Part two with Ngan and Josh, and this is where it gets into the honest stuff.
In part one we covered what infectious disease PAs do. Here we go deeper into what the job costs and what it gives back. The rewarding cases, the frustrating ones, the patients who stick with you.
ID is one of those specialties where you never stop studying, and both of them are clear-eyed about that. New pathogens, new resistance patterns, new guidelines. If continuous learning sounds exhausting to you, that's useful information. If it sounds great, that's also useful information.
This is the value of day-in-the-life episodes. You get to try on a career before you commit years to getting there.
What we cover:
Start with Part 1 if you haven't heard it.
Resources:
Free Application Timeline: https://www.thepaplatform.com/services/free-application-timeline
PA Program Map: https://www.thepaplatform.com/pa-platform-map
Pre-PA Counseling: https://www.thepaplatform.com/services/pre-pa-counseling
Pre-PA Academy: https://prepaclub.thepaplatform.com/landing/academy
Mentioned in this episode:
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Alright, guys, for today's episode, we are picking up where we left off last week.
Speaker A:So if you didn't listen to last week's episode with the part one of Nan and Josh sharing about their jobs as infectious disease PAs, you might want to go back and listen before jumping into today's episode.
Speaker A:Welcome to the Pre PA Club podcast.
Speaker A:If you want to learn how to become a physician assistant, you're in the right place.
Speaker A:I'm your host, Savannah Perry.
Speaker A:Let's get to it.
Speaker A:Hey guys, and welcome back to the Pre PA Club podcast.
Speaker A:I hope you enjoyed the first part of hearing about what life is like as an infectious disease pa. Maybe that gave you some insights into what you would like to do in the future or maybe what you would not like to do, and that's okay too.
Speaker A:But these information sessions are really just to help you get a better understanding of what PAs are, what PAs do, what it looks like to be a PA in a different area, and particularly somebody that you may not get the opportunity to shadow in person.
Speaker A:By at least hearing about their job, you can have some of an idea of what the spectrum looks like for what a PA can do.
Speaker A:So we're going to hear more today from Nan and Josh and some Q and A about their jobs and what infectious disease is so that you can have a better understanding of that.
Speaker A:We try to do webinars and events like this pretty frequently to just spread information about the PA profession.
Speaker A:So if you want to make sure that you don't miss out on any of these events in the future, make sure you're following the PA platform on Instagram.
Speaker A:I'm physician assistant on TikTok.
Speaker B:That might change.
Speaker A:Change to the PA platform.
Speaker A:I'm on TikTok.
Speaker A:TikTok somewhere.
Speaker A:And then you can also be in the Pre PA Club group on Facebook.
Speaker A:We try to make sure everybody knows about all of our events going on all the time.
Speaker B:So.
Speaker A:All right, we will jump into hearing from Non and Josh and don't forget that you can use the code Future PA for a discount on any services or products or [email protected] or prepacourses.com see.
Speaker B:You guys next week.
Speaker C:All right, so I guess this is where the real battle comes in, right?
Speaker C:In terms of the inpatient life versus outpatient.
Speaker C:So I would say the pros of working in the hospital almost kind of like a hospitalist ID in a way.
Speaker C:You're kind of just on your own.
Speaker C:You kind of make your schedule.
Speaker C:If you're a little slow to get on the floor.
Speaker C:It's okay, right?
Speaker C:You're not rushing to see patients.
Speaker C:You're not necessarily waiting.
Speaker C:Waiting on your patients either.
Speaker C:You know, maybe I would say the only time you're really waiting on them is if they are going down for imaging or they're having a procedure and you might have missed them that morning, and so you might have to come back and catch up on them later.
Speaker C:But I would say, for the most part, it is nice to kind of have that flexibility.
Speaker C:Another great thing is you are not, you know, I would imagine with Josh, he has to order all of these labs and follow up.
Speaker C:I don't really do that.
Speaker C:It really depends on who I work with.
Speaker C:But generally speaking, since, you know, in a way, this is a teaching hospital, we do have quite a bit of residents that are on the floor, and it's encouraged, actually.
Speaker C:And it really just depends on who I work with.
Speaker C:But some attendings prefer that as id, we're consultants.
Speaker C:We make recommendations.
Speaker C:We don't put the orders in.
