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Showing content with the highest reputation since 04/18/2024 in Posts

  1. Congrats to all those who were accepted so far. I am a current student in the cohort so feel free to reach out to me if you have any questions regarding housing, curriculum, documents needed, etc. For those still waiting to hear back, good luck to you all. Remember the faculty members who are reviewing your apps are also practicing clinicians on top of being professors as well. They are very busy and it is a very busy time for them right now. My class is about to find out our clinical site rotations for next year, so they are working on that and we have a lot of events going on around the community that many of the staff are actively involved in as well. I know its hard, but be patient and try to remain positive. *For context, most of my class did not hear back until mid Jun - Late July last year
    10 points
  2. Hey everyone , congratulations to all those who got accepted this year. I just wanted to add that I wasn’t accepted until July 27th last year, I know the waiting feels brutal but you will get your answers at the right time . Stay encouraged!!
    7 points
  3. Contracted physicians, assistants at Ascension St. John go on strike (detroitnews.com) My entire life I have been anti-union. I have had to change my mind because of the way giant corporations and organizations act.
    5 points
  4. I've been getting more into education. How I did it was just apply broadly to positions near me. Just kept searching and applying and eventually got a "part time - temporary" position as course director for pathophysiology, which has led to me being a regular guest lecturer now on topics that I'm more of an expert in. After this I applied for a full time remote teaching position for a DMS program. They didn't want me for full time, but also made me course director for a singe course, I think really as a trial. I've seen lots of friends get teaching jobs at their alma mater if they stayed local to it. That seems to be much easier since they know you a lot better. Some relevant information about teaching: Being "part-time" but course director is grueling. It's essentially having 2 full time jobs, it just lasts for a semester. For live teaching, I was given old lectures to work off of, but if you have a perfectionist personality it is still grueling. I was spending at minimum an 8 hour day every week modifying lectures. Then I had to re-write questions based on what I taught. Writing questions and multiple choice answers that are just the right degree of difficulty and not making an error that throws students off is a bit of an undertaking. Guest lecturing is a lot better, but I've found I've rarely been given the amount of time I felt needed to adequately cover a topic, which is frustrating. Plus the pay is terrible and really only do it for the passion. Per hour worked, I really feel like I'm making elementary teacher pay. Plus managing your clinical schedule to work around the student class schedule is a real pain. For remote teaching, it sounds great on paper, but in practice is as much work as live teaching and doing a commute. For me, I found I was not nearly as good of a lecturer recording my class as I was live speaking off the cuff. Lots of time spent editing recordings. Remote teaching, at least for doctoral programs, requires a LOT of discussion assignments, which you have to moderate, further the discussion, evaluate proper citations, etc. It's like grading several essays every week, which is not an insignificant amount of time, especially when you are working full time clinically. Plus you never really get those student "ah-ha!" moments that are rewarding in live classrooms. I've decided being the course director is really not for me, at least not while working clinically full time. I do it again since it got me into guest lecture work that I enjoy, but boy was I burning the candle at both ends during that semester both live and online courses. Unexpected bonus to teaching: I learned so much from teaching pathophysiology. It made me a better clinician and a better preceptor having to go back and relearn it all to teach, basically reading all of Rubin's Pathology.
    5 points
  5. JUST GOT THE CALL TODAY AROUND 3pm PST FUTURE PA INCOMING
    4 points
  6. I just got the call!!!!!!!! I’m in!!!!
    4 points
  7. I would call their bluff immediately. Find a new job and leave before they "fine" you (notice or not, forget about it at this point), and then see if they actually want to come after you for non-compete in this day and age (they won't).
    4 points
  8. Do the fellowship. I did one in EM, to be honest wasn't fun but did I learn a ton. I love what I do now and it would have taken me 10 years and multiple differences jobs to get the experience I got from residency. I now work rural EM, am the only PA in the group, others are docs, I'm their first PA and wouldn't have got that role without residency
    4 points
  9. Not all acceptances have gone out yet, they’re going through the applications slowly so acceptances are being sent out sporadically until end of April . Spoke to admissions
    4 points
  10. Looking at the article closer you can see how the dishonest "managers" massage the numbers. While the Docs say patients are waiting 17 hours, management says it's a 23 minute door to doc time. And management says the patients per hour has gone from 2.3 to 1.9. What this REALLY means is they hired a new grad NP to be "triage" and see everyone at check-in, which dropped their vaunted "door to doc" time to 23 minutes. But then patients are sent back to the waiting room for another 16.5 hours. But hey...they are meeting the metrics! And the patients per hour has gone from 2.3 to 1.9 because the processes implemented by TeamHealth slows down the providers, and of course the hospital is probably critically short of nurses so slower room turnovers, closed wings, etc.
    4 points
  11. I got an acceptance call today!
    3 points
  12. I also got called!! I'm going to be a Carolina PA!!!
    3 points
  13. I know it's difficult to wait but you gotta keep in mind that they have alot of stuff on their plate especially when reviewing and selecting 90 students out of the 300, also the responsibilities of teaching, organizing and planning for the current 180 students that are enrolled into this program, I find it okay that they are taking this long they are also human who have many responsibilties to take into account
    3 points
  14. wow just wow 1- you gotta have a boat load of late charts 2- you must have really ticked someone off 3- get them charts done and the issue goes away!!
