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rev ronin

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rev ronin last won the day on November 13

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About rev ronin

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  1. The generic answer is, "If you think you may need a lawyer, you probably needed one some time ago"
  2. FCCS? https://www.sccm.org/Fundamentals/FCCS
  3. I tend to like to NOT write for symptomatic care off label, which means I never did Tamiflu on my initiative except for patients with risk factors.
  4. So, there are minor and major certifications. Not formally, but I'm going to call anything you can do in a week or less minor, and anything more extensive major. Minor certs include all the AxLS and similar: ACLS, PALS, ATLS, ABLS, ALSO, FCCS, NRP, AWLS/WALS.... All of those are pretty standardized, and worthwhile in certain areas, but mostly EM. ACLS and PALS are probably required in surgery. I've managed to get away with not having had an AHA BLS card in years by keeping my EMT up to date. Other minor things that I have and would recommend include a POCUS course and a sleep medicine cert. These are about a week of effort or less, but aren't instantly recognized; you kinda have to explain what they are and what that will allow you to do. The one major cert I have is Fellow of the Academy of Wilderness Medicine, FAWM. It's probably a solid month worth of effort, and to get it I ended up doing 3 in-person courses, a lot of online CME, and writing an article. Again, very niche benefits, and nothing I'm currently working on. The other major one I'm working towards is Certified Eating Disorders Specialist, CEDS. THAT's a tough cert, in that you have to have a certain number of documented, supervised clock hours to get a it, but I love the ED work I do. There are SO MANY directions you can go, you'd be better off thinking about what you would like to do next, and identifying what certs would make you a better candidate for those jobs. The more specific your question, the more likely someone is going to be able to give you specific advice.
  5. Oh, look, I can go back to my old profession if this PA thing just isn't working out.
  6. This will likely be a formal policy statement in the next HOD. I don't get the feeling that they formally adopted it, but it is certainly enough of a substantive recommendation for the board to adopt or reject, and send to the HOD for ratification or rejection in April 2021. In the interim, there's probably a lot of internal lobbying needed to get PAs away from hoping for Physician Associate (which is where I have been, in case anyone is keeping score) and unified behind MCP.
  7. Get the toehold you can, demonstrate that the sky is not falling, expand, repeat. Works for others, why not us?
  8. This is a PA site. It's dedicated to promoting PAs. PAs are losing jobs to NPs, who are objectively trained for less time and with less rigor. Anything that equates PAs and NPs or treats them as equal serves NPs and PAs equally, thus does not speak to why PAs are, in any or all circumstances, better than NPs. If you dismiss the concerns of PAs that they are being replaced by degree-mill NPs, you are not going to get a warm reception here. Mr. Stegall has been fighting this fight far longer than I have, and you would do well to go back and learn to appreciate--not love, necessarily, but understand--why his first two paragraphs are important. To the extent you can't manage to understand them, keeping that opinion to yourself will minimize friction with other posters who have an extensive personal investment in this profession.
  9. Genetics should be simple, really, and UPhoenix is horrendously overpriced. Check state schools with online programs, or even UNE might be cheaper.
  10. 1) What's the specialty? If Derm, you may be paying dues that will pay back. If UC, FM, etc.... you're not. 2) What is a high volume of patients? This will vary by specialty. I see very few patients per day in eating disorders--I don't think I've ever seen more than 6-7 in a day--because of the nature of the work and team communication we do. On the other hand, I'm doing stable chronic pain med refills in 15 minute slots, which actually works because everything in my new job is set up to support that and I have a clearly defined role and I will turf anything non-pain related either to PCP, or call 9-1-1. 3) You said no vacation, not no PTO. I assume you have some sick leave?
  11. EMTs are making $22 doing Covid testing in my neck of the woods.
  12. Yeah, so can you recommend good resources for the first two? Dealing with psychosocial issues I have reasonably well down, but my MSK and Neurology aren't particularly strong. I'm always trying to smooth the learning curve...
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