.399
Yeah.
00:10:14.799 --> 00:10:22.159
Especially if my OB, wait, my OB, my OB was in Connecticut in a private practice.
00:10:22.480 --> 00:10:24.240
And you did everything the first day?
00:10:24.559 --> 00:10:26.799
And I did everything the first day, right?
00:10:26.960 --> 00:10:30.080
I showed up and the doc was like, hey, I'm stuck at the hospital.
00:10:30.159 --> 00:10:32.159
Can you do my first like 10 pap smears?
00:10:32.320 --> 00:10:33.519
I'm like, holy shit.
00:10:33.759 --> 00:10:44.559
Um, but that situation, well, maybe that situation could determine if you're gonna be good or not, but like, I don't know, I think they're all mini snapshots of a bigger picture.
00:10:44.720 --> 00:10:50.399
It's very hard to say that just because you successfully passed PA school, you're gonna thrive in the profession.
00:10:51.360 --> 00:10:53.840
So, and you'll see this everywhere, right?
00:10:54.399 --> 00:10:55.840
The textbook genius.
00:10:56.000 --> 00:11:01.840
So the person who got through PA school because they just have like an amazing photographic memory.
00:11:02.000 --> 00:11:02.240
Yeah.
00:11:02.480 --> 00:11:05.440
That doesn't necessarily mean you're gonna be a good PA.
00:11:05.600 --> 00:11:08.720
However, you will do great in the academic part.
00:11:08.960 --> 00:11:10.480
They sit in a classroom all day.
00:11:10.720 --> 00:11:10.879
Yeah.
00:11:11.120 --> 00:11:11.919
Okay, right.
00:11:12.240 --> 00:11:18.720
Get great grades on your test because you can remember all the side effects and all the generics for for the, you know.
00:11:19.039 --> 00:11:20.080
You're a good test taker.
00:11:20.320 --> 00:11:21.279
You're a great test taker.
00:11:21.440 --> 00:11:23.120
Pharmacology comes easy to you, right?
00:11:23.360 --> 00:11:24.320
Eydetic memory, yeah.
00:11:24.399 --> 00:11:24.720
Whatever you want to do.
00:11:24.879 --> 00:11:30.399
But then but then you put that person in front of a patient and they just like physically they like can't interact with a patient.
00:11:30.639 --> 00:11:37.519
We had a lot of those in my class, well, I won't say a lot, but we had some of those in my class where like academically they did very, very well.
00:11:37.679 --> 00:11:43.840
They were the 4.0 GPA, they came not straight from undergrad, some of them, yes.
00:11:44.080 --> 00:11:47.200
They came relatively soon from undergrad.
00:11:47.360 --> 00:11:51.519
Yes, and just excelled academically, got into school because of that.
00:11:51.679 --> 00:11:52.159
Yeah.
00:11:52.480 --> 00:11:58.399
And then you put them in front of the patient and they don't know how to talk, but they can answer the questions.
00:11:58.799 --> 00:12:12.480
So, in when I went to PA school, again, Hannah, you have to remind me, I forgot what Elon does, but four years of undergrad and then PA school at the time was two years plus whatever tack on for like the master's degree.
00:12:12.559 --> 00:12:14.320
So it's like two and a half, twenty-seven months.
00:12:14.639 --> 00:12:16.080
Yeah, twenty-seven was ours, yeah.
00:12:16.480 --> 00:12:22.000
Some schools now is undergrad flows into PA school and the whole thing is like five and a half years or something.
00:12:22.159 --> 00:12:22.639
Oh, yeah.
00:12:22.879 --> 00:12:25.840
Yeah, but anyway, there's like a school entry thing or something for the entry.
00:12:26.399 --> 00:12:34.320
But you will have students that go directly from undergrad, they graduate in May and then they start PA school in July, right?
00:12:34.559 --> 00:12:40.559
Um, myself, I worked for a year, then I went to PA school, and you have some people that do this as like a second profession.
00:12:40.639 --> 00:12:46.639
I went to PA school with um my friend who lived in New York City and worked for like a talk show.
00:12:46.799 --> 00:12:51.519
She was in communications and worked on the Maury Povit show, like in the early 2000s.
00:12:51.919 --> 00:12:52.159
Yes.
00:12:52.240 --> 00:12:53.600
I know she was she's great.
00:12:53.919 --> 00:13:00.159
She was she struggled with the academic part because she was like, damn, I've been out in the classroom for a while, but in rotations, killed it.
00:13:00.480 --> 00:13:04.240
And I think that that is like that makes the better PA.
00:13:04.639 --> 00:13:09.600
But but here's the question though like when you have a student who's it's like medical school.
00:13:09.679 --> 00:13:11.840
You have a student who's always been a student, yeah, right?
00:13:11.919 --> 00:13:21.200
They go to school, then they go to high school, then they go to college, then they get into med school, then they don't know anything about the classroom, then you get them out in the wild and they don't know how to interact with people.
00:13:21.519 --> 00:13:33.200
So um I think PAs, we had a little bit of the undergrads that went right into PA school, and then we had a lot of like second career people, and then like a lot of people like me, kind of in the middle where they did something for a year or two and then went back to PA school.
00:13:33.360 --> 00:13:40.799
So I think um I think the ones that are just students excelled academically, but really floundered in clinics.
00:13:41.039 --> 00:13:51.200
And that's tough because I feel like the academic requirements for PA school right now, it's so hard to get into and it's so heavily stressed that like that seems to be what they want.
