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  1. SEMPA Ultrasound Courses November 8-10, 2019 Huntington Beach, CA https://www.sempa.org/education/ultrasound-huntingtonbeach/ January 27-28, 2020 Jacksonville, FL https://www.sempa.org/education/ultrasound-jacksonville/ The SEMPA Ultrasound Courses will provide point-of-care ultrasound training to physician assistants working in emergency medicine. Didactic sessions will focus on concise, useful information, images, and video. Most importantly, participants will have the opportunity to learn the necessary skills through hands-on teaching and practice on live models under the guidance of experienced faculty. Due to the popularity of this course, we will be offering two courses this winter. Choose the course that works best for you and register today!
  2. 2019 SEMPA Emergency Procedures Course Oct 7-8, 2019 Jacksonville, Florida - 10.75 AMA PRA Category 1 Credits - All procedures performed on high fidelity simulators Airway management (direct laryngoscopy, video laryngoscopy, rescue devices) Lumbar puncture (with and without ultrasound guidance) Arthrocentesis (with and without ultrasound guidance) Intraosseous vascular access Central venous access (internal jugular, subclavian, femoral; with and without ultrasound guidance) Tube thoracostomy Needle decompression Paracentesis (with and without ultrasound guidance) Thoracentesis (with and without ultrasound guidance) Peritonsillar abscess drainage Arterial line placement - Procedural anatomy demonstration on human cadavers (limited hands-on) This course is expected to fill quickly so sign up now as registration is limited! https://sempa.org/education/procedures/
  3. Hello Fellow EM colleagues, I am a new graduate who will be starting in the emergency department this month. I am extremely excited to return to the ED after having worked in the ED as a technician for 6 years. I am looking for any recommendations on studying material, reference books, bootcamps etc anything that will help begin my career in EM. Thank you so much for any feedback!!! -New Grad
  4. Registration now open for SEMPA 360 being held April 14-18, 2019 in New Orleans, Louisiana! Come learn from the best educators in emergency medicine. Conference favorites include Kevin Klauer, Amy Keim, Haney Mallemat, Michael Winters, and Richard Cantor to name a few. The EM:RAP team will also be joining us again in New Orleans for a day of learning along with a special meet-and-greet to visit with some of your favorite EM:RAP stars! Over twenty workshops will give you the skills needed in emergency procedures, airway management, ultrasound, slit lamp, suturing, x-ray interpretation, teaching, ECG interpretation, and more! Over 40 lecture sessions will cover topics such as critical care, trauma, pediatric emergency medicine, ophthalmology, cardiovascular emergencies, GI disorders, infectious disease, literature updates, and high risk emergency medicine. There are also plenty of social activities to enjoy with old and new friends. A wine and cheese reception, opening party at Mardi Gras World, and the SEMPA Quiz Bowl competition will welcome you to the EMPA event of the year. CME is available for PAs, physicians, and NPs. The discount for early bird registration ends Feb 13. The hotel room block is also limited so sign up now! For more information: https://www.sempa.org/sempa360
  5. Hey PA Forum, I am Pre-PA, please don't kick me out, as I wanted to know from PAs what they think about the field, and where my feelings in the application process stand. I went through my undergrad with not much of a direction, graduating with a BS in Biochemistry but a 2.86 GPA. I worked for 2 years as a "scientist" but I was really just running samples through a machine (medical device) and it did not allow any sort of interesting work. I worked as part of the lab at the Boston Marathon, analyzing runner blood samples in the device, and it was the first time I was exposed to the medical field. This allowed me to appreciate their work, and also, for the first time, feel I could make a difference with my efforts. I capitalized on this excitement, and looked into nursing and PA, and decided PA. I got an EMT certification, and gave CPR to a patient in a trauma room at the nearby hospital as part of the certification. I was so excited, and then I got a job as a CNA in a teaching hospital on a heart failure floor. Everything was coming along. I was also taking pre-reqs this whole time, I completed