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  1. UNM EMPA RESIDENCY: The University of New Mexico School of Medicine, Department of Emergency Medicine is excited to announce that we are accepting applicants now for our 2019-2020 class. Applications will close Feb 1st, 2019. Our class will start the last week of June, 2018 for an 18-month program for 2 residents. This year we have expanded our eligibility to applicants graduating an ARC-PA accredited program prior to May 31st, 2019. We strive to equip physician assistants with the clinical experiences and didactic teaching that will enable them to practice high-quality, evidence based emergency medicine. Our graduates will have comfort and competence in the care of critically ill patients, the broad scope of emergent presentations, and the skills necessary to be leaders in their profession. Cirriculum (# of 4 week blocks) Dedicated Orientation Block (1) Adult ED, including dedicated longitudinal block in ED Resus Unit (8) Community ED (1) Peds ED (2) Medical ICU (1) Surgical ICU (1) Combined US/Anesthesia (1) Cardiology (1) Orthopedics (1) Toxicology (1/2) OB/GYN (1/2) Electives (2) Salary/Benefits: $57,000 yearly salary Access to health, vision, dental, disability insurance with employer matching Contribution to retirement Paid Vacation Paid travel and registration SEMPA 360 conference SEMPA membership $500 per year CME allowance ATLS, FCCS, and dedicated airway course in orientation Setting: New Mexico's only level 1 trauma center, academic hospital and children's hospital Tertiary referral center for large rural state, with high acuity patients Easy access to outdoor activities, climbing, biking, skiing, as well as wonderful food and culture Nationally recognized faculty in EMS, Critical Care, Wilderness Medicine, Simulation and many other areas Applications Open: October 1st, 2018 Applications Close: February 1st, 2019 Website: http://emed.unm.edu/education/prospective-applicants/physician-assistant-residency-in-emergency-medicine.html E-mail: cpkalan@salud.unm.edu
  2. Just finished taking this course with a great group of guys in Orlando, FL. For those of you involved in pre-hospital medicine I HIGHLY recommend taking this course from a reputable provider with real world knowledge on the subject. ( I'm not going to market any one course instructor or school, do your research) After the Pulse night club shooting the PD and EMS/Fire departments in Central and North Florida are starting to push to get all the first responders trained in tactical EMS to help stop the bleed and improve patient and officer survival. This is now becoming a trend away from having only a small group of SWAT Medics responsible for rendering care to officers and civilian casualties. Medics trained in TECC will learn to function in concert with the PD to stage closer to the hot zone and function in the warm zone, extracting patients to a casaulty collection point while facing an indirect threat. PD will also learn life saving trauma care to keep themselves alive and in the fight. If your'e medical director has not looked into this type of cross training, the time is now. http://www.naemt.org/education/tecc/what-is-tecc
  3. Love to hear some opinions on my personal essay. Im sure there are some grammatical errors as this is first draft. More interested in flow, content, readability, does opening hook you to read more? All advice and input is welcome. Thanks It’s 3 am I wake up to bright lights and a strangers loud voice. “Medical Emergency Engine 2” being a rookie it took me a bit to shake off the sluggish feeling before I realized the address was the a low income housing area common place for medical emergencies in our district. In my first 2 months we had 11 medical calls to this location alone, including 3 codes, 2 overdoses, and a plethora of events I never imagined witnessing. We all hop to our feet and fire up the Engine with the dispatch notes showing stomach pains and shortness of breath. We arrive to find a 41 year old female in the tripod position, extremely diaphoretic, chief complaint of tearing abdominal pain. The ambulance arrived soon after our SAMPLE history and vitals had been taken. Blood pressure 196 over 100, Pulse 122, pains radiating into lower back, history of smoking and COPD. We had just covered the Abdominal Emergency chapter in EMT class, it felt as though the text book jumped up and smacked me on the head falling open to the Abdominal Aortic Aneurysm page. This was the exact signs and symptoms I had studied only days before. As soon as we got her situated on the cot I was placing the final strap under her arms when suddenly she let out an excruciating moan, her eyes went white and body limp. The paramedic asked me to check the carotid for a pulse, she had none. Time raced by as we all leapt into action dropping the gurney to the ground immediately beginning chest compressions and rotating controlling breathing. This cycle continued all the way to the hospital. I never found out the fate of our patient but I couldn’t help but wonder if she had proper preventative care. While working in EMS has numerous rewards I find myself continually yearning for more ways to affect positive change in the health and well being for the community as a proactive