{"id":7660,"date":"2016-01-22T11:54:00","date_gmt":"2016-01-22T19:54:00","guid":{"rendered":"https:\/\/familymedicine.uw.edu\/medex\/?post_type=post&#038;p=7660"},"modified":"2022-04-04T16:10:47","modified_gmt":"2022-04-04T16:10:47","slug":"getting-really-good-at-many-things","status":"publish","type":"post","link":"https:\/\/familymedicine.uw.edu\/medex\/magazine\/2016\/01\/22\/getting-really-good-at-many-things\/","title":{"rendered":"Getting Really Good at Many Things"},"content":{"rendered":"<p><span style=\"font-size: 18pt\">Gevin Parker \u2013 Tacoma Class 2<\/span><\/p>\n<p>When we last spoke with Gevin Parker back in August 2014 (see <em><a href=\"https:\/\/goo.gl\/951ajh\">https:\/\/goo.gl\/951ajh<\/a><\/em>), he had retired from a 24-year military career and was setting out on a journey to become a physician assistant through the MEDEX Northwest physician assistant training program. Gevin and his 22 classmates were excited and proud to be part of what was only the second class to convene at MEDEX Northwest\u2019s Tacoma satellite on the University of Washington\u2019s Tacoma campus.<\/p>\n<p>Now, some 16 months later, we meet up with Gevin Parker again, this time on the other end of his recently completed didactic year, and already two months into the 4-month family practice rotation of his clinical year with the Family Medicine Residency Program at the Providence St. Peter Hospital in Olympia, WA. We ask Gevin right off the bat what it\u2019s like to be out of the classroom and in the clinical setting. \u201cIn a word, amazing!\u201d he answers.<\/p>\n<div><div id=\"amw_galleria_slideshow_1\" class=\"amw-galleria-slideshow\"><\/div>\n<script type=\"text\/javascript\">jQuery(document).ready(function(){ jQuery(\"#amw_galleria_slideshow_1\").galleria({\"dataSource\":[{\"image\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/10-Gevin-Parker-1024x683.jpg\",\"big\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/10-Gevin-Parker-1024x683.jpg\",\"thumb\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/10-Gevin-Parker-150x150.jpg\",\"title\":\"10-Gevin 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Parker\",\"description\":\"\",\"altTag\":\"\"},{\"image\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/4-Gevin-Parker-1024x683.jpg\",\"big\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/4-Gevin-Parker-1024x683.jpg\",\"thumb\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/4-Gevin-Parker-150x150.jpg\",\"title\":\"4-Gevin Parker\",\"description\":\"\",\"altTag\":\"\"},{\"image\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/5-Gevin-Parker-1024x683.jpg\",\"big\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/5-Gevin-Parker-1024x683.jpg\",\"thumb\":\"https:\\\/\\\/familymedicine.uw.edu\\\/medex\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2016\\\/01\\\/5-Gevin-Parker-150x150.jpg\",\"title\":\"5-Gevin 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Parker\",\"description\":\"\",\"altTag\":\"\"}],\"width\":\"auto\",\"height\":0.76,\"autoplay\":false,\"transition\":\"slide\",\"initialTransition\":\"fade\",\"transitionSpeed\":0,\"_delayTime\":4000,\"_hideControls\":false,\"_thumbnailMode\":\"grid\",\"_captionMode\":\"on_expand\"}); });<\/script><\/div>\n<p>Dr. Devin Sawyer is Gevin\u2019s preceptor at Providence St. Peter. As the Program Director of the residency program, Dr. Sawyer\u2019s range of involvement with patients and students alike is extensive, and so Gevin has had a wide range of opportunities to shadow, observe and learn under Dr. Sawyer\u2019s example.<\/p>\n<p><span class=\"dropcap\">A<\/span> <strong><span style=\"font-size: 18pt\">family medicine preceptorship<\/span><\/strong> at Providence St. Peter also includes the opportunity to work alongside first, second and third year residents who are assigned to patients both in the hospital and in clinic. \u201cAnd then there are what are called \u2018faculty providers\u2019 here as well,\u201d Gevin explains. \u201cSo in addition to shadowing Dr. Sawyer, I get to shadow third year residents, and to shadow MDs, DOs and Nurse Practitioners as well. I do inpatient rotations two mornings a week, to see all of the St. Peter Family Medicine Clinic patients who have been admitted to the hospital, then follow up on them with an attending provider and a third year resident. So I\u2019m getting far more exposure to multiple facets of medicine than, say, if I just worked with Dr. Sawyer in his clinic every day for four months.