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ohiovolffemtp last won the day on April 2

ohiovolffemtp had the most liked content!

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About ohiovolffemtp

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    EM PA & volunteer firefighter/paramedic


  • Profession
    Physician Assistant

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  1. The underlying question that needs to be answered is how to balance the costs of societal restrictions to slow COVID-19 or any other disease vs the costs of greater spread of that disease. Right now, those arguments are happening in the press, social media, politics, and arguments between people. Most of the sides base their arguments on their personal opinions and personal experiences, not data. The data that is available is incomplete. I'd like to see a several step process: First, get better data through retrospective analysis of: What is the actual effectiveness of each measu
  2. Not sure how the thought of employers shying away from potential employees who might go on maternity leave favors either PA's or NP's. Most PA students are young and female: average age of 25 and ~ 70% female. Most RN's are female, therefore most NP students are female. I see many RN's with 1-2 years in already in NP school. So, the new grad job hunters whether PA or NP are going to be similar.
  3. Wonder what the implications will be for the EM staffing companies. They've been billing the 100% doc rate by having the docs put "I was available for consultation but did not actually see the patient. I reviewed the chart, labs, imaging, ... and agree with the treatment plan" notes in.
  4. Absolutely. I spent 5 years at a busy level III trauma center with some side jobs in community hospitals before I went to a rural critical access hospital. I also took ATLS, ultrasound courses, went to SEMPA every year, and had many years as a firefighter/medic. EMEDPA spent even more time working in bigger ED's and was a big city medic for a number of years. Lt.jgOneill (possibly mis-spelled) was a Navy PA with many deployments, did part of a CRNA program, then did a very good EM residency. There's just no substitute for experience in getting ready for solo or solo with nearby on-cal
  5. At the 6 month mark with a new employer, I'd ask for an informal performance evaluation, especially as a new grad. Ask for what you're doing well. Ask for improvement areas. At the 1 year mark go to them with a list of what they said you're doing well and the improvements you've made against the improvement areas they gave you 6 months earlier. At that point you have data that says you're worth more to them than when you were initially hired. That's the time to ask for more compensation. Also, by then, hopefully business will be better. In the meantime, get data on what the local job ma
  6. Back in the day, I commuted for the first summer term of my PA program, about 1.5 hours each way. For the next didactic year, I rented a cheap apartment near the school. I would drive up either Sunday night or Monday morning and head back home on Friday after class. This saved me about 12 hours a week and a lot of gas money. The gas savings probably paid at least 1/2 of my rent. My clinicals were all over, so I used my house as my home base and gave up the apartment. I would get a cheap motel room on the call-back days/weeks during clinical year.
  7. From what I was told when I was in PA school, ARC-PA required schools to find rotations for all of their students and could not require students to find their own. As others have said, for almost all of my rotations, I was the only one with my preceptor for most of my rotations. A few times, e.g. a few days in my gen surg, and a few in OB there was also a med student. Neither I nor anyone else in my class of 40 was part of a large group during their clinicals.
  8. I've worked in states where by law PA's are not allowed to do procedural sedation. They are, however, able to give versed for pre-procedure anxiety and fentanyl for pain control. However, meds like etomidate and propofol are pretty much doc territory there.
  9. Same here - with this change: there's still very little of the low acuity patients that used to be 25-33% of our call volume. Pre-covid to slightly higher than that numbers, but almost all mid to high acuity.
  10. I still prefer DL, usually with a Mac 4. We have the McGrath and I've used it, but I have way more reps with DL, so it's my go to. Confession: I'm lousy at video games too.
  11. Separate question: where can you get the bandage contacts that folks have said work so well?
  12. That you're old enough to be my brother and his (grand) father.
  13. From the EM point of view, enough of the IV meds I use for critical patients have weight based dosing, that we do try to weigh, or at least get recent weights, for them. Think insulin, some abx (also have to think about creatinine clearance), heparin, etc. It's also relevant in the CHFer's, the (non compliant) dialysis patients, .... Rev, is the weighing of the patient the main trigger of the problem, or the discussion of the weight done without proper consideration of the impact of that discussion on the patient the problem? I'm more likely to ask about recent significant weight chang
  14. On the secondary topic of sending patients home with topical optho analgesics: I've talked to several optho PA's who all say they've seen/heard of severe corneal damage from overuse of tetracaine/proparacaine. However, the literature citations they've been able to give me were not RCT's but rather articles, even OP-ED pieces from opthamology journals. I Rx ketoralac optho. One optho PA recommended bandage contacts: correction free contacts that cover the corneal and from his experience provide significant pain control. No where I've worked ever had them. On the primary topic:
  15. Most if not all PA schools will review/teach the relevant A&P & pathophysiology as they go through particular body systems/branches of medicine. Frankly, much of the detail that was stressed in undergrad isn't relevant in PA school, not relevant at all to passing PANCE, and not relevant to actual practice. From what I remember of PA school: A&P: relevant, but needed level of detail was taught Pathophysiology: very helpful, but needed portions taught Microbiology: relevant, helpful, especially with pharm for antibiotics Physics: mechanics and fluid dyna
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