not reactive force in the medical field. I was first drawn to the medical field when my father endured a tough year. Early 2003 he had a triple bypass and aortic valve titanium replacement. As serious a situation this was I couldn't help but give him a hard time about sounding like the bionic man, heart clicking about. Right as he was beginning to become his old self a mass was found on a CT scan in his duodenum leading the local specialist to diagnose it as a rare disorder called Amyloidosis of which the outlook was grim. He was referred to the Mayo Clinic for a battery of test. I remember being so scared for my father and praying for healing. The doctor said that the three months between scans interestingly enough showed a miraculous remission. The doctor had seen thousands of Primary type Amyloidosis being the leading specialist at the time, but had never seen one go into a state of remission as my fathers had. This impacted me deeply at that young age, creating a passion to serve in the medical field. When I first viewed the recommended hours of paid experience I thought it was another road block to overcome on my way to the PA program. If only I could slap some sense into my younger College freshman self. My attention turned to the Springfield Fire Department, knowing EMT was a part of their intensive training. It showed how much passion and love we can give our community, small things like gathering the patients belongings, helping rescuing a cat, yes I actually saved the stereotypical cat from a tree. Just getting into academy took 9 months of preparation, including written and physical testing, multiple rounds of interviews, in depth CIA level background checks. All leading up the most challenging accomplishment to date, Springfield Fire Academy. Mixing a pseudo military regiment of physical fitness, all day didactic classroom learning with practical skills thrown in intermittently. It was described to me as putting 5 years of on the job firemen training into a 8 month academy. This being interlaced with EMT class at nights from 6-10 and thriving online business taking up the rest of my free time that was not dedicated to studying. This prepared me to become a top student in overwhelmingly foreign material and study load I could not of imagined. Instilled was 5 core values of the Department, professionalism, integrity, compassion, service, and valor of which I will never forget for they provide a framework into every aspect of my life. I never imagined being in some of the situations EMS care provided, the thrill of diagnosing the next patient and meeting new people. I am passionate about the PA profession and plan to use this passion as my driving force to work hard before, during and after the PA program. My journey has built character, determination, team attitude, ethical fortitude, and above all else a desire to effect positive change in the under served community where I grew up. All I ask is for an opportunity to interview to show more of why I will be a top candidate not only for your PA program but also a fellow PA.
  4. In addition to 10 years as a PA in Emergency Medicine, I spent the 10 years prior to that working in both paid and volunteer EMS. While in PA school, I met many fellow students with similar backgrounds in EMS. Given such a combined history, many PA's would be a perfect fit in Flight Medicine. Not to be crass or conceited and no offense to paramedics and RN's, PA's with that combined background would be the perfect fit. The EMS background gives us the familiarity with EMS protocols and our training exceeds that of RN's and paramedics. However, I have not been able to find a flight medicine program that utilizes PA's or would be interested in developing a pilot program to evaluate how well PA's would perform in such an environment. Given that this is something I would greatly like to do, even per diem, I was hoping someone on this forum might have information on a program that currently utilizes PA's or would be open to it (preferably near the Philadelphia Tri-State area but I would be interested in hearing about programs anywhere). Thank you in advance, -Ken
  5. Hello, I'm soon going to graduate from high school and i got accepted into a university that offers pre-physician assistant program and i'm not sure whether i should go ahead and go or save some money and go to a local community college and later transfer?? So i guess in shorter terms is a pre-physician program necessary to be accepted into a PA school? I should mention i plan to major in bio-health sciences.
  6. Hi all, I became an EMT when I was 16, and I am now a sophomore at my undergraduate college. Most of my EMS experience has been volunteer (aside from a few temporary paid opportunities). I was wondering how I should count my total hours of "prior healthcare experience..." As for my volunteer hours: Can I count the total number of hours I was on duty? Or can I only count the hours that I was actually interacting with PTs? For my paid hours: If I was paid for a certain number of hours as an EMT, can I count all of those hours towards the HCE requirement? Or only the hours that I had direct patient contact? Thanks for helping out guys! -Steve from NJ
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