Speaker C:So a lot of times it's just kind of relaying that to the team, saying, hey, this is what we recommend.
Speaker C:Can you put those, you know, those orders?
Speaker C:And can you order this imaging?
Speaker C:Like I said earlier, no call, no weekends.
Speaker C:Again, this is not always the case.
Speaker C:You really have to research the practice and kind of what their needs are.
Speaker C:Another pro I would say to this is, you know, I kind of have this baby face.
Speaker C:And when I worked outpatient and ent, I had a lot of people question me.
Speaker C:Granted, we're all covered in mass now, so Covid is actually really helping me out with that.
Speaker C:But I would say in the hospital, and I've heard this time and time again, people don't question you, you know, whether or not you show up in a white coat or not.
Speaker C:They know you as a doctor or just as a their medical team.
Speaker C:So they don't give you a lot of crap, as they may in outpatient.
Speaker C:You know, granted, Josh probably doesn't have to deal with this as a male, but as a, you know, petite female, this is something that I've been struggling with for so many years.
Speaker C:So in terms of the cons, what are some things I don't like?
Speaker C:It's really tough.
Speaker C:You know, one of the things I do miss about ENT is the continuity of care.
Speaker C:Like, yes, it was a surgical specialty, but I dealt mainly with a lot of sinus patients.
Speaker C:And so with those patients, I get to see them back every two to three or even four months.
Speaker C:So I got to see them, you know, Every once in a while.
Speaker C:Whereas here in the hospital, you know, you may see them, you may be stuck with them.
Speaker C:Sometimes I think, think the longest resident I had was probably a month, like for a good chunk when I first started.
Speaker C:But it's sad because then they leave.
Speaker C:Unless of course, another infection gets out of hand and they get readmitted.
Speaker C:But generally I don't get to really know them.
Speaker C:And as a consultant, I can't really build those relationships with them.
Speaker C:So that is something that I definitely do miss critically ill patients.
Speaker C:Right.
Speaker C:I.
Speaker C:This is something I don't know if I'll ever get over, but it's really hard to accept that all of a sudd sudden you're consulting on a patient, you meet them, you, you know, kind of talk to the team, change up their antibiotics and within 30 minutes they code and sometimes they just pass on you.
Speaker C:And this is something I've had a few pass on me and still trying to deal with that.
Speaker C:And so typically, if I can, I try to avoid the ICU patients.
Speaker C:But it does happen, I think.
Speaker C:Another thing, for those that are very type A and I'm a Virgo.
Speaker C:So all of the extremes, having control of your patient's schedule.
Speaker C:So yes, sometimes it's nice.
Speaker C:Yes, your clinic may be running behind, but you kind of have an idea of who's coming right in the hospital.
Speaker C:I can't control who walks in, who gets admitted, when the teams will call me.
Speaker C:So that gets a little bit challenged sometimes.
Speaker C:But that's pretty much, I would say, the bulk of the pros and cons for me.
Speaker C:What about you, Josh?
Speaker D:Thanks.
Speaker D:Yes, starting from the pros, definitely.
Speaker D:As I mentioned earlier, I do enjoy building those long term relationships with patients and seeing them from when they're first diagnosis to getting to viral suppression.
Speaker D:So that means getting the virus down to a level that's so undetectable that it's still there.
Speaker D:Unfortunately, we haven't been able to remove hiv, but it is to a point where they cannot pass it to their partner and their immune system gets better.
Speaker D:And that sort of that education part of outpatient as well, educating the patients on the importance of taking their medications, but also the benefits of it.
Speaker D:As I mentioned earlier, we can cure hepatitis C now.
Speaker D:And so it's also very important to get tested for hepatitis C once a year if you're under primary care.
Speaker D:And we can cure it in eight to 12 weeks.
Speaker D:Also a pro, no call and no weekends when I'm outpatient, actually not even when I'm inpatient either.
Speaker D:I think the Cool thing about ID is that most of these infections, if.
Speaker D:If it's something emergent or urgent, it can be handled electronically.
Speaker D:As far as they don't.
Speaker D:It's not like a surgery specialty where they're like, oh, I need you to come in and take a look at this foot.
Speaker D:And, you know, we need to prep them in tomorrow morning for, you know, amputation.
Speaker D:No, if it's antibiotic related, usually we could just put an order in and just, you know, or it can be dealt with the next day, you know, that type of thing.
