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About dphy83

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    Physician Assistant

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  1. I hate being incorrect (but it often happens), so I wanted to look into my salary comments regarding the 2 year residency on Long Island. The site is: http://www.lijed.com/?q=content/pa-em-fellowship-0 . No mention of salary or curriculum. There is also a 24 month program on Staten Island (link at bottom). This one actually does pay $94k PER 12 month period. That's almost 50% more than most residencies pay, so that's a pretty sweet deal. What I can't speak to, however, is the curriculum. I have no clue what your clinical EM shifts are like, what off-service rotations you complete, etc. Site just mentions, "5 hours of didactic conferences each week, specialty procedure labs, emergency ultrasound training, emergency medicine research opportunities as well as ACLS, ATLS, and PALS certification." http://www.statenislandem.com/pa-emergency-medicine-fellowship Not sure why these are 24 months in length. I think most of what you need out of a residency is adequately obtained in the 12 or 18 month ones. Maybe they add in some fast track or other additional shifts to get their money's worth? Maybe they train you up then have you employed for 6 months as an otherwise residency trained PA? Who knows?
  2. Nurses and the alphabet soup that follows their name.... But interesting to hear your reasoning. I, too, have considered a business education. Just not sure I have a need for it yet, or how I would specifically use it in the future. Plus, not looking for more student debt at this point.
  3. Long story short.... Harrison's? Full disclosure - I am not a hospitalist PA. But I've hear this is IM's book just at Rosen's is EM's. Also check out the Curbsiders podcast. Mass Gen has some good pocket books.
  4. I'm in a different field, but may I ask what prompted you to take it, and if you think it will be beneficial in any way since you are already employed?
  5. Is there a specific Navy unit to attempt joining? Also, and fully understanding the concept of, "needs of the ____ (fill in service branch)," does one have any say as far as what type of medicine they would be practicing in a Reserve/NG component?
  6. If that is the field of medicine that you are interested in working then I would highly consider it. Cant speak to that residency, specifically, but their EM residency looks great, and had I not gotten into my #1 EM residency I would have gone on to interview for their's. I think a residency in any critical care field, including EM, is a great idea and will really set you apart. One year of relocation and lower salary is well worth it. Little known fact is that you can defer your student loans during these programs, so your ability to live comfortably really isnt that affected for the year of training.
  7. Medical device or pharmaceutical sales would almost certainly have an interest in your education and experience. I'd venture to bet that they would take your experience in lieu of sales/business experience that they usually call for on their job postings. In fact, I've often thought about applying for these positions as I, too, frequently have a burned out feeling. But to keep these jobs you have to perform at a certain level (ie. Sales quota) which raises its own set of challenges and concerns (at least at my current job I'm guaranteed a set amount of pay). Another career that I only recently learned about was that of a medical liaison. Again, these are often with pharmaceutical companies, and many prefer PhD or physician applicants, but I think as a PA youd stand a decent shot. If there is a PA program in their area inquire about any faculty or instructor positions.
  8. That long island residency where you earn 90k is for the entire length of the program, which is for 1.5-2 years, if I remember correctly. Also, if I remember correctly, it didnt look like a very good program. I dont have the interest to look into it for the sake of this post. But 50-60k for a residency is the going rate, which isnt bad considering you are there to learn. I have no regrets about doing an EM residency (in order to practice in EM). I've had my pick of EM jobs - every EM job I've applied for I've been offered the position.
  9. It's mostly about job satisfaction for me, at this point. I'm really wanting critical care, but I'm not finding it in my area. I'm not wanting to permanently relocate either, as I just moved to this area specifically to be by friends and family. Im in EM currently, so taking a critical care job is almost definitely going to result in a pay cut, but I would plan on continuing to work EM on the side. With the location of the job that I have a chance of getting (Chicago), financially it probably wouldnt make sense considering considering additional state and city income taxe, travel, lodging. Frustrating. Thanks again to everyone for your input. I think I knew it wasnt a great option for me but was just really wanting this job that i needed to hear others' thoughts.
  10. What type of ICU are you in? If you work with trauma/surgical patients I think EAST has a conference. Otherwise I cant speak specifically for critical care but a lot of EM conferences would have some relevance. I'll be at the ResusX conference next month which should be fun but is probably more flashy given that it's with a lot of the famous FOAMed and EMCrit crew. Other options for CME money could be procedural courses if you have any holes there, which I doubt given your fellowship training. Maybe an ultrasound course? You could also use the money for journal subscriptions, which are surprisingly, and ridiculously, expensive. When all else fails, choose a conference in a destination you want to visit
  11. Sorry to jump in here, but arent CRNAs largely limited to perioperative and intraoperative care (not counting consulting on someone for a blood patch or similar). If I'm correct in my thought, I dont see where you're torn, as the two profession are vastly different - if you want to manage critical care patients you should stick with NP. I also may be misunderstanding what you're describing when you say you want to manage critical patients as a CRNA. Please enlighten me.
  12. Have a friend who works nights in EM in Texas at 100/hr (at large hospital). They're out there.
  13. Thanks everyone for the input. The job would be for the CT ICU at a large academic center so I would imagine I have zero negotiation power as far as travel or lodging reimbursement. They would have no trouble finding someone else to take the position, I'm sure, since it's in a large city. I hear he sentiment on missing out on things in life, which is one of the reasons I moved back to my current location - to be closer to family and friends - so extended time away would stink. But I think, clinically, the job would be beneficial as far as professional growth and job satisfaction. That tradeoff is where I am stuck. I am having a hard time getting into critical care in my local area. Didnt think the transition from the ED would be so difficult (even with an EM residency) but I've had no luck thus far. With being taxed four times on the income from the new job (federal, state of residence, state of employment, city of employment income tax) I'd probably be left with peanuts. Just want to make a sound, reasonable decision and not an emotional one because it's a job I think id love. Thanks again, everyone.
  14. I am exploring out of town options in order to work in a clinical area that more interests me. I'm pretty happy with where I live, however, there are limited job opportunities in the area of practice that I am seeking. I have been exploring locations out of town, and I am wondering if anyone has any experience working in locations several hours from home? I have an offer for an interview in a city that is a 5 hour drive away. Is it realistic and sustainable to live where I am and work in such a location if I can get the employer to schedule my shifts in a row so that I can just drive there, stay and work my shifts, then return home (or a similar situation where I fly somewhere, work my shifts, and return home)?
  15. Took it in Kansas City this year. I thought it was well done. Had good amount of hands-on practice. Of course, this was my first time taking it so I have nothing to compare it to.
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