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medic25 last won the day on May 14 2015

medic25 had the most liked content!

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About medic25

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    Emergency Medicine/EMS PA


  • Profession
    Physician Assistant

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  1. FYI, they just did the first field ECMO cannulation in North America earlier this month in Albuquerque; I've got a couple of buddies in EMS leadership down there and they have a very progressive system from the sounds of things. https://www.abqjournal.com/1375453/unm-debuts-new-response-to-cardiac-arrest.html
  2. I didn't actually see a rotation breakdown on the APP fellowship website. They list rotations for a 1 year physician EM fellowship designed to prepare IM/FP physicians to work in an ED (I won't even open that can of worms). Odd that in 12 months they don't list any actual rotations in the ED as part of the fellowship; I'm not sure if a month in OB or a month in ophtho are a substitute for actual time in the ED.
  3. My daughter has had her median sternotomy scar since her first birthday. I’m pretty sure her big brother would disagree that the knee he injured when deployed in Iraq is more “worthy” than her heart condition. Sent from my iPhone using Tapatalk
  4. Check with the program you are looking to teach at. As already stated, many states have their own state certification, and in many cases it is only required if you are the program head or core faculty. If you are just coming in from time to time giving PRN lectures you may not require any specific EMS instruction certification.
  5. The beauty of living in a beach town; no need for a vacation to enjoy views like this every day...
  6. Sounds like a winner! Unless you are going to a top-tier MBA there isn’t much point in spending a ton. With my hospital tuition reimbursement I was able to have the cost of my whole program covered; can’t beat that for ROI! Sent from my iPhone using Tapatalk
  7. I just completed my MBA in Healthcare Management last week, so it's too early to say what impact it might have on my future career. It definitely has been noticed by some of our senior hospital leadership who reached out to congratulate me; I don't think it's a free pass into an administrative role, but it should help to set you apart from other candidates for a position that don't have an MBA or MHA.
  8. For some perspective, you're getting paid as a PA what our ED techs get paid. Are you having these conversations with the surgeon or with an office manager? might be worth going directly to the surgeon, and include in the discussion the estimated $100-200k it costs to lose, recruit and train a new APP.
  9. Agreed, I think Heady gets more press than it deserves. Hill Farmstead however brews the best beers on the planet; never had such consistently amazing brews. Sent from my iPhone using Tapatalk
  10. We developed our clinical ladder, but still haven't implemented it (waiting for final finance approval, since it could affect salary for over 1300 PAs, NPs, CRNAs and CNMs in our system). Look at the AAPA Distinguished Fellow application for inspiration; we award points for various achievements such as precepting students, committee leadership, publications, etc. We also built in a big emphasis on mentorship, with those higher up on the ladder being expected to provide guidance to junior APPs.
  11. If you’re still looking for reasonable proximity to NYC, look at Connecticut. We aren’t Midwest cheap, but once you get past Fairfield county the cost of living is much more affordable. My town calculates out to being 72% cheaper than Queens (never mind Manhattan). I live on the shoreline, 5 minutes from the beach in one direction and a state park in the other, but I can still hop in the train and head into NYC for a Yankee game or a broadway show (going with my wife to see Harry Potter next month...). Our state practice act hits all six elements of the AAPA, and in general PAs are treated relatively well. If you aren’t quite ready for the cosmic jump to Alaska or Nebraska, we are a nice alternative to NYC (I left an ED job in Queens 16 years ago and would never go back). Sent from my iPhone using Tapatalk
  12. Excellent; you'll have a blast having the chance to advocate for your fellow PAs.
  13. This is probably the most important point in this whole thread. Far too many PAs are content to gripe continuously about nothing getting done and complain about the leadership, but they make no effort to actually work with their professional organizations (either AAPA, your state CO or your specialty organization). The PAs running these organizations aren't appointed from Mount Olympus; they are other PAs who cared enough to volunteer their time and effort to try and make a difference, typically at personal expense. We would have a lot more lobbying power if more of us got involved in advocating for our profession. OK, getting off my soapbox now....
  14. We do use portable radios for certain nursing staff to communicate (e.g. triage talking to charge). We also have all hospital staff using a HIPAA compliant smartphone app called Mobile Heartbeat that allows us to text each other and receive group notifications for things like trauma alerts. Sent from my iPhone using Tapatalk
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