Resources

How to Make Money During PA School

Can I work during PA school? It’s one of the most common questions that comes up after getting an acceptance letter because let’s face it, PA school is expensive. Once you put together tuition, fees, living expenses, and any other unexpected expenses, the number can be a bit intimidating. (We have a post on how to pay for PA school also!) With prior patient care or healthcare experience being a common prerequisite for PA school, most future physician assistants are used to working (even if it’s in a low paying position). The truth is most people use loans to finance their way through PA school because it’s essentially a full-time job. With class from 8-5 most days, followed by hours of studying, and then the unpredictability of a clinical rotation schedule that changes every 4-6 weeks, committing regular hours or undivided attention to an outside job would be difficult. And if you end up at a program like mine, they did not allow us to (formally) work outside of school and required an agreement that we would not seek employment while in PA school.

That being said, I get it. It’s tough to have practically zero disposable income during PA school. There were a few lucky students with a working spouse or parents who were helping financially, but it’s not the norm. I’ve written previously about ways to save money during PA school, but I found a few ways to also make a little money during school and right after graduation as well. Any little bit helps in the long run with large student debt numbers looming. I’ve learned also that you guys are way more creative than I am, so I would love to also hear of any ideas you have! I’ve occasionally met students with a hook-up to a great PRN position that they can pick up shifts as needed, but make sure this is okay with your program before committing. 

DISCLAIMER: Focusing on studying and PA school should absolutely be your #1 focus! NOT making extra money. If doing any of these extra activities has even the slightest impact on your grades or success in PA school, it is not worth those few dollars! 

1 - Babysitting

You may be like me and think, “I haven’t done babysitting since I was in high school,” but when an opportunity came up during PA school with a family down the street, I jumped on it. I don’t typically stay up too late, but after putting the kids to bed, I was able to study and being in a new setting helped me to focus a little more with less distractions. Not a ton of money, but there are some great opportunities in childcare, even if it’s just occasional. Now, some of my favorite babysitters have been current PA/PT/OT students. The local school has a GroupMe message, so if one person isn’t available they share it with others in the class. 

2 - Dog/House Sitting

Jumping off of babysitting, the option of dog sitting or house sitting may be even more flexible. A previous medical assistant from my office is now in PA school and has been dog and house sitting for people in the office during her time as a PA student. Personally, I get very distracted in my own house. I can always find something that needs to be done - laundry, dishes, napping - but being in a different environment is very helpful. 

Using the Nextdoor app or a neighborhood/local facebook group to see if there is a need can be helpful, but also word of mouth. I know locally, finding a great pet sitter seems to be in high demand! Setting up a Care.com account is a helpful tool to finding opportunities in your area also. Don’t forget to bring your study materials with you!

3 - Reselling Items

I personally resold things towards the end of PA school to help make a dent in my PA school loans. I even went as far as buying to resell, but I’ll get into the specifics. An easy one is books! In The Pre-PA Club group on Facebook, we have people posting their used PA School Personal Statement Guide and Interview Guides all the time! Once you’ve been accepted to PA school, you don’t really need those pre-PA resources anymore. Tip - If you are selling books, use Media Mail through USPS for the cheapest shipping.

Selling textbooks is another option, from undergrad or PA school. Connecting with peers locally to pass them along will likely be most lucrative, but there are plenty of websites that will buy back textbooks also. I’ve created a list of some of the textbook buyback programs below and added a place to search for books quickly to see if you can get an offer. As of 2022, Amazon no longer buys textbooks back. Tip - Before you rent a textbook, look at the cost to buy and current buyback rate and sometimes it makes more sense to do that!

Books Run

BookScouter

Textbook Rush

Sell Back Your Book

Cash4Books

Bookbyte

Take some time to shop around, but a few bucks is way better than a heavy textbook you probably won’t use again! Let’s talk about other things to consider reselling next.

If you look around, you may find some things you have extras of or just don’t need anymore. Facebook marketplace has become a great place to sell things locally. I recently sold some baby clothes and craft supplies easily. 

I mentioned previously that I also bought to resell. This is something to be a little cautious with, but I started right before graduating and then continued throughout my first couple of years of practice as a PA. It was great fit because I love shopping and love finding a deal. It works best if you’re reselling something you’re familiar with, like certain clothes brands, toys, characters, etc. Do some research on eBay and Poshmark to figure out if there is something you could possibly resell for a profit. We have a local outlet store for nicer clothing from Anthropologie, Free People, and Urban Outfitters. The prices for clothes range from $5-20, and I could usually at least double the price to sell. There were definitely a few busts, but it was typically profitable. I actually made $10,000 in one year and used this for paying off my PA school debt. Taking pictures and listing did take time, but I enjoyed it and would go on the weekends while my husband was working. I’ve also heard of people doing the same thing through thrift stores, garage sales, or Goodwill. There are some great YouTube videos that teach on this more also. 

4 - Affiliate and ambassador programs.

I am 100% not talking about MLMs (multi-level marketing aka pyramid schemes). Please do your research and avoid any “program” or “product” that a company asks you to pay money to promote or sell as the return on these programs is typically not favorable for most people, and tends to be predatory. 

But most companies and products have what is called an affiliate program. To put it simply, for sharing a code or link, you receive a commission if someone purchases the product. To be honest, this can be very minimal - like pennies - but if there’s something that you love and tell everyone about, a little reward can make it worth sharing. Everyone has access to sharing links on Instagram in stories now, and it’s easy to put together a list of links as well. This doesn’t mean you’re trying to be an “influencer” or anything, just that you are passionate about the things you love! Look for information at the bottom of websites to sign up or a quick google search will usually bring up these programs too. 

We even have an affiliate program for The PA Platform! If you have a PA social media account or want to share about all of the great advice you’ve received with your pre-PA club, use this form to sign up here! 

Okay! Those are a few simple ideas that I actually did or do even now! I would love to hear more about your experiences as well in the comments section. 