00:13:51.279 --> 00:13:51.600
Yes.
00:13:51.840 --> 00:13:58.000
When it seems to me that most of the people that I know that did the best aren't people that had the best GPA undergrad-wise.
00:13:58.159 --> 00:14:19.840
I'm just speaking about myself, I didn't have the greatest undergrad GPA, it was hard for me to get in, but like school itself, I mean pharmacology, yeah, like I had to stay up late at night memorizing that, but I didn't find PA school like challenging from an aspect of interaction portion because of the life experience.
00:14:20.080 --> 00:14:30.159
Well, for instance, I interviewed somebody recently who went to undergrad and then from undergrad to PA school and has been out of PA school for a year plus and is looking for a job.
00:14:30.399 --> 00:14:35.519
And again, like red flag, hey, how come you've been out of school for a year and you haven't been employed yet?
00:14:35.679 --> 00:14:36.240
What are you doing?
00:14:36.399 --> 00:14:37.120
What are you doing?
00:14:37.840 --> 00:14:46.320
Um, we had got to the point where we were discussing like offering terms of the position, and they wanted full tuition reimbursement.
00:14:46.559 --> 00:14:47.840
And we don't offer that.
00:14:47.919 --> 00:14:50.720
We are a private practice, that's not something that we do.
00:14:50.960 --> 00:14:55.759
And they didn't take the job because they've always been a student, their loans are through the roof.
00:14:55.840 --> 00:14:58.480
And I'm like, yeah, but understand life experience.
00:14:58.639 --> 00:15:01.519
Yes, guess what continues to become more expensive?
00:15:01.759 --> 00:15:03.600
Your loans when you're not paying them off.
00:15:03.840 --> 00:15:04.799
When you're not working, yeah.
00:15:04.960 --> 00:15:13.440
So I mean, people that just don't have like life experience that just go from classroom to real world, I feel like there's something like, I don't know, there's something missing.
00:15:13.519 --> 00:15:25.039
But anyway, those that are really, really book smart sometimes struggle interacting with patients, sometimes struggle with the abstract or when a clinical scenario does not match what the book said it should be.
00:15:25.360 --> 00:15:30.240
So I think knowing the textbook is not the same as practical medicine.
00:15:30.399 --> 00:15:30.639
Yeah.
00:15:30.720 --> 00:15:32.960
Yeah, you need you need a healthy balance of both.
00:15:33.120 --> 00:15:33.679
Yeah.
00:15:34.000 --> 00:15:41.200
Now let's take the person who maybe isn't book smart, but the person who got through all of the rotations and didn't do shit.
00:15:41.440 --> 00:15:41.840
Yes.
00:15:42.080 --> 00:15:43.039
Did you have any of those?
00:15:43.360 --> 00:15:45.759
The never scrubbed in surgical student.
00:15:46.000 --> 00:15:46.159
Yes.
00:15:46.320 --> 00:15:47.919
So what that's what we are deeming them.
00:15:48.080 --> 00:15:48.399
Yeah.
00:15:48.559 --> 00:16:04.399
Um here, and I'll say this like I think that it is very possible to get your way through clinical rotations and make your marks and you know, pass your EORs and everything without being fully committed to it and faking it, so to speak.
00:16:04.559 --> 00:16:07.759
Because I'm gonna be honest, like, I faked it for a couple rotations.
00:16:07.919 --> 00:16:09.519
Oh my god, I wasn't into it.
00:16:09.679 --> 00:16:10.480
I faked it.
00:16:10.639 --> 00:16:11.600
I'm a faker.
00:16:11.759 --> 00:16:12.320
I said it.
00:16:12.480 --> 00:16:13.440
Oh my god.
00:16:13.919 --> 00:16:16.000
Um, OBGYN specifically.
00:16:16.159 --> 00:16:17.919
Now, did I actually do the thing?
00:16:18.000 --> 00:16:23.759
Yes, I maybe maybe I won't say I faked that one because I did have to do a lot of pap smears and I wasn't super excited about that.
00:16:24.000 --> 00:16:30.159
Um, but I think there are ways to get out of doing certain things that you don't want to do.
00:16:30.480 --> 00:16:40.559
Yes, when we had our physical examination class, I remember we had you know, had a partner and you had to perform the physical exam for a grade, right?
00:16:40.799 --> 00:16:43.039
So you have all the preceptors watching you, whatever.
00:16:43.279 --> 00:16:45.759
So I remember telling my partner her name was Sandy.
00:16:45.919 --> 00:16:49.919
I remember telling her, I was like, all right, so for this, to check femoral pulse.
00:16:50.000 --> 00:16:50.159
Uh-huh.
00:16:50.240 --> 00:16:51.519
And I was like, I'm getting all up in there.
00:16:51.600 --> 00:16:51.679
Yeah.
00:16:51.919 --> 00:16:52.559
Getting all up in there.
00:16:52.639 --> 00:16:54.879
And she was like, nah, I'm just gonna put my hand, I'll just hover.
00:16:54.960 --> 00:16:57.919
Like, I'll just put my hand like by your femoral pulse and I'll just hover.
00:16:58.240 --> 00:16:59.759
I was like, you bitch.
00:17:00.480 --> 00:17:02.960
Like, so you're just not gonna feel what a femoral pulse feels like?
00:17:03.120 --> 00:17:03.279
Yeah.
00:17:03.440 --> 00:17:05.279
She's like, nah, I just don't, I just don't think I'm gonna do that.
