Second Down Payment

I mentioned a few weeks that I had been accepted at a PA school. I won’t lie when I say that sometimes I lay in bed and think, “did I imagine that? Perhaps I read the email wrong!” I even went back and reread the email at least once, if not twice.

But since then three events have reinforced that I’m in. Last week the first down payment had to be submitted by midnight Tuesday night. I got out the credit card, went to the webpage and submitted my information. First deposit accepted. I figured they wouldn’t take my money unless they had accepted.

Later in the week there was a scheduled Zoom meeting for accepted students. At that point it was really sinking in. I mean they wouldn’t invite me to such a meeting unless I really was accepted, right?

The Zoom meeting was interesting, and being a good student, I did take notes. I don’t think there’s a quiz later, but I figured it’s better to be safe than sorry.

And just this morning I whipped out the credit card again and made the second down payment, also accepted.

I mentioned in my earlier post a concern about the school’s accreditation status. But two things have allayed my fears. The first is a practical manner. The way the review process works, if the worst case scenario happens, it would be only a month into the program and I’d work to get my money back and still have plenty of time to resubmit to other programs if I really wanted to try for a third round. Though I’d probably want to retake some undergrad courses to help my GPA.

The second is a more nebulous reason. I managed to find some forums for students in my cohort and some had contacted current students and their thoughts on the current probationary status was that the school in fact was making good progress in fixing the cited deficiencies and they all had great things to say about the program.

So, that makes me feel far more comfortable and prepared to stay the course and attend this school. For now, so that I don’t influence any potential recruiters at other schools (yeah, right, like they’ll read this!) I’m keeping the name out of my posts.

But, I’m getting more and more used to saying, “Yes, I’ve been accepted and will be a PA student next year.”

So yes, I’m no longer Schrödinger’s PA. I’m accepted and will be a PA student next year.

Coming up… more self doubts…

PAs Under Pressure

Now that the reality of being accepted to Physician Assistant school is settling in, I’m more and more convinced I made the right decision. This was reinforced the other night when I was working.

The attending mentioned it and one of the more senior PAs turned around gave a hearty “Congrats” and offered me a high five. This definitely helped my ego. But that wasn’t what really drove home my decision. It was later that evening.

A trauma patient came in. During a trauma there are a number of people in the room, one or two techs, one or more nurses and generally at least three providers. One of these will be a doctor, but the others are sometimes PAs. This patient came in somewhat stable but her condition quickly got worse. The decision was made to intubate her.

It was at this point I realized in addition to the attending doctor for the zone the other providers in the room were all PAs. The attending was supervising and monitoring, but otherwise the PAs were calling the shots, including performing the intubation and putting in what are known as a central line and an arterial line.

They rocked it.

My goal is still to be a PA in an emergency department (ideally to come back to where I currently work as a tech.) Above is part of the reason, because the PAs here are very important members of the team and once proven themselves, can do a lot.

But, it’s not just traumas. One might call that the most “sexy” aspect of working in the ED, but the honest trust, they end up spending far more time with the patient with a dislocated shoulder, or counselling a patient on why they should take their meds, or a million other smaller medical interventions. They fill in a lot of gaps and have a lot of close patient contact. I’m looking forward to that.

But hopefully the day will come when I can feel as confident as the PAs I currently work with so that when the trauma comes in, I can rock it like they did.

As always, the above views are mine only and do not necessarily represent those of my employer.

“Regrets, I’ve had a few…”

With apologies to Frank Sinatra.

Last week I was reminded of one of the few things I missed out on my IT career. A number of friends and colleagues posted about how they had achieved or been renewed for their Microsoft MVP status. It’s one achievement I never obtained.

Let me be clear, I’m not bitter or upset. The honest truth is, I never really worked hard at achieving it. So to me it’s most like seeing friends making the Olympic team and wishing I was there but also recognizing that they worked at it and earned it while I really didn’t. So this is on me. And I’m VERY excited and proud for them. They’re amazing people and they deserved it!

But, with my career change, I’m even less likely now to make it. And… I’m ok with that.

One thing that I’m finding remarkable to me about this career change is how few regrets I’m having. I’m reminded all the time it’s the right move. I was tired of IT and tired of data.

But, the one thing I never tired of was the community, aka #sqlfamily. Honestly, this is what probably what kept me going the past few years: being part of such a community. Let it be said, the #sqlfamily is an amazing group of people: they mentor, they teach, they push the state of the art forward, they make everyone better. I’m a better DBA and IT person because of them.