Pre-PA Email Templates

We are often asked how to correspond with specific people throughout the application process. Over the last year, we have been sharing these email templates for our Instagram followers. Here is a full collection of them for you to refer to! Let me know in the comments what other templates would be helpful. Please remember these are JUST templates, a guide for you. Be sure to add your own personal touch to these.


How to Ask for a Letter of Recommendation

It's time to give your letter of recommendation letter writers a head's up! Not sure how? Here are some tips and templates. Put these in your own words, but this should give you some direction.

When possible, ask through email so there is a paper trail and written reminder. Depending on your relationship with the letter writer, a phone call, text, or asking in person may also be appropriate.

Give your letter writer an idea of what you would like them to cover in the letter. For example, a professor's letter should speak to your academic successes, not your demeanor during patient care. Sending your resume and personal statement can be helpful as well. Also, include the desired deadline of when you would like to submit your application. Letters frequently hold up application verification.

Don't forget that LORs DO NOT roll over cycle to cycle so do not request them through CASPA yet. Just give your letter writers a heads up right now.


How to Ask to Shadow a PA

Found a PA you would like to shadow? That's great! Here are some tips for when you’re asking to shadow a PA.

Keep it professional! It's a crazy time in the medical field. A lot of PAs are very busy right now. If a response doesn’t come as quickly as you would prefer or you get a canned response. This seems like common sense, but I’ve seen some correspondences that are a little surprising in the tone.

Get to the point and be as brief as possible. In respecting your email recipient’s time, be concise and direct. Take out as much fluff as possible. If you have a question, make sure that’s clear without sharing your life story, but just include enough details to get an adequate response.

Be specific. I know I just said to be brief, but give your reader enough information to know their relationship to you and why you want to shadow them.

Remember, they are doing you a favor by allowing them to shadow you! Remember to be professional, polite and courteous.


What to say when Communicating with Programs

Multiple acceptances? Congrats! What a great problem to have! A lot of the questions you’ve been sending in are asking how to actually turn down a spot in a PA program. Here are some tips for when you’re communicating with a PA program.

Keep it professional! Whether you’re accepting a spot, declining, or asking for feedback, remember that the program faculty are very busy and doing the best they can. If a response doesn’t come as quickly as you would prefer or you get a canned response. This seems like common sense, but I’ve seen some correspondences that are a little surprising in the tone.

Get to the point and be as brief as possible. In respecting your email recipient’s time, be concise and direct. Take out as much fluff as possible. If you have a question, make sure that’s clear without sharing your life story, but just include enough details to get an adequate response.

Be specific. I know I just said to be brief, but give your reader enough information to know what you’re talking about and not have to go searching. Including identifying information will help with figuring out who you are among the thousands of applications a school receives.

Another common question is do you need to respond to a waitlist or acceptance offer? Yes. I recommend responding to any direct correspondence from a program to make sure they are aware that you received their email.


How to Ask a Program for Feedback

We always encourage pre-PA students, who are planning to reapply next cycle, to ask the programs they applied to cycle for feedback.


2021 Physician Assistant Gift Guide - Pre-PA, PA Student, PA-C

Unsure of what to get for the aspiring PA or practicing PA in your life? Well, you’re in the right place! This is our most comprehensive guide yet. If you’re on the other side as a hopeful PA or PA student, feel free to forward to your friends and family who may need a gentle reminder of things that would be helpful and appreciated! If there’s something you’ve received in the past and loved, please comment and share your ideas with your colleagues. Some of the links included are affiliate links, and for more ideas, visit our Amazon store.

Shipping times and product availability have been hit or miss lately, so we wanted to provide some non-shipping/delivery time dependent options! Sometimes we have to get creative depending on circumstances. In each category, you’ll also find DIY/low cost options all the way to splurges.

Pre-PA

For any pre-PA student in your life, they are likely focused on anything that will help make the PA school application process a little easier, and that’s what we’re here for! A book to help with personal statements, interview prep, or a gift card for an essay revision or mock interview are all great options.

Gift Card
from $25.00
Value:
Purchase

Pre-PA students are often trying to obtain patient care hours and having a nice set of scrubs and shoes is a thoughtful gift. I recommend Medelita, which is a PA-founded company, for medical wear, and here are a few of my favorite items. My husband is obsessed with the Medelita underscrub and scrub jackets also. Use the code PERRYPAC20 for a 20% discount on all of your Medelita favorites. For shoes, my current go-tos are Crocs clogs. Super comfy and easy to clean/disinfect and my feet don’t hurt after standing and walking for 8-10 hours a day. I find all of these items run true to size.

Call me cheesy, but I love a good DIY coupon book as a gift as well. It’s meaningful and thoughtful, and can be very low cost. Feel free to interchange all of these ideas between pre-PA/PA students/PAs, but here are some of the things you could include. Use a free online editor like Canva to make it look cute and print or send digitally.:

  • Home-cooked meal

  • Coffee date or bring coffee to work/house

  • Pet-sitting

  • Baby-sitting

  • A day of running errands

  • Movie night

  • Help with cleaning or organizing

  • Study session

PA Students

For a quick study break for PA students, here are some of my favorite reads from the past year in a variety of genres. Some are medical, some aren’t, but everyone could use a brain break every once in a while (even if they don’t know it.) I will also add, I’m a dedicated Kindle reader at this point with a new found love for Audible (click the link to get a free credit and trial!) and audiobooks, so I included that as well.

We can’t leave the PA students out with the Medelita gear. The Medelita Sensitive stethoscope is a great tool, particularly for someone who is about to start PA school. For the many hours in a classroom each day, a cozy fleece jacket is a must, and there are also short white coats available for clinical rotations.

Can we talk about self-care for a second? It’s easy to get caught up in studying 24/7, but also important to prioritize yourself during PA school, which can be hard to remember. A fun basket of skincare, water bottles, and treats would be a sweet gift to help get through the end of the semester. One of my most favorite gifts to give is Babelash, which has the Essential Serum to help lashes grow thicker and longer and the best mascara ever. Use the code SAVANNA for 20% off as well (and it stacks with the Black Friday deals!) And there are tons of other skincare items in my Amazon store.

