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AAPA-OM making strides for members
AAPA
-OM DECEMBER 2011
Volume 10
Issue 6
Merry Christmas and
Happy New Year
from your
AAPA-OM Board of Directors
INSIDE THIS ISSUE:
Membership
Report
3
New PA Student
Representative
3
President-Elect
Urges Support
for Marines
4
ACOEM 5
Chief Delegate—
HOD
6
Outreach 7
Preparing for
Cold Weather
Injuries
Federal Act
Application for
Membership
8
10
11
(Continued to next page)
We are at mid-year of this administration, and our progress with
the organization is going well. We have grown over the past 6 months,
and we continue to grow slowly each month. The leadership of your
academy has been hard at work, working for you. I want to thank each
and everyone who has joined or re-newed their membership this year.
If it were not for you, we could not continue to do the work for you.
Stan Roberts has been on top of the FMCSA proposed rule
changes for medical examiners for the past several years. It looks like
there may be a final rule published at the end of December or begin-
ning of January 2012. Once the final rule is posted, we are planning on
hosting training sessions for PAs.
With the delay in the releasing of the final rules, we are unable
to secure a time slot and space at the AAPA meeting in Toronto. With
that information we decided to make an 8 hour on-line training course.
It will be broken into 8 one-hour segment. This is in the preliminary
stages of planning. If you would like to be one of the 8 on-line instruc-
tors, send me your resume. We will also be recruiting moderators of
the classes that will be taking the course. Again, if you want to be a
moderator, send me your resume. We are doing this jointly with
AAPA. We can share cost and use their knowledge in producing this
training program. We participated in a web-based information session
recently and gained a lot of knowledge, but they (FMCSA) is still
By Edward F. Sorace, PA-C
AAPA-OM board working hard to serve you
DECEMBER 2011 Page 2
working on the final product. So more information to follow as we learn and develop this
training program.
Jack Lasoski has been working with the ACOEM group for several years and is making
great headway in helping us gain legislation that is favorable to PAs. (See Jack’s report in this
issue.) We want to thank Jack for using his vacation time to go to these meetings, some of
which were at his own expense. The Academy just does not have the finances to provide trav-
el expenses for Stan or Jack.
Susan Golanski has been able to keep us in the black, and we have gained about
$1200.00 since July. She is going to work on a proposed budget for 2012-13 now so that Tom
Powell has some money to support this Academy when he takes over the presidency in July.
Becky Chronowski had agreed to stay on as past-president for another year and kept
our membership growing. We have decided to offer a one-time membership 18 month renew-
al for the PAs that have dropped out for one reason or another for the same price as a 12
month membership fee. This would be from January 2012 to June 2013. If you are one of the-
se former members, go to the web site and renew or click on this link http://
www.aapaoccmed.org to renew.
Regina White has taken over the duties of Newsletter Chair, and we have again been
sending out newsletters to our members 4-5 times a year. We have also been sending out re-
newal notices and monthly E-blasts with the assistance of our manager, Suzanne Webb. She
keeps our web page up and sends out all our correspondence.
So what does all this mean to you??? I can tell you that the AAPA-OM leadership is
working hard for you. Your $75.00 dues are being used very wisely and unless you have spent
a day with us, you would not know how much time is expended on your behalf. So if you get
this and are not a paid member, I ask you to submit your membership papers and fee. We are
fighting for you and your privileges every day. If there is anything we can do for you, please
let us know. As soon as we hear from the FMCSA about training and testing, we will let you
know.
Again, thanks to your leadership, we can continue to grow. The Board would like to
wish everyone a safe and happy holiday season.
(Continued from page 1)
The state of financial affairs of the Academy has improved considerably after the BOD
made decisions to handle operations independently in 2011. At the start of the year we had a
few thousand dollars in the treasury. After tightening our spending, dividing our responsibili-
ties, recruiting new members and getting renewals, we have grown both in services and in fi-
nancial solvency, having just over $5000.00 in the bank at this time.
Treasurer’s Report By Susan Golanski, PA-C, Treasurer
AAPA-OM Page 5
DECEMBER 2011 Page 3
AAPA Membership growing steadily;
renewals get 6 free months
By Becky Chronowski, PA-C
Past President/Membership Chairperson
Our AAPA-OM membership is increasing! We have 155 PAs in our database and 73
members have renewed. Are you one of the 82 that have not yet renewed your membership?
