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wookie

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Everything posted by wookie

  1. I agree.. This is all wishful thinking. Shortening medical school by half-maybe, but I wouldn't want to lose out on a whole year of structured learning as a resident.
  2. I'm completing my first year of employment as a PA in emergency medicine and I wouldn't feel comfortable being a solo provider. I probably wouldn't feel comfortable in family practice or urgent care either.
  3. my wife works big pharma and I've met a co-worker of her who's a PA. I think the PA had years of experience in a field which is specifically relevant to a drug they're working on
  4. Pravesh (intern) was also tasked with a menial task like calling insurance companies by his senior resident and said, "Can't you get a physician's assistant to do this?"
  5. Heart transplant scene in "The Resident". I've been auscultating over the wrong place this whole time!
  6. 7 months in as a new grad and every point rings true for me as wrll
  7. 3-5 years, IMO, isn't enough. At the bare minimum, it should equate to MD/DO residency hours. 80 hours/week x 3 years for residencies to a new grad PA working 40 hours/week should be 6 years minimum. Some ER residencies even push 4 years for DO's, which would make 8 PA years. You also need to consider that PA's in ER do more fast track than docs. I can see a PA with 20 years of experience not having intubated a patient or ran a code.
  8. I've been hired by CEP part time (as a W2) and I didn't have to pay any credentialing fees.
  9. i have the same exact frustrating problem and nobody ive asked in person had this issue. i usually just aim and only leave the tip of my index finger on the stethoscope as gently as possible without having it fall
  10. i don't have the patience you do, so kudos. i'd have ripped this family apart by now.
  11. Heyoo, I'm now into my 5th month in emergency medicine fresh out of school and there's one thing (among many) that my brain's not quite clicking on. When is it appropriate to have a patient sign out AMA versus just documenting the pros and cons of certain testing/treatments and discharging them to home. If you have a patient on coumadin sustain minor head injury and they refuse a CT scan, would you sign this patient out AMA or just document that you had a discussion at length regarding the importance of imaging and potential consequences of not getting a CT (disability/death)?? What about an elderly patient with multiple comorbidities with classic presentation of MI who's refusing all testing? Thanks for any clarification
  12. if you're limited geographically within NY state, I've heard of better wages in long island and upstate. If its distance from NYC, NJ also offers better wages.
  13. $35/h would not be where I draw the line unless you have absolutely no other job leads and are pressed for money, even as a new grad, independent of region and specialty. Didn't we pay others for experience throughout rotations in PA school?
  14. Plenty of my former classmates were from other states as well as previous graduates. We have a facebook page for alums who help each other out with connections throughout the country. If I were single, I would definitely welcome the opportunity to live in another state for a few years.
  15. I can't imagine why they would ask you to submit charges for professional fees unless they want to cover it.
  16. Solid advice. If you don't have a workplace yet, you can rent a nearby P.O. Box temporarily
  17. I completely agree with your logic of what a salary is actually worth with and without PTO. My point was simply that different areas of the country have certain trends of what is typically offered. Your example of EDs providing PTO is specific to your location, thus anecdotal and not applicable to everywhere in the country. Although OP's job doesn't offer PTO, I wouldn't necessarily advise that he "run from offer". Unless ED PA's throughout the country agree to strike over lack of PTO, this is not likely to change anytime soon. Some people still need jobs, income, experience, etc. If he works there 1 year and moves on, that's the company's loss.
  18. I loved Rosh Review and Pance Prep Pearls question book. These are the only 2 question banks I used. PPP is a bit tougher than PANCE. I thought Rosh Review was pretty on par. I ended up doing a lot better percentage-wise on the PANCE than either question banks. I think with a month left, though, I wouldn't try to switch anything up drastically. You've been approaching it the right way (do as many practice problems as possible). Keep doing what you're doing.
  19. Not even a little bit. Actually, "Fire Science" stands out and maybe it could be beneficial, depending on who reviews your application. You have a sick GPA and HCE so I think you'll be fine.
  20. What really helped get me through PA school was note sharing between classmates. Because there is so much material to process, it's impossible to make study guides for every single lecture. We shared a google drive and it almost seemed to become a contest to see who could contribute the most. Also, I and many of my classmates kept close with different upperclassmen who would provide crucial advice on how to approach studying for certain topics or a certain professor's exams. It's tough for one person to influence a class vibe so my best advice would be to keep close, and friendly with your classmates.
  21. I was married when I started and had a child a bit into rotations. My wife was very supportive but school still took a really, really heavy toll on our marriage. I recently graduated and we're still working things out but things still don't feel the same as before. YMMV but I'd recommend that you make a sincere effort to maintaining a relationship with your wife.
  22. I thought Rosh was pretty on par with the PANCE I took. I loved Rosh. The only drawback is the cost of subscription.
  23. What does being professionals have to do with anything? Maybe CMGs and hospitals offering PTO is standard in your region and maybe it's not where he is. Where I'm from, it's standard for surgical positions (your specialty) to offer plenty of PTO, but it's not common in emergency med (OP's and my specialty). For all we know, if he declines this offer, there is another new grad hungry for that position. He expressed that he lives in an area that is tough on new grads for emergency med. It's irresponsible to plant a blanket statement in someone's mine that "pto is common" when you don't share the same background. I'm all for furthering the profession by negotiating as much as we can as I did when I was going through the process. Aren't you a new grad, as well? It's probably too early as a new grad (you, me, and OP) to feel so entitled from the get-go. I'd take good learning environments above all else.
  24. Seems decent if you consider this is your best offer so far in emergency medicine. Do you know whether it will actually be a good learning environment from someone who works there or was that just your impression? I'd gladly take less pay for a good learning environment. Regarding PTO, I've read a ton of threads that said no PTO is a deal breaker. In my recent (new grad) job search, I got the impression that PTO is not as common as this forum led me to believe. I'm not fond of the training pay though. I'd really try to negotiate that down to 0 or 1 weeks.
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