\u201d<\/p>\n<figure id=\"attachment_7707\" aria-describedby=\"caption-attachment-7707\" style=\"width: 250px\" class=\"wp-caption alignright\"><a href=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/Gevin-in-2009-on-Machine-Gun-range.jpg\" rel=\"attachment wp-att-7707\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-7707 size-thumbnail\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-2009-on-Machine-Gun-range.jpg\" alt=\"Gevin in 2009 on Machine Gun range\" width=\"250\" height=\"188\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-2009-on-Machine-Gun-range.jpg 533w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-2009-on-Machine-Gun-range-300x225.jpg 300w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/a><figcaption id=\"caption-attachment-7707\" class=\"wp-caption-text\">Gevin in 2009 conducting heavy machine gun training for units deploying overseas.<\/figcaption><\/figure>\n<p>We ask Gevin to reflect on the year leading up to this preceptorship, and his experiences in the didactic classroom.<\/p>\n<p>\u201cWell, it\u2019s interesting,\u201d he says. \u201cEveryone said things like, \u2018Make sure you develop a study group, and make sure you do this or that.\u2019 Well, I didn\u2019t do any of those things. I have a family, and I knew that the clinical year would be even busier. So I went to class, I left class, I got in my car, and I went home. I would take about two hours to have family time and dinner, and then around 7:00 pm, I was in my office until about midnight, studying on my own. I didn\u2019t do the library, I didn\u2019t do extra class time, I didn\u2019t do study groups except for a few occasions that I studied with other classmates, but the vast majority was on my own.\u201d<\/p>\n<p><span class=\"dropcap\">W<\/span><strong><span style=\"font-size: 18pt\">e think back on what we previously learned<\/span><\/strong> about Gevin Parker\u2019s military service and medical training: served 24 years in the military, 10 years as an infantryman in the U.S. Army, and then 14 years as a medic with the Washington Army National Guard, went to paramedic school at Tacoma Community College in 2001, graduated in 2002, then worked for both American Medical Response and Rural Metro in Pierce County.<\/p>\n<figure id=\"attachment_7706\" aria-describedby=\"caption-attachment-7706\" style=\"width: 301px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/Gevin-in-1998-Dress-Uniform.jpg\" rel=\"attachment wp-att-7706\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-7706\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-1998-Dress-Uniform.jpg\" alt=\"Gevin in 1998 Dress Uniform\" width=\"301\" height=\"353\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-1998-Dress-Uniform.jpg 467w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/Gevin-in-1998-Dress-Uniform-256x300.jpg 256w\" sizes=\"auto, (max-width: 301px) 100vw, 301px\" \/><\/a><figcaption id=\"caption-attachment-7706\" class=\"wp-caption-text\">Gevin Parker in 1998 Dress Uniform\u2014 E-6\/SSG; I Corps Honor Guard at what was then Fort Lewis, WA, now Joint Base Lewis McChord<\/figcaption><\/figure>\n<p>Then, he retired from the military and took a job as a case manager for the Washington Army National Guard at their Medical Command, where he remained for one year prior to joining MEDEX. Might all this experience have influenced and assisted in his adopting this \u201cdo it on my own\u201d approach to absorbing large amounts of information? Didn\u2019t he already know a lot of it from experience?<\/p>\n<p>\u201cIn some respects, yes,\u201d Gevin says. \u201cBut both as a paramedic and as an Army medic, you know a broad but relatively shallow amount of information. You have to be <em>really good<\/em> at some things, but <em>kind of good<\/em> at a whole lot of other things. Our cardiac classes, EKG rhythms, all those things, those were very easy for me. But when we start getting into how the ions shift back and forth, and what causes all of those things, then it\u2019s \u2018Oh, I didn\u2019t learn that in paramedic school!\u2019 So there was a learning curve.\u201d<\/p>\n<blockquote><p>\u201cBut both as a paramedic and as an Army medic, you know a broad but relatively shallow amount of information. You have to be <em>really good<\/em> at some things, but <em>kind of good<\/em> at a whole lot of other things.