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dphy83

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About dphy83

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  1. Honestly I would be interested in doing both. I wouldn't object to doing a couple paramedic shifts each month because I think they'd be interesting, and I'd do it as a paramedic for paramedic pay. Similarly, I'd be open to doing some transport stuff in a paramedic function, as I dont think the flight services in my area employ PAs. Just trying to break up the monotony a little bit.
  2. I like that! I would just need to get my basic EMT to do that program. Very interesting.
  3. As a PA, if I were to go through the process of gaining paramedic certification would any of the requirements be waived (or able to be tested out of)? I have no prior EMS experience, only EM experience as a PA.
  4. I feel bad (but only a little) for resurrecting this 2 year old thread, but what, if any, reserve or NG units would best afford a PA to fly. Fairly determined to join one of the part time branches as a PA, but just trying to ensure I join the one I'd enjoy the most. I'm prior enlisted in the infantry, so I'm partial to being as close to the front as possible if ever deployed.
  5. IV tylenol is interesting and has a role. Not sure if it has same efficacy on visceral type pain as MSK but this study is interesting: https://jamanetwork.com/journals/jama/fullarticle/2661581 I worked with the PI during the study so maybe I'm biased. Kind of an apples to oranges comparision but food for thought. And if you're worried about QTc prolongation just use compazine.
  6. What would extending to become an E5 gain you? Unless you needed to extend your contract to reclassify into a medical role for the health care experience requirement (but there are likely quicker ways to gain that experience as a civilian than another 3 year enlistment). If you want to be a PA, apply to PA school. In your situation sounds like you'll have to go the civilian route anyway because I dont think the Navy has a PA program like Army/Air Force, but I could be wrong.
  7. Exactly what I was thinking. Lot's of pointing fingers at everyone but the one in the mirror. Yeah, could have been a toxic job, but maybe you were, in fact, not performing well. Or perhaps the SP was fully expecting you to be a "yes man" and was upset when you declined the responsibilities that you were not yet comfortable with. Not enough info to determine which is the case. I'll offer that I have not once had a list of milestones of job performance/progression, a checklist, or anything else when starting a new job (albeit, I've only had 3 jobs). Sounds like you asked the right questions during the interview, as those are ones that I believe need to be asked. But if you are not getting unsolicited feedback on your job performance then you need to seek out that feedback for yourself. If informal questions regarding your performance that are asked in passing are not being answered then try to make it a more formal process. Ask for 15-20 dedicated minutes in their office to get this feedback. Probably just my unpopular view but this sounds like a sour grapes situation to me. But I can also be an A-hole and and not a fan of pity parties (and also my girlfriend's dog sh*t on the carpet (again) today).
  8. Agreed that a NG SF unit would be quite interesting, but I've heard, albeit not first hand, that those slots are selective and they prefer previous SF guys to fill them. Dont think my previous infantry experience would carry much weight. Guess I could reach out to those units by phone to inquire, since I am still waiting on a call back from ARMEDD recruiter.
  9. Any hospitalist positions nearby? That would also provide good experience.
  10. Do you all find that you enjoy these positions more than your typical ED gigs? I'm only 2 years removed from my EM residency and am already feeling the burnout creep in, and actually have been for a while. I mean, I still love the pathology, but it's the patients who are whittling away at me (with some blame also assigned to the obligatory fast track shifts i have to do each month, but those two often go hand in hand). I'm trying to get out of the field, but only for the right jobs in my local area for now. But if these critical access/rural solo or 2 provider EDs might be a solution maybe I'll just pack up and move to do it in several years. These jobs sound fascinating in the typewritten word on these forums.
  11. Does one just pick random, isolated towns and search the job boards, or how does one find these positions?
  12. I looked through them when I was in school, but there is a whole series of books called Case Files where you read vignettes and work through the problems. There is basically one for each of the big areas of medicine - ER, peds, surgery, etc.
  13. Integrating it into the PA curriculum sounds interesting. Honestly, I wish we had dedicated radiological anatomy in PA school where you learn anatomy as traditionally taught, but then you also learn it by various radiological techniques (eg. XR, CT, US, MRI, etc) simultaneously in the classroom. Similarly, learning pathology in this manner would help. But PA school is already so condensed I imagine this would be difficult. Plus, POCUS really hasn't come into the mainstream until the last several years, so finding faculty might be hard short of finding some bored radiologist to teach the stuff. I just dont think it is something that could realistically become standardized across all 200 or so PA programs. On a different note, has anyone attended the Castlefest conference? I'm considering it but am interested in feedback from those who have attended.
  14. Heck yes to the haldol. My go-to, as well. For pain they usually get toradol, ibuprofen, tylenol, possibly some Bentyl. Agree with EMED - no opiates from me for CVS. The beauty of giving the PO meds as it also can act as their PO challenge. I genuinely try to keep these patients for as little while as possible, so once I stop the vomiting, give an analgesic, ensure they're PO tolerant, and dump a liter or two of IV fluids in them they're out the door (assuming all workup in the interim is normal).
  15. I'm assuming all still TBD. They are supposed to have a meeting between the trauma director and ED director soon, so I'm assuming this would be discussed then. OR decision and dispo, unless there are clear transfer protocols, would be trauma's call if I had to assume. In fact, if I'm foolishly making assumptions it would be that if trauma is consulted then they would be putting in the orders and otherwise running the show. Procedure-wise, I guess it depends on how emergent it needs to be done. If it's an unannounced trauma then the ED provider may be the one to do it depending on trauma response time. But in all likelihood it will be a shared effort. This isnt an academic center so there isnt a plethora of ED or surgical resident hands floating around to occupy all procedures. If they're admitted to trauma and in the hospital then all responsibilities would be up to trauma team unless they are in an ICU setting. Then the critical care doc may be first to respond. Like I said, a lot to still be determined and a lot that probably wasnt discussed during the interview. All of this is good feedback. Thanks, y'all.
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