These days it seems like the holy grail for PA school is an iPad. Everyone has one and everyone loves them for taking notes and staying organized. While this would be the ultimate splurge, there are some accessories that also come highly recommended. I recently polled instagram, and it seems that the iPad Air + Pencil + keyboard is what most students are going for.

PA-C

I can only speak from my experience as a PA, but I’m constantly on the lookout for anything that makes my life easier. With a busy job, once I get home, I want as much time with family as possible. Something to help with dinnertime would be much appreciated. I use my crockpot often, and an Instant Pot is on my list this year. I started using ButcherBox recently as well, and I’ve been very impressed by the quality and convenience.

The Splurge! If you’re really looking to make a PA’s day, usually coffee is a great idea. An espresso machine is a great idea if you know someone who appreciates a good caffeine hit or spends way too much at Starbucks. I don’t personally own one yet, but I’ve had my eye on the Nespresso for a quick option, but the Breville has great reviews for a true barista. If you aren’t ready to splurge quite that much, a milk frother can take coffee to the next level with an at-home sweet cream. I personally own this one and use it all the time.

For a workplace present, a new Medelita white coat will help start the new year feeling fresh. The high quality fabric is so durable, and the fit is highly professional. Embroidery is available to add a name also, or if you’re like me, stick to the scrub jackets and my all-time favorite scrub pants - The Pixel.


Need more ideas? Refer to our previous PA Gift Guides:

PA School Mom: What Having a Baby in PA School is Really Like - Interview with Nora

Nora is a current PA student with a very interesting story. While first planning to attend PA school in New York, an unexpected pregnancy forced Nora to reconsider her plans and make some tough decisions. Long story short, she is now in PA school with an infant. We talk through how she handles being a mom and a PA student.

This interview is also a Pre-PA Club Podcast Episode that you can listen to here.

Nora: Hi everyone, my name is Nora. I'm originally from Ghana, but I came to Minnesota about 10 years ago. I did my undergrad at St. Cloud State University in biomedical science. I was there for probably five years, and then I moved to Connecticut, where I live right now. I started working at a hospital as a CNA, and I have pretty much been here since then. I started PA school in August of 2019, and I’m done with my first trimester at Sacred Heart University. 

Savanna: Did you know through undergrad and your experiences that that you wanted to go the PA route, or did that come kind of later on?

Nora: Basically, when I was almost about to graduate. I didn't actually know what a PA was until my brother was seen by a PA. He was born with cerebral palsy and also has epilepsy. So he was having seizures that were getting worse. And so we saw a neurologist and on the team, there was a PA. Initially I didn't know who she was to be honest. She did talk to us a lot, explained a lot of things, was very easy-going. But I didn’t know what her role was, and we started to talk and she told me that she is a PA and talked about what she did. I thought it was interesting, and I was about to graduate. I honestly didn't know what I wanted to do. I was so focused on pharmacy for such a long time because my mom is a pharmacist, but then I realized that I wasn't really interested in that. And so I did shadow that PA, and I decided this is something that I think I could do, and I could possibly be good at it. I had a couple of more classes to finish. And before I could apply to PA school, I decided to go ahead and shadow a couple more PAs. I decided that this is what I want to do; I want to be able to talk to patients like the way she talked to us and explain things to us. She made us feel very comfortable, and she really had the time for us, so that is where I really appreciated most about her job.  

Savanna: Okay, so when it came time to apply, you took extra classes, got your experience, all that. And what did your application process look like? 

Nora: For the most part it was pretty straightforward. I think the thing that I struggled with the most was my personal statement because writing is not my strongest suit, so I felt like I had so many things that I wanted to say and so many things that I wanted to share, but I just didn't know how to put it together. I did write my personal statement over quite a number of times, and I had different people read over it. I had a couple of PAs look over it as well before I finally submitted it; that was like my last thing. I had gotten everything else including my recommendations, my transcripts, and everything else. But the personal statements was the last thing that I finally finished. I also knew how many schools I should apply to, and if that was going to be my first cycle, if that was going to be just a test kind of cycle versus an actual cycle. So I was kind of on the edge, and I was like, Oh, I'm going to try my best to get into school this cycle, but then if I don’t, it's not going to be the end for me basically. So yeah, those are the things I probably struggled with the most during the application cycle, but for the most part it was pretty straightforward.

Savanna: So how many schools did you end up applying to? 

Nora: 

So I applied to five and then I got three interviews. I declined one, and I went for the other two and got into those two programs.

Savanna: Okay, well that’s great, obviously you had an impressive application and impressive interview skills! Okay, so then tell us what happened? 

Nora: 

So both programs I got into were in New York. Initially, that was my plan, I wasn’t planning to stay in Connecticut. I wanted to go to New York, and I was trying to decide between the two programs. And then I found out I was pregnant. That was unexpected but exciting. And I was like, what am I doing next? 

Savanna: Yeah, so can you give us a timeline of kind of like when you were accepted, when you found out you're pregnant, and when you were supposed to start school? 

Nora: 

I was accepted into the first program in September 2017. I went to the interview for the second program in March 2018, and I found out two weeks later. The first program was supposed to start June 2018, and the second one was supposed to start in August 2018. I thought I was pregnant beginning in June of 2018, right before the first program was supposed to start. So I did call the program. And I spoke to the director and told him, this is what's going on. So he said that you can defer because he had a student like that last year, who was in the same situation. So they allowed me to defer. I was like, why don’t I just keep my options open, so I called the other program because I had never told them my answer. I asked them, just to see how what their reaction would be, and they also said you could defer because we have had students do that. So I deferred both programs.

When it sunk in, I was like, realistically, it doesn’t make sense for me to move to New York, considering my family is here in Connecticut, and I’m going to have a baby. I’m going to be in PA school; I’m going to need help. I can’t go to New York; my family is here. So, that's when I decided to reapply in the next cycle; that was a last minute thing. Getting towards the end of the cycle, I was like, I can’t go to New York, so let me just apply and see what happens. If it doesn’t, I tried. 

