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CSCH

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CSCH last won the day on March 18 2019

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  1. My impression has been that Butler and LMU are the only two that include a primarily clinical track (courses that are taught in each body system). AT Still’s website doesn’t make their clinical track very clear. Can anyone clarify?
  2. Appreciate all the helpful answers!
  3. Looking at the websites for various DMATs, it seems like most used to get called upon frequently in the 90s, and have really dropped off as of late. I’m feeling like NDMS may not be the best way to get out there responding to emergencies on a regular basis.
  4. Thanks, that’s very helpful. Sounds like you’re saying there’s the possibility to be as much or a little involved as you want, depending on your willingness/ability to disrupt other roles and responsibilities. I’m asking all this because I want to figure out what organizations would put me in the best position to be called upon to help out in disaster/emergency situations. So it seems NDMS is called upon fairly frequently, but had a far reach across the US and even internationally, whereas NG lets you respond more within your local area, but comes with additional roles and responsibilities of the military as well as the potential for extended deployments. Final question (maybe): Do you know how long NDMS deployments usually last (and whether you always must be there for the full duration, or is there some flexibility to rotate people in and out)?
  5. Did you never get a deployment because that one was the only one offered to you and offers come extremely infrequently, or because there were multiple offers that didn't work out for you? It looks on their website that you could theoretically refuse every deployment offered. Is it true that you have that level of control over how often you respond? Do you feel any of the training you received was valuable to your practice (in daily life or in austere environments)? To your knowledge, are PAs used to their full capacity on deployments? What would you say is the ratio of domestic to international responses?
  6. Anybody currently or formerly worked with NDMS willing to share experiences? I’m particularly interested in pro/con and similarities/differences between NDMS and National Guard.
  7. South College (I believe all of the locations)
  8. I'll jump on the bandwagon and repeat what's been said above: I think the strongest part of my application were my letters of recommendation from clinical preceptors who thought I stood out. I recently asked one of my program directors why they picked me (I was competing with people with much more critical care experience), and they said my interview was a big part, too. No one seemed to care much about my grades (other than that they were decent), they just wanted to know what kind of human I was and how I thought. They're looking for people who can excel in the high-stress residency environment, who have the right combination of assertiveness and people skills to get the most out of it while competing with other learners, and who seem well-suited for actual practice in critical care.
  9. How was the "PA Practicum" structured? I've wondered this about the other PA doctorates as well. My understanding is you just do your normal job and have some extra assignments/papers/presentations related to it.
  10. If I had a dollar for every time I recommended this book... ***The Ventilator Book by William Owens*** Read it twice.
  11. Just wanted to follow up post-residency. I'm two months into my permanent position (and already off orientation), and now more than ever I am grateful for having done a residency. There were moments when the year seemed long, but now in hindsight it flew by. A single year was such a small sacrifice in comparison to what I got: an incredibly broad base of knowledge, procedural competency, relationships with other professionals (many of whom are now friends), and a lot of confidence. My only regret is that it was all over so quickly. If you're reading this like I was, sitting in my PA classes wondering if I should consider a residency, the answer is yes.
  12. For the sake of anonymity, I'm going to keep which program I'm attending private. As far as what to look for in a program, I love that mine has a well-developed SIM lab, bi-monthly dedicated lecture days with really good speakers, and we rotate through basically every major type of ICU (burn and trauma aren't built in, but are available as electives--I chose to do trauma but not burn). I think overall making sure they have a real curriculum is the big thing. A residency without that is just an excessive amount of work. Yes, you'll learn a ton and be exposed to a variety of experiences and patient populations, but I think the didactic portion is what ties it all together.
  13. After residency, I take two weeks off to recover, and then I start my permanent position at a MICU. I'm very excited to be working there! Down the road, I'd like to precept and teach, but also flesh out a few hobbies and get back in shape. I also definitely see myself picking up extra shifts from time to time in the various units I've rotated through in order to keep up the unit-specific skills I've gotten to learn through the year. (Being used to working pretty much every day, I think I'm going to have to really adapt to having so much free time!)
  14. The Ventilator Book by William Owens. It's the best. I read it twice before starting residency and I felt like it gave me an edge. Just make sure you find out what brand of vent your unit uses and what names they have for the standard/special vent modes so you can apply what you learn in the book to your machines. Marino is great; I think the mini is sufficient, but the full shebang is certainly good. I also really liked the Washington Manual of Critical Care. If you like things put into flow charts of if/then, it's perfect. Less theoretical, more about action items. The EMCrit podcast has lots of topics super relevant to the ICU, and the PulmCrit blog is great.
  15. I always recommend The Ventilator Book by William Owens. Short, easy to read, packed with the real info you need about vents. Ideally, in CTICU-land patients are quickly extubated, but you'll certainly have your share of people who need more active ongoing vent management. (When you get to your ICU, make sure you find out what brand of vent they use and what each of the standard modes is called on their machine so you can apply your knowledge.)
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