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CSCH

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CSCH last won the day on March 18 2019

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About CSCH

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  1. Hahahaha yes there’s some weird practices out there lingering around from the Stone Age. I get lots of admissions for smaller hospitals and it’s alternately amusing and infuriating to comb through the records and find out what did or didn’t happen at the transferring facility
  2. I’d like to put in a vote for critical care! (Recognizing I’m totally prejudiced since that’s what I did.) I do agree that EM is definitely the most broad, but I would put CCM in second because we take patients fresh from the ED or floor, and send them back out to the floor, and in between we’re managing all kinds of “floor problems” in addition to the critical ones. A good critical care residency should expose you to medical, surgical, cardiac, and neuro patients, plus plenty of off-service rotations. Some even include ED time as an elective. I can vouch for the fact that I would feel comfortable transitioning to pretty much any specialty, and that I have been offered jobs in a number of other specialties. Not sure how I would be received in the ED because I haven’t applied for that type of job, but I assume my ICU experience would be well-received.
  3. I don’t know that doing a residency limits one into a specialty any more than working in a specialty for a couple years. I can give myself as an example. I’ve been doing critical care for a couple years after completing my residency, and applied for several prn jobs recently. I got a call back from most of them: trauma (which I ultimately accepted), surgery, hospital medicine, outpatient GI. I don’t think I would have any difficulty transitioning specialties.
  4. I second the above. If you do a residency, you can pick up anywhere. I’d say most CVICU people would not be comfortable picking up in a MICU/SICU, but it’s presumably easier to go narrow to broad than trying to jump into something super specialized.
  5. Hi @Jerobe Yes, MICU wound up being my favorite unit, partly because of the range/variety I see in the MICU, but also in large part because of the specific staff of the unit I now work in where I was lucky enough to have my first rotation. I can and have picked up in other units. Some are super-specialized (like the CVICU at my sister hospital that does ECMO, heart and lung transplants, etc) and I wouldn't feel comfortable picking up there unless I had additional training and was doing it on a regular basis. But I've definitely picked up outside of MICU and I think the combo of residency plus working in a broader unit have made that possible for me.
  6. 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?
  7. Appreciate all the helpful answers!
  8. 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.
  9. 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)?
  10. 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?
  11. 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.
  12. South College (I believe all of the locations)
  13. 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.
  14. 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.
  15. If I had a dollar for every time I recommended this book... ***The Ventilator Book by William Owens*** Read it twice.
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