Speaker D:Let's see.
Speaker D:Cons.
Speaker D:Outpatients.
Speaker D:Yes.
Speaker D:So a primary care setting and other.
Speaker D:My other PA colleagues who work in primary care understand that it can be long hours.
Speaker D:I have 10 hour shifts when I'm outpatient in clinic, and so and.
Speaker D:But that's what I'm scheduled for.
Speaker D:Sometimes you can go to 10 to 12 hours.
Speaker D:So, yeah, that's definitely a reality of primary care in any setting, not just in the HIV care setting that, you know, I mean, on average, maybe eight to 10 hours for some colleagues, but others have said maybe 10 to 12 for them.
Speaker D:And then of course, as I mentioned earlier, you know, doing all those administrative tasks.
Speaker D:And certainly some people have protected time to allow them to do all these tasks, but sometimes you don't.
Speaker D:And so they can, you know, sort of be burdensome and weigh you down when unfortunately, you have to advocate and sort of fight to get an imaging for your patient or get a certain medication for your patient because their insurance company thinks it's not, or the insurance company doesn't want to cover for it, but they then offer something inferior and you're like, no, my patient needs this.
Speaker D:Please, you know, pass or please accept it.
Speaker D:So, yeah, that's just sort of dealing with other things.
Speaker D:But that's more of my cons on the outpatient side.
Speaker D:Oh, okay.
Speaker D:I can talk about this a little bit and non can chime in.
Speaker D:So getting an ID I know from NAND said she has worked in public health and in that regard, but certainly volunteering or working at your health department is a big thing that looks good.
Speaker D:I actually One of the PAs that was on my team, she volunteered more of like a.
Speaker D:Not the health department, but more of a public health center that took care of LGBTQ youth.
Speaker D:And also so doing things like that in HIV setting certainly looks good.
Speaker D:I did more so research stuff, but I didn't do HIV research, but those opportunities are available.
Speaker D:I did, you know, cancer research and genetic research, and certainly that is something that looks good.
Speaker D:Again, not Necessarily requirements.
Speaker D:And like I mentioned, any employment you had related to the above prior to going into school certainly looks good.
Speaker D:For me, clinical rotations were kind of the big thing that appealed to future employers or people I interviewed with.
Speaker D:They definitely like to see the breadth of my clinical rotation experience, especially when it came to the id, HIV stuff.
Speaker D:And then many places, because this is an internal medicine subspecialty or because I work in a primary care setting, they certainly want to see that experience.
Speaker D:So say in this, like, non.
Speaker D:She can talk about it later how she went into ENT first, but some of my colleagues that I know, they actually did primary care first or some did internal medicine first, maybe a hospitalist or something like that, and then they got their ID job or something.
Speaker D:So not.
Speaker D:These aren't hard requirements.
Speaker D:It's not like something you have to say, oh, I got to follow this path and do this.
Speaker D:But these are things that you can hit that would appeal to future employers or potential employers.
Speaker D:Certainly that would show your interest in ID as a specialty.
Speaker C:Yes, I can definitely add to that.
Speaker C:Yeah, this is technically my second attempt at applying for an ID job.
Speaker C:Right before I graduated, I had an opportunity to interview with Mayo Clinic and for an ID position.
Speaker C:And in a way, maybe I'm glad I didn't take up that job.
Speaker C:They ultimately offered it to someone internal, but that job would have required me to take call and work weekend.
Speaker C:So you know how that goes.
Speaker C:But I recall when I was still in school, I met a PA that worked in ID at the Moffitt Cancer center.
Speaker C:And his recommendation, because I asked, I was like, oh, well, you know, how can I get a job as an IDPA after school?
Speaker C:And I recall his words were, oh, it's actually tough to get into id.
Speaker C:I would recommend that you work in primary care and internal medicine to really build for those two years before considering to id.
Speaker C:And I can really see why.
Speaker C:I mean, ID is so much built into internal medicine.
Speaker C:So switching from a sub surgical specialty and specifically ent, but even more so with allergy and rhinology, dealing kind of with the nose and sinuses.
Speaker C:This is huge to have to kind of relearn everything.
Speaker C:Like I remember my first week and seeing an endocarditis patient and having to kind of relearn Duke's criteria and all of these criteria and whether or not.