00:17:05.920 --> 00:17:08.079
Yeah, but you're gonna get a grade that says you did that.
00:17:08.319 --> 00:17:10.400
Like she's like, well, it looks like I didn't.
00:17:10.720 --> 00:17:13.200
I know, but you can do that throughout.
00:17:14.480 --> 00:17:21.839
We had someone at our one that I rotated with for our surgery rotation who never stepped foot in the OR.
00:17:22.000 --> 00:17:22.400
That's why.
00:17:22.720 --> 00:17:29.279
But did an amazing job post op rounds checking all the labs, making sure the electrolytes are okay.
00:17:29.440 --> 00:17:34.000
Ooh, this one needs a bolus of, you know, saline, this one magnesium is low.
00:17:34.160 --> 00:17:38.000
So had stuff to contribute, never step foot in the operating room.
00:17:38.160 --> 00:17:38.319
Yeah.
00:17:38.559 --> 00:17:49.599
I can't even like I think in and is that people's way of like molding it into what they want it to be, but contributing in the way that they feel they are best suited to.
00:17:49.759 --> 00:17:55.920
I don't know, but you have to like your rotations are supposed to be the time frame that you have to do everything and trial everything.
00:17:56.240 --> 00:18:10.160
Yeah, but the other thing that like makes it hard to really tease out your school experience and and you know who's good, who's bad, who does it, who does a good job, who face it, is the peer references.
00:18:10.240 --> 00:18:14.000
Like, no one is gonna take a peer reference and say this person sucked.
00:18:14.160 --> 00:18:16.480
They were terrible, they were lazy as shit.
00:18:16.640 --> 00:18:18.720
Yeah, they should, yeah, but they don't.
00:18:18.960 --> 00:18:31.359
I mean, have you, you precept students, have you ever wrote a bad uh so some some schools, not all of them, some schools you cannot fill out the rubric without saying what their weaknesses are.
00:18:31.519 --> 00:18:32.640
Oh yeah.
00:18:32.880 --> 00:18:35.920
I do not have a problem identifying weaknesses.
00:18:38.400 --> 00:18:41.440
We all have we we should have our weaknesses identified.
00:18:41.680 --> 00:18:52.640
Everybody has weaknesses, yes, and I think weaknesses, yeah, but I I don't think um, I think some are a little bit more crippling than others when it comes to medicine.
00:18:52.960 --> 00:18:54.319
Quantity-wise, some have more than others.
00:18:54.880 --> 00:18:56.799
Some are more plentiful than others, yeah.
00:18:56.960 --> 00:19:02.000
Yeah, so yeah, I do think that like if you're a likable person, you can get through your rotation.
00:19:02.160 --> 00:19:13.440
We've had medical students on our team in the past who got through and like, you know, did well because they were likable and they were nice and they were easy to work with and helpful for the team.
00:19:13.839 --> 00:19:17.279
Were they like the smartest and did they take away and learn a ton?
00:19:17.440 --> 00:19:19.039
I don't necessarily know about that.
00:19:19.119 --> 00:19:20.960
Yeah but like we liked them enough.
00:19:21.119 --> 00:19:30.000
Yeah, then you know, we have the complete polar opposite who maybe they were very textbook smart, but didn't uh can't really get aligned people.
00:19:30.240 --> 00:19:30.799
Yeah, yes.
00:19:31.039 --> 00:19:39.119
But I think that there is a way for people to make their way through without um having to fully contribute.
00:19:39.359 --> 00:19:49.200
Yeah, those um at at least in my program, there's office hours, and those that go to office hours and make themselves visible, we are going to call them the suck-ups.
00:19:49.279 --> 00:19:55.440
Yes, yeah, we all have to be a little bit of suck ups in a sense to get where we want to go in life.
00:19:55.519 --> 00:19:55.839
Yeah.
00:19:55.920 --> 00:20:00.799
Um, but some people have it down to a T and really know how to work it.
00:20:01.279 --> 00:20:06.160
My really good friend, and I should text her after I say this because she's going to die.
00:20:06.480 --> 00:20:11.200
Um, my really good friend that I was in PA school with, I haven't talked to in a while.
00:20:11.519 --> 00:20:14.000
She loved our anatomy teacher.
00:20:14.160 --> 00:20:20.000
He was this like 60-year-old African guy that had like an amazing um accent.
00:20:20.400 --> 00:20:23.920
So when he would teach, I don't know, it just you'd like love listening to him.
00:20:24.000 --> 00:20:24.559
Yeah what I mean.
00:20:24.720 --> 00:20:28.400
Like it just made everything sound interesting because his voice was so nice to listen to.
00:20:28.640 --> 00:20:38.400
And I remember like we were outside of the classroom or whatever, we were walking outside, and there was, you know, this was in uh Dobbs Ferry, New York at the time, I think.
00:20:38.559 --> 00:20:41.519
And it was like fall and it was beautiful.
00:20:41.839 --> 00:20:46.160
And we sat down and he was walking like on his way back to class, and so are we.
00:20:46.319 --> 00:20:48.000
So we sat down to do something, whatever.
00:20:48.079 --> 00:20:54.400
So my friend sat down with him and he said, Do you know what medicine is in you know, in my native language?
00:20:54.559 --> 00:20:55.440
And she was like, No.
00:20:55.599 --> 00:21:00.160
And then he said it, and then she goes, What's love in your native language?
00:21:01.680 --> 00:21:04.799
I was like, I was like, stop.
