jimmysmom Posted July 10, 2010 Share Posted July 10, 2010 New grad. First job. Great docs and so much to be learned!! Just feeling a little lonely :smile: Link to comment Share on other sites More sharing options...
andersenpa Posted July 10, 2010 Share Posted July 10, 2010 Sign up for the FCCS Course offered through SCCM, and you should join SCCM...you'll get CCM journal and email updates/etc.... MDLinx is a site that emails journal articles as they come out on your topic of choice. Log your procedures as they come. And I recommend getting one CCM major text (Irwin and Rippe, Civetta) and one "handbook", Marino is a good start. Good luck! Link to comment Share on other sites More sharing options...
jimmysmom Posted July 11, 2010 Author Share Posted July 11, 2010 Thanks for the tips! Link to comment Share on other sites More sharing options...
crieman Posted September 15, 2010 Share Posted September 15, 2010 I've been pushing for a pulmonary/critical care thread here for a while. Where do you work? I second the SCCM, awesome resource for everything critical care. Link to comment Share on other sites More sharing options...
jimmysmom Posted September 22, 2010 Author Share Posted September 22, 2010 I have (I think) a great setup. Three outpatient offices within 30 minutes of my home where I rotate working with three different docs. I'm in the process of getting credentialed at 3 hospitals and an LTAC and most of my days will be spent covering inpatient, including the unit. I'm a little greedy by nature and I'm excited for the opportunity to learn SO MUCH MEDICINE!!! Ultimately I want to work in surgery but at this point I'm really enjoying clinic and my patients. How about you? Link to comment Share on other sites More sharing options...
andersenpa Posted September 22, 2010 Share Posted September 22, 2010 I have (I think) a great setup. Three outpatient offices within 30 minutes of my home where I rotate working with three different docs. I'm in the process of getting credentialed at 3 hospitals and an LTAC and most of my days will be spent covering inpatient, including the unit. I'm a little greedy by nature and I'm excited for the opportunity to learn SO MUCH MEDICINE!!! Ultimately I want to work in surgery but at this point I'm really enjoying clinic and my patients. How about you? you're on a good track. If you have critical care and clinic medicine down you will be a studly (gender neutral) surgical PA. Link to comment Share on other sites More sharing options...
IcuPAC Posted October 3, 2010 Share Posted October 3, 2010 I'd like to see a critical care forum as well. I work on the West Coast as a Critical Care PA. My service covers the medical ICU patients, and consults on cardiothoracic post-ops, as well as neuro/trauma cases. I've been doing it for two years and love it. There's plently of procedures (central lines, a-lines, as well as some chest-tubes and intubations), and always lots of interesting internal medicine and ventilator management. From what I can tell from the AAPA census, there's not too many of us, at least on the West Coast... Something like 22 people out of around 1100 respondants. Let's get a discussion going about issues related to PAs in the ICU! I'll start - anyone taking first call at night? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 3, 2010 Moderator Share Posted October 3, 2010 the critical care pa's at one of my per diem jobs (at a level 1 trauma ctr) take 1st call to the icu and the er. Link to comment Share on other sites More sharing options...
crieman Posted October 3, 2010 Share Posted October 3, 2010 We do NO call at all which is very nice. We are just starting our critical care role though so there's likely plenty that will change. The two PA's in our service started with all of the pulmonary patients and critical care transfers on the floor. About 9 months ago they started giving us 6-7 patients a day in the ICU to see. Now we do one weekend a month where we are only in the ICU and then we're off the following mon, tues. We only do procedures occasionally due to the number of residents in the ICU. So far in 9 months I think I've done 5 central lines and that's it! The physicians aren't very supportive of us doing procedures yet but hopefully that'll change. Next month they're sending us to the FCCS course in Portland so the support is growing, slowly. We don't have vent privileges either but routinely make changes to them so I believe that will be our next endeavor. I'm excited to see this turn into a true critical care role but it's going to take a while and unfortunately I'm not the most patient person. I am however, gaining priceless experience because they really do allow us to manage some very sick patients. Link to comment Share on other sites More sharing options...
andersenpa Posted October 3, 2010 Share Posted October 3, 2010 Let's get a discussion going about issues related to PAs in the ICU! I'll start - anyone taking first call at night? Check out this thread http://www.physicianassistantforum.com/forums/thread10141.html Link to comment Share on other sites More sharing options...
peteypete Posted October 5, 2010 Share Posted October 5, 2010 i've been working in critical care for about three years now here in Delaware. wondering if you guys can help me with some questions i have about salary. what is the going rate of a critical care PA working 36 hr weeks and doing 12 hr call nights (first call for the ER,ICU, and floors). I'm in the process of establishing a mid level program but having difficulties with the higher ups about how much we should be paying the new hires. Link to comment Share on other sites More sharing options...
klb48 Posted October 24, 2010 Share Posted October 24, 2010 I'm about to start a critical care residency in November.....will be doing adult and peds, cardiac, and neuro icus. Very excited (and nervous). But a critical care thread would be great... Link to comment Share on other sites More sharing options...
