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charlottew last won the day on February 27 2016

charlottew had the most liked content!

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About charlottew

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    Physician Assistant

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  1. Yes, in the nearly three years since my prior post, the law in my state has been changed to allow PA's (as well as NP's) to certify, and we are now rolling out online certification of death by both PA's and NP's, at my institution. About friggin time.
  2. Dang, mine was in the spam folder too. And it took me a good five minutes to even FIND the spam folder for that inbox. Grumble. Thanks for the tip-off, UGo - a guiding voice of wisdom per usual
  3. At my hospital also, ICU PA's are paid more than PA's in other specialties. This is because ICU work is demonstrably more difficult than some of the other specialties, in terms of hours (we do overnights, most other PA's don't), patient acuity, complexity of decision making, having to coordinate with other services, etc. When ICU paid the same as the other specialties, there was a lot of turnover of ICU PA/NP's to other roles in the hospital - same pay for less hassle, why wouldn't you switch? Now that the pay has been adjusted there's at least some disincentive from switching out of ICU.
  4. Congrats on the interview, I think as someone that has done an ED residency and presumably has some direct experience with higher acuity patients you should be a strong candidate. As you probably know, ED and ICU differ in mentality sometimes with ED being about dispo, and ICU being about many small details (beyond the vitals - electrolytes, urine, nutrition, family, case mgmt) to optimize the pt for discharge out of the ICU. I don't think you would be asked specific topic questions. You will be asked why ICU? Also, be prepared to answer situational questions ("Tell me about a time when..") which would bring up issues that you might confront working in the ICU. As for procedures, it is great that you have some prior experience. Once you start working, they will take you through how they do procedures, so I wouldn't be too concerned about that, at this point.
  5. 100 hrs of PTO is actually 2.5 weeks (if you are counting 40hr weeks). Is still a bit low. If you are working for the hospital (and not a private group), they may have limited flexibility with the offer. If it's a private group however, then that would be different. Sounds like an interesting job, however!
  6. I also would pick the lower cost program. I'm familiar with mcphs, not with Elon. I still think Elon would be the better choice.
  7. Like Rev, I respect the difference between biological sex and gender identity. When they rolled out this feature in our Epic however, it defaulted so that any patient who had answered the 'gender identity' question, when you opened their chart there was a big banner that you had to click past, informing you that the patient had a stated gender identity, and that all of us need to be aware of that fact. Despite the fact that >95% of those asked, have a gender identity congruent with their biological sex. So in effect, opening anyone's chart took 10 seconds longer. Anyway, they fixed that feature promptly. As I said, I try to respect gender identity whenever I can. I had a trauma patient, young biological male who identified as female. Before the patient came to the unit, the nurse and I had a discussion about this, that we would call the pt by their female name and use female pronouns, etc etc etc. The patient arrives, then the pt's mother comes to the bedside, and starts referring to the patient with a male name and male pronouns. It hurt my head trying to negotiate this - I retreated to gender-neutral ('they', 'them') because the patient was semi-conscious and I didn't want to offend anyone!
  8. This link may work: https://www.indeed.com/q-Emergency-Medicine-Physician-Assistant-l-Long-Island,-NY-jobs.html?vjk=f48096a90c7df303 Or, just google search 'long island progressive emergency PA". 100k yearly, 18 months, protected didactic time (allegedly), 'rotations' in different sections of the ED including obs unit. Don't know anything about it, aside from the ad.
  9. I agree with UGo that barring a very tight local job market, new grads can get a job anywhere (easier if you have clinical experience prior to school). In certain circumstances (competitive or high-intensity specialties - I'm thinking derm, CT surgery, critical care, ED), having rotated at a site is a real advantage in getting a job there. (or, substitute prior experience in that area before school). Because they know you, from your 'audition'. For a typical job however (primary care, family practice, or a less-competitive subspecialty), it's not at all necessary to have rotated at that site, or even in the area. If you're new to the area, you might have to work a bit harder than an established local, to find a position, but it's very very do-able.
  10. Yep, many of these patients just laying them down flat puts them in a mild respiratory distress due to the weight of the chest and sometimes the protuberant abdomen compressing the lungs. And that's without a clot...
  11. If there's a high suspicion of PE one might argue for just starting the heparin gtt empirically, unless there's a contraindication. And if there is a contraindication, why would you work it up anyhow? Because there's nothing you could do about it. (thrombectomy? tPA? both very high risk in this patient, I would think) For inpatients with suspected PE, often we will do a bilateral venous duplex of the lower extremities. If it's positive, then probably a PE. If negative, then less likely. I too have never had a patient with a BMI that high. Yikes.
  12. Yes, the best preparation for a critical care job is a critical care residency. There are a few of them out there. Good ones will have protected time for didactics and broad exposure to disciplines. Some pay what MD residents would make, I know of at least one that pays new hire starting salary (but longer hours than starting).
  13. My BLS and ACLS recerts have to be with American Heart Assn, per my employer. Both require an in-person component. I pay for it with my CME $. I don't know about ATLS and PALS. I'm also highly encouraged to keep my FCCS and ENLS certifications current - FCCS is in person only, I think ENLS you can renew online?
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