JMann

Currently working on getting FL license. Does Florida require me to send their form to the other states that I am licensed in or will they look on the other states website to verify my current licensure since that is considered first source info? I'm waiting on the contact person to call me back, but it's taking a while... Figured I would post up here as well.

Another vote for doing residency. Doors will open for interviews that wouldn't open even with a year or two experience. I'll be done with residency in December and I was offered an interview at a facility that wasn't even hiring. Interview went well and they created a spot for me. Never would have happened without residency. Can you find work without residency? Sure. You can learn on your own in a less structured environment, but you have to be very focused and make sure you put yourself in a good learning environment.

My residency has been tough with a spouse to help out! I can't imagine trying to do it in another state from your husband and no family around. No daycare is going to be open for the hours that you need so you'll almost certainly need someone that would be able to come to your home or your child go to their home. Finding someone like that in southern CA that you can trust... There are several good residencies, so perhaps another one is closer to you? I don't want to be discouraging, but I do want you to know that it will be difficult. I'm sure Arrowhead would ask you about this as well and you would need to have a solid plan ahead of time.

Well said E!

Found this job interesting. Likely more primary care like HTN meds and the like, but would be interesting. At least for a while. Pay is awful and doesn't mention schedule. I know Memphis, TN is doing this with primary care docs as well. Similar to the NP setup that LA started a while back.

Lots of looking, research and talking to folks. As many have said, look at places few people want to live such as OK, KS, IA, MN etc. You may have to take a 24 hr gig and turn it into a 48-72 hr gig with time. You can find the 24 hr gigs pretty easily.

Awesome prospective CB. Currently plugging away in a residency now and it's good to hear perspective from "the other side." Even if I'm not in the same residency, mine correlates well.

E- Sorry for the confusion. I was asking about health insurance. In regards to malpractice, I'm not working somewhere that doesn't cover malpractice. Places that don't cover malpractice likely have other greater issues as well. Boat- Thanks for the info. I've found most are 1099, but some are employee with health benefits. The lack of specialty coverage in many of these hospitals and their affiliates is one of my initial concerns and spawned my question here. As I suspected, I'll just have to navigate the issue as it comes up with individual jobs.

I'm looking into a few jobs for after residency is over. Mostly rural jobs with 24-72 hr shifts. To those of you who work such jobs, particularly if you travel some distance to work, how do you handle insurance? Most places offer the usual benefits within their system, but what if you live 4-6 hours outside of that hospital network? Just pay out of network fees? Negotiate this into the contract? I'm just asking to see if any of you have been in this situation and have some insight??

Discussed this in journal club at my residency a while back. Consensus was as noted in the article above. Practice wise, most staff at my place don't use sterile, but some will in instances of the non-simple lacs or immunocompromised folks. Irrigation and cleaning is more important by far!

This is the perfect info and timing as I'm trying to get some flight shifts during some elective time as part of residency. I figured I would frame the discussion around my previous paramedic experience, but this adds a nice accompaniment to the argument and will make it more difficult for them to tell me no.

Land for timber is a good investment. This is particularly true if you have land in the South where the pine grows well. Hardwoods are a longer term investment and require that mindset. I'm interested in a couple vacation destination rentals. This goes against some of the advice given above in that I would be a long distance landlord. I do think owning the properties outright is the only way to go though. Don't think I would rent out a vacation home I wanted to live in long term at retirement though. And Boat is correct about the emotional attachment. You've got to be willing to cut them loose if it starts costing you too much money.

Glad you brought this up. As I was updating my residency procedure log yesterday I was contemplating the same things. When I get done with residency I'll be looking to be credentialed in the major procedures that I'm likely to need to perform regularly (intubation, central and art lines, para/throacentesis, etc). Interesting that they differentiate procedures down to adult vs child, especially paracentesis. Don't think many residency EM physicians graduate with more than a couple of those under their belt if any. Are you attempting to get any US credentialing? I know this can be state and hospital dependent, but was just wondering what your experience with that has been thus far.

I would venture to guess that a new EM fellowship program won't be started in the South outside of GA or NC. The other states don't utilize PAs appropriately enough to make it worthwhile. A state like MS, with vast rural area and limited access to care, would greatly benefit from a local EMPA fellowship to act as a feeder to all the small, rural hospitals in the area. I just don't see the political culture allowing that to happen though.

Attended this course a couple weeks ago and figured I would give ya'll a report back on it. As a recent grad, I registered for the course as a jump start to working in the ED or for acceptance into a residency since I was applying to several. I was considering one of the typical EM bootcamps but the dates on those were farther out than what I was looking for. Full disclosure: I will be starting the EM residency at Univ. of Iowa this summer. I had just scheduled my interview when I registered for this course and found out I was accepted to the residency prior to the course. Overall the course was fantastic and very informative. The folks that ran the course top notch and good teachers with great knowledge. Many of the people involved with their PA residency are active in this class. I was emailed 12-13 prerecorded lectures to listen to ahead of time. The lectures covered the major topics in EM and focused on the major life threats/complaints and the "can't miss" stuff. Length of the videos were 25-45 minutes with most around 35. Course runs 8-5ish daily. The group discussions revolved loosely around the video lectures and were facilitated by EM faculty. Questions were heavily encouraged and most of our discussions ended up being focused on things the group of us were interested in relating to that topic/complaint. There were five of us attending this course, 3 NPs and 2 PAs. Two of the folks work solo EM at critical access hospitals in Iowa and the other two work part-time in community ED. I was the only one not from Iowa. We had a good mix of experience in the group and this facilitated good discussion. There were procedure labs mixed into the discussion group as well. Some of the procedure stuff we got to work on were: -slit lamp & ocular US -FAST and cardiac US -US guided IV and central line placement -IO insertion and use -some suturing -airway management- DL, LMA, King Airway, bougie -splinting -chest tube insertion We also did some simulation exercises in their sim lab on toxicology, arrest and peds stuff. Useful stuff to dust off the old brain. Only thing that didn't run super smooth was the critical care section which was a 3 hour block one afternoon. This was too short of a time for the topics they were asked to cover and I'm sure they will have more time in the future. So, would I attend the course again? Definitely. This course would be ideal for those working in EM who didn't do a residency and have found themselves kind of wanting to advance their understanding and skills. New grads working in EM would benefit from this teaching for sure. The solo EM folks in our group also said they learned tons. Everyone has to do their CME on something, so why not spend a week at an academic center that has a physician and PA EM residency and get some clarification on questions you have about your practice or learn a skill you've never done before. They plan to continue this course in the future and are currently marketing it to EMPAs in Iowa but others from outside of Iowa are certainly welcome as well.