00:21:05.519 --> 00:21:07.200
I was like, dead.
00:21:07.759 --> 00:21:10.079
She said, I was like, what is wrong with you?
00:21:10.240 --> 00:21:11.519
She goes, I I don't, I don't know.
00:21:11.599 --> 00:21:13.119
It like it just came out.
00:21:13.440 --> 00:21:17.200
She was she like had a moment that she fell in love with and there.
00:21:17.680 --> 00:21:21.920
She did, and it wasn't anything like it wasn't anything like what you think it would be.
00:21:22.000 --> 00:21:27.440
She wasn't like trying to get ahead in life, but she was like, What is wrong with you?
00:21:27.599 --> 00:21:28.799
Like, why would you say that?
00:21:29.119 --> 00:21:31.279
She's like, I like I don't even know what did he respond.
00:21:31.519 --> 00:21:32.160
How did I respond?
00:21:32.559 --> 00:21:33.519
How did he respond?
00:21:33.759 --> 00:21:37.680
He told her, he told her what it was, and I was just like, I'm out, I'm out.
00:21:38.000 --> 00:21:39.119
Like I'm like, this is getting weird.
00:21:39.279 --> 00:21:39.680
This is getting weird.
00:21:40.400 --> 00:21:40.720
I'm out.
00:21:40.960 --> 00:21:45.920
No, but you have you had she wasn't this person, but in the moment, I was like, You are that person.
00:21:46.240 --> 00:21:46.880
That's hilarious.
00:21:46.960 --> 00:21:47.119
Yeah.
00:21:47.279 --> 00:21:50.400
I think you know, I I see her as just being so entranced.
00:21:50.480 --> 00:21:54.720
Like she was like almost like the cobra in the in the flute or whatever it is.
00:21:55.359 --> 00:21:56.079
Absolutely was.
00:21:56.240 --> 00:21:59.680
And I was I was like, you couldn't have said like pulmonary system.
00:22:00.319 --> 00:22:03.359
You asshole, you just say love, and she's like, I don't know what I don't know what came over my hand.
00:22:03.519 --> 00:22:07.359
Yeah, like I was literally hypnotized by his beautiful voice.
00:22:07.599 --> 00:22:08.000
Anyway.
00:22:08.960 --> 00:22:10.559
Listen, it happens to the best of us.
00:22:10.799 --> 00:22:11.759
I guess we get it.
00:22:11.920 --> 00:22:13.920
I mean, that has never happened to me personally.
00:22:14.000 --> 00:22:16.559
That's the typic scenario, but I'm sure somebody's not.
00:22:16.640 --> 00:22:22.240
But in my like in my memory, you know, when you have photographic memory, in my memory, it's like a perfect New England fall day.
00:22:22.400 --> 00:22:26.160
She's sitting on a bench with him, and I was like, she literally was like, What is what does love mean?
00:22:26.240 --> 00:22:27.759
I'm like, oh my god, it's not again.
00:22:28.559 --> 00:22:31.920
Anyway, um, so there's the suck up.
00:22:32.799 --> 00:22:38.880
But the next, the next um, I guess like personality is the fake it till you make it student.
00:22:38.960 --> 00:22:40.400
Now I will tell you something.
00:22:40.640 --> 00:22:51.440
When I first started at one of these jobs that I had, my preceptor said to me, and again, at the time I had more skills than what this preceptor did.
00:22:51.599 --> 00:22:55.359
So when she was like teaching me how to do stuff, I was like, I'm already certifying that.
00:22:55.440 --> 00:22:57.039
I've already done that, I can do that left-handed.
00:22:57.200 --> 00:23:00.160
And she was like, Listen, this is how you do an ultrasound.
00:23:00.400 --> 00:23:04.559
You just hold the probe up to the patient, wiggle it around a little bit.
00:23:04.720 --> 00:23:07.039
You know what I'm saying, girl, fake it till you make it.
00:23:07.119 --> 00:23:09.680
And I was like, I hate you.
00:23:09.839 --> 00:23:11.279
Yeah, like I hate you.
00:23:11.440 --> 00:23:18.240
Yeah, I remember this, and I was just like, I cannot stand that phrase, fake it till you make it.
00:23:18.480 --> 00:23:22.480
But um, anyway, these people are like super confident.
00:23:22.799 --> 00:23:26.079
Um, they use the right words, but they have no idea what they're talking about.
00:23:26.960 --> 00:23:32.240
For example, story time in our um, I don't know, case presentation class.
00:23:32.400 --> 00:23:33.440
I have no idea what the class was called.
00:23:33.680 --> 00:23:35.839
Yeah, I know you got like you got a case study and you got a group.
00:23:36.559 --> 00:23:37.519
You got into groups, okay?
00:23:37.680 --> 00:23:38.079
Yeah.
00:23:38.400 --> 00:23:40.960
This was a, you know, all the keywords.
00:23:41.039 --> 00:23:57.279
This was a 34-year-old female who traveled internationally and she was helping an underserved community, drank the water and came back home and had, you know, cramping, um, uh like loose stools, bloody this, vomiting.
00:23:58.319 --> 00:23:59.599
The labs look like this.
00:23:59.759 --> 00:24:00.720
What's your diagnosis?
00:24:00.880 --> 00:24:01.839
What are your differentials?
00:24:01.920 --> 00:24:02.160
Right.
00:24:02.319 --> 00:24:02.480
Yeah.
