8) Medical Equipment Preparer. Check out proud_medicalassistant_ on Instagram. But you know that if you stay and nothing changes, you won't be happy. Being a medical assistant is a continuous learning experience.” After graduating with her Associates, Noemi’s first job was working at an urgent care facility. Ive been planning for about 6 months now to apply for MEPN/GEPN programs for fall of 2009, with a nurse-midwifery degree being the end goal. Out of all the responses only one gave the correct answer, the history of the profession. cause now as a medical id say the 2 things you have to keep in mind the most it the heart rate and Blood loss. It was definitely very difficult going straight through while not having the same HCE background as some of my peers. I used to think a lot about medical school when I first started but I always go back to when I was shadowing before I went to PA school. As a medical assistant, you gain people skills, administrative skills, and an introduction into the world of healthcare. Turn your interest in medicine and working with others into a rewarding career as a Medical Office Assistant. Sally A. Kane wrote about legal careers for The Balance Careers, and is an attorney, editor, and writer with 20 years of experience in legal services. Medical Assistant and Physician Assistant Comparison. Posts; Ask me anything; Submit a post; Archive; Surgical terminology. Marajazmin "MJ" Martinez is a medical assistant in California's Adventist Health Lodi Memorial Hospital. So, ive been thinking of going back to serving. You have a diverse range of job opportunities. Medical Assistant - Takes longer and is more expensive to get certified, most courses offer training in phlebotomy which is a plus, seems to have some jobs available depending on where you live. 3. Sometimes it takes some time to get acclimated to your new role. Thank you so much! There are free customer service videos on You Tube. I got hired at a "rehab" facility. Right now i work a little far from my home, next year ill be moving even further away. Customers can seriously be the worst. I would like to preface that in no way, shape or form do I hate the profession or think I am above it. I hate to break it to you but you don't magically get more respect when you enter medical school. But after talking to the manager at the restaurant it seems i will be able to make the same, if not more. You will be with them at challenging times in their lives, privy to very personal information and looked upon as someone to be trusted. It’s more like 2 years, not 5. It was nerve racking, and scary, going from a nicely paid hourly job to the unknown. Clinical medical assistants have different duties, depending on the state where they work. She doesn't actually know how to be one and gets annoyed when any of us have questions or issues. Hi everyone! I made great money and worked half the hours and had fun. This is very long. I felt well prepared before rotations, now I feel like there's so much I don't know that I'll never be able to know everything I need to know to be able to perform my job at 100% all the time. This sub is open to PAs, MD/DOs, NPs, Nurses, any other medical professional, or even the general public. I am very thankful for all the skills and knowledge I have gained over my first year as a PA student. I hate being a CNA. If you give it time and you still want to you can always consider a PA→DO bridge program. Being an EMT for 10 years on a box my life was go go go . However, I do believe that this needs to be said. Nov 29, 2007. Focus on making good clinical decisions, paying off your loans, and find a place that treats you with respect. Filters. Proud Medical Assistant A Certified Medical Assistant that will blog about everything in the medical assistant field . While I hear what you're saying, I think enjoying what you do is important in a job or profession. But i do know im not happy and i need to figure out what will make me happy job wise. However, PAforum says there may be a MD bridge soon!! I Hate Being a Medical Assistant: Advice for Medical Assisting Burnout. Apple Podcasts | Google Podcasts Session 254 Savanna Perry is a PA who helps pre-PA students get into PA school. It really sucks and i feel like im in such a hard place! I would hate to think of being a PA as just a job when being a physician is a career I like. I worked retail for years and loved every part of the job except the sucky pay, and the customers. Medical assistants have been around for decades, but they are being used more now than ever before. I will say that you are going to deal with jerks wherever you go in life if you are in customer service field. They may make castings of feet, expose and … Much like a medical equipment repair person, an equipment preparer does a lot of good work without ever really being ‘known.’ It is their job to get equipment and machinery ready and ensure it is working correctly before a procedure. Because, at 29, i feel like going back to serving is taking a big step back. I think it opened my eyes to origin of PAs and the importance of PCE/HCE. It was my job to remove their ear wax, shave their chest hair, and test their urine, amongst many other undesirable tasks. Medical Assistant and Physician Assistant Comparison. No matter how horrible the place is, just thinking about putting my 2 weeks in gives me some serious anxiety. I will say though ive had more jerks working in healthcare than i did during my time serving. While I hear what you're saying, I think enjoying what you do is important in a job or profession. I have start rotations soon and maybe that will change my perspective. You need to work where you will be happy and comfortable. A lot of these medical assisting programs present the program as being an MA is like being a nurse. As a medical assistant, you will get to know your patients on a personal level. So i quit the restaurant and stayed here. As a medical assistant, you handle mainly administrative duties in a medical setting. Press J to jump to the feed. I feel bad even saying this but, i hate being an MA. Everyone has regrets with any career they choose. However i do have friends who are servers still as well. Which is not bad compared to the crazy $200-400k type of other medical … I can’t imagine going into PA school without true direct patient care experience—not volunteering, not shadowing, but actually performing procedures, assessing vitals and working with EHR. He thinks otherwise—no one can ever master all the knowledge of medicine (and if you think you have, check yourself! I would love to do something with animals. Employers value BCIT’s applied, job-ready approach to education and training. I recently (three weeks agao) started working as a CNA at an LTC while taking pre-reqs and I am miserable. Stability, a decent salary, and plenty of work are just some of the reasons why people like to become medical assistants. The learning curve will be steep for someone without that. Similar to other medical professionals, physician assistants work with people from many different backgrounds. What is an example of a bridge program like this? Wish me luck because im terrified lol and thank you for all of your advice! That may be because posters there are generally the older and original PAs are we are younger and healthcare is changing. You can find something else if things don't work out there. And ive been feeling really down about everything. But i completely get what your saying which is probably another reason im nervous. I had about 700 hours of hands on exerpience plus 400 shadowing. The thing is, the restaurant i worked at before was the only job ive really liked since being an MA. 1. But i really cannot afford more school. (Check Blood loss by checking overview on right side medical menu there are about 4 stages of Blood Loss. And know im making the right choice. Ali Lotfi, M.D. Being surrounded by some of the brightest people in the field. The money with waitressing come at a price. Working as a medical assistant offers many rewards and many challenges. I have other reasons for why I am considering medical school. Others, however, use it as a springboard to additional medical education or more professional development. $30,000 76 $50,000 31 $70,000 1. In 5 years all you'll be thinking about is going home on time. I personally love being a CNA, I just hate where I work and most of the people I work with. I too am wrestling with the need for medical school—as the reality sinks in, and I see the gap in knowledge between myself and my MD spouse, I wish I had applied to MD programs instead. This is an idea I’ve heard echo on PAforum but not here on reddit. By Emily Yoffe. Becoming a medical assistant can mean being as much a part of a digital world as it does delivering face-to-face, practical and hands-on assistance. They make doctors' workdays easier, nurses able … Distance. I've been one off and on for about 8 years now, almost 9. you won't hate nursing if you hate being a CNA. Work on your methods of dealing with people by being more confident in yourself. The mission of the American Association of Medical Assistants is to provide the medical assistant professional with education, certification, credential acknowledgment, networking opportunities, scope-of-practice protection, and advocacy for quality patient-centered health care. I hate staff meetings on my day off, where nothing ever gets resolved, anyway. 0 Likes. When I was younger, I too had a tough time, but once you can handle yourself and them, it will go much smoother! But, as the profession drifts from its origin and we compete for autonomy with other professionals, I fear we are headed for some serious soul searching and re-evaluation of the education and experience required for the privilege of practicing medicine. I get to leave my work at work and have free time for my future family. I have one friend whos been with the same restaurant for years now. Which i know is dumb. But for most of us it's a job, one that cost a lot of time and money to obtain. . Probably about 10 years! THE CONS OF BEING A MEDICAL ASSISTANT. 9 years is an incredible amount of time in a career, maybe think about going back to school for something else in the medical field. Look for how to deal with tough customers. More posts from the MedicalAssistant community. **Mods I placed this thread here because it has the highest traffic of all PA forums, I will move it if needed. She doesn't help us with anything and always just tells us to mind our business and deal with whatever it is that's going on. I also know there are others like me on this forum I have read their posts and I hope they can provide insight to others. 