Or do you know someone contemplating joining AAPA-OM? There is a special offer right now
for you! For your $75 annual membership fee, you can enjoy a 1 ½ year membership for the
price of 1 year. Your membership includes e-mail updates to keep us abreast of current issues
affecting PAs in Occupational Medicine, the quarterly newsletter, and networking opportuni-
ties.
Special thanks to AAPA-OM President, Ed Sorace, and all the PAs “behind the scenes”
for your work in keeping our members informed of the current issues, including the latest on
certification for performing DOT physicals, and organizing the outreach program through
which packages are sent to our adopted marine corps stationed at Camp Pendleton. There is
strength in numbers. So join us now to make your voice heard for the betterment of practicing
Occupational Medicine PAs across the country!
Best Wishes for a happy and safe New Year!
Kelley Lawton, a Physician Assistant student at Massachusetts Col-
lege of Pharmacy and Health Sciences, otherwise known as MCPHS is the
new AAPA-OM student representative to the Board of Directors. According
to Kelley, currently being a Physician Assistant student defines what she does every day for 18
hours a day. In the near future she will graduate and the name Physician Assistant will define
not only her occupation, but one of her many passions.
Kelley describes herself as a loyal friend, a strong runner, an adventurous traveler, a lov-
ing wife, and an avid skier who was born and raised in Connecticut. From Connecticut, she
moved to continue her education at Bates College in Maine and Boston University in, Massa-
chusetts. From there she moved to completed her Masters in Medical Management at Saint Jo-
seph College in Connecticut. Her education and job experiences along the way led her to PA
studies. While studying at MCPHS, she has become very involved in primary care medicine
and wants to be a part of its progression upon graduation. She feels being the student repre-
sentative for AAPA-OM will allow her to follow new practice measures on a national level as
well as provide insight for future practice.
AAPA-OM welcomes
Kelley Lawton to the BOD
AAPA-OM Page 4
DECEMBER 2011 Page 4
It is hard to believe that it has been 6 months since I was again honored to be selected as
President Elect of AAPA-OM. I have some big shoes to fill as Ed Sorace has taken us from the
brink of extinction back on track to a growing organization. He has continued our Operation
Outreach to Alpha 1/1 Marines who came home for Thanksgiving before they begin to train up
for their next deployment somewhere in the world. (See info on next shipment on p. 7) He has
reorganized us with the loss of our administrative staff and still kept us in the black.
For those who don’t know how the U.S. Marines Corps works, let me brief you on what
it is like for these young heroes.
A Marine division is made up of three regiments of Marines. The regiment is made of
three battalions: infantry, motor transport, and artillery. Each battalion has four companies plus
a headquarters company and each company has three or four platoons. Each platoon is made up
of four squads and each squad has four fire teams. The fire team consists of four or five men.
They are accompanied by a division surgeon, regimental surgeons and a medical battalion with
four hospital companies. The battalion corpsmen and doctors man up the Battalion Aid Station
and provide eight corpsmen per company. The company corpsmen are divided up to cover the
platoons and the squads. Our adopted unit, Alpha 1/1/1, it is the 1st Company of the 1st Marine
Regiment of the 1st Marine Division. It is commonly known as the “First of the First”.
A Marine Expeditionary Force [MEF] is made up of a Battalion Landing Team [BLT],
several squadrons of helicopters [attack, medium transport, and heavy transport] and some ar-
mored vehicles, including amphibious landing craft. Our Marines deploy as part of that am-
phibious force, ready, willing, and able to project the finest fighting force in the world, any-
where in the world at a moment’s notice. After a deployment they will return to their home
base and take some well-earned leave. The Marines will then repair or replace equipment, get
replacement troops, clean their gear and begin training for the next deployment. They will
begin work-up with training assaults to test what they have learned, fix what didn’t work and
prepare to do it all again.
Our Marines are from 18 to 25 years of age. All are high school graduates. Some have a
college education. Some are married with children. They get paid less than minimum wage on
the outside without overtime. They will miss holidays, birthdays, births of children, funerals of
loved ones. They will miss their daughters’ first dance recital, their sons’ baseball game, proms
and kids’ first words. They will complain about the chow, the weather and the job but they will
do it anyway and put their life on the line because they are MARINES.
Let us keep Alpha 1/1 along with all our men and women in service both at home and
abroad in our hearts during the upcoming holiday season. I hope you all have a happy and a
blessed Hanukah, Christmas, Kwanza or Holiday Season.
