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About dphy83

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    Physician Assistant

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  1. The above are all good. Starting out for podcasts I will echo RebelEM (good, concise literature review and recs kind of like a journal club) and EMRAP (EMRAP costs money but has the bonus of providing really good procedure videos on their site but pretty much any procedure video is available on youtube these days). I've heard people mention EM Basics is good but I've never listened to it. After you gain quite a bit of experience and start working in the main part of ED EMCrit is interesting. For books Dubin is good for ECGs then advanced stuff like Steve Smith and Amal Mattu. Chief Complaint is one of the more affordable and readable books that will help you with your "can't miss" differential. EMRA antibiotic guide, as mentioned above, is the "book" I probably use most frequently (when you start seeing more critical patients EMRA also has a handy Pressordex). If you just really want to commit some money to your emergency medicine education buy the Rosen's set (probably $300 bucks but regarded as the EM bible and is still relevant even though it is the dreaded, slandered textbook). Tintanellis (full or pocket) is also good. A good procedure textbook is Robert and Hedges (another $100+ investment). Good websites are uptodate (subscription required but worth it if your institution doesn't provide it - bonus that you get CME for each page you view). Lifeinthefastlane is good site, especially for ECGs. As mentioned above, Medscape. The EMCrit/PulmCrit site is good but again is more geared towards higher acuity patients. And of course, if you can stomach the low pay, consider residency/fellowship. This is just a small sampling of what's available. sometimes it feels like there are too many resources so finding a few that you really like will just take some time and can get expensive if you buy every shiny object that you see, but a lot of these things are covered by CME money. Conferences are good for some professional growth but are probably more attractive as a means to just get away (so stick with ones in cool locations and don't pick one in BFE). My 2 cents
  2. Hi all, I have a strong interest in joining a Reserve or Guard component as a PA. I am open to AF, Army and Navy. I am just looking for something that will limit monotony and be a rewarding experience (physically, professionally, etc.). I only have civilian clinical experience in emergency medicine (including completion of a Fellowship). I do have prior service time as enlisted Army Infantry. What are your all's thoughts on good fits for me? Bonus appreciation if you are able to provide specific units. Most of the stuff that I have read about seems limited to physician providers or requires active duty service, so I'm reaching out for some help. Thanks in advance. PS: I'm currently located in Missouri, but I am willing to travel to other units for drill/training.
  3. Most of the above are good. I also like to reference the San Francisco Syncope Rule. Also, keep in mind that the ABCD2 score hasn't been validated, particularly for ED use, so I wouldn't use this - just admit all TIAs for workup or discharge AMA if they refuse. Our EM group actually wants us to reference HEART scores for all chest pain patients.
  4. DO IT! I finished my EM residency and have considered going back for a CCM one, but slicing my salary by 60-70% is a tough pill to swallow. As others have mentioned, you'd be well-suited to avoid fatigue/burnout in either of the specialties, which is something that I am trying to balance in the ED right now. I have been searching for some critical care opportunities to help with these feelings, as a result. Finding a similar split post-fellowship would be very hard, so realistically I would bet you'd find a critical care job then do PRN work in an ED (might not even be at the same hospital). During my residency, I actually worked alongside a PA who did the reverse PRN role - he was full-time ED and did occasional shifts in the SICU. Opportunities are there or like you said you may have to sell some facility on creating one. Either way, I think the experience would be incredible.
  5. There probably aren't a plethora of Veteran pre-PA pages because, as a Veteran, you aren't on some ambiguous, parallel track for PA school. You have to go through the same process and rigor as a "traditional" pre-PA student. Thus, the same resources that apply to non-Veteran students and applicants applies to you, as well. Your other talking points are typically well addressed by other resources. Regarding translating military experience into civilian parlance on a CV, your military unit did you a disservice (or you didn't pay attention) during out-processing if they did not review such topics. But never fear, I didn't pay attention either. Student-Veterans are now very common and most large universities have student-Veteran organizations that receive tremendous support from the schools. These organizations are great resources for CV help. Additionally, within these organizations, you will find other student-Veterans which can provide a strong structure of support, socially and academically. Do not underestimate these organizations. Additionally, many large universities actually have courses geared towards Veterans which address your aforementioned concerns and topics of interest. The application process, in my opinion, shouldn't require special guidance. Everything that you are going to apply for should have the requirements (prerequisites, required materials, contact information, etc.) on their website. If you cannot figure this out on your own, then... Transitioning from military to student is tough, especially considering that your previous military job PROBABLY did not require the intense studying or focus that will be required. Your best bet for this information, as previously mentioned, is on-campus student-Veteran organizations, school counselors, and course professors. Like I mentioned, most schools have courses for student-Veterans to assist with this dramatic change, and probably also have similar courses for other non-traditional students (e.g. older, second career, etc), which would be equally effective, that review study tips, learning tools, etc. Being a full-time student is a full-time job, and then some. Most of this process will have to be learned from experience rather than some online PDF guide. Best advice is to over-prepare and then adjust from there after having a good feel for it. Interviewing as student-Veteran is nothing special, in and of itself. Just know how to interact appropriately with people and you'll be fine. Like all people, Veteran or not, it's beneficial to be able to highlight your experience (military or otherwise) and how your experience sets you apart and how it is applicable to the job at hand. It takes practice and some careful thought, but crafting your military experience into your answers is money. Interviewers, employers, and schools, in my experience, have a a seeded preference for military (they may not be able to overtly say as much), so just having the experience will help you get your foot in the door, but you still have to be a normal human who can effectively communicate (and who has produced results) to take it further. There isn't a cookie cutter formula for incorporating your military experience, but spend the time to write out your responses to likely interview questions and practice reciting them aloud (yes, physically write your answers, study them, speak out loud in front of a mirror!). This has worked well for me through numerous interviews, and I am yet to field an unexpected interview question. Scholarships and alternative funding - Google, guidance counselors, scholarship/grant databases. Honestly, my GI Bill covered the entirety of my undergraduate education, including living expenses (I also worked 15-25 hours/week). To echo AdamPAS, there are a bunch of PA schools that are Veteran friendly. Again, Google them. Some programs actually rceive grants to ensure Veterans are represented in their ranks and have an associated quota for Veterans in each PA class. Your desire to compile a list of resources is admirable, but I honestly just don't think it's required. There are just too many other resources out there that are a few keystrokes away that are more applicable to the Veteran population than you think.
  6. Not to be over-generalized, but something to keep your eyes on as more research is done. https://jamanetwork.com/journals/jama/article-abstract/2661581?redirect=true
  7. I wouldn't list the numbers. NPI is assumed, and when they need it they'll ask for it. I would list that you have a DEA certificate, as this translates into money saved on having to pay for one for you, assuming you can transfer yours to another supervisor/facility/state/whatever the case may be.
  8. dphy83