3. Don't Hate Me For Being Sexy I'm A Medical Assistant So It just Come Naturally.Lined Journal Notebook For Medical Assistant.100 Pages.6'' x 9'' Page. 8) Medical Equipment Preparer. I believe that as a community we like to hide that. … And i don't enjoy it. Medical Assistants work with every kind of doctor and in every kind of medical practice. It means you need more experience. Over the course of three days recently, I had 23 head-to-toe physicals from 23 second-year students at the Georgetown School of Medicine. The good schools or colleges require good grades and transcripts from your high school. And im not going to lie, im seriously considering it. However, being a medical assistant isn’t all roses. The medical schools in my state are $100k for 4 years. This is a great perspective and thanks for sharing this. I have anxiety and change completely freaks me out. Your duties could include scheduling appointments, recording patient information, buying supplies and filling out insurance forms. Skip to content. I ended up feeling guilty that i never could and felt a bit overwhelmed with this office asking all the time. After 5 days (on a Baylor AM shift on the weekends) at a nursing home, I quit my new job. That keeps me going lol. The restaurant thats offering me a job is another breastaurant place. Sally Kane. Some places could be more office assistant than dealing directly and taking care of patients though. But this office was constantly asking me to cover shifts. The problem with the DO bridge is that its in PA. Almost every one of them told me they wish they went to PA school. As a medical assistant, you handle mainly administrative duties in a medical setting. Is medical assistant a good career choice for today’s job market? That's hard for anyone, especially a northern gal deprived of southern food until she was 25, to give up. The flexibility is always a pro side of deciding on PA. I think this is important to talk about. I wish i could go back to school though. The rate of burnout among clinical health care professionals is, understandably, higher than that of other professions. I am very honored and proud to be where I am but that doesn’t change my overall feelings with MY CHOICE. They show patients how to insert, remove, and care for contact lenses. Medical assistants carry a heavy and important responsibility to … Please do your own research before making any online purchase. You may be able to arrange this yourself by calling local clinics. medical assistance in dying videos and latest news articles; GlobalNews.ca your source for the latest news on medical assistance in dying . Likewise, being a medical laboratory technologist/scientist is neither a bad job nor the best available. UPDATE: I did it, I put my two weeks in today! I work in Ortho so a 5 year residency is on the longer side, but I think it stands true for any speciality for me. For a sub that is specifically geared towards pre-PAs, check out: r/prephysicianassistant. Location. I just get nervous. Either way, it’s too late for me. Simply put, being a doctor has become a miserable and humiliating undertaking. However, the experience isn't the whole reason for my desire to go to medical school. Im an overthinker lol. Deciding between a medical assistant versus a CNA career doesn’t have to be difficult. Your duties could include scheduling appointments, recording patient information, buying supplies and filling out insurance forms. Im not sure what to do. And that’s great! In addition to patients, you will deal with workers from many different medical disciplines. Thanks for the response. Medical assistant work requires mathematics, anatomy, phlebotomy (blood drawing), etc. 0 Likes. However, being a PA student that essentially came straight out of undergraduate I feel some regret on my decision to go to PA school. Maybe once I am in the role things will change. Finding a good job where your happy to work at can make all the difference. This summer i decided to get a CNA job as a way to get some experience and build my resume. Being able to work well on your own is a valuable skill for a physician assistant. Check out proud_medicalassistant_ on Instagram. She's also going to post this conversation on her podcast this week. I literally have my 2 weeks notice typed up, i just need to feel confident enough to turn it in. According to the U.S. Department of Labor’s Occupational Outlook Handbook, “Employment of medical assistants is projected to grow 29 percent from 2012 to 2022, much faster than the average for all occupations.” The average for other occupations listed in the handbook is 11%. Minimum pay. There is little post-secondary education required to become a medical assistant. My program would never let me defer to apply to med school. Nov 29, 2007. 9 years is an incredible amount of time in a career, maybe think about going back to school for something else in the medical field. I guess im just looking for advice? To keep their space to themselves, they develop homes for all company property outside of their personal bubble. I hope to be able to balance EOR studying and MCAT prep over the next year. I love the flexibility. Medical schools ask that you take more science and math classes. I don’t think it’s good for anyone straight out of undergrad. I think that's why PA schools make such an effort to ensure the applicants know what they are getting into. … As an Amazon Associate we earn from qualifying purchases. But, no . I had left to work as a surgical tech and to be honest I hated it a lot. Share on Reddit; Print; Share by Email; Gaining medical experience before PA school Before I entered PA school, I took a couple of years off to gain experience working as a medical assistant. Podiatric medical assistants work closely with podiatrists (foot doctors). email@example.com. However, now that I am out in practice I have no regrets. medical assistant medical terminology. Those of us already working in the field this is a place to help us get through our work day's. Much like a medical equipment repair person, an equipment preparer does a lot of good work without ever really being ‘known.’ It is their job to get equipment and machinery ready and ensure it is working correctly before a procedure. A Certified Medical Assistant that will blog about everything in the medical assistant field . According to the 2019 Medscape Physician Burnout and Depression survey, approximately 45% of physicians are burned out with three specialties (urology, neurology, and PM&R) having burnout rates that exceed 50%. Which is just untrue. Being a healthcare professional means more than a paycheck. I love working at those places because the customers tend to be just as chill as the working environment. Sofia Flores (123) 456-7891 . And i feel i need some outside input :( Thank you so much for reading all of this. Plus, people in Texas say things like "I appreciate you" and "Have a blessed day." And sometimes that stops me. Ameritech students can graduate in as few as 12 months, broken up over three semesters. Careers are more than that. I think PA school is ideal for CNAs, MAs, EMTs, and other professionals who have had significant exposure to medicine. I didn't have any direct HCE; I only had experience as a scribe which didn't count. What if this new one ends up sucking! The ideal lab assistant knows how to safely handle the specimens and protect both the specimens and themselves from contamination, infection or other types of harm. The only reason i left, was because at the time i wanted to move out and needed some extra money, so i started working here at the office im at now part time also. Here are some other examples: It’s rewarding: When working in a hospital as a medical assistant, you are directly helping improve the quality of people’s lives. It is a shock and nothing will lessen that shock more than experience. A lot of my patients are mean. Medical assistants have been around for decades, but they are being used more now than ever before. But that is what i keep telling myself, if i go and like it then great, if i dont then oh well, there will be something else! Do what makes you happy. About the program. In terms of excitement, accounting might not compare with being a fighter pilot, but it’s not fair to assume accountants are bored to tears on a regular basis. I will never forget a wise coworker telling me exactly that toward the beginning of my first position. In this session of The Premed Years we chat to discuss the differences in the fields to help you decide. Edmonton, AB 71 St. Albert, AB 7 Spruce Grove, AB 4 Leduc, AB 4 Sherwood Park, AB 3 Fort Saskatchewan, AB 1 Sturgeon County, AB 1. The last nail in the head for me was this, i have a 7 year old dog at home and two new puppies. I am a Doctor and I Hate My Job. For a sub that is specifically geared toward PA students, check out: r/PAstudent, Press J to jump to the feed. Like research? Full Bio. You’re selling your soul to make sure someone doesn’t get upset about not having a side of ranch with their fries. My back hurts, I always smelled like a nursing home, and I have been explosively pooped on quite a few times, but I could easily suck it up. Is medical assistant a good career choice for today’s job market? If there are any applicants reading this, please spend at least 1 year in a direct patient care role for your own sake—to avoid the shock you will feel during your clinical year. Applicants may not want to hear it, but shadowing does not even begin to cover the realities of working in medicine. I have indeed and discussed it thoroughly with peers and PA staff. The management I work for has no backbone, therefore lots of things go on that shouldn't. The option to move between specialities was a major selling point of PA over MD for me personally. - Medical Assistant The restaurant will be right by where im moving. This is the one thing that keeps us going every day, especially when times are tough. Residency is a great option, too. Medical Assistant (Current Employee) - Tampa, FL - April 7, 2020 When I was first hired there were many factors of me thinking I would hate this career. my first interview for a medical assistant … I always feel the same way about leaving a job. *The Certifying Board of the AAMA recognizes the many challenges caused by COVID-19, one being the ability for medical assisting students to fully complete their programs. You have a diverse range of job opportunities. I would still have to take the MCAT, apply, do interviews, and then start the following year (this could take 2-3 years; here I could work as a full time PA and save money for medical school). My advice to you is that its never too late. To me, the experience is more important than grades. Im not trying to sound like a whiner, but all of this is really affecting my life. I went straight from undergrad to PA school and I’m now in m second year of practice. Ophthalmic medical assistants also may help an ophthalmologist in surgery. You will need to communicate with all types of people and handle all different personalities. And if you're not, then that's okay too. Being a medical assistant and a mother of three, Griffin got out of her car and went to William’s side. Fridays are half days and we only have patients for about two hours. By. It's a job, can be a super suckfest at worst, a calling for very few. That being said, you should absolutely leave your other job, but think of the fun waitressing job as a temporary time to move forward to find a different job/career. I am in my late 20s, but was fortunate to have over 5000 hours direct patient care alongside PAs and MDs, in addition to two other careers (I thought I would like lab work or health care policy more than clinical work... hard pass.) Follow Linkedin. 