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About dphy83

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    Physician Assistant

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  1. dphy83

    Living in NYC

    does anyone have any (helpful) guidance about living in NYC on $50,000 salary? Work would be near the Bronx.
  2. Perhaps elaborate on your lack of oversight? But if others have gotten through it then it's likely that you will as well. So, without knowing anything further, I tend to agree with your seniors and recommend that you roll with it and give it a couple of more months to see how you like it then.
  3. Oh, I agree. I looked at this very program and moved on. My point about trying to retain their graduates was more about offering a retention bonus and not strong arming them into staying. I agree with you 100%
  4. I suspect I know which one is being referred to, though there may be several like this. But i think the one in question is a critical care one at a very legit institution. The education is probably top notch. While off-putting, I'm surprised more programs don't do more to retain their residents after all that is invested.
  5. Skepticism radar is high. Run by a for-profit EM (and other service lines) entity contracted by other facilities. You will be obligated to work several fast track shifts per month in addition to main ED shifts where your true learning occurs. Not that you don't learn or see interesting stuff in FT on occasion. Trust me, their interest lies in grooming a provider to hopefully retain and in money. Reach out to the program director and inquire about off-service rotations, ultrasound training, certification courses, etc. I'd be interested in hearing what they offer. For what it's worth, I met with the med director a couple years ago when I was applying for an EM position at the facility, so my info may be dated. As a general rule, I would stick with academic centers that run alongside physician residency programs
  6. I agree with LT that EM may be the most versatile, though I wouldn't necessarily say "by far." I admit that I may be biased as I've done an EM residency. Even with the 12 month EM residencies I think you become a well rounded provider. I would say that a close second (or maybe a tie?) would be a hospitalist residency as you're also exposed to a WIDE range of pathology (as in EM) but you manage them for longer periods of time, as opposed to just hours in the ED. You will not necessarily become as proficient in the initial resuscitation of the sick if you complete a HM residency, but the sick patients are still very sick even once they get to the floor. Another downside is that you likely will not get as much procedural experience with a HM residency as you do with an EM one. I would say the least versatile would be a critical care one. For the most part you would be managing the sickest of the sick (though there are some soft ICU admissions, admittedly) so you would likely miss out on a big chunk of the patient population. Good procedural training in the ICU, though. The choice all depends on where you see yourself working after completion of one. What type of jobs are you applying to? That may tell you which residency you need.
  7. Vituity is huge in CA. Check there first. I've heard Envision is financially unstable, though they have a ton of jobs on their site (not necessarily in CA).
  8. I'm working in a place that moved to 1 APP/1 doc overnight out of financial necessity due to Covid, whereas it used to be 2 docs overnight. We get a $250 shift bonus for overnights. Shifts run 9p to 7a. Located in medium size but well known city in the Midwest (not Chicago).
  9. This is exactly my reason. It is getting to a point where it is hard to break into certain areas without specific experience in that field or a residency.
  10. I am looking at going back for another residency. Based on conversations that I have had with a couple residency directors that I've spoken with, I think there is a lot of interest in candidates with experience. And I agree with the above statement that you will likely get much more out of a residency with experience. You have a lot of fundamentals down and can use the residency to really expand on those instead if trying to do both at the same time.
  11. If you see yourself doing critical care then I wouldn't pass up this residency just because it was delayed. The residency will pay dividends so it's worth the wait. Find a part time job at a bar or part-time/per diem job at an urgent care - something that is easy to leave behind. You can maintain knowledge by reviewing your phys/pathophys notes if you want, or learn a new topic like vents, as a previous poster stated. But DO NOT PASS UP THE RESIDENCY.
  12. I did it for an EM job for a little over one year. Shift was 10am to 10pm. I agree with the general consensus here that it sucks. You're talking AT LEAST at 15 hour day revolving around work (getting ready in the morning, commute, actual shift time). The ability to anything else somewhat productive on days you work is shot. Depending on how busy shift was I was dog tired when I got home. If you have a family (even if it's just a dog like me) you might feel incredibly guilty for the amount of time you miss around them. And if the schedule is bad that month, either just luck of the draw or you are covering someone who is out for vacation/maternity/sick/whatever and you work 5 or 6+ days in a row you will be extremely tired towards the end of that stretch to where it really didn't feel safe driving home at night. As others have said, it puts miles on your car and you spend a bunch of money on gas each week. I bought a new Jeep and was actually getting quite upset that I was on pace to put about 27k miles on it that year. I would never do it again except for an unrealistically high amount of money.
  13. You'll basically get abnormal psych in PA school when you do your psychiatry block during didactic year. I don't recall learning much about human growth and development as it applies to psychology, but maybe that is just material that I forgot. I honestly do not think either is going to make you more appealing to an admissions committee or a better PA. You have to remember that these are simply one semester or entry level undergrad psych courses - you will neither be proficient nor an expert with either after these classes. If you have time take them both, I guess. Or search out easy science courses to boost science GPA.
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