centosan

That statement is true when I am on a resus shift. Thus this thread. It varies, it can be 1 per hour to 3-4 per hour.

I think you’re taking my question out of context. I work in all areas of the ED in a full time manner. In fact my “resus” shifts are the ones that are infrequent. I usually get only 2 of those shifts per month.

Hi all, I am trying to get a feel of what happens in other emergency departments around the country. (See poll for question). Little fact, I’ve only been in one ED and graduated 3 years ago. Basically, in my ED — we have a dedicated team of nurses/techs/PAs/attending that runs the resuscitation area (not a trauma center). We only stay in our area and do not see fast track/main side patients. Recently, I have heard that in other EDs, the common occurrence is that there are multiple teams that run the trauma/resus area that are pulled in from fast track, main side 1, main side 2, etc. so in total there could be multiple teams at any given day that will tackle incoming high acuity patients vs just one dedicated one. Thoughts? Opinions? Please fill out poll to see which is more common.

Haha, glad I posted this ASAP before accepting anything. My friend informed me that since she is FT and not through a recruiter, she is on a traditional W2, so she's not having the same issue. What would be a good rate in terms of a 1099 per diem position?

Hi all, 1.5 years urban/city ED experience. Finally started applying for per diem positions. Hit one with an urgent care company via a recruiter. UC company is interested, my friend actually works there and loves it. However, it is a 1099 position with an hourly rate of $67/hr, which is quite low for a 1099 spot. Was hoping for at least $72-75. Thoughts on the matter?

Sounds good. Thanks for the advice. Unfortunately I'm a W2 employee.

As the title says. Working in the ED, at times it gets very busy (especially in our 'fast track' area) to a point where I would need to finish some patient charts at home via a VPN on my personal computer. My question is, could I feasibly deduct this on my 1040?

I'm actually also a new grad in the ED for close to 2 months now. I can totally relate to what you're saying. I've been having dreams/nightmares about things I may have missed and didn't do/document. In fact one night before bed I actually recalled I forgot to order patient's methadone (the EDPAs run the obs unit too) even after verifying with methadone clinic, and called it in for my night shift colleagues to put in. Totally bizarre and insane just hit me at night prior to sleeping.

Tax consequences aside (NYC has their own city tax), NYC has been raising the bar for PA salary recently. I'm not sure how it is compared to the CT one you're currently working at, but most (not all) of the major NYC health systems are paying PAs at a national average rate. Which per AAPAs salary report is 90k/yr for new grads (though I know AAPA report is pretty unreliable).

Hey guys/gals. So first and foremost, I am a new graduate. I have always wanted to do Emergency Medicine. And I have tried applying to EDPA residencies that are commutable from home (familial obligations aren't allowing me to leave at the moment). I've gotten so far as the interview with two of the residencies near here, but was unfortunately rejected... With that said, I can't wait another year just to reapply for residency and have thankfully received an offer from an ED in a large acadmic center associated with a huge health system. During the interview, I had a very good vibe with the Chief PA and the director of PAs in the ED; and noticed how big they were on PA education, which really drew me to the spot. They hold monthly PA lectures which apparently is worth 1 Cat 1 AAPA cred. And an annual PA conference. Large ED with full physician backup round the clock and ED residents who also love to teach the new PAs. Two mains, one run by the residents, and the other run by PAs. One fast track and observation unit run by PAs. The chief PA rotates new grads 50% fast track and 50% main after shadowing a senior PA for 1-2 months. The offer: 90k starting 12hr x 3 shifts/week (question about this down below), variable shifts with minimum 3 nights/month and 1 weekend/month. No night or holiday differential. Starts only after minimum hours are covered (see below). Differential will be at a fixed rate of 75/hr. 2.2k CME, I believe DEA/professional organizations is reimburseable utilizing CME. Unfortunately it isn't seperate. 403b with 6% match Health/dental/vision covered Life insurance/disability covered Malpractice covered With that said, there is no "official PTO" time. Basically, even if we are scheduled 36hr/week, we are only required to meet a minimum of 126.5hr/4weeks, which translates to ~1650hr/year. However, if you do the math, that's around 31-32hr/week, much less than the 36hr scheduled. So the difference of 4-5hr/week can be considered for OT or saved in a "PTO bank" to be used down the road. At least that is my understanding from the explanation during the interview. Thus it allows doubling up on shifts and taking the rest of the month off. All this I get and expected going into the ED life (mainly from all the reading I've been doing on this forum). I believe I've read similar on this forum elsewhere so this isn't a bizzare thing, but just how the ED schedules their shifts. So my two primary questions are: -when I received the official offer they gave the offer on a biweekly rate without an hourly rate. I was wondering to calculate an hourly rate, do I divide by the 36hr/week or by the 31-32hr/week? (a couple of my friends got hired by the same health care system in the same hospital, but they received their offer in the form of an hourly basis). -when decidiing to utilize the 4-5hr difference/week as OT, would it be cashed out at the end of the year then? Considering sometimes you can work more than the minimum per week, whereas other weeks you'll be working less - depending on the scheduling. Thanks ahead for your help!

Thanks for the reply guys. It is true, I am overthinking it a tad too much. I've been scouring the site for a year past now and I've seen possibly all the EM residency posts, including your sticky EMEDPA. It's definitely a field I want to dive in. But, as others noted multiple times, it's not an easy one to just dive fresh from graduating. In fact, it is rare to see an ER in this neck of the woods giving job opportunities to a fresh graduate. In any case, thanks for clarifying the matter guys. I'll keep lurking around here even after I graduate.

Thanks for your reply! The residencies are definitely one of my top goals of doing after graduating, but most of residency start dates don't align with my graduation date. I'm trying to contact some people from different residencies in hopes they can give me both insight and advice

Hey guys, so it may be a bit premature to think about this. But first: I am currently a PA student, almost done with my didactic year (3 more months to go!). I entered the PA program straight from undergrad, currently 22 yo. The only HCE I had prior to beginning the program was working as a lab assistant for a year while finishing up undergraduate studies. I also had some rotation experience to different labs as a student pursuing medical laboratory technologist degree. And roughly 400 hours of volunteering experience. I am still currently working as a lab assistant in a big metropolitan hospital in hopes that the current connection I have can help me in the future in job prospectives or even the residency their ER offers. I've passed all my classes so far and hope to continue to do so, current grades slightly above 3.5. Recently, I realized after talking with the faculty that in terms of finding a job or even a residency (which I am currently leaning towards), it would be difficult for someone who has a lack of HCE prior to entering the PA program (I don't really count the lab assistant as good HCE due to lack of patient exposure). I was quite elated and happy that I got accepted with minimal HCE, but now I just realized that it may affect me in the future. Of course I may be a bit pessimistic about all of this, and heck things might change drastically once I enter clinical year. I just wanted to get some insight from differnent individuals who may have had the same concerns as I did prior to clinicals or graduating. One of the main reasons why I'm leaning towards an ER residency is due to my lack of HCE plus it's a great additional teaching experience for anyone trying to go the ER route. What do you guys think are the chances of actually attaining a residency or even a job?

Has anyone heard back from any of the December interviews?

Did anyone get an interview invite for their December interview session (which I assume is their last)?