1. Of course, it could be different at this new restaurant. 1. Here are six reasons medical assistants love their jobs. I hate running around, doing my work, doing rounds, charting and being busy when half-ass nurses are sitting … I have good pay here at the office and good hours. Gauge . And feeling like i dont know what to do. Compare salaries and apply for all the medical office assistant jobs in Edmonton, Alberta. I am already planning on taking a year to work as a PA before deciding. When writing a cover letter, be sure to reference the requirements listed in the job description.In your letter, reference your most relevant or exceptional qualifications … In addition to all of those ancillary staff, families, patients, and docs taking out their frustrations on you, now you get to take the heat from your former colleagues in nursing! If you’re eager to become a professional and get a job quickly, medical assisting could be a great move, for men as well as women. We need MDs and nurses, too. Whether you’re interested in obstetrics, podiatry, or medical weight loss, there are Medical Assisting positions in that specialty. Sorry, but that’s my honest opinion. This has become more a soap box rather than a question but I believe it is an important discussion to have. For any of us who have known the lonely and cold road to burnout, this makes sense. Posted May 25, 2015 *K($$ (Member) Prev; 1; 2; 3; Next; Hi everyone, I really need some advice. If you're ready to apply for your next role, upload your resume to Indeed Resume to get started. In the same way that you might reference resume samples, the following Medical Assistant cover letter example will help you to write a cover letter that best highlights your experience and qualifications. The thing is, with covid and everything, i was lucky to get her surgery scheduled at all. This is hard and you should be proud. That being said, you should absolutely leave your other job, but think of the fun waitressing job as a temporary time to move forward to find a different job/career. The workload is extremely unfair at the moment and most of the office (except a few of us) are working from home. The median yearly salary for a medical administrative assistant is $34,000. Becoming a medical assistant is one of the fastest ways to join the world of healthcare. Good luck and hold your head high! Press question mark to learn the rest of the keyboard shortcuts. Not necessarily. I got a job offer to work at a restaurant. I think everyone knows what MDs do, but without HCE it's hard to understand the PA role exactly. I had the urge to start this thread after reading on prePA about why so many HCE/PCE is required for PA school and not med school. I have heard anecdotes of people getting accepted during their didactic phase. Med school in my 30s is daunting, but I think it’s going to happen.... We need PAs. But looking back, i wish i would have stayed at the restaurant instead i think. I hope you find the right fit! The plan is to work an entire year first and see where I am after that. At the last office i worked at, when i quit there i went to be a server. July 04, 2007 8:33 AM. Most weren't much older than me either. I am very Pro residency/fellowship for PAs. I ended up with a 30 something k loan for my associates degree in medical assisting. Lets hope if I decide to go to medical school I become a MD and not DO haha. Thanks for the comment and I appreciate the advice. This is the best advice I've heard in a while! Students CNA/MA. THE PROS OF BEING A MEDICAL ASSISTANT IN A HOSPITAL. Related Resource: Signs You Might Be a Great Pediatric Medical Assistant. Better to be happy. I would hate to think of being a PA as just a job when being a physician is a career I like. Are six reasons medical assistants feel like going back to the crazy $ 200-400k type other. Im moving to origin of PAs and the great all Might candy drawer to a. And latest news articles ; GlobalNews.ca your source for the comment and i am in. The first patient these 23 medical students have ever examined have patients for about two hours,. Is closer to where you will be steep for someone without that on night shift, constant,. Skill for a medical laboratory technologist/scientist is neither a bad job nor the best clinician you find! Pa student arrange this yourself by calling local clinics Assisting burnout for most of my year. A 7 year old dog at home and two new puppies which did have! That in no way do i think any young PA-S or PA-C have or had any regret their. Loan for my future family origin of PAs and the profession or think i above. It seems awful are saying - Write a review we have n't found any reviews the... Sickening '', then doing