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CorpsmanUP

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  1. I can confirm first hand both KY and OH are horrible on the pay side. A top children's hospital in OH attempted to recruit me to start a Neo residency for them and to split clinical/admin time 60/40; they offered me almost half of what I was making locums. Their response was "that is what PAs make and are worth." Needless to say I politely declined. The irony is that they are short staffed, looking to expand, and are now paying locums contracts for what I asked for. In regards to KY, they pay ALL of their medical personnel poorly. At the U of KY, one of the two level IV NICUs in the stat
  2. One of the most important things in the military to learn, when someone tells you that you can not do something, ask for the instruction. Here it is... https://doni.documentservices.dla.mil/Directives/01000%20Military%20Personnel%20Support/01-100%20General%20Recruiting%20Records/1120.8A.pdf In regards to not using it. If you are going to move to O4 and beyond, an MPH will most definitely be utilized depending on the specialty of the degree. Do not forget, in the military you are an officer first and a clinician second, that means administrative responsibilities. If you don't like tha
  3. Rev, knowing now some of the dynamics of what happened there, that is not going to happen. I don't agree with what happened, but there are only three people left on the board from that decision. I don't think that should be the singular reason not to work with the AAPA to move things forward for the profession. One reason being, you don't get to vote for individuals not to let it happen again in the future if you aren't a member.
  4. I currently work in Neonatology doing Locums work and am pretty familiar with the national job market. Ikth487 made some very good points that I would like to expand on. 10 years ago, it would have been hard to find a job at most places - now everyone is hiring. The job at that point was saturated by NNPs (Neonatal Nurse Practitioners) but given the increasing size of many NICUs, the resident work duty hours, and the relatively slow growing supply of NNPs, many places have PAs. In fact, most places I know in the northeast now have at least a few PAs. I don't think you'll have any prob
  5. This is a spurious argument, and I think you know it Boats. Just like Physicians are credentialed, so would PAs be. You are not going to get a hospital credentialing committee to sign off on that. As for private practice, practicing outside your training is a quick route to denial of reimbursement from insurance and/or a malpractice suit when you screw up. I believe, and know a lot of physicians that share this sentiment, that while a physician trained in their specialty is the gold standard, a PA is better than a physician practicing out of their specialty. i.e, EM MD> EM PA>
  6. I personally think the answer is the DMSc, a doctorate that is granted alongside a defined post graduate residency (i.e. Lynchburg). In regards to medicine it would be the difference between a PhD and PsyD in pysch. The MD is the gold standard for clinical practice and research, and the DMSc is the standard for clinical practice. Tie this to taking Step 3 at the state level for independent practice. It would also short circuit the NP movement for further encroachment into independent practice in other states. You can go to legislatures with the argument that all clinicians should meet the
  7. Knowing James, he will also enthusiastically pursue a OTP and address the title issue. His CV is candidly, the best of any of the candidates running for a Director at Large position. I know some have expressed concern with his previous time on the NCCPA board and his continued support as they work through the PANRE evolution trial. To those individuals I would suggest looking at the issues as a matter of triage. The most prevalent and profession defining issues before the AAPA right now are OTP and a title change. James will support both. The AAPA does not have the resources to support th
  8. Having worked with both Davids while on the AAPA Board of Directors, Mittman will pursue OTP with enthusiasm. He both understands and clearly articulates why a title change will need to be a part of that. He has my unequivocal support for President. Beth Smolko, is the original author of the OTP resolution and brings an excellent background to the Board. She will continue to pursue advancement of the profession if reelected to the board. Knowing James, he will also enthusiastically pursue a OTP and address the title issue. His CV is candidly, the best of any of the candidates running
  9. I agree with this. There is a reason 5 PA post grad residencies in neonatology have started in the past three years. There is a huge demand and need. In part to the change in peds residency requirements three years ago, and also many peds fellowships only fill half their spots each year. Peds is hurting for bodies. I have multiple offers/contacts every month all over the US, and every one of them is for more than $100+ an hour
  10. If you looked at this option coupled with several of the current three year program curriculums you could actually do a 2+3 or even 1+3 program; where didactics are followed by going directly into residency. Residencies are where clinicians are grown, not student rotations. An excerpt from an article on the texas 3+3 program: https://www.texmed.org/Template.aspx?id=7284 While each program had unique features, the general approach was to choose mature students in the top half of their class to complete the fourth year of medical school and first year of residency concurrently.
  11. Actually Duke has been doing a 1 year didactic program for several years with no adverse impact in Step 1 scores. Harvard moved to a 1 year pre-clinical model in 2015. There are a multitude of programs that do 18 months of didactic education such as Baylor and OHSU to name two. There is also a trend to move away from Step 1 as the determining factor for residency. Unlike Step 2, Step 1 has shown no correlation to clinical competence. I know at UCSF, at least for the Peds program, they used STEP 2 for their benchmark for match the past two years and will do so going forward. Medical e
  12. You can have a friendly practice environment and still have good compensation. Portland, OR starts new grads at $115K + for urgent care. NC, WA, &and numerous other states have good practice rights and good pay. The issue with NY (and PA) mostly comes down to the economics of supply and demand. Those two states have roughly 1/5 of all PA programs in the country between them. Too many programs with new grads every year willing to take any job, regardless of the compensation. That situation is not going to change. Recognizing that, are the situations keeping you in NY really that immutable t
  13. Finally, in regards to keeping up with the deployment environment. It is a big difference from being on humps and kicking down doors with Marines as a Corpsman vs being in a hardened base and working at the NATO Role Three trauma hospital as an officer. Having physical standards to keep up with is a nice additional motivating factor to stay in shape and physically active when I really don’t want to go on a run some days.
  14. Army Reserve and Army National Guard are your best bet for the age waiver, age of 42 limit with waiver needed for beyond that. With your experience you will come in as an O-4, which is roughly $1000 per drill weekend and roughly $3000+ four your two week training obligation. Army 3 year contract is good for $20,000 a year cash bonus, or $25,000 a year loan repayment. You can do a six year contract for both. Navy and Air Force currently do not have bonuses. Health Insurance is $221 a month for a family with max annual out of pocket $500. Acecess to government TSP/401k with lowest
  15. https://www.linkedin.com/jobs/view/neonatal-nurse-practitioner-locum-tenens-at-amn-healthcare-573342914 The link to my position... $165 hr x 144 hr a month = $285,120 gross. I work 12 shifts a month and stack it two weeks on and two weeks off (the equivalent of 36 hours a week). NY is known for having crap pay rates, hence why I won't work there. edited to say: Yes I get overtime for anything over 12 shifts
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