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LT_Oneal_PAC

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LT_Oneal_PAC last won the day on June 28

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About LT_Oneal_PAC

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    Physician Associate

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  1. It really isn’t that difficult. It takes about 10-25 scans to become proficient enough per ACEP guidelines for credentialing, who also does sports med. why refer to an outside radiologist when you can capture that charge? Besides, we all know the rads guy will say better characterize with MRI
  2. I worked for 3 years in the military/family medicine before going back to an EM residency. Worked out great. Those all look like solid programs, but I’m not as well aware of all the different surgical residencies.
  3. LT_Oneal_PAC

    Peds ED

    My buddy works in a peds ED at Erlanger I’m Chattanooga. I’m not sure if he can see anything, but he sees a lot. Pretty broad autonomy and paid pretty damn well.
  4. Given your example, I believe you are reading interval as “inbetween this time and last” when I mean there is no alteration of the PR, QT intervals from normal, not that the study is unchanged from prior. If that was the original point, then I apologize we had a miscommunication.
  5. Did it go from abnormal to normal then? The point is it’s not a change from normal
  6. Biphasic P wave in v1. NSR. No interval changes. Normal axis. No ST changes. No STEMI or equivalents.
  7. Do a residency and come back or be willing to move and then come back with experience. Sounds like a saturated market that everyone wants to live in.
  8. Not near enough residencies for that. It may be the future, but not for decades. It may be that way at certain places though. Where I did my residency, you can’t work in the ED there unless you have done one.
  9. Residency is the best thing I ever did. After the military I could have gotten a job in the ED. Now I can pick where I want to work. I recently found out the place where I have a job I make as much as the people who have been there 7 years.
  10. I tubed, lined, and started a epi drip on a patient with hepatic encephalopathy, possible sick sinus syndrome, and urosepsis, then slept the last 8 hours of my shift. Best job ever.
  11. I don't think when people say hoof beats think horses, not zebras, they aren't talking about think benign conditions. MI is a horse. I believe they mean, don't look at hypertension and think pheochromocytoma or syncope and think insulinoma, things that likely won't kill you immediately and providers may say one, if that, in their lifetime. So I think it's still pretty valid. In the scenario you provided, I would call those questions looking for horses. Checking an alpha 1 antitrypsin on a first visit for dyspnea may be looking for a zebra. What I believe your referring to is anchor bias, relying on only a small amount of information or preconceived ideas to guide decision making, which is something we all definitely need to watch out for. You hear someone is a drug addict and you walk in thinking they are malingering, see they are a BMI of 40 and they have deconditioning, ect. Definitely agree with you that this can be a real trap that anyone can fall into and must be vigilant to check your bias at the door. I usually catch myself falling into it after the nurse says something like "oh he's just whiny" or something other blow off statement and need to realign myself.
  12. Second the car troubles. I didn’t have any, but others did. I did a full service and changed tires before school started. Main expense was travel to distant sites. Some provide room and board, others didn’t. I had to drive 8 hours to a site and pay for a months rent for one of mine. Partially self inflicted as I chose there, but lots had to pay for gas and travel 2 hours daily.
  13. How would I answer that in a interview? I’ll let you figure out how you would handle it. How do I actually do it? It’s never happened, but I would tell them it’s a single coverage hospital. I’m it. If they would like someone else they can drive 30 minutes south.
  14. Michael Scott’s posts were reported. I do not believe they violated the TOS, but he has deleted the posts of his own volition. Given the new account made with a random throw away email, account will be monitored for other activity. Agree with Ventana. Seems like the school handled it well, I cannot verify the statement about diversity, but I trust Ventana over someone who joined 17 hours ago and only made 2 posts to defame a school.
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