A&P I,II, Genetics, Biochemistry, all either A or B+. As I worked at the hospital, I mainly bathed patients, and provided care in daily living, working under nurses. But the attitude of the nurses really got to me. Some would bully the technicians in a way, it was never intentional but I could not stand them. All the technicians and nurses were gossipy women and I, more of an introverted male, just felt nothing in common with them, and everything I did was judged. Nurses, and techs and female patients would occasionally hit on me, and it just felt uncomfortable. It became so frustrating for me that these shifts became almost me vs them, in my head. But I kept pushing on, I kept searching for jobs in the ER, because that seemed so exciting to me. I shadowed a resident in the ER, and loved every minute of it. I really enjoyed it because it was exciting; very different than anything I had seen; the machinery of the body was in a life threatening situation, and it was very rewarding to fix it. I also really loved all things space, and always was researching things about space. However I wasn't able to get a position in the ER, and I just felt like the oddball out all the time; and the feminine and social aspect of medicine was driving me nuts. I felt like everywhere in healthcare was this; and had this veneer or being the savior for patients, I just felt I was beating up the wrong tree for my own goals. I shadowed 5 PAs, and enjoyed the ER experience the most. I decided I wanted to try something in engineering due to my love of space. So after 9 months of being a tech, I moved to Houston, with my sister (couldn't go home, father is an alcoholic and made life at home toxic). I decided to try everything I enjoyed to figure out if this field was for me. I started taking engineering classes, a geology class, and started to learn programming, and am volunteering in a lab where I help a professor research bacteria on the Space Station. I have been stressed out, figuring out if this career is for me. I went to healthcare career fair, and interviewed for an ER Tech job, to try it out again, and am hoping it is less daunting on me. I also am thinking about pursuing biomedical engineering, as it may combine my interests, but I am nervous, because it seems a bit antisocial. I was wondering if I could get some advice about my situation, and if I have it all wrong about actually being a PA. Thanks!
  6. Well, I've decided for certain that I am going to do an EM residency. My fiance and I have discussed this at length and he's fully in support, but with a caveat that he needs to be making more money to make up for my temporarily lost income first. Also, we are getting married in September of this year so we need to get that done first! He's an airline pilot and will be experiencing very sizable raises as he gains seniority in the upcoming months/years so I'm not worried that he won't be able to make up for my income, and I suspect that I would be able to start sometime around summer/fall of 2020 or maybe early 2021. That said, I'd like to make my application as competitive as possible. I have the impression that there is less competition for most residences than there is for PA school, but I am sure that will continue to change with time. I would hate to be building up to this plan and find myself behind the curve. I'm looking for input from anyone who has done any residency, and specifically EM of course. I work as a hospitalist currently, trying to pick up some UC or family medicine per diem work. What can I do to bolster an application? I am hoping to hit up the SEMPA EM bootcamp this summer and also plan to attend their conference next year. I don't know the likelihood that I'll be able to find EM work as someone who works full time in another specialty and has no EM experience outside of rotations in school, but if I have an opportunity I'll take it. Otherwise, just looking for ideas...
  7. After I graduate and pass the PANCE, I will be staying in my current location (in the NE) for 6-8 months. Then my husband and I plan to move back to the midwest where both of our families are located. My question for all of you is: what sort of job should I be looking for for this short period of time especially as a new grad? I assume I cannot simply negotiate a normal contract and then leave 7 months later. I would prefer to work in the outpatient setting but would also be willing to do ED or internal medicine/hospitalist. Can a new grad do locum tenens?