00:24:02.640 --> 00:24:07.839
And again, just you're supposed to look at is this, you know, is this um fungal?
00:24:08.000 --> 00:24:08.799
Is it bacterial?
00:24:08.960 --> 00:24:09.680
Is it viral?
00:24:09.839 --> 00:24:11.920
And then, you know, what are the what are the causes?
00:24:12.000 --> 00:24:12.559
What are the treatments?
00:24:12.720 --> 00:24:13.440
Blah, blah, blah.
00:24:13.920 --> 00:24:14.160
Labs.
00:24:14.640 --> 00:24:17.839
So this girl, I'm like, I've been wanting to say her name so bad.
00:24:17.920 --> 00:24:18.640
It's been 20 years.
00:24:18.720 --> 00:24:20.000
I should be able to say it, but I won't.
00:24:20.400 --> 00:24:30.480
She gets up there and she was like, um, so my diagnosis for this case is um traveler's diarrhea.
00:24:30.960 --> 00:24:36.000
Now, the reason why I think it is is because the patient traveled.
00:24:36.640 --> 00:24:42.480
The reason why my rule in is they traveled and they had an upset stomach.
00:24:42.799 --> 00:24:48.480
My rule out as to why this is not the diagnosis is diarrhea was absent.
00:24:48.559 --> 00:24:53.119
And I'm like, is anybody else listening to what this chick is saying right now?
00:24:53.359 --> 00:24:56.319
Like, or you're looking around to see if it's a joke.
00:24:56.640 --> 00:25:01.440
I'm looking around and I'm like, I is everybody like, is no one saying anything right now?
00:25:01.599 --> 00:25:06.319
And she would say stuff like that, and I'm like, You goddamn kidding me, this is like common sense stuff.
00:25:06.960 --> 00:25:12.400
Man, good for her that she could exude that confidence, like that, regardless of the outcome.
00:25:12.640 --> 00:25:19.359
I mean, in a sense, I suppose I'm jealous of that, but like, has she been corrected to this day?
00:25:19.519 --> 00:25:21.359
Do we think she's still out there doing that?
00:25:21.519 --> 00:25:22.640
I do think so.
00:25:22.799 --> 00:25:26.079
I remember like after I graduated, I'm like, let me see if she ever got a job.
00:25:26.240 --> 00:25:28.240
And like, you know, did she pass her boards?
00:25:28.319 --> 00:25:29.119
Oh, look, she did.
00:25:29.599 --> 00:25:30.720
Like, how is that possible?
00:25:31.359 --> 00:25:31.920
That's crazy.
00:25:32.160 --> 00:25:33.039
Oh my God.
00:25:33.119 --> 00:25:36.160
Uh, here's like the next level question.
00:25:36.400 --> 00:25:39.519
That person, I know what I know because I went to school with this person.
00:25:39.759 --> 00:25:53.039
But if that person has a patient in their room and they deliver whatever diagnosis is so confidently, like we are allowing that to happen because patients love confidence.
00:25:53.359 --> 00:25:53.839
They believe it.
00:25:53.920 --> 00:25:55.200
They believe it too.
00:25:55.519 --> 00:25:56.480
Your knee is arthritic.
00:25:56.720 --> 00:25:57.359
Look, here's a picture.
00:25:59.519 --> 00:26:01.119
Your knee is arthritic, here's the picture.
00:26:01.519 --> 00:26:01.839
Stop.
00:26:01.920 --> 00:26:03.279
Oh my god, PTSD.
00:26:03.440 --> 00:26:03.759
Yeah.
00:26:04.480 --> 00:26:04.799
Yeah.
00:26:04.960 --> 00:26:13.039
What about like I don't know that this is fake it till you make it or any of the previous ones, but everybody had this one.
00:26:13.440 --> 00:26:24.000
The I am going to ask a question to make myself sound smarter because I'm gonna insert things in this question that make it seem like I know more than I should.
00:26:24.319 --> 00:26:25.279
Do you know what I'm talking about?
00:26:25.440 --> 00:26:31.519
We had this one girl who literally always used to raise her hand and she was a nurse before, like an RN before going to P school.
00:26:31.759 --> 00:26:32.400
And told you, right?
00:26:32.559 --> 00:26:33.359
No, she told everybody.
00:26:33.519 --> 00:26:34.559
Yeah, guys, I was a nurse.
00:26:34.960 --> 00:26:37.680
But she told us in every question she asked too.
00:26:37.759 --> 00:26:44.559
And she was, you know, there there's always like three or four people who carry the class as far as like voices you hear each day.
00:26:44.880 --> 00:26:47.200
They're always they gotta say something about everything.
00:26:47.759 --> 00:26:56.160
So um, she would always raise her hand, especially if there were people from outside presenting and coming into us.
00:26:56.720 --> 00:27:03.440
And it was a I don't have any exact questions, but something along the lines of, well, what about with this?
00:27:03.519 --> 00:27:08.480
Because we used to do this on the floor, and in this scenario, I've given this med and stuff.
00:27:08.559 --> 00:27:12.160
And and you're like, that's not even what we're talking about at this point.
00:27:12.480 --> 00:27:13.359
Like, are you just flexing?
00:27:13.440 --> 00:27:13.920
It's a flex.
00:27:14.160 --> 00:27:23.839
It is a flex that is smart and strategic because that is a way of demonstrating to the class her competence, yeah, but also asking a question.
00:27:24.079 --> 00:27:24.640
Yes, the pre.