    3 points
  15. YEAHHHHHH Just picked up a Specialized Como SL - sit upright ebike... front rack, rear rack, lights..... 4.8 miles each way and it is a breeze!!
    3 points
  16. Just a quick question from a management perspective (I have never been in a management position), how many charts do you have that are late? What is the definition of a late or overdue chart in your organization? I find that my charting is more accurate if completed within 24 hours. Definitely not being critical here, just looking for some perspective to your situation.
    3 points
  17. This! It took me 15 years to get the skills and experience I needed to get a rural/solo job. I could have gotten one right out of residency if it had been an option when I graduated.
    3 points
  18. That's pretty much all of corporate healthcare these days, event the so-called "non-profit" places.
    3 points
  19. Just got a call from Barry today and got off the waitlist! Looking forward to connect with the other students
    3 points
  20. They sent out the in-person interview email!
    3 points
  21. FYI the group me has Miami and St Pete students in it so I’m p sure it’s out of 100 and not 76 if that gives you more hope!!
    3 points
  22. Got accepted from the May 6th interview on the 8th! is there a groupme for accepted students? Can't wait to meet everyone.
    2 points
  23. Spending this week riding the 12miles to and from the hospital saving gas and getting leg day everyday for the next 5 days! stay safe out there everyone and be watching our for me
    2 points
  24. Congrats on that fellowship. I am suspect that will be a more meaningful education experience than a PA doctorate. There are many doctorates .... I would better refine your career goals before jumping into one. Academics, hospital admin, pharma industry, public health etc. Lots of jobs out there and the doctorate may vary a bit based on your desired direction. Also they are being created at a high rate .... maybe if some have trouble filling seats they will lower the price? #wishfulthinking Also, haven't you given enough money to the University system? I would focus on making money, and perhaps find a hospital job that will pay XXXX amount of money towards advanced degrees in field. For example my hospital will give up to 12K a year. Personally I am interested in a doctoral program that aligns with my education goals and will cost me 0 through a part time process with that tuition benefit.
    2 points
  25. I said this then 2 days later we have multiple tornados in the area lots of flooding well we will resume the bike riding later hospital is getting slammed and I need to come in way earlier than expected.
    2 points
  26. Before becoming a PA I had 30+ years in fire/EMS. I spent 5 years working in a very busy high acuity level III trauma center before going rural. I was just ready, having taken U/S, ATLS, and other courses and pushed learning procedures and taking higher acuity patients in my 1st job. Over the 6 years I've worked rural, I've learned a massive amount and am still learning. Being a medic teaches you many things, including initial resuscitation of just about everything. Flight will teach you some about maintaining stabilization of critical patients. PA school depending upon your school may teach you some advanced procedures like central lines, LP's, chest tubes, etc. None of those really teaches you the full initial management and diagnostic workup of the very sick or about to be very sick patient. An EM fellowship will do that. I would expect there's some overlap with a critical care fellowship. But, ICU's get the patient after that initial stabilization, workup, and diagnosis has been done in the ED. An EM residency is the fastest way to get the knowledge you'll need to be best prepared for rural with limited or no physician backup. So, you don't "need" the EM residency or fellowship (and it has to be one of the right ones), but you'll be so much better for it. Yes, you'll can get a rural job without one, but again, you won't be as ready.
    2 points
  27. $4500 seems excessive. I don't think this will help with their retention. Also if it's not in a contract it didn't happen unless you signed something additional. I'd get an attorney
    2 points
  28. Interesting but it depends on the OP's job history. Might need a reference from here sometimes. I'd leave, but it seldom pays to be a butt about it.
    2 points
  29. Is your goal to work in trauma or a similar field? Is your job offer in trauma? Do you need the additional training to build your confidence or are you looking at completing the fellowship for additional specialized training and opportunities?
    2 points
  30. Walmart Interesting one of these finally failed. Most of these places sell their soul for money and generally do poor medicine.
    2 points
  31. Patient was tachy, so getting a D Dimer to start the PE workup would be a good idea. I never do a CRP, but I always check a BNP, to eval for heart strain, e.e. from PE. Consider demand ischemia, but those trops are higher than I would expect if that was the case. How was the pt's kidney function?
    2 points
  32. I interviewed 4/22 and was accepted this week!! Can someone send me the group me pls?
    2 points
  33. I have a feeling about this Friday but maybe I'm just hoping
    2 points
  34. I also commute. 2 hrs to my primary job, 1.5 hrs to my secondary job and 3 hrs to my per diem job. typically 186-198 hrs/mo, but can be much higher if I pick up another shift or two. The autonomy is worth the drive. Also much better pay than urban EDs, which would significantly limit my scope of practice. PM me if interested in a very rural job in WA. Solo coverage. Pays $120/hr. 12 and 24 hr shifts available. This is a place I used to work. typical volume around 15-20/24 hrs. The drive was my main issue, not the job itself, which was kind of fun. back to back codes, delivering babies, wild trauma, etc
    2 points
  35. I ,for one, am happy to see the failure of this retail medicine clinic. That is a terrible business model , prioritizing profit over quality care.
