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Everything posted by LT_Oneal_PAC

  1. Agree on all points. Problem is, ARC-PA has to approve these programs if they meet requirements. It’s federal law. So what they need to do is bump up the frigging requirements and shut down these programs.
  2. I know their EM residency is not that great.
  3. Same topic by same user in Pre-PA and student section. Merging to Pre-PA forum.
  4. I would say the scope of a PA>NP scope. They often have to get more certs to practice in new areas outside there specialty, can’t assist in surgery without an RNFA certs, Most don’t have any procedural training in school. anyways, I’ve already answered this question on reddit. Same answers applies. I’ll post for others. What inaugural program? South college has been there, UT started a few years back, LMU is opening a new program there, but they have a program in Harrogate already you can look at board scores for. As an RN who did some MSN before I went PA, you’ll get a better clinical education at the Pa program. No one will give you a job based on where you went to school, I can guarantee that. But really what seals the deal is the cost. Go to Knoxville where you can live cheap and have a less expensive schooling. I imagine this NP school is not for prior RNs or it wouldn’t be so expensive.
  5. Email appears legit for a 19yo male. its definitely cheaper to go NP. Disagree with upward mobility. Good luck.
  6. Yeah, that dude just stepped in deep poop with that response. While residency, for PAs and physician, is educational, it is a job and they must follow all the same laws in regards to that. He has a lawsuit on his hands if you applied now and did not get in. Not advocating you do that.
  7. I would be all over it. OTP is great. If all it is implemented exactly as intended, like it was in North Dakota, I’d be pretty happy. The problem is it’s chosen as the place to start negotiations, which it shouldn’t be. We get to regulate ourselves, we our responsible for ourselves, we practice to our education and experience. Full stop.
  8. I’m very sorry you were named in litigation. I can’t imagine the amount of stress this has caused. I surely would be a depressive wreck. I’ve known some good providers go down a dark road from frivolous lawsuits. We’ll always support you here if you need to vent, which is what I believe you are doing here. Talking about it can be very cathartic. I had records requested once and I freaked out for a week. Still can’t be sure I won’t get sued for another year. We are here for you. However, I’m not sure I understand the point of your post. I never said don’t protect yourself. We need to prepare for the worst. Nor did I say that our best is always enough, which our best is variable as we are human. I simply was trying to help others who have anxiety about litigation. The data clearly shows we are sued at a much lower rate than physicians, very few cases are lost, and as you elucidated, there is often nothing we can do to avoid it. Other than be kind to patients which is shown to decrease risk. So just explaining it is futile without further elaboration isn’t going to help others except to give them anxiety. To provide others with some reassurance, I’ve never been sued, no one in my last group has been sued, neither of my parents have been sued for an aggregate over 100 years of hospital/emergency medicine. I’ve known far more people who haven’t beeN sued than ones who have. So don’t lose all hope, just protect yourself.
  9. I’m along the same lines and MediMike. First, I look at the stats and I’m usually reassured that it’s unlikely I’m going to get sued. I also like doing EM in rural areas where they are less likely to sue. sometimes I perseverate on a difficult case, wondering if I did all the right things, but usually after a day or 2 I say f-it. Did everything I could to the best of my ability, it’s done now. Also reassure myself that whenever I have gotten worked up in the past, always turns out to be worry for nothing.
  10. A) if didn’t have to chart, I would do this job for room and board just about. But that’s not the point we are making about doing it for the money. People who do it for money can be seen time and again doing the least work that will pay the most. Nothing wrong with wanting to to live comfortably, but it leads to unnecessary testing, procedures, and poor care as the current incentive in our system is RVU based. Not saying you are ethically devoid as to falsify cancer diagnoses to justify chemo treatments as happened recently with an MD, but we prefer more altruistic aspirations. B)surgeons do it and most surgeons are dicks because of this. It has nothing to do with PA vs MD. Plenty of CT surgery PAs work 80-90 hour weeks. They aren’t pleasant either. I’ve seen many a good person in my time as a nice resident become a giant douche because of the repeated abuse of them by the system. There are some surgeons who make it through intact, but even then you can see it rear it’s ugly head on a particularly bad night. Also, surgeons aren’t making nearly as many decisions per hour as EM. Ask anyone who has rotated through the ED in residency, going nonstop for 12 hours can be brutal. You get home and your decision fatigue is so bad you can’t decide if you shower or eat first. There is published EM literature on this. Now there are slow paced shops where you can do 72 hour shifts, but even those can flip and be brutal. I slept a total of 12 hours in a 72 this last weekend. It was a nonstop onslaught of very sick patients. Usually I work about 24 hours in a 72. Just never know. you came here to ask the advice from experience. It’s given, so you can do what you want. Free country. Everyone has to learn for themselves. Just don’t expect people to understand or approve of it.
  11. How long have you been at the practice? How many will you round on in a average day? Is hospital call from home? Will procedures be involved? Are you expected to come in for emergencies or procedures? If you don’t need training in hospital medicine, I would say 130k. If you need training 120k. This is all dependent on the actual work load. If the load is heavy with round on 5-10 patients before clinic, coming to do procedures over lunch, expected to come in for emergencies or check on patients while on call, then I may ask for 140k.
  12. sounds okay if you get a big raise when no longer getting loan repayments. The vacation is awesome if you can truly take it when you want and it pays out if you don’t use it. Also depends on how many you are expected to see in a shift.