00:27:24.960 --> 00:27:25.920
So they're more of a suck up.
00:27:26.079 --> 00:27:28.960
Oh, teacher suck up, preceptor suck up, suck-up to everybody.
00:27:29.200 --> 00:27:29.599
I don't know.
00:27:29.839 --> 00:27:34.240
Yeah, but also someone, I don't know, almost like it's like a narcissist.
00:27:34.319 --> 00:27:34.880
Let's take it there.
00:27:35.039 --> 00:27:35.839
Yeah, yeah, yeah.
00:27:37.119 --> 00:27:39.920
There are some tendencies that they're demonstrating.
00:27:40.160 --> 00:27:55.279
So, do you think the structure of PA school, which again, those that whoever is listening to where you are ever where you are in this journey, it is a didactic portion, and then there's the clinical portion.
00:27:55.519 --> 00:27:59.119
So you have to pass didactic to be able to go to clinical.
00:27:59.279 --> 00:28:02.880
Didactic, I don't say it's easy, but it's it's the school system.
00:28:03.039 --> 00:28:05.440
You take a test, you are graded on it, there you go.
00:28:05.599 --> 00:28:06.640
You move on to the next thing.
00:28:06.880 --> 00:28:13.519
Clinical is based on, you know, you take a test at the end of your clinical, but um what you do on site, yeah.
00:28:13.759 --> 00:28:19.359
That's more of a, you know, hands-on portion of the of the program.
00:28:19.599 --> 00:28:22.240
So um I I just don't know.
00:28:22.319 --> 00:28:28.160
Do you think the structure of PA school is are we serving PAs correctly with this structure?
00:28:29.519 --> 00:28:30.799
Well, hard for me to answer.
00:28:30.880 --> 00:28:32.079
I was a COVID PA.
00:28:32.319 --> 00:28:35.759
So we we we everything got passed by us.
00:28:35.920 --> 00:28:38.640
We actually are the fake PAs of the world.
00:28:38.799 --> 00:28:40.720
Yeah, no, there you you guys are.
00:28:40.880 --> 00:28:41.119
Yeah.
00:28:41.200 --> 00:28:41.519
Yeah.
00:28:41.839 --> 00:28:49.200
Because we legitimately were the ones that got to check, we didn't have to check the boxes because they were like, ooh, yeah, COVID E.
00:28:49.359 --> 00:28:51.519
Yeah, omitted because of COVID.
00:28:51.680 --> 00:28:56.240
So actually, we got to take an entire rotation where we were like clicking buttons.
00:28:56.319 --> 00:28:57.519
It was like a video game.
00:28:58.960 --> 00:28:59.599
Yeah, yeah.
00:29:00.559 --> 00:29:04.559
So I would not ask me any ACLS questions if I were you.
00:29:04.799 --> 00:29:05.200
Yeah.
00:29:05.519 --> 00:29:13.440
But I think for that population, which again, I have hired some of you guys, you can see how you do in clinic.
00:29:13.519 --> 00:29:17.039
And I would say that you have probably grown more, and any new PA will say this.
00:29:17.200 --> 00:29:21.359
You grow more and you learn more in your first years than you ever did in PA school.
00:29:21.519 --> 00:29:29.759
And I know that there has to be some rubric of what is a standard for you must do this to then take the boards, to then be practicing.
00:29:29.920 --> 00:29:35.599
But there's just there's such a gap of what you don't learn in PA school that makes you a good PA.
00:29:35.680 --> 00:29:36.000
Yeah.
00:29:36.240 --> 00:29:40.720
I think if there was a way for, and it's almost like fellowship, right?
00:29:40.880 --> 00:29:47.759
If there was a way for PAs to graduate and then mandatory first year of employment, you have to be paired up with someone.
00:29:47.839 --> 00:29:48.480
You have to.
00:29:48.799 --> 00:29:55.039
Someone you work together with someone so you can, I don't know, like co-sign your notes and I don't know.
00:29:55.279 --> 00:29:56.640
Well, that's your supervising physician.
00:29:57.119 --> 00:30:04.559
I know, but in the real medical model, you don't have that unless you are truly, truly, truly at a teaching hospital.
00:30:04.720 --> 00:30:12.000
I also feel like there's a training period that whatever company feels is, you know, deems is necessary or enough.
00:30:12.160 --> 00:30:13.759
And then after that, that's it.
00:30:14.000 --> 00:30:14.240
Yeah.
00:30:14.400 --> 00:30:19.279
You know, I think like a year long and they do have PA residencies, but it's they do, but it's different.
00:30:19.359 --> 00:30:22.400
It's different when you're like, no, this is on me.
00:30:22.559 --> 00:30:27.759
Like my name is on this, like this is my decision versus I don't know, I feel like you're safe when you're in a residency.
00:30:28.000 --> 00:30:28.319
Yes.
00:30:28.480 --> 00:30:28.640
Right.
00:30:28.720 --> 00:30:28.880
Yeah.
00:30:29.039 --> 00:30:37.920
I think I think what I'm trying to say is that just because you are a certified PA does not mean that you're a good PA or that you're competent.
00:30:38.000 --> 00:30:38.319
Yeah.
00:30:38.480 --> 00:30:39.119
Unfortunately.
00:30:39.359 --> 00:30:41.359
I mean the same thing could apply for any profession.
00:30:41.440 --> 00:30:42.799
So we're not getting any, you know.
00:30:43.200 --> 00:30:43.519
PT.
00:30:43.680 --> 00:30:43.920
Yeah.