    2 points
  36. I hade an old friend who was a program director at a well respected program for many years. He grew the program from new to a couple of hundred students a year with great pass rates and good boards. They got a new dean in his department and he was replaced by the deans buddy for no reason. Another beloved teacher in the same program was removed after years and years of teaching because someone reevaluated his PhD and it wasn't accredited by an organization the program approved of. Academic centers can be viper pits full of climbers that will step on your neck for a promotion.
    2 points
  37. I know your area intimately. You could easily pull down 150k at a rural ED in that area, and probably 190k+ after residency with some leg work. That’s not going to happen at your bigger hospitals in your area, but rural solo EDs will see your value. Also could easily pull more than this in other states, but the cost of living will probably be higher. Residency gets you the job you want wherever you want, but you’ll either sacrifice pay or autonomy still if you choose a highly desirable area like say Denver Colorado or ATL Georgia. Contact me and I can point you in some directions if you want more rural work. Doesn’t necessarily mean you have to live there. I do 24-48 hour shifts and commute to my jobs.
    2 points
  38. I read about lack of PA faculty, but Idk how true that is. I looked at a job on LinkedIn the other day which had over 50 applicants.. I will say anecdotally numerous programs report challenge finding faculty. Many of the new faculty applicants have no experience and often are looking to get out of clinical practice and it is less about a calling to academia Also I would not feel ethical working for one of those no-name for profit schools that have popped up overnight. Some new programs seem to have no business in PA education. I really wish there was a way to cap the number of new programs. Interestingly, I know a few programs where most faculty seem to come from same niche surgical backgrounds, which makes me question how they are able to teach a wide range of topics.. Some of the strongest PA programs do not rely on core faculty to each every topic. Employing a diverse group of adjuncts with various specialties. I tell pre PA applicants if the same faculty member is teaching cardiology, neurology, pediatrics, radiology do yourself a favor and do not apply. Very important to any PA applicant viewing .... find out about clinical rotations (where are they, how established, how are they developed and assessed, exposure to specialties) and didactic lecturers ( are the topics taught by experts in the field? or does someone look up the topic on uptodate the week before).
    2 points
  39. I have been just staring at my email inbox all day like a crazy person
    2 points
  40. You won't know everything in medicine. That's a fact. There's just too much to cram in to two years of PA school. PA school is really designed to teach you to evaluate and treat medical conditions by utilizing pre-PA skills. If you didn't have a prior medical career (like me and most PA students nowadays), you will struggle to some extent because you are learning even the basic stuff. Keep learning how to form a good differential, take a good history, and perform a good exam. And then work on understanding the concepts within each system. Focus your first years out in practice on filling in any blanks and get a job that has mentorship. Accepted it and understood that it's not a competition. In medicine you won't know everything and you're not taking a test so do your best to learn how to evaluate a patient and what next steps need to be taken to take care of the patient. No. There are still some areas I'm weaker in and so I just don't work in those areas. Mainly because those concepts aren't as natural for me to understand so I don't like them. Lol. I like understanding things. The unknown bothers me. I don't really remember what grades I got but I didn't get straight A's.
    2 points
  41. Omg nothing yet. I am sick waiting.
    2 points
  42. Starting this for this cycle. Good luck everyone!
    2 points
  43. Please don’t answer for me in fact I am a disabled vet and yes I get care from the VA
    2 points
  44. I was offered a spot off the waitlist 2 weeks ago, but ultimately declined. Hoping this spot goes to you guys!!
    2 points
  45. Have you ever sought care at the VA? No, I haven't worked at a VA. I did apply to their ED about 10 years ago. Despite being a disabled retired military, which should have put me at the top of the list for hiring, I never heard back from them. Until about a YEAR later. One of my co-workers leaves her job to go work for the VA ED. She had applied about a year before as well, took them months to get back with her, and then about 9 months of bureaucracy before she would finally start. She quit her job and started at the VA. She lasted exactly 1 shift before quitting because, in her words, the EMR was horrible. The day she returned to work with me, I got a call from the VA asking if I could interview....TOMORROW! Ummm....nope. Getting CARE at the VA shows the obvious bureaucratical bungling.
    2 points
  46. You are not required to PAY the union at the VA. PERIOD. I never have and never will. The Union Rep where I am has not impressed me nor shown any interest in any emails I ever sent him in 7+ years. In fact, I got ZERO response to inquiring emails. ZERO. So, I am not paying for absence of service.
    2 points
  47. I am with you. there is no ability to push back against huge companies as one person. add in the financial incentives to take advantage of PA and the only answer is unions!
    2 points
  48. Anyone hear anything?? I have anxiety with this waitlist since the new cycle is about to open, i feel like im in a scary limbo phase lol
    2 points
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