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FiremedicMike

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  1. I actually didn't process the fact that you've been regularly moving throughout your marriage.. I know that's somewhat common in military families. In that case, I'd say yes he should probably be more supportive, with the caveat that we're only hearing your side..
  2. Just to play devils advocate, but is it possible that he does support your dream, but now that it's becoming a reality, he's getting scared? Have you really sat down and talked to him about his feelings about uprooting everything and starting over? New friends, new church?, new activities, new everything. As a side note, is there a reason you can't reapply to your local program? Turning them down once makes you DOA there?
  3. I'm at peace with my job.. it's never going to be what I wanted it to be, so I'm just making the best of it. Right now they're being pretty liberal with school time and tuition reimbursement for me, so I'll ride that wave as long as I can.
  4. Hey can we go off on a different tangent for a minute? I am 6.5 years from hitting the magic number in my pension system. The difference between 24 years/364 days and 25 years/0 days is ~$40,000 per year for the rest of my life, from ~$20k per year to ~$60k per year. Suffice to say I'm trying to stick it out for 6.5 years before I take off for either PA or NP school (not relevant to get into that debate now). If I go the PA route, I still have about 2.5 more years from now (1 class at a time) to complete the chem/bio/ochem pre-reqs. If I work through this now, I'll have about a 4 year gap between hard sciences and PA school (assuming I make it on first cycle). I worry about this for 2 reasons 1. I worry the gap in hard sciences will mean I won't remember them very well, not entirely sure if that's important or not.. 2. Most important - I worry that in that gap I will lose some of my edge of being a "good student". I'm doing very well now with solid study habits and good retention, and I worry I'll lose some of those skills in the interim. Thoughts?
  5. Thanks all, I appreciate it! I mostly agree about independent practice, but it does seem like it’s nice to have that hanging out there as an option someday, rignt?
  6. So once you make the commitment to go the mid-level route over med school, why did you all choose PA over a direct entry NP program?
  7. I am genuinely asking everyone's opinion on this and not trying to start a flame war or disparage PAs... In 2019, with the prerequisites as high as they are and the practice rights currently favoring NP's, what advantage is there to PA school? After recently finding out that the direct entry FNP program I was looking at probably doesn't have the schedule I originally thought, it brought me back to the idea of PA school. When I looked up the pre-reqs, I was reminded about how staggering they are. At least at the school I'm most interested in, the pre-reqs are medical school pre-reqs with the exception that you only need to do 1 semester of o-chem and not 2. I just can't see getting that far and not taking the second semester of o-chem and applying to medical school. Am I missing something here?
  8. Our department utilizes a paramedic in the community paramedic role, no talks of adding an NP or PA to the mix. Some thoughts.. 1. Yes these programs are typically sold on the idea of the idea of decreasing call volume from frequent fliers. Originally these programs were also sold at decreasing 30 day readmission rates of CHF patients which supposedly cost hospitals millions, 2. With that said, we should really look at these programs in terms of “what does my community really need”. For us, it’s access to resources. Our guy spends his CP visit time helping patients sort their meds, coordinate their doctors, and provide them access to helpful resources. He also spends time interfacing with doctors offices on behalf of these patients. 3. In our model, an EMS background is unnecessary. Our guy does a medical assessment but spends most of his time doing social work type things. 4. In our model, a primary care provider on staff could potentially be beneficial to cut some of the back and forth - waiting in voicemails out, but it’s not pressing enough for us due to call volume. If we had a program the size of LA, I could definitely see the benefit..
  9. Thanks for the response. If it helps, my current goal is to work on an inpatient medicine team with general hospitalist work and procedures in a semi-rural facility.
  10. Nontrad Pre PA/MD/DO/NP student here.. For the mid-level position, if you could do it over again but it was 2018 with the current climate, would you still choose PA over NP? I speak as someone who will, at the time of matriculation, have 25 years of experience as a firefighter/paramedic/EMS Instructor, which IMHO is more than enough to compensate for a lack of RN experience if I were to venture into a direct entry NP program. My question for you guys is, why would I choose PA over NP? As I look at the prerequisite course load for both programs, the time investment while in both programs, and then the practice environment post graduation (which appears to be identical for both pathways), I struggle to find a reason to go the PA route over the NP route. I truly and honestly didn't post this to start an NP vs PA war, but it is truly a decision that I struggle with. UGoLong and I have had coffee together and can attest to my genuine interest in this topic. I know his thoughts, but I'd love to hear from the rest of you!
  11. Thanks for that feedback, that's something I hadn't considered.. I would hate to go through all that schooling and not have the career mobility that I thought I did. I am in Ohio, which I'm told is more NP friendly than PA friendly, but I should definitely check around with some local resources to find out how true that really is..
  12. I apologize, that was slightly misleading. There is more than 1 day per week of class, however only 1 day per week that needs to be done in the classroom itself, the rest is done via distance learning. Then there's clinicals on top of that.
  13. I feel like I'm missing something here, so I'd really like some input on my understanding of the choices in front of me. I have been working for the last 6 years or so to complete my undergraduate degree with the intent on going to medical or PA school. I wrapped up my degree in public safety management and began to lay the pathways out for medical school and PA school and found that the pre-requisites were nearly identical. As I was lamenting over which pathway I should go, I caught wind of a direct entry FNP program at a local, respected university. I spoke with a student advisor who said that the workload during school was 1 day per week in the classroom and 12 hours per week of clinicals, and that as long as I had some flexibility in my job (I do), it's not hard to work full-time while attending their program. The pre-requisites; anatomy and physiology, microbiology, pharmacology, and an STNA certification... (sadly, my experience as a paramedic doesn't count for STNA).. So my current plan is to wrap up my pre-reqs for NP school (should take another 3 semesters), complete the FNP course, obtain an ACNP certificate on top of that, at which point I'll have my years in to retire from the fire dept. My goal is to work in a semi-rural hospital near where I live either in the ED or as a hospitalist. While I do understand that the FNP training is far less rigorous, I also feel I am an open minded person when it comes to identifying my own knowledge gaps and then working to teach myself in areas that I am deficient. So, seriously, tear my plan apart. No this isn't a "looks like you've made up your mind" type of post where I'm just looking for validation, I honestly feel like these direct entry FNP programs are too good to be true. I want to know if I'm really looking at this correctly, and who better to ask than those with the experience! Thanks!
  14. Thanks for the clarification.. Sheesh, that seems silly..
  15. My point is that if paramedics can do it, why can't PAs?
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