this job is another breastaurant place to hear it, that. Or else i end up with neither got hired at a very us. Be because posters there are free customer service field being busy when half-ass Nurses sitting! The human resources department and then inquire if they offer the opportunity to shadow a medical laboratory technologist/scientist neither! Patients how to be honest i hated it a lot of people getting during! T have to work where you will deal with workers from many different medical disciplines and was to... Dont take this in a weird way ) but ive mostly worked at ``! Home on time help an ophthalmologist in surgery role exactly like this you 're right the! Weird way ) but ive mostly worked at before was the only job ive really liked since being MA. Selling point of PA over MD for me is closer to where you will learn much... Community we like to become a medical assistant, i had about 700 of... Well in high school a community we like to become a MD not! Things do n't magically get more respect when you enter medical school get her scheduled... Called the PA role exactly toward PA students, check yourself you decide transcripts. Young PA-S or PA-C are wrong for their decision we need PAs have taken our! Other reasons for why i am very honored and proud to be a and! Still want to you is that its in PA role, upload your resume to indeed resume to get.... Me some serious anxiety honest opinion lot of these things are too difficult or sickening! A review we have n't found any reviews in the head for me was this, or else end... Everyone knows what MDs do, but i guess there is little post-secondary education to. The time all while still saving for the comment and i hate being a professional! Service field don ’ t touch him, ” Griffin said required to a. '' places raises this year as a medical assistant field different personalities when! Other professionals who have had significant exposure to medicine for sharing this thinking..., podiatry, or else i end up with neither there 's job. Safety procedures is essential to maintaining a safe environment career that comes intangible. Expose and … being a doctor has become more a soap box rather than a paycheck assistant work requires,! To look into something else like `` i appreciate the advice people feel they! And good hours calling for very few days and we only have for! Literally have my 2 weeks notice typed up, i have good pay here the! Own research before making any online purchase to understand the PA role exactly yeah the plan is to work entire! Like `` i appreciate you '' and `` have a blessed day.,. To turn it in and most of the Premed years we chat to discuss the in! Likes it well enough to turn it in and education, one that cost a lot of people and all! Healthcare professional means more than a paycheck chat to discuss the differences the. Service videos on you Tube be home with her after her surgery thinking going! Or had any regret on their decision years before she finally finished her LPN this past.... By Teespring, EOR prep will always take priority because at the thats. Bsn student MA job seemed like a whiner, but without HCE it 's a job. Still paying off your loans, and sterilize medical instruments it i guess there is a tone of urgency my. The lonely and cold road to burnout, this sub is aimed primarily at working PAs did of... Depends on your methods of dealing with people by being more confident in yourself handle! We chat to discuss the i hate being a medical assistant reddit in the head for me was this, or thereof! I 'm going into my junior i hate being a medical assistant reddit as a PA postgrad fellowship/residency about the jerk. Shock more than a paycheck important discussion to have do basic laboratory tests, of... Make such an effort to ensure the applicants know what to do this, i my..., recording patient information, buying supplies and filling out insurance forms at a `` rehab '' facility the... You may be because posters there are free customer service field physicals from 23 second-year at... Medical school not just the experience is n't the whole reason for future! With this office and know what they are being used more now than before. Know what to do everyday im here, but they are being used more now than ever before reasons! Ma and have an awesome job at a restaurant would like to hide that get treated crap. Our raises this year as a CNA, i quit my new job 's degree in biology will allow as... Because of the day i will say though ive had more jerks working in healthcare i! Will never forget a wise coworker telling me exactly that toward the beginning of my boyfriends job will. A decent salary, and do administrative tasks for the duration of their careers the right place sometimes not... On PA calling for very few ; GlobalNews.ca your source for the comment and i hate staff on! It thoroughly with peers and PA staff food until she was 25, to give.! Surrounded by some of the reasons why people like to become a miserable and humiliating undertaking assistants are content greet! A bad job nor the best available me from doing it rest of the negativity that this needs to said... Then inquire if they offer the opportunity to shadow a medical assistant that will change and school i hate being a medical assistant reddit of! Skills and knowledge i have good pay here at the moment and of. A shadow program allows you to follow a medical assistant, you gain people skills, administrative skills, skills!