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climbthatmountain

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About climbthatmountain

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  1. I interviewed at a handful of programs before finding the right fit at a place that I will be starting this summer. In my experience, you're spot on as to what they'll be asking. Spend some time preparing, then relax and try to just enjoy the day. You're qualified. If you have an interview that means they are interested in you as a candidate. Now they want to find out who you are as a person and whether they want to work with you for the next 18 months, potentially longer if you were to stay on. I suggest you do a lot of soul searching and really ask yourself the why behind those questions too. Most would agree that a residency gives you a great foundation in EM, that X program has a stellar reputation, but why do YOU want to be there? What brought you to medicine in the first place? People can see right through BS and you don't want to end up somewhere that's a bad fit either. Be yourself, in whatever genuine way that is for you. Every place has a different culture, and some places you might not be the best fit. That's OK. And don't forget, you're interviewing them too! Ask plenty of questions, get to know them too. This is a big sacrifice for you to make. In addition I'd say know everything on your CV, as you may be asked about something specific. A few places asked me some variation of a medical question, ethics or a situational "what would you do next?" type thing. I suspect they're simply getting a feel for your personality and how you respond under stress, not testing your medical knowledge. That's what 2 years of school and the PANCE are for. A little time preparing and you'll do great. Good luck!
  2. No problem! I interviewed there last year. It's been a while so I don't remember many other details aside from what's on their website. At the time I did a good bit of reading on SDN forums and other sites regarding the various physician EM residency programs in NYC (for what that's worth...). There are several and they all seem to have a unique mix of patients and that's something to consider. I'll add that they were everything but explicit that they are looking for candidates who are planning to stay and practice in their ED. That wasn't my top priority and it was pretty clear I wouldn't be a good fit. If you're stuck on NYC I'd also consider the NYU Langone program. 18 months, different patient populations, newer.
  3. I interviewed at the NYP-Weill Cornell program. Seemed to be a solid program and in the middle of NYC. I think that'd be fun. It is only 12 months as opposed to 18, meaning less overall time in the ED and off-service rotations, and will need to work a bit longer before you can take the EM CAQ. That may or may not matter to you.
  4. Seems so obvious now that you say it like that. Ha! Thanks for giving some perspective. I've definitely been stuck in my own head about this. I figured if this residency application season went anything like the last then I would definitely get a position, hence my hesitations.
  5. I should clarify that I don't currently have a residency position. I applied to 6 programs this spring, was offered 5 interviews, actually interviewed at 4, and offered 2 positions. I declined both, as they did not seem like the right fit. Based on this, I'm *assuming* I'll have similar opportunities with the upcoming programs. There are at least 8 that I would happily attend tomorrow, based on secondhand information and reputation of these places. I may be naive, but I think I'll find the right place that will start by next summer. That's the main reason I've been hesitant to accept a traditional (non-locums) job--assuming I'll leave them in <1 year--but maybe I should rethink my logic?
  6. Hi all, I'm graduating PA school tomorrow and taking my PANCE in a week (wooooo!). I'm highly motivated to pursue a career in emergency medicine, particularly rural EM, and interviewed at multiple programs this summer. Unfortunately, I did not get into a program that felt like the right fit for my goals, so I've decided to reapply to more of the quality programs with open applications this fall. Most of these residencies don't start until late next spring or summer. Here's the issue: that would leave me with a minimum 7 month gap in employment, and up to 10 or 11 months, before starting a residency. That's terrifying! As far as I can tell, here are my only options, none feeling all that great: 1. Find a non-clinical job to fill the time/money gap. I have a job offer with an EMR implementation & consulting company that is OK with my timeline, but I fear I would lose so much knowledge if I'm not actually practicing what I've learned these last two years. Also, this might reflect poorly on my applications this fall. 2. Locum tenens work, ideally in urgent care or EM, but may have to do family med for a bit. I'm not really comfortable with this, as I've read on here that locums might be a pretty terrible idea for a new grad. The last thing I want to do is be in an unsafe environment, but somehow this feels like the better option. 3. Take an urgent care or EM job, not disclosing my plans to leave (who would hire me otherwise?). This feels dishonest and I'm least comfortable with this idea. I think it'd be terribly rude to leave any clinic/ED in such a short period when they've put in the effort to train a new grad. Am I off base with that? I could also work somewhere for a few years then reapply, but we all know how life goes; I'd rather do the hard work now before family/house payment/etc are deterrents. I'm really stuck on this and hoping that the experienced crowd here could impart some wisdom in my process. I'd really appreciate any advice!
  7. To all those suggesting I learn more on my own, I agree wholeheartedly and already engage in self-study constantly. I'd be quite naive to assume I'll get it all in a short 25 months of death by PowerPoint. What I'm realizing is that I don't believe it's possible nor practical for me as a PA to assume I'll ever be able to self-study my way up to the knowledge level of a typical residency-trained physician. No need to put them on a pedestal, and that doesn't put down the value of our profession either, just highlights the obvious fact that their training is more in-depth. I'd sure hope so for the extra years and $$$. I initially thought I was 100% OK (even preferred) the more "pragmatic" PA route, but now I've been having second thoughts. Like I said earlier though, I'm realizing I have to keep taking a step back and just being right where I am. In a few years I'll probably have a much more grounded and (hopefully) wiser view!
  8. Very encouraging to hear! I know I'm far from the first to be in this situation, but once you get up in your head about it, man does it feel isolating!
  9. Thank you everyone for your replies. You've reminded me to stay humble and grateful. I think I have been idealizing that which I don't know--I'll have to keep reminding myself to keep things in perspective. Regarding my previous experience: I worked several years as a scribe in multiple settings, and a couple more years as a CNA. So, far from extensive, but I definitely thought I understood my choice clearly. I definitely wouldn't drop out of school, and I'm committing to at least a few years of general practice. I'm certainly excited to start applying my knowledge practically and learning with real patients; I just also happen to be going through a "quarter-life crisis" of sorts! If I'm genuinely still feeling this way in 5 years, I will address it then.
  10. I'm 28 years old and about to end the second semester of my first year and start rotations: I'm really hoping to hear from those who have been practicing for some time and may understand where I'm at. A little more about me: I was initially pre-med, 3.85 GPA (3.7 sGPA) but, after some soul-searching and conversations with my SO, I chose PA due to the urging of my SO and my assumptions about better work-life balance. Now I'm kind of regretting it. Basically, I'm feeling like the knowledge base we're given in PA school only scratches the surface. I constantly want to know more, feeling like my education and the subsequent care I will provide is inadequate. I feel regretful that I chose to "settle" for PA school, but then I wonder if that's just my ego talking and if I'll be just fine in this field once I recognize my own limitations?! The "ego" was a big battle for me in relinquishing the idea of the "doctor" title. It's worth noting that during school: I have developed chronic back pain sitting in the same chair 9-10 hours per day, I am somewhat tired of studying, and I long for work-life balance! I know I'm only halfway through school, but this really is tearing me apart. I've already thought of how I'll work as a PA for a couple years, then apply to med school. I don't care about the time or financial commitments (no obligations there). Then, I think of how miserable 4 more years in school sounds and I question my own logic! My question is, if you could do it all over again from your early twenties, what you you choose? PA or MD/DO? What would you suggest for someone in my situation?
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