Annika Posted June 25, 2015 Share Posted June 25, 2015 Okay- so have done EM med, and now doing pulm as the first midlevel for an 11 doc practice. The docs are amazing (and I will be the first to defend them when someone says anything negative about being a doc, or how great it is- they work their collective butts off) but they have zero idea what do actually do with me. I miss procedures, and miss the ED. Most of the docs want to do sleep medicine more (I understand! Low risk, high RVU's) so I am hoping I can make a case for being a midlevel for the practice that works mainly in the hospital doing the critical care stuff. I am wondering what advice you all have??? TIA Link to comment Share on other sites More sharing options...
tillalb Posted October 14, 2016 Share Posted October 14, 2016 Hi, I see that this thread hasn't been active in a while but I would like to see if there are any PAs interested in a Pulm/CCM job in Maine. I am one of the MDs there and my practice is looking for PAs. I think we have a lot to offer - not the highest salary (for that I guess you have to go Midwest), but everything else fits. I say that as somebody who moved here with a young family only a few months ago - full disclosure: I am not getting paid/incentivized to do this. My only incentive is to have a few additional PAs in our practice who like their job. You would obviously get to talk to our current PA and see what she likes about our practice. I am curious about the PA job market and am trying to get an idea about what people are looking for. Our current PA only works in the office, but we have A LOT of ICU procedures and generally more ICU work than pulm office - you could pick and choose to a degree. Feel free to PM me. Till Update: Looks like for now we are primarily looking for people who would want to work on the pulmonary side of things (primarily outpatient) but I would still like to hear from people interested in ICU work because things may change. The work is there but the framework is more complicated as we are a private practice staffing a non-profit hospital. Link to comment Share on other sites More sharing options...
rjmagic13 Posted December 14, 2016 Share Posted December 14, 2016 I work in Southern California and my hospital does not allow PA/NPs to do procedures although I am in a critical care/pulmonary group. Aside from lines, intubation, thoracentesis, what other procedures are y'all doing in your facilities and if there is a way to get a copy of the procedure protocol or training credentialing from your institiution to show the adminstration here would be greatly appreciated. Its very frustrating here, the surgical PA/NPs cant even pull chest tubes on the floor. The admin has been slow on changing any of the protocols here. I wonder if i'm the only one with this frustration, I doubt its just a West Coast issue. Any assistance would be appreciated. THank you. Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted December 16, 2016 Share Posted December 16, 2016 I'm in the ED. I just got independent intubation privileges (being a medic made the medical director very supportive). I had to document 10 supervised intubations. I do joint reductions (with a doc present for procedural sedation if needed as my state doesn't permit a PA to do that), tap joints. My director is supportive of PA's getting additional privileges, but the real question is whether there will be enough to really support maintaining confidence. Our ED doesn't do many central lines and the surgeons do almost all of the chest tubes. Link to comment Share on other sites More sharing options...
Annika Posted December 20, 2016 Share Posted December 20, 2016 The first thing I would say is that because you are interested in seeking out information, I'd jump to work with you! I took a position in CC/Pulm in the unit. Overall, I miss doing work with awake patients! I did a mix before of pulm and cc medicine, dividing up my clinic with covering the hospital so my docs got a break. this was in CO. I am now in NC, and its just not as good- and if you want to know why, and are looking to find "the one" that will help, I am MORE than happy to discuss with you! PM me and I will share what I think. Fully impressed that you came here to find information. When that is the case, it just does not matter as much about everything else! Hi, I see that this thread hasn't been active in a while but I would like to see if there are any PAs interested in a Pulm/CCM job in Maine. I am one of the MDs there and my practice is looking for PAs. I think we have a lot to offer - not the highest salary (for that I guess you have to go Midwest), but everything else fits. I say that as somebody who moved here with a young family only a few months ago - full disclosure: I am not getting paid/incentivized to do this. My only incentive is to have a few additional PAs in our practice who like their job. You would obviously get to talk to our current PA and see what she likes about our practice. I am curious about the PA job market and am trying to get an idea about what people are looking for. Our current PA only works in the office, but we have A LOT of ICU procedures and generally more ICU work than pulm office - you could pick and choose to a degree. Feel free to PM me. Till Update: Looks like for now we are primarily looking for people who would want to work on the pulmonary side of things (primarily outpatient) but I would still like to hear from people interested in ICU work because things may change. The work is there but the framework is more complicated as we are a private practice staffing a non-profit hospital. Link to comment Share on other sites More sharing options...
eischcream Posted January 10, 2017 Share Posted January 10, 2017 So, I am STRONGLY looking into a new CC Fellowship. I will rotate between all the services and, at the end, ideally get employed into one of the ICU's. Currently, I am doing 3 weeks at XXXXXXX on their Trauma Surgx team. In between Trauma's I work on their Trauma ICU... The question is, there are no PA's here just NP's (XXXXX has a good NP program I have been told). MY observation is that NONE of the NP's do anything I believe I would be doing after the Fellowship (I will be trained on central lines, art lines, PA cath, mechanical vent, CALS, paracentesis, rib blocks, lumbar puncture, ICP monitoring, drain management, immunosupression management, etc... per the Fellowships designed curriculum.). I wonder if this is more a function of the NP's role, if this is secondary to the location/culture here OR am I making a poor assumption that I would do those procedures simply because I receive training for them? Lastly, and unrelated to the above questions, what should I expect as a reasonable compensation AFTER I complete the CC Fellowship (also assuming I stay in CC). Pay has little to do with my motivation to go into this Fellowship BUT in the little research I have done on CC PA salary I didn't find anything really helpful. (per the curriculum I will ACLS, ATLS and FCCS certified by the end). --> No actual figures please, ballpark... Any input is helpful... I am 99% sure I am going this route I am just curious what PA's that work in CC do and what they think of CC. Link to comment Share on other sites More sharing options...
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