Med Clinical Resources and Helps

I have the pleasure to work as a Physician Associate (PA) in the MetroWest Boston region. In all I do, I feel some sense of obligation to pass along resources I have created or discovered to help others on their way as was done for me. On this page I have listed quite a few resources specifically for med providers and students. 

DISCLOSURE: This is not meant to be nor can there be any liability for a non-medical professional who uses this information for self diagnosis and treatment. The language of medicine may seem coherent to the untrained because we use similar words. It is not. This is no way to serve as such. 

Please see your medical team and follow their plans. Thanks

I specifically work in family medicine doing both normal family med but also as emergency divergence and acute care for our patient population. I have experience in emergency medicine and trauma as well as 911 EMS work which helps differentiate patients that need emergent work up from patients we can closely monitor in outpatient settings with coordinated teams. This allows us to improve ED function and total patient outcome as unnecessary ED vists cause delay in treatment as well as unnecessary exposure to disease.

I work specifically for UMASS (formerly Milford Regional) and have worked for the MGB system. I am also passionate about medical education. I am honored to serve as a Clinical Assistant Professor at TUFTS PA School in Boston and precept PA NP, and even sometimes MD students. 

Over the years I have accumulated a lot of resources both as author and collector. Documentation is such a time robber in medicine, though necessary, so being able to help others along to have quality notes at a keystroke saving time for more patient care is something I enjoy being able to do. In the following links you will find hundreds of dot phrases I have made through epic as well as printables. I have them available as word documents as well as pdfs for your choosing. Most EPIC systems have similar general dot phrases that are shared. If yours doesn't, just fill in the appropriate one or create it. But help yourself to years of work and I do recommend getting your dot phrases loaded. APPs work in collaboration w MDs and it is nice to have clear medical decision making as well as clear plans for patients to read. If you have any resources you would like to add, please contact me. 

CHARTING HELPS (Acute, focused, general, follow up - lots of exam types here, sorted)

DOCUMENTATION HELPS (proof we did stuff)

PATIENT INFO HELPS (extra literature they can read about their condition)

PATIENT PLAN HELPS (hundreds of treatment plans with instructions sorted by system)

Rx DOT PHRASE HELPS (many more of these are in the plans themselves, sorted)

STUDENT ROTATION HELPS (lots of tips and resources)

Here is an interview I participated in regarding my tips for successful rotations!

Here are some very important links that I have found to be very helpful for timely informations in a crutch, especially when reviewing SOC plans and for patient care issues and resourses. I recommend organizing your bookmarks bar to have rapid access. Some of these require a paid subscription, worth every penny however your hospital system is likely to have some or all.

In no specific order - hover over for link, I have adjusted some names to fit my bar. Mine has much more, I want to be wary of resource over load but everything I have, I use. 

UpToDate, Medscape, Family Practice Notebook, Essential Evidence Plus, Trip Medical Database, DynaMed, MDCalc, GINA (Asthma), CDC Main, Radiopaedia, PEDS XR Site, WikEM, ASCVD+ Risk, DermNET NZ, Bili Tool, NSQIP, 

ALSO - just some apps that I found very useful during my time on rotations and many still use today

1. Complete Anatomy  - worth every penny

2. Prevention Task Force - free, all recommended screenings

3. ACC Guidelines - tons of CV info

4. Epocrates - excellent app for meds and checking for drug - drug interactions

5. PIMPED - help yourself prepare for the questions 

6. Core Clerkships (for apple and android)  -tons of charting hacks, helps w organizing you!

7. Osmosis - tons of tutorials - learn everything about everything!

UpToDate, Medscape, Family Practice notebook also have their own apps - highly suggest

There is EM Rap, Joint Triage ... the list goes on. I recommend starting with these and move forward.

Finally, for the PANCE Prep - this is specific to PAs preparing for that C! 

1. McGraw Hill is the standard - it is the language of the PANCE. Everything you need is here!

2. ROSH Review - lots of awesome questions, diagrams, practice tests

3. PANCE Prep - daily free questions, awesome paid app as well

4. PANCEPREP - (PANCE PREP PEARLs app)

5. Lange - huge database of test questions, instruction

6. Smarty Pance - lots of questions, MP3 for listening on the go