    Dell Seton

    Does anyone work in the ED at Dell Seton Medical Center in Austin? I have a couple of questions for anyone that does. Thanks.
  9. I do not have a non-compete. And my question may very well not make sense to anyone but myself. I guess, basically, I just want to ensure that there is no downside to working per diem at another site within the larger network of my full time job. After rethinking it, it doesn't seem like there would be. But I have never had any per diem stuff before.
  10. Sorry if this has been answered before but I did not see a similar question in a quick search. I am interested in adding some per diem work, either at an urgent care or another ER. I work with a group that is contracted to staff an ED at a facility that is part of a larger health network. Is there any reason I should avoid per diem work at another site within this health network? I would imagine that this could potentially make credentialing slightly easier, but would this have any effect on my employment status (1099 vs PT vs something else), pay, benefits, etc.? Or would I be wiser to simply look for a PD gig not affiliated in any way with my FT job? This is in Texas by the way.
  11. If this is the CEP America at Arrowhead then it's been around a while and pumps out grads because of its class size. The one at Kaweah (?spelling) is fairly new. For what it's worth I've heard good things about the Arrowhead program, but yes, the hours would make it tough for a single parent.
  12. Do you mean that you are covering for providers that call in sick, or are you covering patients that that are there for acute issues?
  13. I think that this seems like a decent offer. With typical Midwest cost of living you should be quite comfortable. The CME is on the lower end but I have seen lower. Ask if they provide ACLS, PALS, and ATLS (they should if it's a level II). If so then 1500 CME isnt so bad and can get you (most of) one good conference per year which is really all you need. Agreed the 1/2 salary for a full month is stinky (which actually lowers your above anticipated salary by about 3 grand). I think 2 weeks of that salary is fair-ish. Maybe meet them somewhat in the middle and offer to work 9 or so shifts at that rate for 2 weeks? Or just let it go and suck it up for a month. Either way I think it's a decent offer. Nice work.
  14. As someone in a residency (Not critical care), I say do the residency and just about any future jobs that you apply to in that field will likely be in the bag. As far as locums go, I have heard that is not the best route for someone without experience. The expectation from the site that is to be staffed is that you know what you are doing and can hit the ground running. I agree that with such a short amount of time between graduation and residency you should take some time off and enjoy it. You can fill some of that time with study but definitely take a mental break, as residency is fairly demanding. If you can't afford to sit around, financially, maybe you can find a per diem urgent care job? Keep in mind that every job you take equals more pain in the a$$ paperwork in the future every time you apply for a new job, license, or credentialing (may not be a big deal to some but I loathe paperwork).
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