Speaker C:And so it's sometimes haunting.
Speaker C:But what I would say, ID for someone that doesn't have that foundation, it's really internal medicine and really pharmacology.
Speaker C:And so that gets really challenging.
Speaker C:It is Certainly overwhelming.
Speaker C:Of course, I'm three months in, I don't know everything, and I'm just trying to at least learn the basics of the bread and butter.
Speaker C:But for those that don't know, what does it take to become an infectious disease physician?
Speaker C:You know, of course, not talking the four years of medical school, but three years as internal medicine resident and then two years as an ID fellow.
Speaker C:And so, you know, I'm not going to beat myself up for it because a lot of times, and Savannah, you probably can agree to this, that they don't teach you ID in PA school at all.
Speaker C:Maybe, but not really.
Speaker C:Even in pharmacology.
Speaker C:Yes.
Speaker C:You learn some of the drug, antibiotic, drug classes, but never into the extent.
Speaker C:And although infectious disease, as we know, encompasses the whole body, when you learn ID and clinical blocks, it's never a big emphasis.
Speaker C:And it's kind of funny because for your pants, your boards, what is it on the blueprint is like 10%, but reality, it's built into all of those other sub surgery or other categories and specialties as well.
Speaker C:But yeah, so I would say my recommendation is if this is something that you might be interested in, even though I thought it was a very strong candidate.
Speaker C:Right.
Speaker C:A master's in public health, infection control, working as an epidemiologist, they didn't really care.
Speaker C:So I did see someone here mention that they work as an ip.
Speaker C:And so, you know, and this is something that my chief, when I interviewed for this position, asked me again several times.
Speaker C:Infection prevention and infection and infectious disease is kind of two different things.
Speaker C:And so I would strongly recommend that if ID is something you're interested.
Speaker C:It does.
Speaker C:Your best bet is to try to really build your foundation right after PA school, consider going to internal medicine, family medicine, to really hone into those skills so we can really better adapt, but anything is possible.
Speaker D:Agreed.
Speaker D:Okay, so a little bit of, I guess some pearls about id, if this is truly something that you're interested in and sort of things that we'd like to share about ID as a whole.
Speaker D:You know, given even before this pandemic.
Speaker D:And like I said, with HIV care, the advancements in research and antibiotics continues to be quite drastic in an awesome way.
Speaker D:But as people who, as we work in id, the studying never stops.
Speaker D:So if you like to keep learning and keep studying, this is definitely the field for you.
Speaker D:I am almost three years in ID and I'm still studying a lot of stuff.
Speaker D:I mean, one, you're not expected to know everything.
Speaker D:So I don't want to give the Wrong idea that we're just some big nerds and we're like encyclopedias because certainly that is the interpretation or reputation of ID people.
Speaker D:But certainly if you want to keep studying and learning and new data comes out, obviously now, but as new studies and new treatment comes out, you got to stay up to date on it.
Speaker D:And the other bit, guidelines are temporary, so keep that in mind.
Speaker D:Certainly in regards to, I think I just read someone mentioned something about gonorrhea treatment.
Speaker D:I mean, when I early on with Garn, the, you know, treatment was just one injection and now it's an injection and oral antibiotics.
Speaker D:And then over time, the dosages of both have increased.
Speaker D:And so there's one.
Speaker D:The other thing is HIV guidelines have also changed.
Speaker D:I mean, before they would say you had to wait until your CD4, your T cells dropped below a certain level and then they would consider starting you on treatment because the treatment was so toxic and they were worried they would cause more harm.
Speaker D:But now that the treatment is great, guidelines have changed.
Speaker D: Now, since: Speaker D:So again, and then another thing that non and I have talked about, another talk is treatment guidelines for, say, C. Diff or for other infections.
Speaker D:And even now, things have changed over the course of eight months.
Speaker C:Just think about the pandemic.
Speaker C:Covid earlier on, Josh, I can only imagine how guidelines were changing almost on a daily basis.
Speaker C:I mean, I know just today our ID pharmacist sent us an email of the new recommended guidelines on some of those, you know, experimental or investigational medications.
Speaker D:So, yeah, so, yeah, keeping up to date on stuff.
Speaker D:And thankfully it's not all resting on you.
Speaker D:You have your colleagues to sort of lean on as well, and your attendings.