00:30:44.079 --> 00:30:48.960
It's but back to her, you know, original story with this.
00:30:49.200 --> 00:30:56.079
Do you think how so obviously this person was able to impersonate a PA student because it's not hard to do that?
00:30:56.319 --> 00:30:56.640
Yeah.
00:30:56.960 --> 00:31:00.160
I can easily see how she was able to pull this off.
00:31:00.319 --> 00:31:00.960
Yeah.
00:31:01.200 --> 00:31:02.160
I I agree with that.
00:31:02.319 --> 00:31:02.559
Yeah.
00:31:02.720 --> 00:31:08.640
I mean, you can order the suture kits on Amazon, you can order a white coat on Amazon Scrubs, all of those things.
00:31:08.960 --> 00:31:13.839
Duke University campus is a free country or free area.
00:31:14.000 --> 00:31:16.799
You can walk on and take a picture of wherever you want.
00:31:17.440 --> 00:31:23.279
Um, but if this person was fake documenting it for two years, like what else were you doing?
00:31:25.759 --> 00:31:27.839
Have you seen the movie with Leonardo DiCaprio?
00:31:28.079 --> 00:31:29.440
Um, Catch Me If You Can.
00:31:29.759 --> 00:31:30.559
I love that movie.
00:31:30.640 --> 00:31:31.680
That's one of my favorite movies.
00:31:32.000 --> 00:31:32.720
I love that movie.
00:31:32.880 --> 00:31:34.559
You know, he faked being a doctor.
00:31:34.799 --> 00:31:35.839
He faked being a lawyer.
00:31:36.000 --> 00:31:36.640
And a plat pilot.
00:31:37.519 --> 00:31:37.680
Yeah.
00:31:37.839 --> 00:31:38.079
Yeah.
00:31:38.240 --> 00:31:38.960
Amazing.
00:31:39.200 --> 00:31:44.000
Um, so I think if he can do it, and there was a real life person who did that.
00:31:44.079 --> 00:31:44.640
What was his name?
00:31:44.799 --> 00:31:45.440
Frank or something?
00:31:45.519 --> 00:31:45.599
Yeah.
00:31:46.000 --> 00:31:46.960
Yeah, Abigail.
00:31:47.119 --> 00:31:48.720
Frank William Abignal.
00:31:49.839 --> 00:31:50.559
I love that movie.
00:31:50.799 --> 00:31:59.279
So we have Frank William Abignal, then we have this fake PA student, and then somewhere uh in between all of this are the the actual real person.
00:32:00.000 --> 00:32:03.920
And I guess what I guess why why I want to talk about it is it hurts my feelings.
00:32:04.240 --> 00:32:04.400
Yeah.
00:32:04.799 --> 00:32:07.279
Like I put in a lot of effort.
00:32:07.519 --> 00:32:10.559
I feel like PA school for me meant something.
00:32:11.039 --> 00:32:25.279
And I think if it's so easy to replicate that, whether it's like someone doing it for show and making money off of that on TikTok and whatever, or someone who's just going through the motions to earn the same credentials that I have, I just I don't love that.
00:32:25.519 --> 00:32:31.279
And you want it to be hard enough that like it is meaningful that you matriculated.
00:32:31.440 --> 00:32:31.759
Yes.
00:32:31.920 --> 00:32:40.640
Because if it does not, if it feels like you put in this amount of effort, but other people have the same result but didn't have to put in that effort, that's frustrating.
00:32:40.880 --> 00:32:44.240
It is, it is, but again, like I tell my kids, life isn't fair, you guys.
00:32:44.640 --> 00:32:45.119
It isn't fair.
00:32:45.359 --> 00:32:45.599
Yes.
00:32:45.759 --> 00:32:56.559
Now my question is if you were going to fake some sort of profession or identity on social media, what would you fake doing?
00:32:57.440 --> 00:32:59.599
Um, like a forensic analyst.
00:32:59.920 --> 00:33:01.920
Like uh try a side kind of thing.
00:33:02.240 --> 00:33:03.119
I would try to solve crimes.
00:33:03.359 --> 00:33:07.680
And I would I would solve them with 100% certainty with absolutely no background whatsoever.
00:33:08.000 --> 00:33:08.160
Okay.
00:33:08.480 --> 00:33:09.119
It's like a puzzle.
00:33:09.279 --> 00:33:17.039
Like I would, I would, I would, I would with that fake confidence, uh-huh, like guys, this is who killed him.
00:33:17.119 --> 00:33:17.680
This is who did it.
00:33:17.839 --> 00:33:19.039
Yeah, and like post videos.
00:33:21.359 --> 00:33:21.599
Yeah.
00:33:21.759 --> 00:33:22.079
Yeah.
00:33:24.559 --> 00:33:26.160
Like the blood spatter analysis.
00:33:26.480 --> 00:33:27.279
Amazing.
00:33:27.839 --> 00:33:28.240
I don't know.
00:33:28.319 --> 00:33:28.960
What would I do?
00:33:29.279 --> 00:33:30.799
What would I fake doing?
00:33:31.039 --> 00:33:34.400
Um, like I want to just fake being famous as something.
00:33:34.880 --> 00:33:36.000
I feel like it's not that hard.
00:33:36.079 --> 00:33:37.759
It's we can start that tomorrow.
00:33:38.000 --> 00:33:40.079
Well, I'm trying, I'm currently working on it.