Keep all our service men and women
in mind this Christmas By Tom Powell, PA-C, President-Elect
ACOEM Liaison staying busy
working for AAPA-OM’s members
AAPA-OM Page 3
DECEMBER 2011 Page 5
It appears that this will be another busy year for me as your liaison to the American Col-
lege of Occupational and Environmental Medicine. Since the last newsletter I have been in-
volved in the following activities:
Participated in an AAPA conference call for all AAPA Medical Liaisons on October 5, 2011
at which time I discussed the letter of support for reimbursement of physician assistants
sent to congressional leaders by Dr. T. Warner Hudson, the President of ACOEM .(
Met with Dr. A. G. Rhodes, Chairman of the ACOEM Occupational Physician/PA Section
on October 31, 2011 in Lexington, Kentucky. We briefly discussed the upcoming ACOEM
HOD meeting and his role as our delegate.
Completed all the new requirements for ACOEM Specialty Sections as the elected Secretar-
y/Treasurer of the Occupational/PA Section by the October 31, 2011 deadline in order to
keep our Section in good standing with full privileges in the House of Delegates.
Participated in the November 4, 2011 ACOEM HOD in Chicago through the “Live Meet-
ing” connection. I was able to interact with Dr. Rhodes, our chairman. I also was able to
communicate with two other prominent Section members who were also in attendance: Dr.
Butler, past chairman of our section and ACOEM HOD officer and Dr. Svazas, associate
Section chairman and ACOEM BOD member.
In close contact with Stan Roberts and AAPA staff regarding activities revolving around the
Department of Transportation FMCSA new rules and regulations and its impact on our pro-
fession.
Participated in the ACOEM Special Interest Section Leadership Conference call on Decem-
ber 7, 2011. Dr. Hudson, ACOEM president, presided over the hour long session and dis-
cussed broader roles for Sections such as ours in the ACOEM House of Delegates.
Dr. Janiga, ACOEM Speaker of the HOD, discussed the importance of delegate activities
and the plans for future HOD meetings.
The American Occupational Health Conference (AOHC) announcement and registration
material became available over the internet this week. Please check the ACOEM web site for
details. The AOHC will be held from April 29 until May 2, 2012 in Los Angeles, California.
The ACOEM HOD will begin the first day of the meeting. I am in the process of making ar-
rangements to attend. I will also be making arrangements for our annual Section membership
meeting.
By Jack Lasoski, PA-C, MPAS, DFAAPA
(Continued to next page)
Page 5
DECEMBER 2011 Page 6
Delegates gearing up for AAPA in Toronto
The 40th AAPA Annual Physician Assistant Conference material was sent out this week.
This will be the first time that it is being held outside the United States. Please try to make an
effort to attend what appears to be a very promising CME Conference in Toronto, Canada from
May 26-31, 2012. The House of Delegates will be meeting the first three days and I have made
arrangements to once again serve as your delegate.
Ed Sorace and Thomas Powell have agreed to be alternate delegates and will relieve me
as needed. Please let me know if there are any resolutions that you would like AAPA-OM to
introduce next year. I will certainly make sure that any critical resolutions that will affect our
members will be discussed prior to the HOD meeting.
Stan Roberts will present a lecture on the changes that will be occurring regarding DOT
physical exams and I suggest that any of our members that need current information attend. In
addition, other occupational medicine topics will be available.
We are in the early stages of making arrangements for the annual AAPA-OM member-
ship meeting. We hope to see you there. Feel free to call or e-mail me if you have any ques-
tions regarding the conference. My cell phone number is 270-331-3776 and my e-mail is
lasoskijc@pgdp.usec.com.
By Jack Lasoski, PA-C, MPAS, DFAAPA
(Continued from previous page)
Please wish me luck since I am in the process of making arrangements to attend three
major events in a six week period in April and May: the AAPA Conference in Toronto at the
end of May, the AOHC in Los Angeles in the beginning of May, and my daughter’s wedding in
New Orleans on April 22, 2012..
Call for articles for YOUR newsletter This newsletter is YOUR newsletter. We would love to have articles, editorials, opin-
ions, etc. from our members. We need more articles to support and help each other like Jona-
than Greene’s article on cold weather injuries. We also like features on members who have
received awards and who can share practice experiences both past and present with our mem-
bers.
