Guest guest Posted February 26, 2010 Report Share Posted February 26, 2010 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2010 Report Share Posted February 26, 2010 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 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. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2010 Report Share Posted February 28, 2010 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: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2010 Report Share Posted February 28, 2010 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2010 Report Share Posted March 1, 2010 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2010 Report Share Posted March 1, 2010 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: > Quote Link to comment Share on other sites More sharing options...
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