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Hello all, I was offered a full-time job in an emergency department in a low cost of living area and was looking for some thoughts on it. Overall I think it's a good offer being a new grad in a field that can be difficult to get into. Here's the details: Wage: 60/hr first year with $10/hr nighttime differential. Increases to $65/75 the 2nd year. 140 hrs/ month requirement. 1.5x pay for anything over 40 hours and holidays. 144hrs PTO - unused paid out at the end of each year. Additional 40hrs long-term sickness which accrues each year $2,500 CME.... I pay for licensing (plan to negotiate this out next contract) $2,500 upfront relocation reimbursement. Health, dental, vision, life insurance included 401k 50% match up to 6% Malpractice with tail First week of training is full pay, anything more is half pay at $30/hr (pretty strict with this unfortunately). Pretty pleased. They are offering up to 3 months of training but essentially whenever I feel ready. I don't have any other offers.
Hi, So here's the story. I am beginning my first rotation and it is in the ED (no previous ED or UC experience). My preceptors are all very nice and willing to help, but I can't help but feeling like I am neither measuring up nor reflecting my program well. I wanted to get some feedback to gauge if this is a normal experience, as there are no other PA students at my site to compare notes with. I received an hour training on the EHR and beginning the second day was expected to see a few patients on my own and present them to my preceptor with assessment and plan. This wouldn't be a problem except that I am very slow in addition to having forgotten a lot of the medicine (I have a 3.8+ GPA from didactic year, but once I took the test most of the info seemed to blur into general confusion). I have no idea what to do with the mass of lab results from the current and previous ED encounters, nor sure that I've ruled out even 50% of the serious conditions. I am also very slow at charting (for reference, my program allowed multiple days to finish one entire SOAP or H&P note). I am also very poor at multi-tasking, which is an awful quality for the ED. I know I am trying and that I am reasonably intelligent, but this makes me think I should have stuck with some desk job rather than managing healthcare. For all of these reasons I can tell that I am a drain on the preceptors who are already busy. I get that I am here to learn from the preceptors, but can't help but feel that this is not how things should be. I do ask for feedback, but the preceptors are SO nice that I can't tell what they truly think. I'd appreciate any advice, what's normal, whats not, etc.
I am considering becoming a paramedic to get some clinical experience before becoming a physician assistant. Anyone else doing this? I am 26 years old and my main reason for thinking about going this route before PA School is because I just recently got out of the Navy where I was a Corpsman so I do have more than enough patient contact hours in many settings but am also married with kids. My wife is finishing up PT school so I do have to work a well paying job while she finishes up school. I am a RMA as well but they do not make that much and the job is really boring as far as what I am used to. I recently came across a school that has a Hybrid Paramedic program that I can do and work full time. So getting my Gi Bill housing money and working will help us survive until my wife finishes school. My next dilemma is that I have about 3 semesters left for my undergrad which I would have to put on old until I finished this Paramedic program and that would push my timeline back even further before I could apply and get accepted into a PA program which is my ultimate goal. So I guess my question is will this help me out in the long run with PA school as far as becoming a Paramedic. Sorry I wrote so much and all advice is welcomed.
I will be graduating soon and will be moving to Manhattan this summer. Are there any hospitals in the area that hire new PA grads to work the ER? EMed would be my top choice but the sense that I am getting is that new grads are generally not hired in the Manhattan are to work in the ED. I also know that NYP Cornell has a residency program for EMed, maybe that's where they pool their new grads from? I would be interested in looking for a position rather than a residency! Anyone that moved from a different field into EMEd in Manhattan? Thanks!