Speaker D:And so it's that collective knowledge and ID which I appreciate.
Speaker D:It's not all relying on you.
Speaker D:You do have your colleagues that maybe they read something and they share it or something like that.
Speaker D:Like I mentioned, also microbiology makes a comeback.
Speaker D:And so if you.
Speaker D:I know microbiology is a big part of undergrad and I concentrated in microbiology as in my undergrad.
Speaker D:But certainly that stuff about gram stains and certain plates, then growths, growth media that comes up and then even and little bits of microbial genetics and things like that has found its way, surprisingly in id.
Speaker D:But it's not necessarily in a way that like, affects the.
Speaker D:I mean, you will learn, you know, sort of your role as the clinician and as evolved.
Speaker D:But if you want to do more research based stuff or want to understand maybe the decisions behind certain antibiotics or behind approaching certain infections.
Speaker D:Microbiology does play a big part.
Speaker D:And then being okay with the unknown.
Speaker D:I think we've touched upon this throughout the entire thing that it's, we've, we've learned a lot and we're still learning a lot.
Speaker D:And there's a, I guess, I don't know, I've read them like sometimes the more you know, the more you, or the more you learn, the more you realize what you don't know.
Speaker D:And so certainly that it's not just id, but in other PA specialties as well too, medicine in general.
Speaker D:So we're learning stuff so much.
Speaker D:And so I think that all sort of ties in together and that, you know, being in medicine is not, or medicine is definitely an art, as we've, you know, as you've heard, I'm sure.
Speaker D:But it's, it's being able to apply that knowledge.
Speaker D:You've learned to learn more knowledge, accumulate more knowledge so that you can best, you know, work with that patient in front of you.
Speaker C:All right, so just wanted to kind of end on a note and kind of remind everyone if you haven't done so already, I highly encourage that you go out and get the flu shot.
Speaker C:And if anyone's going to dare challenge me and say, oh well, none, the last time I got the flu shot, I got sick, well, I will only take that.
Speaker C:And it only depends on when you got sick because reality is it takes two weeks for your body to build immunity.
Speaker C:So if you got the flu shot and maybe two or three days later, a week later you got sick, I'm sorry to tell you your bad luck.
Speaker C:Please don't play the lottery because you got sick before this.
Speaker C:So, you know, go out there and get your flu shot.
Speaker C:I think this message is really loud and clear this season, especially with COVID I mean, we really don't know what's going on.
Speaker C:And the last thing that you want to do is to end up in the hospital or in urgent care and you expose yourself, maybe you didn't, it was just a bad cold or something.
Speaker C:And now boom, you're caught with both Covid and now possibly the flu.
Speaker C:And really since we're all here and we're all pre pa's, just think back, you know, why did we ask people to social distance earlier on?
Speaker C:You know, why do we ask people to stay at home?
Speaker C:And that initially was just to help protect our healthcare system, not to overburden our healthcare providers and the whole system As a whole.
Speaker C:So really, I encourage you.
Speaker C:If you haven't done so, go get your flu shot.
Speaker C:For those that are in the South, I don't really know, but Publix is giving $10 gift cards, so go get your flu shot.
Speaker C:Go get your chicken pub subs, especially unless you're a vegetarian.
Speaker C:Then, I don't know.
Speaker C:I'm sorry, but go buy yourself other snacks with it.
Speaker C:I think Target does $5 gift cards.
Speaker C:And so, hey, yes, I'm public health, but I really appreciate when stores incentivize you to stay healthy.
Speaker C:So go and get your flu shot.
Speaker C:And then these are some of the reminders from cdc.
Speaker C:So, of course, continue to wear your mask.
Speaker C:And please wear it appropriately.
Speaker C:You know, covering your nose and your mouth.
Speaker C:Not below, not on your eyes, not down your chin.
Speaker C:I don't know what your chin and your neck has to be covered for, but wear your mask appropriately.
Speaker C:Continue to wash your hands.
Speaker C:Get that flu shot.
Speaker C:And just remember that you have to play a role in helping, you know, not only to keep yourself safe, but keeping your community safe as well.
Speaker C:You have to be the example for your.
Speaker C:Your community, essentially.
Speaker C:And with that said, we have a special little video for you.
Speaker C:Oh, it doesn't work.
