Kugwira ntchito kwa Ophunzira Zipatala Zapamwamba kumakula
Malipoti angapo osonkhanitsa anthu, kafukufuku wogwira ntchito, ndi kafukufuku amene amaperekedwa mpaka pano mu 2017 amasonyeza anthu ambiri omwe amagwira ntchito pokhudzana ndi kukula kwa zofunikira komanso ndalama zothandizira odwala, makamaka aamwino (NPs) ndi othandizira madokotala (PAs).
NPs ndi PAs: Ntchito Yochuluka
Malingana ndi lipoti la National Commission for Certification of Physician Assistants, (NCCPA), ntchito ya PA yakula ndi 44 peresenti yochokera mu 2010, pamene panali pafupifupi PA 89,000 omwe akugwira ntchito ku United States.
Pofika kumapeto kwa 2016, kunali PAs 115,000 pa ntchito yonse kudutsa dziko, malinga ndi NCCPA.
Pali zifukwa zingapo zomwe zimapangitsa kuti ntchito za PAs ndi NP zisamangidwe, kuphatikizapo kukula kwa chiŵerengero cha anthu, kukalamba kwa anthu, kusintha kwaumoyo, ndi kusowa kwa madokotala kuchipatala chachikulu komanso makamaka opaleshoni.
Makampani omwe akugulitsa ntchito zachipatala akuwonjezera mankhwala ndi mautumiki kuti akwaniritse zofunazi. PracticeMatch, kampani yomwe imapereka zothandizira ogwira ntchito zachipatala kwa olemba ntchito zaumoyo m'dziko lonse lapansi, yakhala ikuyang'anira ntchito zawo kuchipatala ndi olemba ntchito omwe akusowa madokotala. Komabe, chifukwa cha kuchuluka kwa zofunikanso, PracticeMatch posachedwa yowonjezera zopereka zawo kuphatikizapo APMatch.com, ("AP" = yopita patsogolo) yomwe ikuphatikizapo bolodi la ntchito ndi deta yapamwamba yomwe imakhudzidwa ndi zofuna zapamwamba za NPs, PA ndi abwana awo .
Kufunira kuli kukweza malipiro a pachaka omwe amawerengedwa.
"Misonkho yowonjezera ya PAs inali $ 104,131 ndi malipiro apamwamba kwa ogwira ntchito ku matenda, matenda, mankhwala odzidzidzi, mankhwala osamalidwa bwino ndi madokotala okhudza opaleshoni," malinga ndi lipoti la NCCPA.
Kuonjezerapo, PracticeMatch inalongosola zotsatira zofanana ndi kafukufuku wawo woyamba wa ndalama za PAs ndi NPs.
Kuphatikiza pa kuchuluka kwa malipiro asanu ndi limodzi pakati pa ntchito zonsezi, kafukufuku wa PracticeMatch adawonetsanso kuwonjezeka kwa ntchito ndi madola ambiri a zizindikiro za bonasi. Bonasi yowonjezera ya bonasi yoperekedwa kwa PAs mu 2016 inali $ 8,000 kwa PA, ndi $ 11,000 kwa NPs.
Osati kokha omwe akuchipatala akulemba ntchito zambiri, ndipo amalipilira zambiri, akusangalala kwambiri ndi ntchito yokhutira, malinga ndi kafukufuku wa PracticeMatch pa ma NP oposa 1,000 ndi PA. Ambiri mwa anthu asanu ndi limodzi pa anthu omwe anafunsidwawo adanena kukhala osakhutira ndi ntchito zawo monga ogwira ntchito zachipatala. Kuwonjezera pamenepo, 38 peresenti ya NPs ndi 44 peresenti ya PAs adanena kukhala "okhutira kwambiri" chomwe chinali chiwerengero chokhutiritsa kwambiri.
Kodi NPs ndi PAs zimachita chiyani?
Pamene PAs ndi NPs ndizo ntchito zosiyanasiyana zosiyana ndi madigiri osiyanasiyana, pali zofanana pa maudindo omwe amadzaza mu gulu lachipatala. Onse awiri amatha kuchiza odwala ndi makampani a inshuwalansi kuti azibwezeretsedwe ngati opereka chithandizo chamankhwala. Choncho, NPs ndi PAs ndi antchito opanga ndalama ku gulu lachipatala, kuwonjezera pa madokotala. Nthawi zina omwe poyamba amatchulidwa kuti "mid-level" opereka , PAs ndi NPs akuwonetsa kuti ayamba nthawi imeneyo ndipo akuyenda patsogolo pawokha, zomwe zimakhudza kwambiri kupereka thandizo la chithandizo chamankhwala.
Kuwonjezera apo, NPs ndi PAs ndizofunikira kwa ogwira ntchito zachipatala ndi kasamalidwe ka kukula kwa katundu wodwala, makamaka pa chisamaliro chapadera ndi opaleshoni ya opaleshoni. Malingana ndi malamulo a boma mudziko lapatsidwa, ma NPs ndi PAs angapereke mankhwala ena osiyana siyana. Maiko ena amafuna kuti opaleshoni yapamwambayi ikhale ndi makampani a inshuwalansi pansi pa chilolezo cha dokotala, pamene ena amalola kuti madokotala apite kuchipatala okha, popanda kuchita nawo dokotala.
Namwino aphunzitsi amapita ku sukulu yaubwino, ndipo nthawi zambiri amapeza digiri ya BSN (Bachelor of Science) ya unamwino asanalandire digiri ya master kuchokera ku pulogalamu yodziwitsa namwino.
Ena anamwino amapita kukapeza digiri ya digiri ya doctorate, monga DNP (dokotala wa nuring practice).
Othandizira a zachipatala amakhalanso okonzeka kwambiri, koma m'malo mwake amapita ku pulogalamu ya aphunzitsi pa pulogalamu yovomerezeka ya sing'anga, yomwe ili ofanana ndi ndondomeko ya sukulu yachipatala yomwe ikuphatikizapo m'kalasi komanso kuphunzira kwachipatala ndi kusintha kwa kachipatala. Msonkhano wambiri wothandizira ndi ovomerezeka a boma kuti awonjezere kukula ndi ulamuliro wa ogwira ntchito zachipatala chifukwa chofunika kwambiri pa chithandizo chamankhwala ndi kusowa kwa madokotala.
Ogwira ntchito zapamwamba ogwira ntchito zachipatala amatha kupanganso zochitika zosiyanasiyana zachipatala, kuyambira kuchipatala kupita ku opaleshoni ndi zina zapadera.