Savanna: Oh my gosh, you're so brave. But I think all that just shows how much you really, really wanted to be a PA. Awesome. 

Nora: 

Yeah I mean once I set my mind to going down this route, I thought that just because I’m going to have a baby, that isn’t something that is necessarily going to stop me. I still definitely wanted to do it. I thought you know, the best thing to do at that point was to try to get into a  program here in Connecticut and to stay here in Connecticut.

Savanna: Okay, so you kind of last minute decided to reapply, kind of forget the programs in New York, and you had proved to yourself that you could get into PA school, which is awesome. So, does that mean you went through the interview season pregnant? 

Nora: 

Yeah so I decided to apply to two programs. I got a call for an interview at the first program, that was at Sacred Heart, where I am now. At that point, I think I was around 7 months or so pregnant, so yeah I was showing as pretty pregnant at that point haha. Yeah it was nerve-wrecking for me, but they definitely didn’t treat me any differently at all. 

Savanna: So they didn’t ask you any pregnancy specific questions or anything? You didn’t feel judged? 

Nora: 

Not at all. I thought going into the interview, maybe they would have some preconceived notions like oh she’s pregnant, how will she be able to do this? I had talked to a PA I had shadowed for quite a while, and he told me that people might have that idea. But you need to just give the best interview you can and do the best you can. So yeah I felt very comfortable, very comfortable. The interview process went smoothly, considering I was like 7 months pregnant. 

Savanna:

Yeah haha great, so they accepted you? 

Nora: 

Yeah I got a call in January. I was so excited, and things really fell into place. 

Savanna: Ok awesome! So your mindset had to shift to “okay, I’m going to be a student with a baby.” So how old was your baby when you started PA school?

Nora: 

He was almost 6 months. My plan was to get him enrolled in daycare before I started school. He started day care at about 5 months so he could get used to that, and there wouldn’t be any surprises right at the beginning. But of course, my first week of school, he was sick! And I was like, oh that’s one of those challenges! Of course most programs have an attendance policy, even when something like that happens. That's when I started to really lean on my family for support. 

I think that's definitely one of the biggest factors for anybody in general, PA school is tough, and so having a good support system is important and especially when you have a child. You need that help. And so I did talk a lot with my family about it before. You hear that PA school will limit the amount of time you have for outside activities and how busy you are going to be, but you don’t really know what that’s like until you start, and that’s how I felt. I didn’t know my schedule was going to be so packed until I actually started. So there were adjustments in between. Who has to pick my son up from daycare, or who is going to watch him. I mean, if I was going to be able to make it home in time, I could pick him up, but if I can’t, then who is going to be able? Having conversations with my family to help them understand that this is not regular college, where I can take a class part-time, or skip class. This is different, and it’s going to be intense, so I'm going to need all the help that I get. And I'm fortunate to have a really great support system. 

Savanna: That’s definitely so helpful. I mean, we live by my family here, and it’s been great, even just working, to have them step in when necessary. You never know when they’re going to get sick or something like that happens. So it sounds like how you had, backup plan upon backup plan, thanks to your support system. How many people are in your class? 

Nora: 

There's 42 people in my class

Savanna:

Are there other parents? 

Nora: 

No, there are people who are married, but I’m the only one with a child.

Savanna: Oh gosh, got a little PA baby! Well, what have you struggled with, and what have you found that works as far as balancing time with being a mom and a student, having kind of that different family dynamic from someone who maybe doesn’t have those responsibilities? 

Nora: 

So initially, I think it was an adjustment for me because I graduated in December of 2013, or something like that. So it’s been quite a while since I was in school. And of course, it’s different because you’re taking so many credits and it’s a pretty strict schedule. So that was an adjustment for me initially. I'm a visual learner, so it's really important to me to be able to see things vs. just reading them. What I found to be really helpful for me was watching a lot of videos. There were times when I didn’t have the help I needed, like if family wasn’t available to watch my son, I would have to kind of balance along with him. A lot of my studying came from me watching stuff on Youtube or Osmosis, listening to podcasts, or other things of that nature. So watching videos, Picmonic, or SketchyMed – those things really helped me a lot, especially when I didn’t have help to watch him. He would be here with me, and I’d be watching those in the background. That’s the kind of learning I am, so that works for me. I think everyone should see what works best for them. I may be a good visual learning, but someone else may not like that. That has worked pretty well for me. 

Other than that, I wasn’t the type of person who studied every single day in undergrad. I would study when I had exams, basically. When I didn’t have exams, I wouldn’t really keep up with stuff. But in this case, you really have to! You have to go over what you at least went through in class everyday. That is still an adjustment for me, it is a lot of stuff including exams every week. For the most part, I try to go over at least what we went over in class that day. So that helps prevent you from getting too overwhelmed. 

Savanna: Okay, I'm going to ask a couple of questions that would be considered highly unethical in an interview setting. But have you felt hindered in any way by having a baby in PA school? Like do you think it has affected your performance, or like you said like, if you set your mind to something, you’re just going to make it happen?

Nora: 

I don’t think it has hindered me. I think that it did help me to adjust in situations that were unpredictable. There were a few times during the semester when my son was sick. There were also some times I had to take him to the ER, and then literally be in class in a few hours. I mean, it was hard, I’m not going to lie. There were times when I cried a bit, but I think that made me a little more motivated and it did show me that I could do things. If you had told me this a few years ago, I would’ve said there was no way I could do that. But it definitely showed me that I’m stronger than I actually think I am. So I don’t think it’s hindered me. I think it’s done the opposite. It’s shown me that I can multi-task better than I could’ve ever imagined, especially when I don’t have anyone to watch him. Having to manage that and having to study for exams, I’ve learned to better manage my time and that I can do that. 

Savanna: Okay, so one question that I get a lot that I don't feel like I necessarily have been able to answer well because I can't answer from a personal standpoint is – pre-PA students ask me when they should have kids. Should I try to have my baby right before PA school? Should I be pregnant in PA school or on interviews? I know you only have your experience to speak from, but what are your thoughts on that? 

