Physician Assistant/ L.Ac.

[Guest guest]

Do any of you out there know any practitioners dually practicing?  I'm a recent

PCOM grad, but may do a PA program for both integrative purposes as well as

financial (times are tough).  Just looking for any words of wisdom, getting

accepted seems to be the hardest part.

 

Justin

 

 

 

 

 

 

[Guest guest]

Hi! Justin,

Half of my practice is working as an adult nurse practitioner as a primary care

provider at Internal Medicine clinic. The other half of my practice is

acupuncture clinic.

Currently both clinics with 2 months waiting list to make appointments with me.

I started acupuncture practice within the Internal Medicine clinic 4 hrs a week,

and gradually built up in 8 years.

Most of patients came to see me from word of mouth, internet search, and some

from referrals within Hopkins.

Marketing wasn't as helpful, until 2 articles published within Hopkins to

introduce my practice within the new integrative medicine clinic in Baltimore

city.

You have to be savvy about medical coding and billing for both Internal Medicine

and acupuncture practice, and show them the data that you can be the " cash cow " .

I have been invited to Japan 2 times at major medical center to talk about my

experience to start acupuncture practice within Hopkins.

Hopefully this information is helpful for you.

 

Ta-Ya Lee, MSN, CRNP, MAc, LAc, MBA, MPH

Johns Hopkins Community Physicians

Wyman Park Internal Medicine

Tel 410-338-3421 Fax 410-338-3413

 

Canton Crossing Integrative Medicine

Tel 410-522-9940 Fax 410-522-9954

 

WARNING: E-mail sent over the Internet is not secure. Information sent by

e-mail may not remain confidential.

 

[Guest guest]

Ta ya,

That's great. As a NP at the IM clinic, do you integrate acupuncture into

those patients as well? how about herbs?

For your acupuncture clinic patients, do you prescribe pharmaceuticals at

times to them?

 

Thanks,

K

 

 

 

On Fri, Feb 26, 2010 at 9:08 PM, Ta-Ya Lee <tlee19 wrote:

 

> Hi! Justin,

> Half of my practice is working as an adult nurse practitioner as a primary

> care provider at Internal Medicine clinic. The other half of my practice is

> acupuncture clinic.

> Currently both clinics with 2 months waiting list to make appointments with

> me.

> I started acupuncture practice within the Internal Medicine clinic 4 hrs a

> week, and gradually built up in 8 years.

> Most of patients came to see me from word of mouth, internet search, and

> some from referrals within Hopkins.

> Marketing wasn't as helpful, until 2 articles published within Hopkins to

> introduce my practice within the new integrative medicine clinic in

> Baltimore city.

> You have to be savvy about medical coding and billing for both Internal

> Medicine and acupuncture practice, and show them the data that you can be

> the " cash cow " .

> I have been invited to Japan 2 times at major medical center to talk about

> my experience to start acupuncture practice within Hopkins.

> Hopefully this information is helpful for you.

>

> Ta-Ya Lee, MSN, CRNP, MAc, LAc, MBA, MPH

> Johns Hopkins Community Physicians

> Wyman Park Internal Medicine

> Tel 410-338-3421 Fax 410-338-3413

>

> Canton Crossing Integrative Medicine

> Tel 410-522-9940 Fax 410-522-9954

>

> WARNING: E-mail sent over the Internet is not secure. Information sent by

> e-mail may not remain confidential.

>

[Guest guest]

Thanks for the reply!  Which did you do 1st, NP or L.Ac?  I'll probably have

many questions for you in the future :-)

 

--- On Fri, 2/26/10, Ta-Ya Lee <tlee19 wrote:

 

Ta-Ya Lee <tlee19

RE: Physician Assistant/ L.Ac.

" "

Friday, February 26, 2010, 11:08 PM

 

Hi! Justin,

Half of my practice is working as an adult nurse practitioner as a primary care

provider at Internal Medicine clinic.  The other half of my practice is

acupuncture clinic.

