Interview with a PA fro Interventional Radiology

Here's an interview with a PA working in IR.

1) Why did you choose to be a PA? 

After college I worked as a health education researcher and teacher for several years and I really loved what I did. But it became frustrating when my students would come to me for health concerns and I didn’t have any means to provide immediate medical help. Many didn’t have access to regular check-ups and/or they did not trust their health care provider. I felt that being a PA would allow me to provide comprehensive medical care AND the education to help make good healthcare choices in the future. 

2) How did you pick UTSW? What was your interview process like? 

I honestly applied to all the Texas schools because I knew how competitive the process was. What I really liked about UTSW was naturally how highly ranked it is, that it had a 100% PANCE rate, the option to do a study abroad rotation (though I unfortunately wasn’t able to do so while in school) and because it seemed like a school that was genuinely invested in helping me to succeed. 

3) What was your biggest surprise once you started working as a PA-C? 

I think one big reality check for me was realizing working in the American Healthcare system isn’t necessarily just diagnosing and treating diseases. A large amount of time is spent navigating insurance systems, making sure that the patient has support outside of the hospital to help with follow-up care, and assessing transportation status is huge! Plus every single field of medicine deals with mental health issues so you have to be able to evaluate your patient holistically. 

4) What area of practice are you in now? What does a week look like for you? 

I currently work in an interventional radiology private practice that is contracted out to several major hospitals in the Dallas-Fort Worth area. I work Monday-Friday 8-5pm. We have the option to do weekend call but for the first two years, I chose not to. We are split between working interventional radiology (performing surgical procedures with imaging such as ultrasound, CT or x-ray), diagnostic radiology (putting contrast in any hole and barium studies), and outpatient clinic. We get a lot of variety within a day because you can switch between doing OB-GYN, orthopedic, oncology, GI, and endocrine procedures with each appointment. I rarely feel bored and most procedures last 20-30 minutes. I feel like IR is a lot like general surgery; you learn a lot about every specialty. 

5) Can you tell us about your involvement with TAPA as a student and now a practicing PA? 

I actually didn’t know about TAPA prior to PA school but after a presentation during one of my classes, I saw the importance of joining. TAPA is the only organization that fights and works solely for Texas PAs and honestly, any ability for us to practice is medicine is only because of them! I then became the student rep for UTSW and served in that role for two years. As a student I attended all the conferences, which was a great opportunity to network. Even if you’re not an officer, you can meet other students, professors and even practicing PAs who could be your link to a job when you graduate. I also liked the workshops and lectures which helped with upcoming exams. As a practicing PA, I served as the TAPA membership chair for two years. I really wanted to make sure that we got as many PAs as possible to become TAPA members. I have also been very involved in legislative issues that had the potential to greatly limit our scope of practice. It’s hard to believe, but there is always “someone” out there that wants a piece of your “pie” or scope so we have to constantly be vigilant. Recently there were two TMB rules that could have had broad implications to how we practice medicine so I personally went out to the meetings in Austin and testified. It was intimidating but I think by showing that we are competent providers who work in collaboration with our physician and that should be able to do what our prescriptive authority deems as possible really made a difference. Making arbitrary restrictions actually harms patients in the long run. As a result, the troublesome rule was dismissed and we got reinstated protection to continue to work in radiology. I’m really proud of that!

6) Any advice for aspiring PAs?

If you’re a pre-PA I would say to take as many opportunities as you can to see different PA roles. Being a PA is an awesome job but it is very difficult at times to both your mental and physical health. You have to have an inner drive to motivate you otherwise you can get burned out. For PA students, I’d say to hang in there! The semesters will soon end and the light at the end of the tunnel is much closer than you think. You were selected because you are the best! So keep that in the front of your mind when you have challenges. Doing poorly in a test does not translate to being a poor provider. There are many people counting on you to finish! And finally keep an open mind. I really thought I would be an OB-GYN PA when I was in PA school and never once imagined I’d do IR. Now, I can’t imagine doing anything else! Try to shadow during your holidays while you’re a student. Those opportunities are easier to come by than when you are out of school and in that weird limbo. I look forward to working with you in the future!

Other Careers: Pharmacist

Whether you've been practicing for years or you are just considering which PAth to take, looking into other health professions helps you understand how you can fit into the health care team. Today we get to take a look at Pharmacists.