Nora: 

If I didn’t have a child before PA school, I don’t think I would get pregnant in PA school. Just because it is so rigorous and you are sitting for at least 8 hrs at a time. You have breaks here and there, but you are in class 9-5. I also get stressed out and a bit anxious when exams come up, so I don’t necessarily think that is the healthiest thing for someone who is pregnant to go through. The chairs aren’t comfortable to sit for that long. And the mental stress isn’t the best while you are pregnant. Things happen of course, but to actually plan a pregnancy in PA school, especially during the didactic year, I don’t think that’s the best thing. I know some people do plan pregnancy during clinical year, but I haven’t experienced that. 

I think it's also a personal choice when to have kids. You have to realize that once you do have kids before or during PA school, you have to have people around you to help. I think that’s the thing that makes a huge difference, a support system, whether family or friends, you need to have people in your corner. In addition, there is a financial aspect of it as well. If you are using loans to live during PA school, you have to think about that as well because having a baby can be expensive haha. 

Savanna: 

You kind of alluded to it when you said your first week your baby was sick and there was an attendance policy, but you are held to the same standards as all the other students, despite having a child, correct? 

Nora: 

Yeah! We are all in PA school, and these are all choices that everyone made. I am a mom, and I made a choice to come to PA school. I could’ve just waited until my son was a few years old to come to PA school, but I made that commitment. It’s hard of course, when your child is sick, to come to school. But I realized I had to separate my mind mentally, put that away for a short while, and try to focus on what I am doing in school. Otherwise, you will get overwhelmed. Being a mom especially, I never realized how much you could worry about your child. Learning to separate things and have the time and place for it is helpful. After school, I do try to spend time with him and do not dive straight into studying. I put him to bed and then get back to school stuff. I think that has helped me feel better about things in general and being able to have time for him.

Savanna: 

No that's awesome. It sounds like you're doing well, and you also have time to talk to me on a podcast, so thank you so much! Any last parting words or advice?

Nora: 

I would say regardless of if you have a child or not, if this is something you want to do and you are determined, I think you can do it. People really underestimate the power of their mind and positive thinking. Sometimes you go through something, and you think, wow I actually did this, and I never thought I could do it. So I think you should never think something is not possible. I would always at least try. Who knows, maybe if I never attempted to do PA school, would I have regrets? I don’t want to have regrets later. Hopefully someone out there is inspired that being a parent doesn’t mean you can’t follow your dreams or achieve something. I always think I am not only doing this for myself; I am doing it for my family as well. And hopefully, that goes a long way to make a better life for my family. Also, my son will be able to look back and think that Mom was able to do this while she had me. And that will be a motivation for him hopefully.

Savanna: 

Well you are super impressive! I am sure he will be very proud when he realizes what you did. Well thank you so much for taking the time to share all your advice and stories. I don’t know that I could do what you are doing, but like you said, you don’t know until you are there! You are doing a great job.

Nora: 

I’m so glad I had the opportunity to talk about my experiences and hopefully motivate someone else. 


3 Techniques That Will Help You Overcome Setbacks on the Road to PA

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People who want to become PAs experience a catch-22 of sorts: In order to ultimately succeed, you often have to fail, but experiencing failure can inhibit your future successes. Failure can cause feelings of helplessness, inadequacy, and demoralization, which can make you lose faith in your capabilities; when this happens, your ultimate goal may seem further out of reach, and you might even start to believe that your success is out of your control. 

Luckily, there are research-based findings on the best ways to overcome setbacks and position yourself for overall success. 

Be Open to Feelings Associated With Failure

It’s no secret people often ignore their feelings, especially when said feelings are stressful or otherwise unpleasant. Unfortunately, according to research, one of the best ways to learn from mistakes is to do the last thing you want—to embrace the negative feelings associated with failure. Throughout the PA process you will definitely experience failure at some point.

Common advice is that you shouldn’t dwell on your mistakes or beat yourself up after you fail, but this advice is somewhat contradicted in the current literature. People who allow themselves to feel their emotions regarding failure try harder to correct their mistakes, according to a study in the Journal of Behavioral Decision Making; a person who makes excuses and ignores his or her failures fares less well when it comes to learning from past mistakes. Our goal is improvement and growth, right?

Without making yourself feel terrible, realize that sometimes bad things happen, and to avoid them again in the future, you have to try harder. You can have self-compassion while still pushing yourself to succeed and motivating yourself to avoid similar failure in the future. Whether it’s a tough semester or being placed on a waitlist, most feelings of failure come from multi-factorial reasons. Use the self-reflection from those experiences to help you achieve success moving forward. Look for the good in the situation coming from those failure feelings. With a tough class where you didn’t get your desired grade, maybe you learned some more effective study techniques. By gaining a waitlist spot, that means your application was on target to get an interview, and it’s not a no. Find the positives and cling to those.

Let Your Feelings Spark Action

After you experience your feelings surrounding failure, get to work; break down the failure into two categories: aspects that were in your control and aspects that were not. Review your lists and see if you find any items improperly categorized. Sometimes, things that seem out of your control are actually not and vice versa. Can you improve your skills, planning, knowledge, etc. to take control of aspects that were previously deemed out of your control? With the list that remains (it might be unchanged from your first iteration), focus on all of the parts of a failure that are under your control. 

When you believe you can’t change the outcome of a situation, you often feel paralyzed, helpless, inadequate, etc. Conversely, the more you feel in control of a problem, the more likely you are to be motivated to tackle future challenges, according to research published in Core Psychiatry. In the event that you recognize things you could have done differently, take ownership of that and use it to spark change. Resolve to take small steps towards making changes in future situations, even if they seem like small things. Going back to the grades example - perhaps you will gain a self-awareness of recognizing when you’re struggling and instead of continuing to drown in the material, create an action plan to reach out for help from an earlier point.

Talk It Out With Like-Minded Individuals

Talking about failure may seem nerve-racking, but it’s one of the best ways to overcome setbacks and position yourself for future successes. Call someone you trust and allow him or her to help you process the loss while feeling supported. 

