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Everything posted by greenmood

  1. See my bolded responses above. HCE isn't less important than PCE. It's a different kind of care. I like UGoLong's suggestion of dividing some of this up into almost separate job descriptions. You did a lot of stuff. The thing is... I know you don't like the idea that this doesn't count towards some CASPA definition, but it's still impressive experience. I don't think you're going to do yourself any favors by trying to pass it off as something it isn't. Admissions committee members can read a job description. They know what PCE is. So regardless of how you categorize it for CASPA, someone with
  2. Move closer, seriously. My commute was an 45-60 minutes, but it was on a lovely, quiet, commuter train where I could study and sleep and be a person. If I was driving I would have never survived that. All that time lost. Yuck.
  3. I got married during the break between fall and winter quarters of didactic year. It was fine. I was back in my seat 48 hours after saying my vows. We took our honeymoon after I graduated and passed the PANCE, and I started my job when I came home. What helped was planning as much as possible before I started school. Got my vendors lined up and everything. Then I delegated the SHIT out of the daily grind. My now-husband took care of business - it's his wedding, too - and my sister helped.
  4. It depended on the rotation, for me (this was 2012-2013). On my OB/WH rotation there were easily a dozen of us in that little clinic, taking turns seeing patients and doing Paps and generally being treated like shit. But only myself and the one other PA student (the rest were MS) had appropriate paperwork at the hospitals, so we were the only ones delivering and scrubbing. There was one other MS and a handful of actual PGY1 residents I was thrown in with on one of my hospital IM rotations. I got to teach them how to draw a blood gas (which I had never done before either). One other student on
  5. This is just a fascinating perspective and I hope you stick around this forum to share more when the right situations arise.
  6. Yes. Well known issue. http://jaapl.org/content/46/4/458
  7. You haven't practiced medicine because you haven't graduated or been hired, so by definition nothing that has happened to you has "impaired your ability to practice medicine."
  8. Do you have any connections at any of these hospitals? If so, lean on them. It’s gonna be hard to float to the top of the stack without some kind of “in.” I’d also make sure your cover letters are really hyping your local roots.
  9. Second Pfizer. Arm pain the morning after, nothing crazy. Then yesterday afternoon (24 hours post vaccine) my ipsilateral armpit starting hurting like a bruise, and sure as shit I have a huge tender lymph node in there! I’m actually really excited. It’s super interesting.
  10. That’s not what this means. Christ. Equity within the current employee group. We have this with all of our hires and it’s part of the salary description. You are not gonna be paid 150K if the most experienced person in the labor pool is currently making 105K, no matter what you think your experience and qualifications are worth or what they might be worth someplace else. They’re going to fit you into their group salary structure. So it’s equitable.
  11. Yeah our hospital now has a “standby” list so no doses are wasted at the end of the day. But it’s only open to employees. There’s no mechanism to take those doses into the community.
  12. I find this troubling. I had this sense close to the beginning in mid-December, as I watched people without direct patient care posting selfies of their vaccine cards, that something might not be quite right. My hospital seemed to be doing the right thing, but then today I heard about vaccinations going to staff who are 100% telework and without other qualifying demographics. Just working for a healthcare institution does not justify a healthy young person without increased risk receiving this vaccine ahead of the elderly and high risk. I know for a fact that the nursing homes in my area haven
  13. I would read it as... Of the people who receive a bonus, $XX is what folks get at each percentile. That can be separate from salary. So someone might make a salary that’s at the 10th percentile, but receive a large bonus at the 90th percentile.
  14. You double-posted this to the hospitalist forum. Take a look at my answer there for the math. Spoiler alert: it's shitty.
  15. That sounds incredibly sketchy.
  16. See about going through your preceptors from your surgical rotation. Or SICU. You need a letter of reference from someone in those fields or this isn't going to work. 200 applications is absolutely crazy. Surgeons are well used to being asked for letters of reference. Someone at that hospital was in charge of you during your rotation (even if you worked with multiple surgeons); track them down. My surgical offers straight from school were all from my rotations. I didn't do a surgical elective. The PA in charge of me during my surgery rotation never worked with me in the OR, but he gathere
  17. You identified three hurdles to interview offers already. I would work on those things, as much as you can. I think your GPA is fine, just make sure it's in line with the class averages of accepted students at each school. Some places say they have a 3.0 cut-off or whatever number, but if you look at the accepted students no one is below a 3.5. Gotta look for that.
  18. Do you work with any physician assistants right now? If not, that would be a reason to move on, assuming the new place has a PA in the office. The goal of PCE isn't for you to identify the specialty you prefer by bouncing around and trying everything, it's to help you determine if caring for other human beings in this capacity is what you want. You should be working directly with patients (to make sure you know what caring for a sick person is like) and you should be working directly with PAs (to make sure you know what the job is like). After that, if you want to explore specialties I would r
  19. Hope everyone passed! If you haven't checked, it looks like everything is updated now.
  20. Got mine Tuesday. Pfizer. Aside from the third eye and extra leg I'm growing, there were no side effects. I've written to the government to make sure the tracker is active and working. Seriously, I didn't even feel it. No arm pain at all, no other side effects noted.
  21. Talk to HR. PTO is supposed to reduce your work requirement. Sometimes it's nice to have time off without having to use it, but no one should be telling you it can't be used. When we make our schedule, our administrator will ask if we have a minimum or maximum number of PTO hours we would like to use. The PTO is slotted into the schedule to help us reach our hours requirement, even if we don't have a specific day we need to be gone.
  22. I would never take a hospitalist job without PTO, but especially not a 7/7. They are trying to milk you, and it's very common with the groups that work 7/7. You need a week off but it doesn't coincide with your pre-scheduled week, so you have to work 14 days straight? Bogus and dangerous. Here is the math on hospitalist schedules. PA #1 works 7/7, 12 hour shifts, with no PTO. That is 26 weeks of work = 2184 hours per year. PA #2 works a flex schedule with the goal being an average of 40 hours per week (13 weeks per quarter = 520 hours per quarter = 2080 hours per year). Even wit
  23. If you're getting a lot of repeaters who don't tick the box "looks sick" consider discussing this kind of thing with someone in infectious disease at your facility. They will be familiar with the local antibiogram. Over-treating patients with indwelling Foley catheters can cause tremendously bad outcomes over the trajectory of their lives. We get a ton of SNF patients with catheters and a syndrome that looks infectious. Many of them are admitted and the only dose of antibiotics they get is the one the ED provider gave them. -Hospitalist
  24. I agree, which is why I’m getting it. Even if everyone who contracts it has a short, mild course... we’re still all out of work for that time which only strains the system more.
  25. It’s not mandatory. We have to actively opt IN. Some of my coworkers are skipping it, but it’s almost all because they feel low risk and not because of concern over side effects. They reason that if they skip it, more people further back in the line who may be higher risk can get it.
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