  8. I’ve been having some discussions about doing a CCM residency at my institution after completing my residency. Everyone seems interested in me doing it. A few things would have to be altered such as my current residency would have to be extended 4 months (for a total of 22 months) to coincide with the start of the fellowship, which they also seem interest in doing. In exchange I would also get more elective time. I’d prefer this over doing locums so it would be a simple transition, but isn’t necessary. The CCM residency is a year long and pays about 7-10k more than I make now (which isn’t much lol), so in total I’ll have done just shy of 3 years post grad training. The talks are going that I would eventually split my time between CCM and EM like the docs with 6 shifts per month in the ED and 1 week per month in the unit. It would be more for management of the various ICU patients (rotate through Cvicu, micu, snicu, picu, and other areas) as I’ve already learned the majority of the procedures, though I would learn bronscopy and percutaneous trachs. Pros: I think it would just be cool to be, I think, the first formally dual trained EM-CCM and truly fellowship trained PA. it would be nice to have the variety of working CCM and EM. I have more GI bill to use to supplement my income, which pay about 1900 per month. it would help with my PSLF. The less I’m paid the less I pay them, and finding a non-profit to work for in EM with all the groups is hard. maybe could led to some consultancy work establishing residencies elsewhere? Or maybe speaking/lecturing/podcasts for EMRAP? Con: another year putting off settling down, renting a so so house, thoughts? Should I just go straight to work? Am I overinflating the pros?
  9. The University of California San Francisco (UCSF) - Fresno Emergency Medicine PA Residency is accepting applications for the 2019 application cycle. This 18-month postgraduate program, affiliated with the UCSF School of Medicine, is designed to prepare PAs to practice in a variety of emergency medicine environments. We will be accepting 2 residents in 2019. The class will start June 26, 2019 but we will be offering rolling admissions into the Fall for accepted applicants who have a later PA school graduation date. Deadline to apply is January 15, 2019. Rotations include: Trauma Critical Care Pediatric Emergency Medicine Burn Orthopedics Dermatology Ophthalmology Oral Maxillofacial Surgery Toxicology Emergency Ultrasound Anesthesia EMS  Resuscitation courses include: ACLS, ATLS, BLS, PALS 18-month stipend: $90,000 Benefits include medical, dental, vision, life insurance, disability insurance, 401k, employee assistance program, 4 weeks of vacation, membership in the Society of Emergency Medicine Physician Assistants (SEMPA), UCSF email access, textbook, malpractice coverage, and more. Paid travel to SEMPA 360, SEMPA's annual conference. Our state-of-the-art ED at Community Regional Medical Center serves as the only Level 1 Trauma Center/Burn Center for Central California, and handles an annual ED volume of over 110,000. The Department of Emergency Medicine hosts fellowships in Emergency Ultrasound, Medical Education, and Wilderness Medicine. Our faculty are involved in EMS, wilderness medicine, ultrasound, medical education, toxicology, international emergency medicine, and more. They are also leaders in the emergency medicine and EMPA community. For more information, please see the attached flyer. Website: http://www.fresno.ucsf.edu/emergency-medicine-physician-assistant/ Email: em.pa.residency@fresno.ucsf.edu Residency Flyer.pdf
  10. Hello all, I’m a new grad as of August. I turned down a fellowship due to a last minute contract change of an added time comittment in an area I did not want to stay in. With that, I started looking in the area I want to live, but now I feel behind in the job search and beginning to feel very pressured. I’m in an area with high COL and low job availability for new grads. I was recently offered a full-time ER position as a 1099. Malpractice with tail coverage only. There is also a productivity incentive (current PA said they average an extra $1500-2k per month). I have been offered $65/hour. Average 2 patients/hour, 12 hour shifts (no overnights). I have read so many negative things about ICs especially as a new grad, but the other 3PAs have been there for >5years and began as new grads too. I know this will be good ER experience, but I’m concerned about the lack of benefits. Please, any advice is welcomed! Counter suggestions?? Run for the hills?? thank you!