&#8221;<\/p><\/blockquote>\n<p><span class=\"dropcap\">A<\/span><strong><span style=\"font-size: 18pt\">nd as that curve has extended <\/span><\/strong><span style=\"font-size: 12pt\">into clinical rotations<\/span>, it would appear that Gevin\u2019s style of learning is being applied here as well. \u201cI\u2019m the kind of learner that, maybe give me a couple of tidbits, and then be there to answer questions if I have any. Other than that give me the opportunity to go and do and figure it out on my own. It makes things make sense when they say, \u2018Check this,\u2019 and you say, \u2018Why am I checking that?\u2019. And then you check it and you can see, \u2018Oh!\u2019. You can see the results. So the transition from classroom to clinic, it\u2019s been awesome.\u201d<\/p>\n<figure id=\"attachment_7705\" aria-describedby=\"caption-attachment-7705\" style=\"width: 2100px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/23-Gevin-Parker.jpg\" rel=\"attachment wp-att-7705\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-7705 size-full\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker.jpg\" alt=\"23-Gevin Parker\" width=\"2100\" height=\"1400\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker.jpg 2100w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker-300x200.jpg 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker-1024x683.jpg 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker-768x512.jpg 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker-1536x1024.jpg 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/01\/23-Gevin-Parker-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2100px) 100vw, 2100px\" \/><\/a><figcaption id=\"caption-attachment-7705\" class=\"wp-caption-text\">Gevin&#8217;s son Christian, 21; Gevin Parker; Tiffany Parker; daughter McKayla, 9; daughter Gabbi, 18; Halo (yellow lab); Axel (chocolate lab).<\/figcaption><\/figure>\n<p>While we look forward to seeing Gevin and his classmates graduate and become certified PAs at the end of this coming summer, we wonder what sort of medicine he might want to be practicing when that time comes. \u201cI\u2019m still a very young PA student in my very first clinical rotation. Following this, I\u2019ve got six other rotations of different types of specialties. So I\u2019m trying to stay open-minded. But that said, I do want to stay local. I live in Tumwater. I have a third grader. My two older kids are in college, so they\u2019re on their own.\u201d<\/p>\n<p>After a pause, Gevin adds \u201cBut at this point, I want to do pediatrics. And a quick second place: I am enjoying family medicine. And I\u2019m beginning to feel that, because in family medicine I get to see the full spectrum of life. They deliver babies; they deal with hospice\u2014the full spectrum. And I\u2019m enjoying learning that whole thing, rather than just learning pediatrics. That\u2019s a relatively narrow scope. So, we\u2019ll see.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>With 24 years in the US Army under his belt\u201414 as a medic\u2014Gevin Parker is precepting under the MD director of a Residency Program. At Providence St. Peter he takes turns shadowing his preceptor, third year residents, DOs and NPs. All this presents a rigorous learning environment and a challenge to his paramedic and Army medic roots.<\/p>\n","protected":false},"author":1,"featured_media":7684,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-7660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-experience"],"cp_meta_data":{"_edit_last":["1"],"_thumbnail_id":["7684"],"student_name":["Gevin Parker"]},"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/7660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/comments?post=7660"}],"version-history":[{"count":3,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/7660\/revisions"}],"predecessor-version":[{"id":16879,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/7660\/revisions\/16879"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/media\/7684"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/media?parent=7660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/categories?post=7660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/tags?post=7660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}