Call for nominations We are also looking for members who want to step up and take leadership positions to
continue moving our organization forward. Consider being a part of your AAPA-OM by nom-
inating yourself for a leadership position in the spring. New terms will begin July 1.
AAPA-OM ACOEM Liaison keeping hectic schedule
AAPA-OM Page 7
DECEMBER 2011 Page 7
AAPA-OM Care Package Program
Next mail date February 6, 2012
I hope you did not miss our last shipment that went out in Mid-December. We were able to send 7 boxes one of our largest shipments to our Marines for Christmas. Our adopted Marines are back at Camp Pendleton after their deployment to the Mid-East on the USS Green Bay and will be deployed soon again. They had a safe deploy-ment and all Marines and Sailors returned after making several stops in the war zone. I want to thank everyone who contributed to this program. The Marines love getting these care packages and feel that someone cares for them and remembers their sac-rifice that they make for us. This has been a great project. It has touched the lives of many individuals, and we have been able to sustain it for several years.
Here is the wish list for the next shipment: Protein powder and protein bars Mach 3 razor blades Multi-vitamins / Dip Beef Jerky Drink mix Toiletries Baby wipes Hand sanitizer Febreze AA Batteries Magazines (Economy, Sports, Cars, Health/Fitness, and Music) Snacks: swizzles, beef jerky, bubble gum, Socks (Black for boots & white for running shoes) Phone cards and Wal-Mart gift cards work well since they are back in the states. Also, letters from people of the community and children offering their support are a great morale booster for our Marines!!!
If you have any questions, please contact me at esorace14@gmail.com If you miss this shipment, we will be doing one in February. Thanks in advance, Ed Sorace, President AAPA-OM Pease send items to me by February 6, 2012. Edward Sorace, 174 Monticello Place, Elizabethtown, Kentucky 42701
AAPA-OM Page 8
DECEMBER 2011 Page 8
Continued on next page
Misdiagnosis of chemical “frostbite” illustrates
need to review of cold weather injuries for workers By Jonathan R.C. Green, PA-C, MPH
A couple of weeks ago, a patient presented to an occupational medicine clinic (which
shall remain nameless) with a complaint of a chemical spill on his right hand. He works for a
medical equipment supply company and delivers wheelchairs, walkers, etc. to homebound per-
sons. When he presented, he complained of severe pain, 10 out of 10, and had considerable er-
ythema, edema, and a small blister on his hand. The nurse assumed he had a chemical burn.
So she irrigated the hand and put a cold pack on it. And now, the rest of the story: the spill had
occurred while the worker was filling an oxygen tank, and the substance that spilled on his
hand was liquid oxygen. The injury was not a burn, but frostbite. Applying a cold pack to the
hand was decidedly not a good idea. When the health care provider came to see him, the cold
pack was immediately removed. The patient’s hand was immersed in warm (NOT hot, 104
degrees F is ideal) water for 45 minutes. Since the blister was intact, it was not debrided. The
patient happened to be a smoker; so he was told that he must not smoke for at least the next 48
hours as to not further compromise the circulation in the hand. He was given a tetanus boost-
er, NSAID and narcotic analgesics and scheduled for follow up the next day.
In hindsight, such an error sounds pretty bad, but it was actually quite understandable.
The injury occurred in early fall, before any cold weather had hit our area. None of the clinic
staff were thinking of cold injuries. First and second degree frostbite can look very similar to
first and second degree burns. In this case, the patient fortunately healed very nicely over the
next 3 or 4 days, despite his maladroit initial treatment. He was warned at his final clinic visit
that he is now at increased risk of having another cold injury. He needs to take extra precau-
tions with personal protective equipment (e.g. gloves) and be on the alert for signs of frostbite
in the future. The “take-home” from all this is that we, as occupational medicine providers,
must remember that some of our patients work with very cold stuff all year round. We need to
be ready to encounter cold injuries and treat them appropriately all year round.
In any case, cold weather is coming soon. Now is a good time to review the preventive
measures for cold injury in workers, especially those who must work outdoors:
a. Listen to the weather forecasts on the radio and TV, so a “cold snap” does not take you
by surprise. Pay special attention to the Wind Chill Factor or “Real Feel” segment of the
predictions. Have waterproof overgarments and/or shelters available in the event of a
thaw followed by a drop in temperature, or a sudden onslaught of freezing rain.
b. Use the buddy system. Work in pairs, so you can keep an eye on your coworker for early
signs of frostbite or hypothermia. Be also on the lookout for signs of dehydration, which
can be subtle, such as headache, loss of appetite, constipation or lethargy.
