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TJR

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About TJR

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    Physician Assistant
  1. Got back late last night from the SEMPA conference to have found 4 inches of new snow has fallen. Wishing I was still hanging in Tucson. I tried to search the subject before posting but didn't find much useful information. I'm thinking of doing the Western Virginia University - EMCP and wanted to get opinions from those of you who have done it, or knows of someone who has taken the course. Any thoughts are appreciated.
  2. Got back late last night from the SEMPA conference to have found 4 inches of new snow has fallen. Wishing I was still hanging in Tucson. I tried to search the subject before posting but didn't find much useful information. I'm thinking of doing the Western Virginia University - EMCP and wanted to get opinions from those of you who have done it, or knows of someone who has taken the course. Any thoughts are appreciated.
  3. It seems that your odds of getting a job would be greater than a residency slot. We had 3 students get EM jobs directly out of school. With that being said, I would jump all over a residency slot if the right opportunity came along. Unfortunately, there are no options in my area.
  4. It seems that your odds of getting a job would be greater than a residency slot. We had 3 students get EM jobs directly out of school. With that being said, I would jump all over a residency slot if the right opportunity came along. Unfortunately, there are no options in my area.
  5. Last week had a 30 y/o male, non-smoker, no family history of CAD, and no past medical history who works as engineer that presented to the ED after a night of drinking with his buddies for n/v. Patient has never been to an ED before and normally doesn't drink all that much. ROS included some mild substernal chest discomfort. First thought was gastritis however, for completeness ordered an EKG then followed it by calling the cardiologist for an acute STEMI. Patient outcome was good with a 2 vessel cabg. Unfortunate luck I guess.
  6. Here seems two of the main issues that are at play. From my understanding this becomes law in a few days come August 4th. Modernizing PA Licensure – SB 224 OSPA’s priority legislation for the 2011 Legislative Session is SB 224, to update and modernizeOregon statute relating to how physician assistants are licensed in the state. The bill proposesseveral key shifts from current law:1. Requires PAs to be licensed prior to employment.2. Establishes a practice agreement developed between the PA and supervising physicianand filed with the Oregon Medical Board, no longer requiring an approval process. OSPA worked collaboratively with the Oregon Medical Association and Oregon Medical Boardsince late 2009 on the policy concepts and we are pleased to share that there is consensus from both organizations on SB 224.
  7. Here seems two of the main issues that are at play. From my understanding this becomes law in a few days come August 4th. Modernizing PA Licensure – SB 224 OSPA’s priority legislation for the 2011 Legislative Session is SB 224, to update and modernizeOregon statute relating to how physician assistants are licensed in the state. The bill proposesseveral key shifts from current law:1. Requires PAs to be licensed prior to employment.2. Establishes a practice agreement developed between the PA and supervising physicianand filed with the Oregon Medical Board, no longer requiring an approval process. OSPA worked collaboratively with the Oregon Medical Association and Oregon Medical Boardsince late 2009 on the policy concepts and we are pleased to share that there is consensus from both organizations on SB 224.
  8. Thanks - It seems a bit cumbersome applying for each skill.
  9. Thanks - It seems a bit cumbersome applying for each skill.
  10. I'm confused? How EMPAs practicing emergency medicine in Oregon when the approved core competency and medical services leaves out so many skills required. Here are a few I have noticed. Do you have to apply for each one individually? In Montana PAs are allowed to practice under the supervising physician's scope of practice as long as they feel comfortable with it. Central line placement Dislocation reduction management Extensor tendon repair Fracture Reduction Interosseous needle placement Lumbar puncture Orogastric tube placement, lavage and management Paracentesis Procedural sedation management Slit lamp diagnostic and rust ring removal Tonometery, ocular Thoracentesis Thoracostomy tube insertion Urethral catheter placement and management
  11. I'm confused? How EMPAs practicing emergency medicine in Oregon when the approved core competency and medical services leaves out so many skills required. Here are a few I have noticed. Do you have to apply for each one individually? In Montana PAs are allowed to practice under the supervising physician's scope of practice as long as they feel comfortable with it. Central line placement Dislocation reduction management Extensor tendon repair Fracture Reduction Interosseous needle placement Lumbar puncture Orogastric tube placement, lavage and management Paracentesis Procedural sedation management Slit lamp diagnostic and rust ring removal Tonometery, ocular Thoracentesis Thoracostomy tube insertion Urethral catheter placement and management
  12. Does anyone know if the 48 hour paramedic refresher can be used for category II CME?
  13. We work 12 shifts a month at my current position. It averages out to 6 / 12 hours shifts in the express care, 9a to 9p, and 6 / 10 shifts in the primary ED, noon to 10p. We currently get 4 weeks vacation. This really is a pretty good lifestyle gig. Lots of time off for wetting a line, running trails and skiing. As earlier stated, we all rotate weekends and holidays. However, with that being said it can be nice to have weekdays off when everyone else is at work and your on lift after a fresh storm.
  14. I'm looking for a good, EM - skills conference....LPs, tube thoracostomy, arterial line, em ultrasound courses to name a few. Are there any recommendations?
  15. TJR

    EmCare

    Looking for folks with experience working for EmCare? I’m looking for the overall culture, scheduling, CME, PTO, 401k, compensation and benefits package. Anyone with any thoughts?
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