Currently both clinics with 2 months waiting list to make appointments with me.

I started acupuncture practice within the Internal Medicine clinic 4 hrs a week,

and gradually built up in 8 years.

Most of patients came to see me from word of mouth, internet search, and some

from referrals within Hopkins. 

Marketing wasn't as helpful, until 2 articles published within Hopkins to

introduce my practice within the new integrative medicine clinic in Baltimore

city.

You have to be savvy about medical coding and billing for both Internal Medicine

and acupuncture practice, and show them the data that you can be the " cash cow " .

I have been invited to Japan 2 times at major medical center to talk about my

experience to start acupuncture practice within Hopkins.

Hopefully this information is helpful for you.

 

Ta-Ya Lee, MSN, CRNP, MAc, LAc, MBA, MPH

Johns Hopkins Community Physicians

Wyman Park Internal Medicine

Tel 410-338-3421   Fax 410-338-3413

 

Canton Crossing Integrative Medicine

Tel 410-522-9940   Fax 410-522-9954

 

WARNING: E-mail sent over the Internet is not secure.  Information sent by

e-mail may not remain confidential.

 

[Guest guest]

I have to separate IM patients and acupuncture patients in different clinical

hours.

It's related to medical billing issue and ethical concern from Hopkins

regulation.

I cannot self-refer the IM patients to my acupuncture clinic, because I have to

write referral for IM patients.

Thus, I gave patients the options, either keep me as their primary care

provider, or acupuncturist.

I can prescribe medications for primary care IM patients, not for acupuncture

patients.

Board of Nursing already asked me to clarify my NP role.

I told them that I have dual licenses.

I only practice Chinese herbs with acupuncture patients.

My IM patients can bring the supplements and herbs for me to review with them,

because I had training with Integrative Medicine.

I recommend IM patients only for supplements and other herbs, not Chinese herbs.

 

Ta-Ya Lee, MSN, CRNP, MAc, LAc, MBA, MPH

Johns Hopkins Community Physicians

Wyman Park Internal Medicine

Tel 410-338-3421 Fax 410-338-3413

 

Canton Crossing Integrative Medicine

Tel 410-522-9940 Fax 410-522-9954

 

WARNING: E-mail sent over the Internet is not secure. Information sent by

e-mail may not remain confidential.

 

[Guest guest]

Justin,

 

Why would you choose PA vs. NP. My understanding is that as a PA you will be

mostly side by side with a doc, possibly assisting in surgey, etc. the

physicians model is reductionist-biologica as welll. With the NP, one can

basically do all that a PA can do except surgery. There seems to be a bit more

autonomy as well, and the model is biopsychosocial patient care.

 

I am looking into both degrees as well, so would love to hear your thoughts.

 

Sincerely,

Dave Vitello

 

, <johnkokko wrote:

>

> Ta ya,

> That's great. As a NP at the IM clinic, do you integrate acupuncture into

> those patients as well? how about herbs?

> For your acupuncture clinic patients, do you prescribe pharmaceuticals at

> times to them?

>

> Thanks,

> K

>

>

>

> On Fri, Feb 26, 2010 at 9:08 PM, Ta-Ya Lee <tlee19 wrote:

>

> > Hi! Justin,

> > Half of my practice is working as an adult nurse practitioner as a primary

> > care provider at Internal Medicine clinic. The other half of my practice is

> > acupuncture clinic.

> > Currently both clinics with 2 months waiting list to make appointments with

> > me.

> > I started acupuncture practice within the Internal Medicine clinic 4 hrs a

> > week, and gradually built up in 8 years.

> > Most of patients came to see me from word of mouth, internet search, and

> > some from referrals within Hopkins.

> > Marketing wasn't as helpful, until 2 articles published within Hopkins to

> > introduce my practice within the new integrative medicine clinic in

> > Baltimore city.

> > You have to be savvy about medical coding and billing for both Internal

> > Medicine and acupuncture practice, and show them the data that you can be

> > the " cash cow " .