In fact, in a way, I’d say #sqlfamily probably gave me the inspiration and courage to move forward and change careers.

So regrets, I’ve had a few, one being perhaps not working hard enough to earn an MVP, but meeting, getting to know, and loving my #sqlfamily, I will never regret.

Schrodinger’s PA

Those familiar with quantum physics know the idea of Schrodinger’s Cat. It’s a thought experiment that posits a cat in a box is in superposition of being both alive and dead until it’s observed (and to be clear, it’s BOTH alive AND dead, not simply alive OR dead until observed.)

Until recently, my PA status has been sort of in a similar state. Until I received notification from a program, I was both “accepted” and “not-accepted”. And this week, the quantum value collapsed and, I’m still both, but in different programs.

Not-Accepted

First, the program I wasn’t accepted into. I won’t give out its name for my own personal reasons, but let’s just say it was my top choice. As many of you know, one of the problems I’ve been trying to overcome in my applications is my poor undergraduate GPA from 34 years. This was a program that on their website said they didn’t have a minimum GPA so I was hopeful. Last year when I was turned down I wasn’t entirely surprised because most PA candidates get turned down their first time around and I barely met the threshold for patient contact hours and honestly, while my letters of recommendation were from folks that I knew would say good stuff, they had limits in how well they knew me.

So I was more hopeful this year, a slightly improved GPA (with more post-bacc classes taken) and far better references and a lot more patient contact hours.

I have to say, I was a bit surprised when I was denied again. Not so much that I was denied as much as how quickly it happened, less than 24 hours between my application being complete and being rejected. Last year it took a week.

This time I decided to reach out to the program director. Unfortunately that didn’t really make a difference. It turns out that despite their website claiming they don’t have a minimum GPA, in practice, they basically admit to having one.

But that happens.

Accepted

However, just over a day after exchanging emails with the director of the above program I received an acceptance letter from another program. I have to say I was quite excited.

So now I was non-accepted officially at one school and accepted officially at another.

That said, there’s on small issue which is a concern. Any PA program in the US, like any respectable college needs to be accredited. A program can have:

  • Developing – Not accredited – just like it sounds. They can’t matriculate students. This means one can’t take the program and then take the PANCE (Physician Assistant National Certifying Examination). So this is an absolute no go for me.
  • Provisional – Generally new programs that don’t have much of a history. This could be a program that has developed everything, but is still being observed. One can attend and graduate and take the PANCE. However, it’s not clear how good of a program would be because of its lack of histroy.
  • Continued – This is the gold standard. This is what you want to see in a program. This means it is meeting the standards required. Odds are very good that you’ll matriculate and pass the PANCE on your first try.
  • Probation – This can be problematic. The accreditation body has found problems. Programs have two years to fix this. If they succeed, great. If they’re making progress, they can get a two year extension. If they fail to make progress, accreditation can be withdrawn. If this happens in the middle of you attending, this can be “bad”.

There’s other categories, but those are the important ones.

So why do I mention them? Because the program I was accepted into is in probationary status. I have to admit, this makes me nervous. On one hand, I’m in a program. On the other, there’s a chance it could disappear before I can qualify to sit for the PANCE. That’s a HUGE concern.

That said, right now, I’m most likely going to make the down payment and secure a spot in the program.

“But Greg, you’re crazy! That’s risky!”

Yeah, potentially it is, but I’m not overly worried. For one thing, the program is nearly 3 decades old. So it’s not like it’s some new program struggling. It’s hit a rough spot that they appear to be taking steps to overcome. The faculty and staff seem very confident, which is a good sign. The program itself has some very strong points (and admittedly a few weaker points). And from reading comments of students currently in the program, they are feeling very well prepared to take the PANCE. Their most recent PANCE pass rate was 98% for a first time taker. This compares to the national rate of 92%. I can live with that.

And while I have to put in a non-refundable deposit soon, it doesn’t mean I can’t later change my mind. For example if another program accepts me, and I like the program better (there are many factors that can go into such a decision, accreditation status is just one, cost of attendance, cost of living, facilities, etc. are others) I can forfeit the deposit. I’d hate to do that, but it’s an option in the back of my mind.

So, I’m now semi-officially a PA Student… at one place, waiting to hear from others!