dphy83

Legionella? Covid just a coincidence and a red herring?

No phenobarb?

Not an expert but makes sense to me. Can't hire you for a PA position if you arent a PA...

Sounds great. Employment requirement after completion of this residency, too?

I'd vote that you finish given that you're so close. Credentialing commities at hospitals typically meet only once per month, so that likely buys you another month at least before you'd start. Your dream job can "hire" you immediately the that likelihood of you starting soon is low, I believe. Finishing the residency just sounds good when applying to future jobs, being able to say that you COMPLETED a residency in critical care (rather than saying you almost did). To answer your other question: yes, I left a residency early. No repercussions with state license renewal (just did that as well). I just list the experience as normal work experience on my resume. If someone asks then I have an honest answer/reason for leaving - it wasn't a good fit for me.

Mostly agree with the last two. I have nothing but respect for the 18D's. Love the military (I'm former), but you definitely have the ABILITY to gain much more medical knowledge and procedural skills, and much more opportunity to use those things as an EM/trauma/CC PA if you are in the right practice environment. You have many more medications and tools in a hospital at your disposal, which makes the level of care that you can give much more nuanced and complex. Field medicine is its own animal, but you have severely limited options in that environment. Now if the other poster meant by "high speed" that you get to wear cammies and Oakleys and otherwise get to be a bad MFer while going to some awesome schools, then yes, civilian practice doesn't give you that. But as far as trauma and medical resuscitation goes, civilian work is way more complex. You likely won't get the blast injuries that comes with military medicine, but I'd argue that if you're at the right inner city hospital you'll see more than enough GSWs - you listen to the evening news, right? Again, this isn't a slight against military medics at all. If I could choose an 18 series MOS it'd definitely be delta.

Frankly I doubt the program would find out unless the other place is affiliated with the residency or someone from the residency site also moonlights at whatever second job you are thinking about. My advice, however, would be to not work a second job if in a residency. It may be difficult due to scheduling, you'll likely be tired, you'll want some free/down time, and you'll have plenty of new stuff to read or learn about on your time off. Most likely all of these. I understand money can be tight but to maximize the residency experience a second job would be tough.

Good grades, electives in EM, good LORs, strong personal statement/application Q responses, and not being a dufus during the interview are all you need for an EM residency. You do not need EMT or paramedic, prior EM work, or to have rotated through that particular ED, in my experience. You may want to shadow PAs (not docs) in the ED to make sure it is all that you imagine. The list of programs you have is a very good list from what I know. The exceptions being Syracuse and Staten Island - i just haven't heard much about those programs. Staten Island's 2 year length is a turn off for me, personally, but if it is jammed with good experience that length of time would make you a rock star PA. And dude, if you dont get into PA school this time around and you are still determined to be an APP (or APC or whatever other moniker you want to use) just complete an accelerated BSN program and go the NP route. No need to waste more of your life trying for PA because something is going on with your CASPA application or grades that isn't doing it for PA programs. Seriously, that is what I would do.

Agree to disagree. I have no statistics to support my assumption but I doubt residency/fellowship grads are having a hard time finding a job unless there literally are no openings in their geographical area and they are unwilling to relocate. But if there is an opening they likely are at the top of the hire list (putting aside "internal" candidates - don't even get me started on that).

I do not know what they pay their PAs as far as hourly rate or salary.

If EM is your future (or any general medicine field such as FM, IM/hospitalist, crit care) i don't think you'll regret this. You will likely get offered >95% of any future EM jobs you apply for. Nice work.

As has been mentioned in this thread and in other posts, be aware that Emory has an employment requirement after their residency. I dont doubt the experience that you gain there but you have to decide if staying there (or the financial penalty for not staying there) is worth it.

Volunteer to do nights at the big level 1 center. Try to find another local medium size community hospital for an elective. You may find less competition there but not necessarily miss out on volume. If your elective is your last rotation maybe consider setting it up at a place that is currently hiring as that may get you a foot in the door. I did an elective at a rural ED. I was often bored. I did get some procedures, and there were no other students/learners there as competition for anything. But the volume just wasn't there for substantial hands-on learning. I did, however, score a letter of recommendation from one of the docs so it wasn't a complete waste of time.

What the others have said. Regardless about the other job being at a trauma center - 99% sure you will be in fast track as a brand new grad and not be involved in any traumas or really sick patients. In fact, if you were, I'd be worried about the staffing and patient safety at that site if you were managing these patients as a new grad. Residency/fellowship is the complete opposite. You are b@lls deep from the start. Again, this is a no-brainer.

Getting a second job without residents may work, but you also should be aware that most likely won't be at a level 1 center because most trauma centers (at least level 1s) are academic centers with residents. So going elsewhere may not improve your chances of seeing or managing these patients by a significant margin. Obviously there are level 2s, level 3s, and community hospitals that see trauma patients for definitive care or at least stabilization, but the bulk of the interesting trauma goes to level 1s (as it should). I'd agree with everything Randito said. And in my experience that is the case - residents often appreciate the help (at least at my residency they did). Working nights may get you more access. Oh, and go ahead and work the night of the 4th of July