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Everything posted by EMEDPA

  1. I personally do not wear body armor. Never did in EMS either. I work in rural areas and am likely the only person on any of my shifts not carrying a stun gun, taser, or handgun. We also have police and sheriffs in our dept all the time. I would save your money unless you are pulling shifts in a place that this happens frequently, like USC/LA county or Cook county, chicago.
  2. I would wait at least a year until you have some more clinical experience before you apply.
  3. excellent advice. As a new grad I turned down what would have been a very lucrative UC job because the owner was a racist asshat. His description of the job was this: "The doctors will see all the White and Asian patients, the PAs will see all the Blacks and Mexicans " Dude.....
  4. you give availability for the month. You have to be available the whole month if called. might be 3 days, might be 31.
  5. you have to give availability for 2 months/year when your team is first up. That means you have to find backup folks to cover all your shifts just in case you get called for all that time. The only other deployment I was ever offered was for a time we were not up as a team and it was a backfill for another team in american samoa. the deployments are paid 12 hrs/day, but it basically is a stipend. $25/hr last time I checked. I attended some useful mass casualty drills that were very well run. PAs are used well when they do deploy. I have a friend who gives availability 24/7/365 (his colleagues hate this because he just no shows his shifts under govt protection) . He goes on every deployment NDMS does, either as a primary team member or as backup. It is his life. Kind of a rescue ricky type. you know the guys, mast pants in their truck, airway roll in the glove compartment of every car, etc. DMAT has only ever done one international response(Haiti). American Samoa is considered American soil. NDMS also has an international team that does surgery and critical care. That might be more up your alley than DMAT. It is called ImSuRT. Have heard good things about these folks. https://asprwgpublic.hhs.gov/ASPR/hhscapabilities/resourcedocs/International Medical Surgical Response Teams (IMSuRT).pdf
  6. I attended the DHSc at Nova with DizzyJ. They have a BS to DHSc option if that sways you at all. I loved the program and got a lot out of it. https://healthsciences.nova.edu/healthsciences/mhs_dhs/index.html
  7. Was a member of DMAT for 10 years after enduring the two year background check, fingerprinting, interviews, etc. Never given a deployment. Never given a complete uniform. Tons of busywork to do to stay current on policies online, silly tests on stuff that doesn't matter, etc. They use an EMR in the field for disaster response, which is completely ridiculous. disaster = paper charts. DMAT is a huge organization that does not move quickly. They called me to ask me to go to Haiti in 2010 2 weeks after I had already gotten back from a 2 week mission with an NGO. Have worked with several NGOs since with nothing but good experiences. Not in the NG , so can't comment on that.
  8. I did medical anthropology and ended up with more bio courses than my bio major wife because I didn't have to take all the extra math and physics.
  9. 2 doctoral courses at once while working full time is a serious load. It is doable, but challenging. Time management is critical. keep up with reading and outline assignments and create benchmarks( I will have the outline written by friday, I will have 5 pages done by the next tuesday, etc). You've got this.
  10. Norcal>central coast>socal> sierras>central valley....but that's just me. I like the ocean and prefer temps below 75.
  11. Agree. There is a little strip along the coast maybe 25 miles wide that is really nice. The rest is redneck central. The central valley is the armpit of California. Hot , dry, abysmal weather, etc (I say this as someone who lived in both southern and northern calfornia for many years and spent time in the central valley as a paramedic intern. I was offered a job there immediately after my last shift and I said no without having to think about it at all with no other prospects lined up. It is that bad).
  12. transferred a guy recently who didn't read the textbook. presented as diffuse upper abd pain. wbc 21,000. lfts all 300+, T. Bili 9, lipase nl cbd 13 mm with noted cholecysitis by CT. no fever. no chills. no ams. no jaundice. no hypotension. ERCP done. stone and pus in CBD. incidental chole done without complication.
  13. option 3 masters with volunteering on the side. what kind of hce/pce do you have? option 4 paramedic/RT/RN program as 2nd BS to increase gpa and pce.
  14. Changes in PA scope of practice and regulation due to the coronavirus/covid 19 crisis and possible implications for future policy. .
  15. agree with this. I used to be the lead PA for a group of 12 PAs/NPs. This basically meant I went to meetings, interveiewd people, wrote the schedule, etc. I did not direct the care of any of these PAs/NPs. Sometimes they would ask my advice, or I would ask theirs , but this is not supervision, it is chatting with a colleague about an interesting pt. Your only actual boss with the ability to discipline or fire you should be a physician.
  16. what does your actual supervisor, a physician, have to say about the matter?
  17. When I lived in santa cruz we just said "the city".
  18. Agree. We are hired to do the work docs don't want to do at the times and places they don't want to do it so they can be home with their families while we work nights, weekends, and holidays in health provider shortage areas that they don't want to live in.
  19. what is also infuriating is when EMS (and I was a medic in a former life) transports an (obviously to me) critical patient code one and I end up intubating and/or coding them minutes after they took their sweet time getting to me... example: report: " grandma just fell". no interventions of any kind. Unfortunately, when grandma fell she hit her head and was on eliquis. intubated shortly after arrival. example #2 The sat reads 62%, but that can't be right. it was. intubated and coded shortly after arrival. I trust my medics to know looks good/looks bad from door. most of them get it. some of them don't.
  20. https://jobs.virginiamason.org/job/VIMAUS200691/Nurse-Practitioner-or-Physician-Assistant-Hospitalist-Fellowship Looks like a good program and VM uses PAs very well, so I would go for it!
  21. you could be brain dead and still do ortho, so they wouldn't cover for that....:)
  22. 1. apply for a residency 2. apply for the LECOM DO bridge program yes, seriously.
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