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medic25

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medic25 last won the day on May 14 2015

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About medic25

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    Emergency Medicine/EMS PA

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    Physician Assistant

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  1. 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.
  2. The beauty of living in a beach town; no need for a vacation to enjoy views like this every day...
  3. 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
  4. 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.
  5. 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.
  6. 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
  7. 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.
  8. 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
  9. Excellent; you'll have a blast having the chance to advocate for your fellow PAs.
  10. 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....
  11. 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
  12. It's hard to explain how great a help this is to your mental health until you work in a system where you decide who gets admitted and who doesn't. You've got a little old lady feeling weak who looks good on paper but something just feels a little off to you? Then you keep her in the hospital for observation, and don't lose sleep over sending someone home who might have a bad outcome. We even stopped having discussions with the admitting teams years ago; the only time I make a phone call is for an ICU/stepdown unit admission. Otherwise we just enter the admission order and make sure that our note is written, and the admitting team gets the story from the chart. I've had this conversation more than once with students and new grads; don't just look at the salary, look at the ED resources and how the system works. Sometimes it's worth giving up a little salary to work in a shop with systems in place that help to keep you sane.
  13. CAH, or just consider looking at a different hospital in general. I've been in my ED for 16 years (big academic hospital); love 99% of the nurses, generally good interactions with specialists, and no problems with our hospitalists because the ED determines who gets admitted without their input. Bureaucracy is everywhere, but there are definitely always better places out there.
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