  11. I have recently started a rotation at an ER. I am being asked to do lots of EKGs, transport patients to the floor, put them in gowns, getting blankets, helping them with bed pans and changing diapers. I'm not above these tasks, but I'm just not sure if this is the norm. I'm being assigned way more of these duties than getting to see patients or perform procedures. Has anyone else had a similar experience in an ER? TIA
  12. 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
  13. Hello! I am currently still in the didactic phase of PA school in New Orleans but I will be starting rotations next May. My goal is to work in Houston after PA school, so because of this I would like to do my preceptorship there! The problem is that I do not have any contacts in Houston (except for my significant other who is a CPA). My preferred specialty is trauma surgery, but I am also interested in ED, general surgery, cardio-thoracic, or plastics. If anyone knows who I can get in contact with about doing my preceptorship in Houston or the surrounding area it would be forever appreciated!!!!! my email is sydney737@hotmail.com, or you can reply to this thread.
  14. Do you want to learn how to use ultrasound to help your patients? Then come to the 2018 SEMPA Ultrasound Course in Huntington Beach, California! But hurry! Space is limited for this course and sells out fast.The 2018 SEMPA Ultrasound Course will be November 2-4 at the Kimpton Shorebreak Hotel in sunny Huntington Beach, California. The half day format allows participants and their families to enjoy everything Huntington Beach has to offer.The course will provide point-of-care ultrasound training to physician assistants working in emergency medicine. Focused, goal-directed ultrasound will be performed to answer a specific clinical question, which could change the next step in patient care. The course will also include didactic lectures, case presentations and hands-on skills labs to allow participants to use ultrasound machines on live human models. The course is more than half-way sold out. Register now! https://www.sempa.org/education/sempa-ultrasound-course/
  15. Hey - Looking for some advice. I'm a PA, 4 years out of school, 1 year NSG and 3 years ED experience, currently in the ED. Trying to get a better schedule as we work a ton of nights and weekends, also holidays and on-call. Staff is overwhelmed constantly - I love the nursing and other peeps but I'm getting to the point where I just can't take it anymore. Ive interviewed at a spine and also a multi-specialty ortho place. Pay is at least 10K less than what I'm making now but better schedule... both include OR/office and one day of call. Spine includes hospital rounding before and after clinic if applicable. Any advise in switching from ED to Ortho out there? I know the docs and certain things are different for everyone but... I'm worried just spine may be a little bit boring and underwhelming but the doc is cool and seems nice to work with. I'm so torn. Any advise or help would be appreciated.
  16. So apparently Nova Southeastern University is starting an online emergency medicine certificate program as an alternative to doing a residency. The program is 1 year long, and the inaugural class will start this Fall. It is 18 credits and tuition costs $10,800. One full weekend of onsite training is required. https://osteopathic.nova.edu/certificates/emergency-medicine-certificate.html What do you guys think? Obviously not as good as a real residency, but does it get a new grad significantly closer to an ER job? Is there a place for online "residencies"?
  17. Has anyone completed the EM fellowship at U of Missouri and are you willing to share your experiences?
  18. http://www.drugs.com/news/er-urgent-care-74611.html?utm_source=ddc&utm_medium=email&utm_campaign=Today%27s+news+summary+-+May+31%2C+2018&utm_content=The+ER+or+Urgent+Care%3F
  19. Join the interest list now to be among the first to get more information and to register for the upcoming SEMPA Ultrasound Course to be held November 2-4, 2018, in Huntington Beach, CA. The three-day course is designed so that you can scan, surf, stroll on the sands and enjoy the sunset because the education sessions will end no later than 2:00 pm each day so you can enjoy this popular California beach location. Hotel Accommodations will be available at the Kimpton Shorebreak Hotel. More details to come. To join the interest list, click here.
