WEBVTT 1 00:00:00.540 --> 00:00:01.740 My name is Natalie Ikeman. 2 00:00:01.740 --> 00:00:04.040 I'm a physician assistant at Hennepin Healthcare 3 00:00:04.040 --> 00:00:07.660 and I am the Lead APP for the Family Medicine Department 4 00:00:07.660 --> 00:00:09.520 at the Golden Valley Clinic. 5 00:00:09.520 --> 00:00:13.550 line:15% So in family medicine we work autonomously in the clinic. 6 00:00:13.550 --> 00:00:16.940 line:15% And so that means that we don't interact with the physician 7 00:00:16.940 --> 00:00:18.820 line:15% unless we need assistance. 8 00:00:18.820 --> 00:00:21.820 line:15% In Minnesota the legal status is that the physician 9 00:00:21.820 --> 00:00:23.900 line:15% is a supervisor. 10 00:00:23.900 --> 00:00:26.150 line:15% So if you you have a hard or complex case then you 11 00:00:26.150 --> 00:00:29.380 line:15% go to the physician for help but otherwise you are working 12 00:00:29.380 --> 00:00:32.720 line:15% with your patients and documenting and ordering tests 13 00:00:32.720 --> 00:00:36.450 line:15% and imaging for your patient completely on your own. 14 00:00:36.450 --> 00:00:40.400 But we see newborn check-ups, we see skin 15 00:00:40.400 --> 00:00:41.670 conditions, we might see 16 00:00:41.670 --> 00:00:45.280 diabetes, managing heart disease, we might 17 00:00:45.280 --> 00:00:48.500 have a laceration that we have to stitch up. 18 00:00:48.500 --> 00:00:52.080 We have planned biopsies, for example if we're concerned 19 00:00:52.080 --> 00:00:53.393 about a skin cancer. 20 00:00:54.490 --> 00:00:59.400 line:15% We see patients for mental health, which is a very 21 00:00:59.400 --> 00:01:02.430 line:15% important area because we have such a shortage of mental 22 00:01:02.430 --> 00:01:05.740 line:15% health care in our country. 23 00:01:05.740 --> 00:01:09.100 So the brunt of that falls on family medicine and we are 24 00:01:09.100 --> 00:01:11.900 very well prepared to take care of that. 25 00:01:11.900 --> 00:01:14.460 Every week our schedule is exactly the same. 26 00:01:14.460 --> 00:01:18.460 We are an ambulatory clinic so that means we're not 27 00:01:18.460 --> 00:01:19.340 hospital hours. 28 00:01:19.340 --> 00:01:20.750 We're not 24/7. 29 00:01:20.750 --> 00:01:24.010 So, in our clinic we're open from eight to five on some 30 00:01:24.010 --> 00:01:26.960 days and til seven thirty on other days to accommodate 31 00:01:26.960 --> 00:01:30.330 line:15% working families so they can come in after they work 32 00:01:30.330 --> 00:01:31.440 line:15% to be seen. 33 00:01:31.440 --> 00:01:36.270 line:15% And so,I do a varying degree of work within those hours 34 00:01:36.270 --> 00:01:37.870 line:15% and then sometimes we have weekends. 35 00:01:37.870 --> 00:01:40.050 line:15% For the most part, most jobs in family medicine 36 00:01:40.050 --> 00:01:41.090 are eight to five. 37 00:01:41.090 --> 00:01:42.190 Monday through Friday. 38 00:01:43.400 --> 00:01:46.820 What I was able to do was become a lead physician assistant 39 00:01:46.820 --> 00:01:48.630 for the Family Medicine Department. 40 00:01:48.630 --> 00:01:53.210 So I oversee 30 or so nurse practitioners and physician 41 00:01:53.210 --> 00:01:55.050 assistants in all the different clinics that 42 00:01:55.050 --> 00:01:56.840 Hennepin Healthcare has. 43 00:01:56.840 --> 00:01:59.360 And, I help coordinate trainings for them. 44 00:01:59.360 --> 00:02:02.600 I oversee that we're all meeting the incentives 45 00:02:02.600 --> 00:02:05.770 and the things that the hospital wants us to do. 46 00:02:05.770 --> 00:02:09.640 line:15% Like colon cancer screenings, diabetes management. 47 00:02:09.640 --> 00:02:13.410 line:15% And, it really allows me to network and collaborate 48 00:02:13.410 --> 00:02:16.740 line:15% with my peers and also become a leader for my area.