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<v ->My name is Randy Howl.</v>

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I am a physician assistant.

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I'm also faculty at Jefferson College of Health Sciences,

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in the PA program, and also on the interprofessional faculty

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for Virginia Tech School of Medicine.

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So PAs are licensed healthcare providers

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that practice medicine.

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We work in collaboration and with physicians.

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You'll hear different terms, like collaborating physicians,

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supervising physicians, so on and so forth.

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The real fact of the matter of the matter is that PAs,

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we have either a physician or a group of physicians

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that we work with as part of a team.

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I mean, it really is varied.

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I can see everything from a twisted ankle

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all the way up to a heart attack.

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I can see everything from an ear infection to

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someone that is in septic shock.

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I mean, it's a very broad spectrum of patients that we see.

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One of the things that I really am grateful for is that,

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working with the physicians and the nurses

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and the rest of the folks that are on our team,

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it really is a collaborative effort to make sure

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that we're giving the very best patient care that we can.

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It doesn't matter if it's a twisted ankle

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or if it's a heart attack,

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we take care of patients one at a time,

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and we try to do the right thing every single time.

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<v ->Let's say I'm going to work a seven to five shift</v>

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on our trauma overflow pod.

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I'll show up at seven,

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I'll see who our attending physician is.

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At our facility, we have residents.

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We have lots of learners.

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We have resident physicians,

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we have med students, PA students, we have

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PA and NP fellows that are there.

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The first thing I would do is

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see who my team was for the day,

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and then look at the board, and see where we're at.

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How many patients are in the waiting room,

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which patients are where, the acuity level of the patients,

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and then we divvy up the work and we get to it.

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My particular circumstance is a little bit unique,

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because in addition to working clinically as a PA,

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my job, I split it into thirds.

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About a third of my job, I'm actually the director for the

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Emergency Medicine Fellowship for PAs and NPs

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at Carilion, so about a third of my week is toward that.

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About a third of my week is clinical work,

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actually working clinically,

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and then about a third of my week is teaching at the college

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and at the med school through the interprofessional program.