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About FriarMedic

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  1. It's hard to quantify my studying but I made the decision about 6 months before I took the test. I simultaneously took ochem and physics while studying for mcat which looking back... wowza. I would usually have 2-3 days off per week and would crank out 10 hr days pretty nonstop getting my class work and mcat review in. This went on for about 6 months. My goal was a 504+ and I was pumped when I got a 508. While the average mcat score is a 500 that's amongst all test takers. The average mcat of matriculated students is 508-509. To get state school and low tier MD looks you really prob need a 504+. I'd say 500+ and being a PA you're very competitive for DO. Most of this can be gleaned from perusing threads on SDN... just a word of caution as some of those threads can lead to some neurosis and also are quite hostile toward PAs. Even with the PA degree u still need the stats, volunteering and strong writing just like everyone else to be competitive.
  2. OP- should lecom's program not work out this cycle then take the mcat for next cycle. At first glance it's a beast, but as you get rolling with some review books, khan academy and then practice tests it's actually quite manageable with repeated major themes over and over. Adding a few more schools will increase your chances immensely , esp if you're willing to move. Ive been a PA for 3 years and have my app in this cycle but not to lecom because I'm staying local. I managed to study on days off while my son was in preschool and did okay on it.
  3. The latter, covering patients who schedule same day or next day acute visits, similar to UC acuity id imagine.
  4. In New England - In an effort to find some per diem work where I'm home for dinner I cold emailed some family practice offices, offering to cover sick visits and have an interview coming up. Any idea on hourly rate or per patient rate on something like this? I'm 3 years full time EM and some per diem UC experience. Thanks!
  5. Where are you finding these gigs? The 48-72 hr gig a couple times a month is Something that's interested me for some time.
  6. I started a per diem second job at an urgent care after about 1 year of full time emergency medicine. I started looking at 6 months but everywhere wanted 1 year experience. Looking back, I think it would have been dangerous to start any earlier as most urgent cares around here are solo gigs with phone call back up.
  7. How far would you/ do you commute for a rural solo gig? I'm in New England in an area with no local rural options. There are a couple around 2 hours one way but I'm not sure they do longer shifts. For 24s or longer that seems feasible.
  8. Try reaching out to the PA program you went to and offering. We had many guest lecturers that were former alum while I was in school. You could always do some lectures for your local paramedic program to get some experience , I'm sure they'd love to have a PA come teach some of the gritty A&P stuff.
  9. Okay good info, thanks all
  10. Does anyone know if my certificate card of completion for atls would look any different if I registered as a PA (~1200 bucks) or as a paramedic (275!)? I'm assuming the course is no different for anyone in attendance right? For my job to cover it though, I'd imagine they would want my credentials on it.
  11. rev to clarify - The patient was triaged a level 2 and therefore I'm required to have an attending see him prior to disposition. I don't think Head turning would have occurred if I started heparin before talking to an attending, but rather if I started heparin before the CT was done, as emed initially talked about. We all sit right by the PACS viewer so discussion kinda happened all at once when I pulled it up.
  12. In this same topic- when does a PE need catheter directed Tpa? Had a middle aged gentleman with bilateral extensive PE with saddle embolus , hemodynamically stable and without hypoxia but a bumped trop 0.46 and bnp ~2000 so there is evidence of right heart strain but VSS. There was differing of opinion between hospitalist and IR as to whether emergent tpa was needed for this pt. are there any set guidelines? Who typically makes that call? This pt was not crashing but certainly very high risk. And I waited till I saw the CT , had an attending sign on and started heparin. I think if I started heparin prior to, that would have turned some heads in my shop.
  13. When you do this, is it considered moderate sedation? Ie- requiring written consent, monitor, O2 on, second provider, ect?
  14. How often are you sedating kids in your shop for procedures like facial lacs that just need a few sutures? I feel like we rarely sedate these kids and often it seems quite torturous for them being held down. the time and risk to do a full conscious sedation is burdensome. I had a child the other day that was of a borderline age where you'd expect more control and turned out to be difficult to manage while repairing a facial lac. Looking back it would have been much more helpful for me and far less stressful for the patient to have been sedated. Are you doing conscious sedations with consent form and the whole 9 yards which will then also require an attending or just a little IM versed or morphine? I need a new strategy.