Preventing cold weather injuries for employees Continued from previous page
(Continued to next page)
d. Stay active while working outdoors – swing your arms, walk around, wiggle your toes
inside your boots to keep the circulation going. Chew gum or suck on hard candy to keep
your facial muscles moving.
e. Take frequent short breaks in warm, dry shelters to warm up.
f. Most people tend to eat more if their food is hot; that is why hot cereals such as oatmeal
are traditionally recommended during the winter. There is no special diet that is better
than others to help you keep warm; just hot food, and plenty of it. If you work outside
during the winter, this is not a good time to decide to go on a diet.
g. Wear several loose layers of clothing because the air spaces between the layers of cloth-
ing will keep you warmer than a single heavy garment could do. Also, you can remove
some layers as the day gets warmer and/or you become warmer through exertion, so as to
keep from sweating.
h. A lot of body heat is lost through the head, so wear a warm hat. If you drive a vehicle,
however, don’t wear headgear [e.g. hoods, balaclavas] that might restrict your peripheral
vision.
i. Wearing gloves or mittens makes it harder to operate push knobs and toggles, so it is
tempting to remove them. But if you do that, your fingers will get cold, which in turn will
degrade your manual dexterity. Blowing on your fingers to warm them is a very bad idea:
the moisture in your breath will condense on them and then make the inside of your
gloves wet when you put them on again, causing your fingers to become even colder.
j. If you have to wear a respirator while working outdoors in cold weather, don’t adjust the
straps too tightly – this could cut down on your blood circulation in those areas and lead
to frostbite.
k. Be especially careful when handling gasoline or other volatile chemicals. If they spill on
your clothing or worse, on your bare skin, the resulting rapid evaporation can give you an
instant case of frostbite.
l. If you wear a mustache, consider shaving it off until spring – drainage from your nose
collects in the mustache hairs, and can form a “snotsicle” that will freeze your upper lip.
m. If you wear metal-rimmed spectacles, consider changing to ones with plastic frames that
are much less likely to freeze and adhere to the skin over your cheekbones. Metal pierc-
ings on exposed areas of your body put you equally at risk – you may want to take them
out until spring.
n. Above all, take care of your feet, because they are the body parts most likely to develop
frostbite. To keep your feet dry, you may need to change your socks 2 or 3 times a day,
and apply foot powder each time. If you happen to have exceptionally sweaty feet, try
spraying them with antiperspirant deodorant before putting on your socks. When you
DECEMBER 2011 Page 9
DECEMBER 2011 Page 10
are made of resilient fiber, such as wool, that will help keep your feet from touching the
cold inner surfaces of your boots. The next time you buy work boots, ask for a pair with
a “Nine-Ninety” last that provides adequate wiggle room for your toes. If you have to
stand in one place for long periods (e.g. as a gate guard), stand on a wooden pallet or
piece of cardboard, to keep your body heat from seeping away into the cold ground.
o. Paradoxically, workers can become dehydrated even in cold weather. In response to the
flow of cold air on body surfaces, as much as 99% of blood flow on skin surfaces is redi-
rected back to the internal organs to keep them warm. This physiological reaction causes
an increase of blood in the body core, which sends a signal to the kidneys to excrete
more fluid out of the body. Workers may in turn decrease their fluid intake because they
don’t want to have to go to the Porta-Potty so often, and undo several layers of clothing
to relieve themselves. It is therefore critical to warn workers to continue to drink plenty
of fluids regularly before they feel thirsty. A good rule of thumb is “by the time you feel
thirsty, you are a quart and a half low.”
p. Working outdoors in cold weather while wearing bulky clothing can make many routine
tasks more difficult and time-consuming. Plan more time for accomplishing these tasks,
and don’t skimp on all the usual safety precautions while trying to make up for lost time.
q. Some of our client companies have workers serving the barges on the river. It is vital that
any worker who goes near a body of water wear a life jacket at all times. Many of us
have heard that death from hypothermia occurs rapidly after falling in cold water, but
this is not true; most people will drown first. It can take up to 60 minutes to die of hypo-
thermia after falling into water, but immersion in cold water quickly weakens the arm
and leg muscles. Even good swimmers cannot stay above water for long. It also weak-
ens the chest muscles; so they cannot keep breathing for long even if their heads are
above water.