> > I have been invited to Japan 2 times at major medical center to talk about

> > my experience to start acupuncture practice within Hopkins.

> > Hopefully this information is helpful for you.

> >

> > Ta-Ya Lee, MSN, CRNP, MAc, LAc, MBA, MPH

> > Johns Hopkins Community Physicians

> > Wyman Park Internal Medicine

> > Tel 410-338-3421 Fax 410-338-3413

> >

> > Canton Crossing Integrative Medicine

> > Tel 410-522-9940 Fax 410-522-9954

> >

> > WARNING: E-mail sent over the Internet is not secure. Information sent by

> > e-mail may not remain confidential.

> >

[Guest guest]

Dave,

 

For me the PA route is shorter.  I have to finish up a few pre reqs

(microbiology, chem) and then 2 years of PA school (may have to retake some

anatomy classes too since no PA schools take bioscience credits from PCOM).  My

understanding is that to be a NP you have to have a BS in nursing and then do

the MS for NP.  I know the clinical roles and scope is very similar, and many

job postings ask for either NP or PA.   Yes the model is different, but the

PA's I know all have a high degree of autonomy.  I'm hoping to either work in

the ER or surgery, family practice in the PA role is not for me.  Where are you

at in the decision process?

 

Justin

 

--- On Sat, 2/27/10, dmvitello01 <dmvitello wrote:

 

dmvitello01 <dmvitello

Re: Physician Assistant/ L.Ac.

 

Saturday, February 27, 2010, 12:50 PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Justin,

 

 

 

Why would you choose PA vs. NP. My understanding is that as a PA you will be

mostly side by side with a doc, possibly assisting in surgey, etc. the

physicians model is reductionist- biologica as welll. With the NP, one can

basically do all that a PA can do except surgery. There seems to be a bit more

autonomy as well, and the model is biopsychosocial patient care.

 

 

 

I am looking into both degrees as well, so would love to hear your thoughts.

 

 

 

Sincerely,

 

Dave Vitello

[Guest guest]

NP.

Please try to reach me off this list in the future.

I am not sure everyone want to know about integrative practice.

Ta-Ya

 

--- On Fri, 2/26/10, Ta-Ya Lee <tlee19<tlee19%40jhmi.edu>>

wrote:

[Guest guest]

Ta Ya,

It seems that you have to compromise a lot based on the regulations. That's

unfortunate that you can't integrate both modalities more extensively in

that specific set-up.

Are there ways to do both?

Thanks for sharing your experience.

 

K

[Guest guest]

I, too, am interested in your experiences.

Thanks,

Jen

Sent from my Verizon Wireless BlackBerry

 

 

<johnkokko

Sun, 28 Feb 2010 19:34:10

 

Re: Physician Assistant/ L.Ac.

 

Ta Ya,

It seems that you have to compromise a lot based on the regulations. That's

unfortunate that you can't integrate both modalities more extensively in

that specific set-up.

Are there ways to do both?

Thanks for sharing your experience.

 

K

 

 

 

 

 

[Guest guest]

Ta-Ya,

 

I think most of us are interested in this topic. Please continue to inform us

about your situation. I am bit discouraged after reading your post, I thought I

would ba able to integrate both the NP and LAc treatments seemlessly. Looks like

its not the case. Is this because of your unique situation or is this how it

works with integration due to insurance companies and red tape?

 

I was hoping to work as a family nurse practitioner (with a physician) with

heavy emphasis on acupuncture and herbal treatments, and excited at the thought

of being able to order tests, bloodwork and prescribe meds as needed. I this

unrealistic?

 

Thanks for your input and sharing your experience.

Dave Vitello

 

 

 

, Ta-Ya Lee <tlee19 wrote:

>

> NP.

> Please try to reach me off this list in the future.

> I am not sure everyone want to know about integrative practice.

> Ta-Ya

>

> --- On Fri, 2/26/10, Ta-Ya Lee <tlee19<tlee19%40jhmi.edu>> wrote:

>