Speaker C:Okay, well, that worked then.
Speaker C:Maybe.
Speaker B:No.
Speaker D:Cool.
Speaker D:That work?
Speaker C:No, it didn't work.
Speaker D:It didn't work.
Speaker D:Did it play?
Speaker D:I don't even know what happened.
Speaker C:It's playing better.
Speaker D:Okay.
Speaker D:That's weird.
Speaker D:It might be canva.
Speaker D:Sorry about that.
Speaker C:Sorry.
Speaker C:That's me.
Speaker C:I have no controller on my computer.
Speaker C:I can't even put myself on mute right now.
Speaker C:I realize.
Speaker D:So we'll post that video up.
Speaker C:Yeah, sorry.
Speaker C:We were supposed to debut our little fun video, but we'll just post it on our Instagram in a little bit instead.
Speaker C:Use your imagination, I suppose, but.
Speaker C:All right.
Speaker C:So I guess there's one more slide.
Speaker C:I think so.
Speaker C:That is our contact.
Speaker C:I didn't put my email, but I think Josh and I are pretty great.
Speaker C:If you do want to reach me by email, it's just ampersand pa@gmail.
Speaker D:Yeah, just message me on Instagram and I can give you an email if you have a lengthy discussion that you want.
Speaker C:Yes, same.
Speaker B:Well, y' all are awesome.
Speaker B:That was, like, the perfect presentation.
Speaker B:I feel like I was so in depth and answered a lot, like, pretty much all the questions that people had.
Speaker B:Let me look at the list really quick and see.
Speaker A:And I definitely want to respect your.
Speaker B:Time, of course, because I know.
Speaker B:Does everyone have you off to work tomorrow?
Speaker C:I took off, actually.
Speaker C:So this worked out perfectly for me.
Speaker D:Oh, yeah?
Speaker D:Yeah.
Speaker D:I took some time off because I got a vote tomorrow morning.
Speaker D:I'm going early.
Speaker C:Yes.
Speaker C:And go Vote matters.
Speaker B:Working.
Speaker B:What a weird world, right?
Speaker C:The one day you have to work.
Speaker B:Yeah, but okay, not.
Speaker B:I do want to ask, just a lot of people had this question about, like, your switch, like, why you switched.
Speaker B:I think you kind of know for it, like the pros and cons, but like.
Speaker B:And not even like, why, but like, how that switch was since you.
Speaker B:You took it.
Speaker C:Sure.
Speaker C:So I previously worked at an academic outpatient center.
Speaker C:So, you know, most ENT practices are private practice, but I was affiliated with the university, so we had residents.
Speaker C:And, you know, earlier this year, pre Covid, I had an itch to kind of leave.
Speaker C:I felt like I kind of outgrew myself there.
Speaker C:The practice model there wasn't great.
Speaker C:I wanted more autonomy.
Speaker C:And so I was applying.
Speaker C:And then Covid happened.
Speaker C:And then, to be honest, I was scared.
Speaker C:I mean, I had an opportunity to go to another private practice ENT group, but when the governor all of a sudden sends out and, you know, makes an announcement that he's going to shut down all elective procedures while EMT is predominantly elective surgeries, I was scared.
Speaker C:I was like, the last thing I want to do is pick a position and then ultimately get fired.
Speaker C:And at that time, you know, you've heard of so many stories of PAs that were furloughed, and I just didn't want to take the chance.
Speaker C:And so here comes someone that I knew.
Speaker C:Right.
Speaker C:I told you was a former ID fellow in training at that time when I worked at the health department HIV clinic, he kind of came out of the blue and asked, hey, there's a position.
Speaker C:We're looking for a pa, Would you be interested?
Speaker C:And so this is a common question that I tend to also coach, you know, my candidates when we do mock interviews.
Speaker C:And I think this is something that's very relatable.
Speaker C:So often we hear the terms that PAs, you know, have this lateral mobility.
Speaker C:And so, yes, that's true.
Speaker C:Right.
Speaker C:I mean, obviously I switched from ENT to id, but I think the big take home message that you really, when you're saying these buzzwords, and I call them cookie cutters, because everyone says that.
Speaker C:I mean, granted, there's only so many differences of what makes a PI unique.
Speaker C:But I want to caution you for those that are, you know, either in the interview or will be interviewing soon, don't just use these phrase.