Mr. Green graduated from the U.S. Army PA training program in 1983, and completed a resi-
dency in occupational medicine at the University of Oklahoma in 1993. Since retiring from the
Army in 1998, he has worked at the St. Mary’s Occupational Medicine Clinic in Evansville,
Indiana. He is a regular contributor to our newsletter.
Understanding cold weather injuries can help
workers prepare and eliminate lost work time Continued from previous page
AAPA-OM Page 8
DECEMBER 2011
Page 11
Another step forward for Occupational Medicine PAs
November 29, 2011 the House of Representatives approved H.R. 2465, the Federal
Workers' Compensation Modernization and Improvement Act. The bill, which was introduced
on July 8, 2011, amends the Federal Employees Compensation Act (FECA) to allow PAs to di-
agnose and treat federal employees with job-related traumatic injuries, 85% of all federal
workers' compensation cases. It was approved by the House Committee on Education and the
Workforce in July and passed without objection. HR 2465 is the first significant reform of FE-
CA in over 40 years.
Many thanks to all the PAs who have worked in support of this legislation for decades.
Your advocacy efforts contributed significantly to its passage by the House. However, there is
still work to be done. Before it can become law, the Senate must approve the House-passed
legislation.
All PAs are asked to contact their Senators and ask them to take action on the Federal
Workers' Compensation Modernization and Improvement Act this Congress. PAs are also
asked to thank their Representatives for passing this important legislation. Take action today!
<http://capwiz.com/aapa/utr/1/KQEFQWLQDA/BQNLQWLQIF/7647852686>
Background: This legislation would make a technical fix to a law that pre-dates the PA profession.
The Federal Employees' Compensation Act (FECA) was enacted before the PA profession was
created and desperately needs to be updated to recognize the role of PAs in a modern health
care system.
Although the overwhelming majority of state workers' compensation programs recog-
nize PAs, the federal program does not. Consequently, unless a physician is on site to sign a
federal workers' compensation claim form for care provided by a PA, the PA must either send
the injured worker to a local emergency room for treatment, or provide care that will not be
compensated by the US Department of Labor.
The inability of PAs to provide medical care to federal employees who are injured on the
job limits federal employees' access to medical care, disrupts continuity of care, and creates
unnecessary costs to the program.
So please contact your Senator and take action today!!
The above news release was reprinted from the AAPA Newswatch.
American Academy of Physician Assistants in Occupational Medicine
174 Monticello Place Elizabethtown, Kentucky 42701
Join online or by mail below http://www.aapaoccmed.org/
info@aapaoccmed.org
Name: ___________________________________ Company: ______________________________ Home Address: ___________________________ Position: _______________________________ ________________________________________ Address: _______________________________ Home Phone: ____________________________ _______________________________________ Cell Phone: ______________________________ Work Phone: ____________________________ E-mail: __________________________________ E-mail: _________________________________ AAPA Number: __________________________ NCCPA Number: _________________________ The AAPA-OM now offers electronic newsletters, e-mail blasts, and online members’ only sections of web site
for membership directories. Please be sure email is correct.
Please select correct membership category below: ____ $75.00: Fellow Member is a graduate of a accredited Physician Assistant or are certified by the (NCCPA) who shall be employed within, or be a participant of occupational medicine or have worked in occupational medicine. AAPA-OM Fellow Members shall be entitled to the privilege of the floor, to hold formal office, and to vote. ____ $10.00: Student Member is a person enrolled in an accredited program or an unaccredited program recognized by the AAPA. Student Members shall be entitled to the privilege of the floor but have no vote or hold any office except for their elected Student Representative. The Student Representa-tive shall be elected by the BOD and enjoys all rights and privileges including formal vote except in matters relating to AAPA. ____ $ 75.00: Physician Member is a U.S. licensed physician who wishes to associate with the organization. He or she shall have the privilege of the floor but shall not be entitled to vote or hold office. ____ $50.00: Associate Member is a person engaged either in selling products and/or providing other services to PAs or an individual employed by a government agency who does not qualify for any other membership category. Associate Members shall be entitled to the privilege of the floor but shall not be entitled to vote or to hold office. Signed : _______________________________________________________________ Dated: ________________________________________________________________
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