  20. Hello all! I am a recent new grad who was offered a position in Trauma in SoCal. Though, I had never expected going into trauma, I am very excited for this opportunity and challenge!! Unfortunately I do not have much experience in ER, but the trauma surgeon really liked my personality so is willing to invest serious training. I am the first Truama PA at this hospital, so I do not really have a mentor to ask for tips from. Does anyone have any recommendations for resources, books, apps they used to best prepare for this role? Any other advice from fellow Trauma PAs out there?? Thanks in advance!! :)
  21. Registration now open for SEMPA 360 being held May 3-7, 2018 in San Antonio, Texas! Come learn from the best educators in emergency medicine. Conference favorites include Kevin Klauer, Amy Keim, Haney Mallemat, Michael Winters, and Richard Cantor to name a few. The EM:RAP team will also be joining us in San Antonio. Twenty workshops will give you the skills needed in emergency procedures, airway management, ultrasound, slit lamp, suturing, x-ray interpretation, ECG interpretation, and more! Over 40 lecture sessions will cover topics such as critical care, trauma, pediatric emergency medicine, ENT, ophthalmology, cardiovascular emergencies, GI disorders, infectious disease, literature updates, and high risk emergency medicine. There are also plenty of social activities to enjoy with old and new friends. A wine and cheese reception, closing party on the Riverwalk at Lonesome Dove and Grotto, and the SEMPA Quiz Bowl competition will welcome you to the EMPA event of the year. CME is available for PAs, physicians, and NPs. The discount for early bird registration ends Feb 28. The hotel room block is also limited so sign up now! For more information: https://www.sempa.org/conference/
  22. University of California, San Francisco (UCSF) – Fresno will be accepting two PA students for our wilderness medicine student elective. As an introduction to wilderness medicine, the elective will cover environmental illnesses, trauma, search and rescue, burns, bites and stings, wilderness improvisation, and more. This two-week elective includes one week of didactic education then moves into the Sierra Nevada mountains for hands-on training. UCSF faculty and guest instructors will be leading the elective. UCSF Fresno has a robust wilderness medicine program including a wilderness medicine fellowship and medical direction/education to the National Park Service. Elective dates: 9/3/18 – 9/14/18 Deadline to apply: 4/15/18 Prerequisites: PA student in their final year of training PA must be able to provide their own transportation For more information: https://www.fresno.ucsf.edu/medical-student-programs/wilderness-medicine-rotation/ Email: em.pa.residency@fresno.ucsf.edu
  23. For those working in EM that have moved from a full-time hourly rate to a PRN hourly rate at the same facility and same position, what is a reasonable increase in pay to ask for? I've been there for about 5 years full time (also haven't had a raise in 3 years). I know what other EM PRN gigs pay in my area, but my question is specifically how much more to expect when transitioning in the same position. Thanks in advance!
  24. One slot has unexpectedly opened up for the SEMPA Ultrasound Course being held February 22-23 in Jacksonville, FL, and we are offering it on a first come first served basis. To register, contact Mary Hines in the SEMPA Customer Care Center at 877.297.7594 extension 3169 with your credit card information. https://www.sempa.org/ultrasound-course/
  25. The University of California, San Francisco (UCSF) School of Medicine is proud to announce the newest addition to its medical education programs. The UCSF Fresno Emergency Medicine PA Residency is accepting applications for the 2018 application cycle. This 18 month post-graduate program is designed to prepare PAs to practice in a variety of emergency medicine environments. We will be accepting 2 residents in 2018. Deadline to apply is January 15, 2018. Rotations include: Trauma Critical Care Burn Orthopedics Dermatology Ophthalmology Oral Maxillofacial Surgery Toxicology Radiology Emergency Ultrasound Anesthesia EMS Resuscitation courses include: ACLS, ATLS, BLS, PALS 18-month stipend: $90,000 Full Benefits Paid attendance at SEMPA 360, SEMPA's annual conference Our state-of-the-art ED at Community Regional Medical Center serves as the only Level 1 Trauma Center and Burn Center for Central California, and handles an annual ED volume of over 110,000. For more information, please see the attached flyer. Website: http://www.fresno.ucsf.edu/emergency-medicine-physician-assistant/ Email: em.pa.residency@fresno.ucsf.edu Residency Flyer.pdf
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