My name is Atish and I am a clinical pharmacist specializing in emergency medicine. I have worked in the hospital setting exclusively since I graduated and in emergency medicine specifically for the last 6 years.

What is the role of a pharmacist?

There are many different career paths a pharmacist can pursue after school and can practice in many different settings, including retail, industry, nuclear, hospital, clinical, and ambulatory.

Most of my experience is working as a clinical pharmacist and I will be speaking mainly within that field. A clinical pharmacist’s role as part of a multidisciplinary team of physicians, PAs, NPs, nurses, and other healthcare professionals is to coordinate and manage the proper care of patients.  These responsibilities include:

• Assessing the effectiveness and appropriateness of medications and ensuring it is the most beneficial option for a patient.
• Recognizing untreated medical conditions that could be improved with medications and determining if medications are the cause of a patients medical complaints.
• Following a patients progress to determine the effectiveness of patients care and optimizing medications.
• Educate patients on how to appropriately take their medications and provide counseling for adherence.
• Provide advice and education to healthcare providers to address any questions they may have regarding medications (dose recommendations, adverse reactions, pharmacology, kinetics,

What kinds of skills are involved?

Strong math skills

Advocacy for patients

Pharmacology knowledge

Finance/cost savings skills

Multitasking and efficiency

Effective communication

Management skills

Why did you want to be a pharmacist? 

I was fortunate enough to end up on a career path that fit well with my skills and interests.  I knew I wanted to pursue something within the health care setting but I wasn’t sure what I specifically wanted. I initially went into pharmacy school as a place holder hoping I would discover what career I really wanted. I was accepted into a 6-year accelerated Doctor of Pharmacy (PharmD) program right out oh high school.  My plan was to consider transferring or changing majors once I knew what I really liked because my knowledge of pharmacy and the different career paths was limited.  In regards to being a pharmacist, all I knew about was the retail setting which did not appeal to me.  My first job as an intern at Cooper University Medical Center in Camden, NJ changed all that for me. I was able to witness how pharmacists make meaningful changes to drug therapy, prevent patient harm with their interventions, and how they are valued and respected among healthcare professionals.

How would you describe what you do to someone outside of healthcare?

We are the health care professionals charged with ensuring the patients get the right dose of the right medications at the right time.  We optimize therapy to make sure the medicines work and try and limit the side effects of the medications.  We educate patients on the medications so they can be advocates of their own health.

Interview with a PA Student from UNTHSC

Here's an interview with a current student at University of North Texas Health Science Center in Fort Worth.

1. What made you decide to be a PA? 

I went to SMU and majored in Applied Physiology & Health Management (APHM) and Biology. As part of my APHM major, I had two opportunities that together inspired me to pursue a career as a PA. The first was being a research assistant in a physiology lab that evaluated sympathetic nerve activity in multiple sclerosis (MS) patients. I had a passion for research and data analysis, but I learned that what I enjoyed most was getting to know the patients and how their condition affected their daily lives. The second was a summer internship at the MS clinic at UTSW where I had the opportunity to shadow and conduct research with the physician, PA, NP, PT, and social worker. Here I saw the PA take care of patients in the clinic, conduct research, and teach lectures at UTSW. I was able to see just how broad the scope of a PA can be as well as how fulfilling this job is. I could see myself in a PAs shoes and ultimately decided to apply to PA school that same summer. 


2. How did you choose UNTHSC? What was interviewing like? 

UNTHSC was the school that was closest to home for me, but one of the biggest reasons I chose it was because of its vision for being “one university,” which meant interprofessional collaboration and teamwork between all the programs on campus. This was reiterated by the VP of Student Affairs and the faculty during the interview process and is something I have seen implemented into the core of our program. Programs like Interprofessional Education and Practice (IPE) and Seniors Assisting in Geriatric Education (SAGE) as well as all the interprofessional organizations on campus that bring students from different programs together are a unique and valued aspect of this program. The interview process was not a traditional one but rather consisted of multiple activities. I enjoyed this process because each activity targeted different abilities and strengths and allowed each student to be evaluated as a whole. 


