JMann

Those commercial W/D are freaking expensive! The companies that make the commercial units offer their own financing as the units can run from $3,000- $10k each depending on model. That listing included $400k worth of washers and dryers and other equipment. Building was leased if I remember correct. I get your sentiment and think the same way usually, but these commercial laundromats are on another scale. There's a company putting them in strip malls in TX that is dropping $1.5mil per laundromat and planning to continue expanding in several states with that model. Expensive, but profitable if you can get in.

I found a nice laundromat deal near where we will eventually retire to in NW Florida. It's listed for $700k right now so is a little rich for me! Did a little looking and asking and the owners gross 700k/yr and net around $200k- $250k/yr with rent and electric being the biggest costs. Not quite the 3x/yr you'd likely need to quit the regular gig, but darn close. If I had a spare $250k to invest right now I'd already be offering! Could always pick up at urgent care part time for some extra $$ down there I guess.

Real estate is my exit plan. Will work rural ED until I'm sick of it or until it gets in the way of the exit plan.

I agree with the other info posted above. Working solo in the ED is rewarding and keeps me thinking and on my game. Beware though, burnout happens everywhere. You need to develop a way to process it and deal with it now. Some jobs are toxic and you have to leave quick, but you still need to figure out some coping mechanisms. Moving to rural, solo coverage EM will fix a lot of it, but you'll still get flashes. I saw 18 folks in 4 hrs the other day at my one job. Nobody sick, just colds, flu, stomach bug stuff. Not a common occurrence, but enough to stress you and can bring back some fast track flashbacks for ya.

It is awesome! W2 employee at both jobs. Schedule isn't too difficult. Only about 2 months out for planning. Primary job is weekend package, so I work Sat/Sun overnights and get paid time and a half to do so. I then fit the 24hr part-time gig in during the week. I'm off A LOT. So much so, that I'm looking to get into some rental properties this year since I have the time to deal with them.

8, 12hr shifts a month at regular solo coverage ED job. 2, 24hr shifts month at part time job, solo coverage ED. That schedule gets me around $180k. Usually work one extra day at primary place per month and try to get 2-4, 24s at part time. 2020 should be $190k-$200k. I'm usually off 4-5 days per week most weeks. Pretty sweet!

There's your answer... PAs that I know that want to work in EM, also want to see sick people and do procedures. Like real procedures, not just some I&D and lac repair. And if it's busy fast track, forget it!

That's a long time, so you should try to line up something. Any kind of experience as a PA would be good, but certainly try to get a EM or Urgent Care job if you can. No reason you have to tell them you are applying to residency. I graduated in December as well and my residency began in July. You forget a lot quickly if you don't use it, so you should definitely find something.

This is a nice wide ranging discussion. We've got climate change, preferred pronouns, abortion... and it's all been fairly non-combative thus far. Well done! I read the original article earlier this week or last when it came out. I read it as the author becoming increasingly tired of the social issues having a bigger piece of the educational pie in med school. Reading between the lines, he also disagrees with anyone other than MD stipulating educational goals in med school, thus his rants against educational doctorates driving the model. Can't say I disagree. I view a persons sexual preference as irrelevant unless it impacts their complaint (ie rectal foreign body..). Frankly, those that wear their sexual preferences on their sleeve are quite annoying. We had a 2+ hour class in residency at Iowa on LGBTQ stuff. They discussed preferred pronouns, advocates, clinics specifically for these issues etc. Not being originally from Iowa, I was surprised at the seeming prevalence of alternative lifestyles. I soon realized that's mostly confined to around Univ. of Iowa, Iowa City and the University hospital. While I don't personally agree with the lifestyle of any of those letters, I did find it useful to have been exposed to that education and way of thinking. My personal feelings don't affect the care I provide and we should all treat each others a good humans anyway. That being said, I'm still trying to understand how seeing yourself/identifying as a different sex isn't a psych issue. I've had numerous psych pt's commited for less in my ED... Perhaps this is a manifestation of some other emotional trauma or just a call for attention. I know this is a touchy issue for some and can be difficult to discuss.

I work solo coverage rural EM in Iowa at a few places. My primary job is W-2, 0.6 FTE, and I get $102/hr for that. Also get free cell, state pension, benefits, CME etc. Only caveat is that I work overnight most Sat/Sun nights, 12hr shifts. That rate is an anomaly for this region I believe. My other jobs pay ~$25/hr less with minimal benefits. Other, slower shop I work at is $70/hr W-2 with 24hr shifts. Third shop is $75 or $77/hr. I forget because I don't work there as much. It's W-2 as well. Like others have said though, none of the jobs I have are for new grads. Minimum would be significant previous EMS/EM experience, but most likely needs residency training like I had or years experience.

My GPA in PA school was like 3.5 or so. I did have 9-10 yrs of experience as a paramedic before school so that definitely helps. Getting the interview is the hard part. Once you get an interview, it's all about personality fit. Definitely use your Iowa connections if you apply there!

Interesting. Kind of counterintuitive. Initially, you would think larger blade for more square inches to move more tongue out of the way. Really does make the viewing window smaller though. Good tip!

Good reminder. Always gotta examine with fresh eyes and as little bias as possible to avoid this situation! Very humbling.

When I certified there, it didn't take long. Maybe 4-6 weeks. Wasn't too bad. If you think TN is frustrating, you should apply to Florida...

I was thinking PE from the start... Interesting case. Sucks though!