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kmash

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  1. It's because overall, ED volumes are significantly down. I was supposed to start in the ED as a new grad, but the director told me they need to postpone until volumes come back up. They were typically seeing 180 patients per day and now it's down to 80-100. True, people with lower acuity complaints aren't coming in, but the other problem is that people with high acuity problems have been afraid to come in and they have been putting off issues until it's too late. So they're been getting higher mortality rates from MIs and strokes because people have been waiting to come in. They are unsure when the volumes will come back up, but I'm kind of optimistic it will happen in the next few months. This same thing is happening to my classmates in all specialities.
  2. So I just ran into a similar situation. I just graduated a few weeks ago. My PANCE was initially scheduled for 4/29, but do to Covid it got randomly rescheduled to the end of July. I'm in California and started searching all over California, but no spots in April were open. I finally found a spot in Salt Lake City, UT, but I kept checking all over and another spot in Las Vegas, NV opened. I was advised by a Pearson center in San Diego to keep checking daily as they were opening spots regularly. Slowly but surely, a few spots in California began to open and I had classmates at their local hometowns have spots open as well. Overall, my advice would be to check a few times a day at the locations that you want to test at to see if any slots opened up. It's annoying cause you have had your heart set on a test date, but adaptation is apart of our field I guess. I took my test on 4/20/2020 and thankfully passed. Keep at it, keep reviewing, and you'll be ready whenever you find a test time.
  3. Can't practice without the PANCE in California. Mine got rescheduled for almost 3 month out from my original date. I initially found a spot 2 states away, then they opened a spot in Las Vegas, and then they opened some testing centers/slots and I snagged it. My PANCE is now in 7 days!! So my advice would be to keep checking local and distant testing centers to see if slots open, which they're doing for people taking medical tests.
  4. You and I are in the same boat. I've been doing a ton of Rosh questions and then supplementing with PPP. I've been finding it really helpful to study with classmates even if it's on the phone. Testing each other and talking through things has been helpful for me. Everybody seems to have their strengths in particular subjects. Some of the questions on Rosh seem really out there, but I think focusing on the subjects that you're the most deficient in is going to pay off in the end.
  5. I seemed to go with the majority. Clinical picture is huge and I was taught to never discharge persistent tachycardia.
  6. You need a social support system, a mentor, and to someone to encourage you. There's no harm is seeking mental health services if you feel stuck. It's okay to ask questions, it's okay to not know, and it's okay to reach out for help (further than this forum). It's how people thrive in life. Success is not a solo mission, even for the most arrogant providers. They might want to create that perception, but everyone looks up to someone else.
  7. Got an interview invite today. Might reject it cause I got into a program that starts in January that I have my mind set on.
  8. If you're not really into Macs, I really like the Lenovo's. They're great computers, especially for the price, and have the best keyboard action out of any other brand that I have used.
  9. Happily rejected yesterday. Got into another program, so it softens the blow. Good luck to everyone!
  10. I'm a scribe pending PA school in January and in the ED, we see 15-20 patients in a 10 hour shift. If they are time consuming patients (conscious sedation, reductions, extensive lacerations, PO contrast), then we'll see about 15. I love staying busy though cause it makes the day fly by.
  11. They are provisionally accredited, but they're just starting out and need a trial run before having continued accreditation status. The fact that they have had 0 citations and their first class had a 100% pass rate on the PANCE exam are very good indicators. If there is a provisionally accredited school that does not end up getting fully accredited at their review, students are still eligible to sit in on the PANCE exam, which is ultimately what you want. So it's not really a red flag, it's just the way new programs start out. Everything is pointing in the right direction given their location, 0 citations, and 100% PANCE pass rate on the first class. It means they have their ducks in a row and are on the right track. I know the guy who does the PANCE review for MBKU and a few other local schools. He speaks really highly of MBKU and says they have an all-star staff. Surprisingly, he does not say the same thing about Stanford, as he says they're really self-interested and have MD's teaching PA students too much about didactics, and not enough about procedures and practical clinical skills.
  12. I called MBKU today regarding their accreditation status because for some reason I thought they would have updated news in 03-2017. They stated that during their last review, they had 0 citations, but they would not know their full accreditation status until 2019.
  13. Hey everyone, I've been a scribe in a local ED for almost 5 years now and I've had the wonderful opportunity to work with PA's, NP's, MD's, and DO's. I work with incredibly supportive providers who answer all of my questions, whether it's about medicine or life. I've always found it perplexing when I see providers who have been practicing for the same amount of time have different attitudes when they come into work. Sometimes, you get a highly enthusiastic provider who is always hungry for more, and sometimes, you get a provider who is clearly burnt out and can't wait for their day to end. If there's one thing I learned through working with everyone, it's that money does not buy you happiness. Some providers have told me they mistakenly thought that becoming a doctor would make them happy, and this is the farthest thing from the trust. I'm going to be starting a PA program in January, I love medicine, and I could not be more excited. So I ask the common question: what do you think is the secret to longevity in your career? Some varying answers I've gotten include having a meaningful life outside of work, but the one that resonated with me the most was having a continued appreciation for what you do. Just curious what your thoughts are, especially those of you who have been in the field for quite some time.
  14. Some things I've picked up as a scribe... Don't push propofol assuming nurses placed the the pads for cardioversion... Always ask medics if POLST form is available Don't discharge patients with unexplained tachycardia Don't give heparin to AMI patient who already has a headache If a patient confirms their chest pain is made worse with movement, clarify movement of the torso, because they can interpret movement as going up stairs. Diabetic shoulder pains=rule out AMI
  15. I emailed them last week to see where they are with my application since I submitted it the first week of May. They said they were extremely busy and will get to it late last week or early this week. Now it's late in the current week, haven't heard back, and I can't hold my breath much longer!! At least they respond to emails really quick!
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