Randito

Sounds like a great new program! I would seriously consider this even 7 years out if not for family obligations preventing relocation.

I work at an academic center and am salaried. If I stay 30-60 minutes late, it's on my time. If I pick up extra shifts, it's paid at the equivalent hourly rate. I miss out on the 1.5x rate after 8 hours, but did not have any hours cut during COVID and have the best benefits I've heard of for EM. Overall, I'm happy with the pay structure.

At a previous position, I would do 9 flights of stairs with a few of the nurses. We would start after morning rounds and do a set every 2 hours for the rest of the day.

Agree 100% with the EMRAP recommendation. Frankly, I’m always a little shocked when I talk to colleagues and they do not listen to EMRAP, it’s such an industry standard. I also really like EM Cast and ECG weekly with Amal Mattu. Beyond that there are a lot of other great free podcasts, but I will just search for a particular topic and listen to individual episodes.

What do you want to do with your time off? 6 hour shifts would allow you to work out, go grocery shopping, work on your rentals, eat dinner with your SO. These are much harder to fit into a work day if you’re working 9-12 hour shifts. Trade off is that you can’t go camping, take trips out of town as easily. I’ve worked 8s, 10s, 12s and find that 10s are my favorite for a balance between these trade offs. When working 12s, I can get a 30 min work out in and the rest of my time at home is eating and sleeping. You sound pretty financially savvy and could probably make any of the above

Have you noticed that 1/3 of the threads in the last 6 months are complaining of how tough the job market is?. With a 5 year employment gap, this seems like a pretty reasonable way to make some connections.

Agree with above. Really also depends on the field. I would also seriously try to volunteer 2-4 days a month at a free clinic or church based clinic. You need to get comfortable talking with patients and doing exams again. This would also give you the opportunity to network with other local providers.

I also think that this sounds like a pretty good job offer for a new grad. You mentioned interest in doing a residency, so why don’t you treat this like a well paid residency? Spend 5-10 hours a week of your own time to stay late to get a procedure, go to resident lectures, let it be known that you would love to observe procedure workshops and sim labs. Once you show up to observe, you will be asked to jump in and participate. In general, attendings in academic centers enjoy teaching so if you show the incentive to go above and beyond, they will reward you for it.

The bases in the second photo look marginally better, is that just from improved atelectasis with the addition of some PEEP?

Sounds amazing, I also am very jealous. I did an EM fellowship, have been out practicing for a while, but considering transitioning to CC. Please update here with your thoughts and experiences. I imagine that you’ll learn so much and be given even more opportunities than your classmates based on your wealth EM experience and procedural skills.

Agee with residency/fellowship if at all possible. Second best option would be trying to in at an academic center where docs are very used to teaching and you have a lot of support and specialty consults are readily available.

What was their response when you brought this to their attention? I understand that in practice you have a very different scope than the new grad PA and NP, but is that also reflected in your contract? Are they given privileges to perform advances procedures, run codes, push lyrics, etc? I have to imagine that all the physicians are thrilled when they are working with you and beyond frustrated when hand holding the inexperienced PA and NP. I think this large variation in practice makes us seem unreliable as a profession which is not helping us gain any favors with our physician colleagues

In the IE, we've been about 80-90% of previously normal volumes for the last 2 months. Was down significantly in mid-March through May, then slow increase. I personally have not had a problem getting enough shifts between my regular and a per diem, but I have colleagues that are still way down at their per diems or at positions they took just prior to COVID.

I previously worked in solid organ transplant (kidney, liver, occasional pancreas). Over 4 years, I worked outpatient and inpatient, very rarely scrubbed in when floor was slow. Obviously different organ systems and details of care, but a lot of the logistics I would imagine are similar. Evaluation and listing for transplant, inpatient post-op to outpatient transition and then chronic care. There was a significant amount of non-clinical time spent in selection committees, cancer conference, pathology conference, etc. Let me know if you have any questions more general transplant questions.

I worked in abdominal organ transplant and hepatology for about 3.5 years. About 6 months of training as a new grad. No more than 2 pt per hour. Scheduled time for cancer conference with IR to discuss treatment and response to therapy, biopsy conference, selection committee for transplant patients. It was very academic to say the least. I really enjoyed it, just wanted to be able to do critical care or EM and never saw the opportunities.