Speaker C:Right.
Speaker C:You want to have a good understanding what lateral Mobility means to you, and in this case, it's really adapting to the community's needs.
Speaker C:Clearly, the pandemic happened.
Speaker C:There is a need for an infectious disease pa.
Speaker C:So I took the opportunity to want to serve my community, although I had to move, but I took the opportunity to kind of go back to my roots and serve in that way.
Speaker C:The transition has been really rough, which is why I don't post much about my ID life.
Speaker C:But I'm here, I'm learning, I'm thriving, and again, I am the worst when it comes to beating myself up.
Speaker C:And so I'm trying to remind myself that the journey it takes for a.
Speaker C:An ID physician, you know, how they got there, you know, with essentially five years of training and my zero experience from PA school.
Speaker C:And so I just have to be patient and realize that ID is tough and that I just have to read up as much as I can and just learn each day that I go.
Speaker C:So I hope that answers the question.
Speaker B:Yeah, I think.
Speaker B:I think you definitely covered it.
Speaker B:And, I mean, I'm sure you'll get more questions probably through social media, but.
Speaker B:All right, this one y' all can both do, and I'll kind of.
Speaker B:We can probably end on this, and then I'll send you all these questions because you may want to address some of them on social media or, I don't know, maybe we'll do a live sometime or something.
Speaker B:But.
Speaker B:And like, Josh, I totally felt you with all.
Speaker B:All of your insurance talk.
Speaker B:They.
Speaker B:They like to try to tell me what to do as well, and I don't like that.
Speaker B:But.
Speaker B:So what do you love most and least about being a pa?
Speaker D:Oh, just like, generally speaking, about being.
Speaker B:A PA generally, and I guess to your job, but.
Speaker B:And I will say, as a derm pa, I appreciate infectious disease.
Speaker B:I don't have to call y' all often, but when I do, it's because something is just way out of my league.
Speaker B:And usually it is something, like, super complicated, like, you know, an HIV patient with a weird rash with an infection with, you know, some type of allergy.
Speaker B:Like, so many things happening that I'm just like, I don't know.
Speaker B:I don't know what to do.
Speaker B:And so infectious disease, I mean, they're like the, like, smoothest, coolest, like, oh, we got it.
Speaker B:Thanks.
Speaker B:Saving me again.
Speaker B:So, yeah, I think I've only sent.
Speaker B:Maybe I can think of three patients I've sent to id, but they, like I said, all had just lots going on.
Speaker B:So y'.
Speaker D:All.
Speaker B:Y' all are very, very valued.
Speaker C:Thank You, Savannah?
Speaker C:I think we all do.
Speaker C:And especially for you.
Speaker C:I mean, Durham is not easy for sure either.
Speaker B:So we see weird stuff too.
Speaker B:When you throw in other things and just.
Speaker B:Woo.
Speaker B:All right, all right.
Speaker B:Least favorite, love most and love least dislike the most.
Speaker B:I don't know.
Speaker D:Love most.
Speaker D:Yeah, I just, I think I just love the.
Speaker D:Just getting patients undetectable or virally suppressed.
Speaker D:I think that's always a satisfying thing a lot of us in ID enjoy doing.
Speaker D:But I think that sort of stems into building those relationships with patients and seeing them over time and seeing them get better or seeing them get worse.
Speaker D:Do love that.
Speaker D:So, yeah, building relationships with people.
Speaker D:I think that's why most people get into medicine, is to hopefully help people or help the community at large.
Speaker D:So being able to do that one person at a time, I love the most.
Speaker D:And maybe I'll just say this again.
Speaker D:I, you know, insurance is a big part of it and it's a whole nother sort of thing.
Speaker D:Maybe I'll think about something else that I don't like.
Speaker D:I mean, I guess.
Speaker D:I don't know.
Speaker D:I guess it's hard to.
Speaker D:That would be the biggest thing is it's just there's these administrative other things you have to do, or sometimes in the electronic medical records, there's other things that.
Speaker D:That, you know, you have to sort of deal with like certain requests and other things.
Speaker D:Not necessarily prescription requests, but other things.
Speaker D:Oh, other paperwork.
Speaker D:Because in primary care you might have to do like family medical leave paperwork and maybe like certain, like title 19 stuff or.