  13. This post as has been flagged and reported as false information and misleading. Claims have been made that the director is still is in his position. We are unable to establish the veracity of this post either way, therefore it will not be censored, but users should be aware of its potential for misinformation.
  14. There are some that don’t require GRE, but you’ll never find one that doesn’t require TOEFL when you using foreign credits. This isn’t so much a program requirement, but a requirement of the university or college for admission to any program
  15. Okay, I’ve been awake for 30 hours and I’m going to speak my mind. No one attacked you so you can put that card back in the deck. I conceded plenty of points that makes it hard for a new grad these days. I’m sure it’s a rosier view for me, but equally sure you see it darker than it is from your vantage point. It’s all about perspective. I have no doubt that you may be having trouble finding a job, but statistically speaking you are an anomaly. I’m willing to help you in whatever way I can. Seriously, I can point you in some directions( doesn’t sound like you are looking in my truly Midwest flyover state), but saturation isn’t the fault of the AAPA. I could blame it on the ARC-PA for not having stringent enough standards for school accreditation, but then we would be in a different predicament with NPs taking all those vacancies left from the vacuum of too few PA graduates. No, the real problem here is a complacent constituency who doesn’t get involved, doesn’t donate to the political action committee, doesn’t stand up for PAs at work, PAs that take low salaries so they can live in the big city with a saturated market, PAs that are afraid to rock the boat. that being said, things are looking better. Fire and brimstone sermons will only attract so many souls. We have to show the changes that has been made. The impact that we have had on people’s daily practices and they should want to support that with their time and their dollars.
  16. #facts Uh, AAPA is speaking up all the time now and so are constituents. You haven’t been around long enough to remember when it was bad. Like when we had a title change survey showing a plurality wanted a change and it was just tossed aside. i understand people want change, but the AAPA has made HUGE changes even since I started. OTP, title change, giving money to state’s to lobby for OTP, throwing out CEOs that don’t share our vision. as far as the Midwest job search, just hired 2 new grads for EM-Hospitalist at a job I left. Certainly being paid a more than fair wage. University just hires another PA for MICU position. All the PA grads from December at the local university have jobs right now. I get calls for jobs all the time. Got a call for a NC family Med job just last week. I don’t even do FM anymore. They have been begging on comphealth for over a month to find a CVT PA, willing to train. I have 3 jobs. not going to lie. Some places are tight. MDs feel the same squeeze, to a lesser extent. NPs feel the squeeze too. We definitely need to fight legislatively to make ourselves as marketable as possible, and I agree that keeping the status quo is the same as falling behind, but good things are happening and most problems finding a job are self imposed, though maybe unavoidable. @Cideouswe have things to work on, and we need to push. There are definitely some places that want an NP over a PA for admin reasons. I’m the biggest proponent of uncoupling ourselves from physician without apologies,, but things are looking brighter than ever. And telling everyone it sucks and looks suckier everyday, is not doing the profession a favor. At this point you guys are being detrimental to the cause by always digging the AAPA. How do you expect there to be change if you tell people the AAPA doesn’t listen so no one wants to join and pay dues? I’m not saying stop talking, because it’s the big mouths, god I love them, at PAFT that kicked AAPA in the balls and made it all happen. But even PAFT acknowledges when great things are happening.
  17. I didn’t have any clinical questions. I think if you get an interview they know you’re smart. They just want to make sure you’re cool and will fit well in the team. I was asked lots of questions about me and how I would handle certain job stresses, working with nurses, what I like to do in my off time, what are my passions, why this specialty, why a residency instead of just working.
  18. Solo coverage. I get RT for the airway and a nurse or paramedic to document vitals/give drugs. In residency though it was one provider monitoring airway, one doing procedure, and paramedic documenting/giving drugs.
  19. It’s just rare for people to have so few employees there is that much needed coverage. Sure it could happen some weeks, but it would be uncommon for someone to need 2FTE. It would require to give you guaranteed OT as well, which they wouldn’t like, even if it’s technically cheaper. Plus they know it’s dangerous. Whether you think you could handle or not, decision fatigue is real. I have one job that is a 72 hour shift every other weekend and two others that are PRN. The PRN gigs are basically time and half or more since I get more pay in lieu of bennies. I theoretically could get enough shifts between all these to hit 90 hours every week. None have that much need by themselves. youre going to dig an early grave doing 90+ in ER though.
  20. I disagree with one point on the last one. No one bypasses my rural ED unless they are in a private vehicle as it’s 1.5 hours away from the nearest medical center that has any better capabilities. Rarely have I had an ambulance crew who wants to manage any acuity patient, much less a high one, for 1.5 hours. We do 72 hour shifts.
  21. CT surgery first as resident, then continuing in that specialty. All the work you can handle. You could also do this in EM, but likely would need more than one job. But believe me, as a former resident, that life gets old quick. You can be as involved in research as you want. It’s unlikely you’ll get a faculty position though where they will pay you for that research time, but it can happen. I know a couple. More resources will be available at an academic center. Your work will be judged on merit, not your initials.
  22. As an RN who went PA, shouldn’t have a problem getting in if you apply 5 or more schools. 10 and I’ll guarantee it as long as you don’t bomb an interview or essay.
  23. I agree, not PA friendly there, but it’s got a decent chance as it ever will there. The bill is for PAs and NPs, Rep. Pigman is a Republican EM physician pushing the bill, and we have the momentum of OTP in a few states now, POTUS Trump pushing the national reimbursement parity, another gov’t organization recently came out in favor of reduced restrictions, CMS deferring to state law. I could be wrong, but I feel we should ride this momentum.
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