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About ResusMachine

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    Physician Assistant

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  1. I also learned this the hard way. Always ALWAYS keep records of your procedures. After leaving my first hospital I was told I would need records for the last 12+ months to prove adequate volume for the procedures I was requesting privileges for. When I went back and asked for the records I was told it would take 1-2 months to run a query. Luckily, the next hospital agreed that a SP could attest to me having performed x number of each procedure and my being competent. The next hospital? The IT department didn't return my calls (called for over a month). Billing dept said they bill unde
  2. The two ICUs I previously worked in were sometimes staffed by APPs during the day (depending on the availability, otherwise staffed by docs and residents) then always staffed by APPs (and only APPs) overnight. Shifts were 7a-7p, and 7p-7a. The good hospital system I worked for had one PA covering each of the four ICUs (ended up being anywhere from 10-16 beds each). The terrible system I worked for sometimes had two, often times only one APP covering up to 30 ICU beds, plus cardiovascular surgery patients we were consultants for on another floor (another 4-5 beds). You can imagine what that loo
  3. Hi there I just took the course this summer. It was fantastic. The course is split into 2 different parts- didactic and simulation where you have the opportunity to dial in different vent settings in different clinical scenarios and get feedback from the instructors. The course did an awesome job teaching interpretation of ventilator waveforms. Unless you have completed a pulmonary residency, you were likely cheated when you were taught about mechanical ventilation. Waveforms/loops can tell you so much about a patient's disease process as well as how to fine tune your ventilator settings
  4. I second this!! The difficult airway course is the best CME money you'll ever spend. SCCM podcasts are also fantastic. The CHEST course for mechanical ventilation is also supposed to be great. (Disclaimer- I know folks who have gone and I am registered but haven't gone myself yet). If you are going to pay for a subscription, get the Critical Care Clinics. Each issue is devoted to a topic within critical care. ie: next month may be OB and contain articles about HELLP, post-partum hemorrhage, eclampsia, ultrasound examination, etc. And as for ultrasound- the amount of free material circulati
  5. Free ultrasound education: Free e-books: https://www.ultrasoundtraining.com.au/foamus/foamus-free-ebooks ICU ultrasound book: https://itunes.apple.com/us/book/icu-ultrasound-pocket-book/id957153627?mt=11# New favorite US site- full of videos, lectures (structured by exam), blog, links to ultrasound literature, etc http://emultrasound.sdsc.edu/ The POCUS Atlas: Exactly as the name says- an atlas worth of pictures by exam/organ system. I recommend starting here- learn what normal looks like. http://www.thepocusatlas.com/home-2 Virtual Echo Simulator: http://pie.med.utoronto
  6. DEA comes out of pocket and cannot be covered by CME. I don't believe we can even use CME funds to cover license fees or any other maintenance fees. Maybe it's time i asked for another raise?...
  7. Which is probably a good thing, since I have heard there are upwards of 30 applicants applying for 2 spots at some programs
  8. Exam Master. Do question after question after question. The questions are long especially in comparison to what you will face on the board exam, but you will build up enough stamina to make it through the actual PANCE. Study mode gives long, thorough answers as to why the right answer is right, and why the wrong choices are wrong. Pay attention and in one question you get a review of five different topics. I used nothing but a basic board review book and exam master for one month and got an 800.
  9. I GOT AN INTERVIEW WOOHOOOOOOOOOOO! Ok, so now the excitement is dying down and the realization has sunk in. I have an interview for an emed residency coming up in the very near future, but I have no idea what to expect! Does anyone out there know if they are similar to P.A. school interviews, more or less formal? Should i prepare for a firing squad? Any words of wisdom would be much appreciated!! :saddd:
  10. I have to admit, It's making me sweat a little :sweat:. Hearing of PAs in practice for years failing, passing but originally told they failed, then some others saying there were more than a few questions that left them scratching their heads. It doesn't quite give me the warm fuzzies as a poor new grad who definitely cannot afford to take this more than once. I haven't heard too many gripes from the new PANCE takers but then again, I haven't talked to many. The thing that concerns me the most is hearing PAs who have recert. in the past say the new PANRE seemed to be more difficult and somewhat
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