Speaker D:Yeah, there's a lot of.
Speaker D:Yeah, I just, I mean, I.
Speaker D:It's important for medicine.
Speaker D:It's important to care for patients.
Speaker D:But at the same time, a lot of it can be kind of just like, if I had to say that's something I didn't like, that would probably be some of that paperwork.
Speaker D:But I don't want people to get the wrong idea that I do this every day.
Speaker D:It's seeing patients and doing orders and following up on stuff.
Speaker D:That's a majority of my time.
Speaker D:But I get this sprinkling of administrative stuff.
Speaker D:Very important part of medicine and patient care.
Speaker D:But at the same time, it's not something I love.
Speaker D:I didn't, you know, I didn't go in to do more paperwork, but it is a necessary part of life.
Speaker C:For me.
Speaker C:I would say, like most people would say, you know, joining the PA profession to really be able to bridge that gap and provide access to healthcare for the communities.
Speaker C:We know that as the boomers, you know, that generation is essentially retiring the near future.
Speaker C:We have a lot of shoes to fill, so I think that's definitely something favorable.
Speaker C:Least likely thing about the profession, I want to speak specifically about PAs and not so much medicine.
Speaker C:I think we've gotten better, especially with PA Week.
Speaker C:I will say, for the first time, I've actually seen a lot of people speak on advocacy.
Speaker C:And so for those that have been following me on Instagram, you guys know I'm really passionate on this topic because I think we needed to.
Speaker C:To do better.
Speaker C:As there continues to be more programs and more PAs out there, we really need to band together and keep moving our profession forward.
Speaker B:Awesome.
Speaker B:Well, thanks so much, guys.
Speaker B:And like I said, I'll send you these questions so y' all can look over them and maybe address some of those on social media.
Speaker B:And wait, don't y' all have a podcast now, or.
Speaker B:Did I. I feel like I don't pay attention to stories well enough.
Speaker B:And I saw it.
Speaker B:Wait, is that.
Speaker B:Or just, you know.
Speaker C:Oh, no, it's.
Speaker C:It's really.
Speaker C:I think Josh is kind of the brainchild behind making this happen.
Speaker C:But, yes, we do have a new podcast.
Speaker C:I think there's four episodes out.
Speaker C:We haven't had a chance to record much since.
Speaker C:It's called Family Time.
Speaker C:Josh, do we do the honors?
Speaker D:Yes.
Speaker D:It's family with no pee and no spaces.
Speaker D:And it's definitely our thing we like to do.
Speaker D:Huh?
Speaker D:I said it's family with a P.
Speaker C:Okay, then you said no P, no spaces.
Speaker D:Maybe there's a delay, but it's not a medical podcast, per se.
Speaker D:I mean, maybe we could use it to answer some of these questions.
Speaker D:I think that we could cover a lot and that be an episode in itself.
Speaker D:But certainly it's our time that we do to sort of one, talk about our experiences growing up as Asian Americans and then little fun things that we like to do outside of medicine.
Speaker D:And we have featured other PAs on there who we consider part of the PA family or the Pamly.
Speaker D:So definitely a lot of exciting stuff coming up.
Speaker D:And we plan to interview people outside of the PA profession as well.
Speaker B:Well, yeah, that's awesome.
Speaker B:Well, we.
Speaker B:I saw you put in the chat.
Speaker B:We'll.
Speaker B:We'll send that out as well.
Speaker B:But yeah, thanks so much, guys, and thanks everyone for watching.
Speaker B:And go get the replay tomorrow, I guess, tomorrow night.
Speaker B:And feel free to, you know, share with your pre PA clubs and PA friends and stay tuned for the next one.
Speaker B:I don't have it scheduled yet, but we'll try to do another one soon.
Speaker B:So.
Speaker B:All right.
Speaker B:Happy, happy weekend.
Speaker B:Go have a long weekend, you guys.
Speaker C:Thank you for joining us.
Speaker C:And thank you, Savannah, really.
Speaker C:I know this has been a crazy week for you, so I really appreciate you taking the extra hour to chat with us.
Speaker B:But no, y'.
Speaker C:All.
Speaker B:Y' all are awesome.
Speaker B:So thank you so much.
Speaker D:Thanks, everyone.
Speaker C:Guys, have a great night.
Speaker C:It.