It can also be helpful to remind yourself that you’re not alone in your experience. For example, recently, Clara Jones, BSN, RN, posted the following on her Instagram:

I wasn’t an A student by any means. ⁣I wasn’t the type that didn’t study but aced my exams. ⁣I was the type that even though I busted my ass, I still failed some exams and barely made C’s on some of them. ⁣I failed my first skills evaluation for inserting a Foley catheter! Needless to say, I cried and thought nursing wasn’t for me.⁣ I missed most of my IV starts for the first couple of months. But let me tell you, these things make you want to quit and sulk, but how you respond to them challenges you and makes you BETTER …” 

Failure is a normal part of learning and progression. Surround yourself with people who are successful despite their past mistakes. Talk openly about your shortcomings and listen to others when they do the same. If you’re not already part of The Pre-PA Club on Facebook, it’s a great community of people in the same position as you. 

At The End of The Day

Unfortunately, the catch-22 of becoming a PA doesn’t stop when you get into PA school, or even when you graduate and start working in the field. Even after years of overcoming failures and learning an immense amount of information, you’ll still be subject to the unexpected. Medicine is always evolving and patients are all unique. As confident as you are, you’ll never be fully prepared. 

The techniques above are a good start for overcoming adversity on your journey to PA, but they are by no means exhaustive. If you want to become a PA, it’s important to know that your career choice will never be easy, but with the right attitude, it will be more than worth the challenges it presents. 

Ultimate Physician Assistant Gift Guide - 2018

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Wondering what to get for all of the PAs in your life? Whether Pre-PA, current students, or practicing PAs, we’ve got you covered with this 2018 Holiday Gift Guide. We’ve broken it down by category and you’ll find more practical options to go with some of the more fun choices. Feel free to pass this guide along to your family and friends to give them some hints about what’s on your shopping list. Some of the links in this post are affiliate links, which means we get a small percentage if you make a purchase as no extra cost to you. This list is just in time for Black Friday so make sure to keep your eyes peeled for deals!

To Wear

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Looking professional is a staple as a physician assistant! Medelita is my go-to brand for medical wear in clinic. A gift card will provide a choice between the various scrubs, white coats, or scrub jackets, but I’ll share some of my favorites.

Medelita offers free shipping, the option of embroidery, a 1-year warranty, and at-home try-on. What more could you ask for? I recommend any of the scrubs, and my favorite white coats are the Ellody or the Rebecca. If you’ve never bought anything from Medelita, you can set up a new account and get $20 off your first purchase over $70. Use the code PAPLATFORM4 for a 20% discount.

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If you’re looking for something more casual, check out Medthusiast for the cutest and comfiest T-shirts and sweatshirts. Both Medelita and Medthusiast are companies that were created by PAs, which makes them even cooler!

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To Read

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For the Pre-PA Student - To help future PA students reach their goals, there are some must have resources out there to make the process much easier. The Applicant’s Manual of Physician Assistant Programs provides information about all of the current PA programs. This is a huge time saver because it can be difficult to track down that info. After applying, the interview is the next step, so the Physician Assistant School Interview Guide is a great present for anyone in the application process.

For the current or soon-to-be PA Student - There were 2 books that were extremely helpful to me while I was in PA school - the “green” book and Lange Q&A. I used these the entire time and particularly when studying for boards. I’ve also heard great things about PANCE Prep Pearls.

For anyone and everyone - Dr. Atul Gawande is my favorite non-fiction/medical author. His books should be mandatory reading for anyone in medicine. Better and Complications would be welcome stocking stuffers for any PA!

For School

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While PA school is thankfully a somewhat distant memory for me, there are a few things I couldn’t have survived without.

A great computer. If you really love your PA student (or soon-to-be student), make sure they have a functioning laptop. I’ve heard great things about the iPad Pro and Notability for taking notes, so that’s a good option too. I started school with a MacBook Pro and ended with a Microsoft Surface. I wish I had my Surface at the beginning of my program so I could have taken notes directly on our never ending PowerPoints. I’m back to a MacBook now, but the Surface was great for studying for boards.

A functioning printer. Even though everything is online these days, I’m still a pen and paper type of person at times. I like to write things out and take notes by hand, particularly for last minute studying before a test. I have the HP Envy, and it’s wireless, and does the job.

A water bottle. I’m the first to admit I’m the worst at staying hydrated. At work I use one of the large Tervis tumblers to keep my drinks cold or a good Yeti cup. I love this water bottle that helps to remind you to drink frequently by glowing to help increase water intake.

Amazon Prime. Having 2-day shipping was a lifesaver during PA school and clinical year. When my feet and back were so sore during my surgery rotation, I was able to get some compression socks and better shoes on the way ASAP because by the time I got off work nothing was open and I just wanted to sleep.

For Clinic

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If you’re in the market for a new stethoscope, and want one that functions excellently and looks sharp, check out the ERKA stethoscopes from Medelita. I don’t use a stethoscope frequently in dermatology, but my husband has claimed by ERKA as his own and uses it daily at the hospital. There are plenty of color options, and the tubing holds up nicely even with frequent use.

For a coffee drinker, Medthusiast has amazing ceramic coffee mugs with gorgeous artwork on them. These mugs will be the envy of everyone else in the office!

For CME

While I wouldn’t recommend booking a full CME trip for someone else, travel essentials are always a great gift. After going to a few conferences this year, I’ve realized I don’t have great luggage or carry-ons, so those are at the top of my list this Christmas.

Lecture halls at conferences are always freezing for some reason. While I dress business casual and professional when I go to CME events, I’ve been carrying my Medelita Ionic scrub jacket with me to keep me warm. It’s a great weight and still looks professional, so I’ll just leave it at my seat in between sessions. Mine is embroidered so I don’t worry about it going missing. These are available for men and women, and they fit true to size. This is also my husband’s favorite jacket to wear at the hospital, even more than his white coat. (And don’t tell, but even all of the non-medical people in my family are getting these jackets this year!)