3. What has surprised you about PA school? 

I was surprised about how hands-on the didactic year was throughout. Classes like Physical Exam Skills during the first semester got us right into practicing our clinical skills from the beginning. Classes like Clinical Integrative Medicine during which we practiced suturing, injections, pap smears, IV placement, and many other skills prepared us for rotations. It was a great mix of in-class and hands-on lab instruction and it was a pleasant surprise. 


4. What study strategies worked? Did that change on rotations? 

Three study strategies that worked for me were 1) reading notes out loud, 2) explaining what I’ve learned to a classmate, and 3) practice questions. Specifically, working through practice questions even before having learned all the material needed for an exam is something that is recommended to all students by the Center for Academic Performance on campus. One thing that changed on rotations was that I was no longer surrounded by all my classmates, and this made it difficult to go through material with a partner. However, the great thing about rotations is that I’m actively learning throughout the day while seeing patients, and this in itself helps solidify the knowledge that I’m studying at home. 


5. Tell me about your involvement and experience with TAPA

I was introduced to TAPA by our incredible Student Director for TAPA and have been a member since starting PA school. I have attended each of the TAPA conferences since then, joining workshops and lectures as well as getting to know students from other schools and competing in the Challenge Bowl. It has been an opportunity to network with so many great people. I have also received pertinent information and updates about current legislature and the issues facing PAs in Texas today. This has allowed me to gain knowledge on how TAPA advocates for PAs and PA students and the changes that they are making on our behalf, which has been extremely valuable.


6. Any plans for after graduation? 

Before I started PA school my plans for after graduation included leaving TX since I grew up here and I was ready for a change. However, Fort Worth has grown on me. I have gotten to know the beautiful community here and it is a city with great opportunities for PAs. I haven’t decided which specialty I’d like to go into yet, but I’m keeping an open mind and will be grateful to have an opportunity in the DFW area. Of course, all this after a relaxing vacation to celebrate graduating from PA school! 


7. What advice would you give an aspiring PA?

My biggest piece of advice would be to get involved in activities (leadership, volunteering, internships, community work, etc.) that you’re truly passionate about rather than what you believe will look impressive on a resume. The majority of activities I was involved in during college didn’t actually have anything to do with being a PA at all. For example, I volunteered at a jail for one semester where I helped offenders go through a rehabilitation program during which I saw them change and heal from their past. Being a part of that helped me to see just how much people can change if they are determined to do so and helped me develop a newfound compassion for these individuals. It is something I was able to talk about during my PA school interview process and an experience that has helped me as a PA student working with patients on rotations. Get involved with things that you are passionate about and it will take you a long way!

Finding a good fit

As a recruiter, I would often talk to people about what makes a good fit. Even people who had been working for years would have trouble answering this question. Knowing yourself and how you fit into the positions out will help you stand out whether interviewing for another job or trying to explain why you should get into PA school. As you consider different avenues available to you, here's some things to keep in mind:


1) What do you like to do - What kind of things excite you about a job? Working at the bedside with a patient, working in a close knot team towards goal, solving a financial puzzle, research, supporting the team by digging into details. Skip past cliches like "I want to make a difference" and think about what kind of tasks make you feel engaged. Do you like working in big teams? Seeing new people every day? Do you like routine? Knowing these things about you will help you find roles that will keep you interested and satisfied long term.

2) What do you NOT like - What things would make you walk away from a good job? Repetitive tasks, smells, meticulous work, unsolved mysteries. Every job has aspects that are unpleasant, that's why they pay us to keep showing up. The fun parts of a job, those exciting things that first attracted you to that role, will become normal and boring over time. Finding a job with tolerable frustrations while avoiding unbearable issues will keep you satisfied long after the newness wears off.

3) Where are you starting from - still in undergrad, already have a career, working and haven't started college yet? When I decided to become a PA, I already had a bachelor's degree, family, and a mortgage. That shaped how I needed to pursue my dream. Taking an honest look at how long you have to prepare, what steps you need to accomplish, and what resource and support you have will clarify some of the option in front of you.

4) Know your financial wants and needs - No one works with patients just to make tons of money and not care about the patient. None of us do this for free either. Be aware of your obligations, plans, and expectations for compensation because the position you love may not pay as much as one you could force yourself to do.

5) Test your theories - The best way to truly see what kind of role fits you best is to gather evidence. Go shadow someone dong these jobs. Talk to them, read up on the positions on a blog like this, and try to find some opportunities to work or volunteer.