00:33:40.319 --> 00:33:45.599
So me saying I'm trying to fake being famous, it's because I'm actively in that in that realm.
00:33:45.839 --> 00:33:52.960
I was trying to work on our team Instagram account and make us Tuesday night musing, tequila inspired.
00:33:53.200 --> 00:33:54.319
Tequila inspired.
00:33:54.400 --> 00:33:54.640
Yeah.
00:33:54.799 --> 00:33:58.480
Make us the most famous hand surgery team in the entire world.
00:33:58.559 --> 00:33:59.599
And I'm still working on it.
00:33:59.839 --> 00:34:01.279
It's a work in progress.
00:34:01.519 --> 00:34:05.279
Um, but I don't know, like some sort of artist or something.
00:34:05.359 --> 00:34:08.079
I feel like that would be very easy to fake, especially with AI now.
00:34:08.159 --> 00:34:09.519
Like, you can't fake almost anything.
00:34:10.079 --> 00:34:10.880
It saddens me.
00:34:10.960 --> 00:34:15.440
Like, I mean, I I my parents' generation, right?
00:34:15.599 --> 00:34:20.400
They are at that stage where they will probably need to see more doctors more often.
00:34:20.559 --> 00:34:20.719
Yeah.
00:34:20.880 --> 00:34:27.920
Like I want to know that who I'm putting their my hands or their, you know, their future.
00:34:28.079 --> 00:34:31.440
I want to know that these people aren't people that have faked it for their entire career.
00:34:31.599 --> 00:34:31.840
Yeah.
00:34:32.000 --> 00:34:32.159
You know?
00:34:32.800 --> 00:34:34.239
This inspires me to be better.
00:34:34.480 --> 00:34:34.880
It should.
00:34:35.119 --> 00:34:36.719
I don't want to be a faker.
00:34:37.280 --> 00:34:37.519
No.
00:34:37.760 --> 00:34:38.000
No.
00:34:38.239 --> 00:34:38.559
Yeah.
00:34:38.719 --> 00:34:40.159
And it should inspire you.
00:34:40.400 --> 00:34:40.880
I know.
00:34:41.199 --> 00:34:41.679
We are.
00:34:42.239 --> 00:34:44.079
There's a responsibility that comes with this.
00:34:44.320 --> 00:34:45.920
There's a responsibility that comes with this.
00:34:46.159 --> 00:34:48.079
So we need to take it seriously.
00:34:48.400 --> 00:34:48.880
We do.
00:34:49.119 --> 00:34:49.599
Yeah.
00:34:49.920 --> 00:34:57.920
And I think somebody going in and posting on social media about being a PA student is like flattering a little bit.
00:34:58.239 --> 00:35:01.360
It is flattering, but if I were a Duke PA student, I'd be fierce.
00:35:02.079 --> 00:35:02.639
I'd be furious.
00:35:02.880 --> 00:35:08.880
It's flattering because like, ooh, they think we're cool enough that they want to spend us trying to be us.
00:35:09.119 --> 00:35:09.280
Yeah.
00:35:09.519 --> 00:35:10.079
Yeah.
00:35:10.400 --> 00:35:13.280
So think about that for a second.
00:35:13.440 --> 00:35:19.119
I I am cool enough that somebody wanted to fake being like me at one point in my life.
00:35:19.360 --> 00:35:20.320
There you go.
00:35:21.679 --> 00:35:25.280
I'm imagining doing a get ready with me before one of my PA school days.
00:35:25.440 --> 00:35:26.159
It was not.
00:35:26.400 --> 00:35:28.239
We talked about do a get ready with me.
00:35:28.639 --> 00:35:30.480
That's what we should do this week.
00:35:31.920 --> 00:35:32.559
I will do that.
00:35:32.719 --> 00:35:34.239
I will, I will do that.
00:35:34.320 --> 00:35:36.960
And then next week we will just post videos.
00:35:37.039 --> 00:35:37.599
No talking.
00:35:37.840 --> 00:35:38.320
No talking.
00:35:38.480 --> 00:35:39.039
Just clips.
00:35:39.199 --> 00:35:39.519
Clips.
00:35:39.679 --> 00:35:40.159
Get ready with.
00:35:40.400 --> 00:35:41.519
Well, you have to voice it over.
00:35:41.679 --> 00:35:43.360
Your daughter will know how to do this for you.
00:35:43.599 --> 00:35:44.159
I know that.
00:35:44.320 --> 00:35:44.719
Yeah.
00:35:45.039 --> 00:35:45.519
Get ready with it.
00:35:45.760 --> 00:35:46.480
She can voice it over.
00:35:46.559 --> 00:35:48.880
Get ready with me for a day in the OR.
00:35:49.119 --> 00:35:49.679
Get ready.
00:35:49.840 --> 00:35:50.320
We're doing it.
00:35:50.400 --> 00:35:51.119
We're doing it.
00:35:51.360 --> 00:35:51.840
All right.
00:35:51.920 --> 00:35:54.400
Well, I hope everybody's prepared for that.
00:35:56.239 --> 00:35:57.119
Until next time.
00:35:57.280 --> 00:35:58.400
Till next time.
00:36:07.679 --> 00:36:10.159
Thanks for tuning in to Joint Effort PAs.
00:36:10.400 --> 00:36:16.320
If you enjoyed this episode, be sure to subscribe, leave a review, and share it with a fellow PA or med minded friend.
00:36:16.480 --> 00:36:21.280
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00:36:21.519 --> 00:36:22.400
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