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At conference, I always take a good size purse or bookbag to lectures, and I have my trusty Lilly Pulitzer notebook and a ton of pens. You could create a little conference survival kit and that would be an awesome present. Don’t forget the candy and snacks!

For Fun

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Makeup and skincare are always a nice present because who doesn’t love a little pampering. Put together a basket with some bath bombs, sunscreen, and skincare kit for someone who needs to relax a little bit. I’m the first to admit that I’m a product junkie, but most recently, I’ve been using the FRÉ Skincare line. Being a dermatology PA, I’m very picky about products, but these are easy to use, gentle, and leave my skin feeling fresh. The choices aren’t overwhelming and I love that I only have to leave the Detox mask on for a few minutes. You can use the code SAVANNA1 for 15% off, and make sure you’re following me on social media for extra deals (and there’s a really good one coming for Black Friday!)

For more of my recommendations and favorites, check out my Amazon list.

Interview with Jorge Muniz, PA-C, Creator of Medcomic

I'm really excited to share an interview with the extremely talented PA, Jorge Muniz.  While working as a PA, he has found the time to create a really cool and fun study tool!  Many of us are visual learners, and if you have trouble remembering the essential pearls, then you need this book!  There are a few days left in his Kickstarter campaign, so you still have a chance to be one of the first to jump on board.  

What is your name?

Jorge Muniz

How long have you been a PA?

In 2013, I graduated from the Nova Southeastern University's PA program located in Orlando, Florida. Two weeks after graduating, a large group of us took the PANCE. I’m proud to say we all passed. Immediately afterwards, I began practicing as a PA in the hospital as I had secured a position in orthopedic surgery during my clinical rotations.

What inspired you to create Medcomic?

I've loved cartoons since I was a little kid. As a PA student, I realized that being in the medical field gave me the opportunity to channel my creative energy while helping my classmates study for exams.

My artwork has been influenced by the cartoons I watched as a child, which relied heavily on physical humor and facial expressions. I believe the animation seen on television today has changed a lot from cartoons like Looney Tunes that were produced in the 1940s and 1950s. I remember watching many of those reruns. Another inspiration and influence on my art has been the work of Mike Krahulik. He’s the graphic artist behind the popular video game webcomic Penny Arcade.

What do you hope to accomplish with Medcomic?

Medcomic’s mission is to make studying medicine fun and entertaining. Part of my vision for Medcomic is to expand the concept so that it becomes more comprehensive. There are plans to introduce new features and apps in the future. The first book is weeks shy of being released and there are countless ideas and possibilities to add more volumes to the Medcomic library.

What is your favorite comic that you've created?

How long does it take you to create a single comic?

One comic takes approximately 12 hours to produce. Part of that time is dedicated to reviewing the topic and gathering information that’s relevant for students to know for exam purposes. Sketching the concept and producing a comic takes time and patience. There have been instances where I’ll throw away an idea midway of completion if I feel it isn’t going to result in something that meets my standards. I always try to think, “ If I were a student, would I find this illustration useful?”  There’s a value of quality over quantity.

How do you find time to do something like create a comic book while practicing as a PA? 

I’ve produced most of my artwork on my days off by waking up early and working on an illustration all day. It’s a bit of a sacrifice, but it’s gratifying that I continue to help many students with the cartoons I’ve been able to produce thus far.

How can we find out more information about Medcomic and help to spread the word?

For more information, visit Medcomic.com.  At the time of this writing, a Kickstarter campaign has been launched to help publish the first Medcomic book. This book will propel Medcomic into academic circles and make an impact on how traditional medicine is taught. It will also help establish a foundation for additional projects that I’m excited to share more details about in the future.

I truly appreciate everyone’s support to make the Medcomic book a reality. You can contribute by pledging or by sharing the campaign with friends and colleagues on Facebook and Twitter. Please visit Medcomic's Kickstarter page to support this project! Thanks.

Update! Medcomic's kickstarter was successful, and you can now purchase it on Amazon. (Affiliate link)


Physician Assistant Blogs

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While there isn't a ton of information out there in the blog world, and many of them do not stay recent, if you look hard you can find some good posts.  Here is a list of the blogs I've been able to find, so let me know if you run a site or know of any others!

I'm A PA - A site from the AAPA, and their blog does update a few times a month, and you could write for them if you have an interesting perspective.

Jay the PA -  A firsthand look at what it takes to become a PA from the Pre-PA stage to being accepted and starting school!  

With Ashley Kay - Ashley is a current PA student sharing her journey through school.  She has beautiful photography on her site as well! 

White Coat Clutter - Stephanie is a PA who is transitioning to dermatology and shares a ton of tips for Pre-PA students and current PA students. 

Life as a PA - Andrea is an amazing Pediatric ICU PA who is very open about sharing her lifestyle and giving back to the PA profession.  Make sure to follow her on Snapchat too! 

PA Student Essentials - A site run by PA students and the SAAPA

Meghan in Medicine - Meghan is a soon-to-be PA student who is doing an amazing job showing the details of how she's accomplishing her goals.  

The PA Life - Jourdyn is a current PA student at UW-Madison blogging about her time while in PA school.  

Reddit Pre-PA - Not exactly a blog, but more like a forum to ask questions to an active community and look up information that others have asked about in the past. 

PA Boards - This is a great resource with so many options - podcasts, blog posts, PANCE review, YouTube videos, and even an app!  

Musings - The JAAPA blog.  This is a great resource to stay up to date with issues facing PAs.

ADVANCE for NPs & PAs - They have a few different blogs, including one for students and one for new grads.   

Lauren Does Life - A new blog with an awesome looking site.  Lauren has just started her clinical year of PA school and it looks like there are some great posts coming in the future!  

Lindsey's PA Blog - Lindsey is currently a PA student at Albany College and has been writing periodically about her experiences there.  

Hay the PA - Hayley is a PA student at University of Kentucky and she has a beautiful site where she shares tips for both PA school and living a healthy lifestyle. 

