What does a workday look like for you?

In my current role, I assist veterans experiencing homelessness. Using a strength-based approach, we assist veterans by helping them remove barriers to become self-sufficient and permanently housed. A typical day would include helping veterans move into transitional housing, linking them with community resources, aiding with applying for benefits, connecting them with medical, mental health and addiction recovery providers.

I am also able to connect the client to employment opportunities, which ultimately helps the client secure stable housing. Currently, I have started a project with clients to build a garden at a transitional housing center. Veterans can enjoy having fresh vegetables while building coping skills and learning about sustainability. They can then utilize these skills to plant patio gardens once they are permanently housed.

What are your favorite parts about being a social worker/what makes you excited to go to work?

In my current role, it is amazing to see a client transition from their lowest point and overcome the barriers that led to homelessness. It is especially exciting when they become permanently housed. Many of our clients have lived in the encampments around the city, on the streets, or in their cars for many years. Watching a person gain hope, safety and security is one of the most amazing experiences to witness. I consider it an honor to walk the path alongside them.

What are the biggest challenges you face day-to-day?

Social workers face many challenges every day. Between constant crisis management, timely documentation and the constant pressure we put on ourselves to serve some of the most vulnerable populations, it can be taxing.

We spend our days listening empathetically, worrying that we may have missed something concerning a person’s safety, being scared to go into homes of unknown people, questioning what we might find once we’ve entered, and managing angry families, yet still doing our best to help them. In addition, we witness and cope with trauma daily; all while trying to avoid burnout and staying sensitive to the needs of others. Finding a balance for self-care is the key and in my opinion one of the most challenging aspects we face every day.

What do you wish more people knew about social workers and what they do?

Often, I have heard that social workers just remove children from their families and work in the child welfare system. I wish more people understood that social work happens on every level: macro/political, micro/individual and the mezzo/community levels. Social Work is distinguished from other helping professions by its person-in-the-environment focus and its strong commitment on social and economic justice.

The primary mission of social work is to enhance human well-being, with a particular focus on those who are vulnerable, oppressed and living in poverty. Social Workers also emphasize a strength-based approach. We believe all individuals have strengths and resources and it is our duty to help build upon a person’s skills and support systems. Social work is dedicated to the pursuit of social justice through direct service and through advocacy on the local, national, and global levels.

It was great to hear from you, Amanda!

 What did your road to becoming a physician assistant look like?

I love medicine and have always wanted to go into some aspect of healthcare. My mom is a hospice nurse, my dad is a psychologist, one sister is a Physician Assistant and the other is about to graduate as a Nurse Practitioner! The thought of medical school felt daunting to me and I wasn’t sure I wanted to dedicate that much of my life to school. I heard more about PAs when my sister started at the IU program and realized it was the job for me!

I did my undergrad at IU Bloomington in psychology, which I had grow up loving due to my dad being in psychology. I worked as a scribe in the community emergency department for a couple of years and learned to love emergency medicine.

After undergrad, I went to PA school at IU Indianapolis, which was a new program at the time. After graduation, I began a position in orthopedic surgery, doing solely hip and knee replacements. I quickly became tired of the monotony and searched for another position. I eventually landed in internal medicine at St Vincent! It’s a lot of information but I am loving it and learning fast. It helps that I have the best faculty physicians helping me out. I have a strong passion for learning and am passionately curious. Because internal medicine requires you to know a little of everything instead of having specialized knowledge it’s been a perfect fit. It keeps me on my toes and always provides opportunities for learning.

What does a workday look like for you?

I work 7 days on and 7 days off, which has been interesting schedule to get used to. I am currently working 8am-6pm while I am still orienting and learning about internal medicine. My biggest job is to admit patients to the hospital, which is a long process of orders and researching and seeing the patients. I also sometimes work on the observation unit, which is for people staying less than 2 midnights. While there, I do patient rounds, catch up on their case, and discharge from there.

What are your favorite parts about being a PA? What makes you excited to go to work?

I like the ability to switch easily between fields. As I mentioned before, I started off in orthopedic surgery for a year then realized I didn’t feel like I was being mentally challenged and changed to my current position, which I started in April. I also like that school is much shorter than a physician’s, so I was able to get out and start working much earlier. In my current position, I love how admitting patients is like a puzzle you have to solve, what’s going on, what to order, etc. I also like that I get a good amount of autonomy and am very lucky that I have a great group of faculty physicians willing to help and teach me.

What are the biggest challenges you face day-to-day?

In my current position, the clinical knowledge is challenging. A lot of PAs end up specializing, but general internal medicine means I must know some of everything. I know some PAs deal with a level of distrust between physicians and physician assistant, but luckily I haven’t run into this too much. Things like calling a consult or giving recommendations/orders to another physician can be difficult when a physician sees you as less or doesn’t trust you as much as they would another physician.

What do you wish you wish you would have known before becoming a PA?

I wish I would’ve known that when you are finished with PA school and start your first job, you’ll feel like you don’t know anything. It takes some adjusting to your specific workplace and willingness to learn continuously. We are essentially at the same knowledge level (or a little lower) than first year residents. However, unlike residents, we are finished with our learning and given full responsibilities and expectations, depending on where you are. Conversely, it can also be difficult to find a job in certain areas when employers realize that there is a significant amount of on the job training. Those employers either don’t want to train new PA staff or don’t have the time to do so. Sometimes, PAs are not fully respected, but I think that is mostly going away as the profession gets more popular (it’s more than doubled over the last seven years!).

What do you wish more people knew about PAs and what they do?

I wish people knew that becoming a PA is not a stop on the way to becoming a doctor. Many of my patients ask when I plan to finish and become a doctor, which is obviously not my end goal. I’ve gotten used to it and learned to brush it off. I also want people to realize that we do have ability to diagnose and treat patients much like physicians do. I imagine that again most of these issues will go away as the profession becomes bigger in Indiana.

Thanks for sharing your experience, Kara! You can follow her on Instagram @lifewithkb