PAs RISE - A resource for pre-PAs, PA students, and physician assistants where they have access to interesting reads, mentorship, and FOAMed (free open access medical education).  This site encourages the PA community to contribute their thoughts, expertise, and opinions while shining a spotlight on the advances PAs and students are making within the community.  

The Organized Undergrad - Follow Emily's progress through undergrad as she works towards a profession in the medical field, and tries to make decisions between pursuing PA or MD.  

Medicine & Manicures - A great combination of PA school and fashion.  Kristina just graduated from Campbell University's PA program, and she will be a derm PA as well!  (Best choice ever.)

PA Fanatic - Brittany is transitioning from a Pre-PA to PA-S, and sharing all of her tips and advice along the way. 

Physician Assistant Blog - A blog with unique posts that are a little different from the typical things other sites write about.  The authors also wrote the PANCE/PANRE Study Guide, which is a resource to use during school and when studying for boards.  

AP the PA - A new blog from Aashna, a student who is about to start PA school.  Great information so far!  

Pre-physician assistant blog - A bunch of interviews with various students and PAs.  Especially helpful if you're interested in schools in Texas.  

New PA-C Here - Not updated recently, but she posted a good bit during school about her experiences 

Trust Me, I'm a PA Student - A well-researched blog from a current student at UTSW

The White Coat Investor - The best blog for financial advice if you're working in medicine. Not specific to PAs, but definitely helps everything to be slightly less confusing and provides great resources.  

Physician Assistant, Finally There - Not updated recently, but a lot of information from school and resources as well.

Women in Surgery - This is not specific to PAs, but seeing as there are plenty of women PAs and PAs doing surgery, it's a great reference.

Food, Fitness, & Family - Although the title may not seem to fit, this is a blog of a current PA student and how she survives.  And shes's a mom!

PA-C Hustle - A PA and mother, and how she balances both jobs. 

PA Journey - Follow along with a PA student on the journey to becoming a PA.  

xohollyd - Holly is currently in her didactic year of PA school and provides updates on her blog so you can see what it's like to go through PA school. 

Stethoscope and Sparkle - Follow Erin through her time in PA school, and look for all of the advice she has for Pre-PA students 

Apple A Day PA - Demi is currently in her clinical year at Florida International University in Miami, and she blogs about her experiences and offers advice for clinicals. 

White Coat Dreaming - Alex is in her 3rd year of PA school and on the tail end of clinicals.  She has some great advice from fellow students and throws a personal touch into her posts too. 

Lynzy and Co - Definitely more of a lifestyle blog, but Lynzy is a mom, but also a part-time PA.  She does a great job showing how she balances life. 

The PA Pursuit - Chelsea is a PA student who has beautiful pics on her site and her Instagram as she offers advice to hopeful PA students. 

White Coat Whitney - Whitney is a second year PA student sharing advice about PA school and for Pre-PA students. 

PA-Cents - A new kid on the block that is discussing all things having to do with the financial side of PA school and being a PA. If you have any questions about money stuff specifically for PAs, make sure to check it out!


Book Review: Still Alice

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I finished Still Alice by Lisa Genova yesterday, and it surprisingly didn't turn out to be quite as sad as I had expected!

The premise of this book is a psychology professor at Harvard is diagnosed with early-onset Alzheimer's and it goes through her journey from pre-diagnosis, diagnosis, and progression of the disease, as well as her family's reactions.  As an intelligent woman, Alice has a very difficult time with coming to terms with her disease.  This book paints a very accurate picture of how Alzheimer's may affect both a patient and the patient's family.

Alice starts by normally living her life and will just occasionally have some lapses in memory, but it's not until she gets lost on a route she runs daily that she realizes something is wrong.  Alzheimer's starts with the small things and slowly progresses to be a debilitating disease.  This book gave me much more empathy and understanding as to why Alzheimer's patients experience some of the symptoms they do.  Distrust was a big one, and I love the way this book showed how that can happen.  The brain is so powerful that it's almost scary.

When first finding out about the possible diagnosis, Alice's husband says, "I think you jumped the going to see a neurologist.  He looks at your set of symptoms and sees Alzheimer's, but that's what he's trained to see, it doesn't mean he's right."  This stood out to me because I think this is how a lot of patients feel when they go to the doctor, so it's our job to instill trust in our patients so they feel that we are treating them as individuals, and not just a disease.

As a PA student,  Still Alice gives a great view of patient-doctor relations and multiple Mini Mental Status Exams (MMSE).  These are simple tests that can be done to judge a patient's cognitive function, and the decline is seen very clearly in this book.  It also discussed treatments that are being used currently for Alzheimer's. Alice describes it this way - "Alzheimer's disease was an entirely different kind of beast.  There were no weapons that could slay it.  Taking Aricept and Namenda felt like aiming a couple of leaky squirt guns in the face of a blazing fire."

This book gave me hope that the research being done presently will result in a cure and better medications for Alzheimer's, and hopefully sooner rather than later.  This article shows that they have found changes of Alzheimer's occur much sooner than symptoms show up, so treatment could be starting much sooner as well.  In Alice's case, if treatment had begun earlier, it could have potentially slowed down the disease process.

I definitely recommend this book for anyone in the medical field or interested in medicine, or anyone who wants a better understanding of what exactly Alzheimer's entails.  A movie was recently made from this book as well!


Books for Medical People

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Better / Complications

If you're looking for some recreational reading with a medical twist, here are some options that I highly recommend.  These are 2 books that I read before starting PA school, and I think anyone interested or involved in the medical field should read these books.  They are written by Dr. Atul Gawande.  Gawande is a surgeon so he can definitely relate, and on top of that, he's an incredibly skilled writer.  Easy to read, and makes you think.  Both Better and Complications address issues facing the medical field and Dr. Gawande's opinion on them.  I don't necessarily agree with all of his opinions, but they have helped me to form my own.

                 

Still Alice / Being Mortal / The House of God

And if you have some extra time on your hands, here are some other books that I'm reading or are on my list!  I'm going to do some more detailed book reviews in the future, but comment below with any books that you recommend!