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  1. Hello All! My Name is Jordan, and I am a current PA Fellow(resident) in the Emergency Department at Albany Medical Center. I decided to create this on-going discussion as I found one of these useful when I was considering applying for residencies/fellowships. From here on out I'll refer to the program as a fellowship because it is annoying to type /residency. In case you didn't know, they are the same thing as far as PA's go, its basically just whatever your institution wants to call it. I'm sure we will spend many hours at the conference some year deciding between the two. I digress Currentl
  2. Hey all, As there seems to be a lot of growing interest in EM PA residencies across the country, I just thought I'd start this to (hopefully) offer answers to any burning questions you guys have about EM residency in general or at Iowa in particular. Ask away! I'll edit this initial post to include all Q&A to make it easier on the reader. Who I am: Year-1 EM PA resident at the University of Iowa Hospitals and Clinics (UIHC); Graduated from South University - Tampa C/O 2015; formerly trained as EMT, paramedic. ***Obligatory disclaimer: I do not represent UIHC, nor the EM P
  3. Hello, I recently made a post yesterday and got some great feedback. You can read more about my background and thoughts there. Feel free to give more insight. I am reading all comments and using it sort of as a guidance in making a serious life decision. You can check it here: However for the professional PA's who are currently working, my main question for you today is: Are you satisfied as being a PA? What are some things that Physicians do that you can't in your specialties? Give me concrete examples! A lot of people say autonomy, wide scope of practice, vertical mobility,
  4. 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 2020-2021 class. Applications will close Jan 15th, 2020. 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, 2020. We strive to equip physician assistants with the clinical experiences and didactic teaching that will enable them to practice high-quality, evidence b
  5. The EMPA Fellowship at ARMC is currently accepting applications for its next class, which is set to begin in Nov of 2018. This Fellowship is housed at Arrowhead Regional Medical Center which is San Bernardino Counties Trauma and Burn Center located in the city of Colton, CA. The program includes clinical and didactic education that is designed to provide PAs who are new-grads or new to emergency medicine an efficient and supportive training experience that will enable top-of-scope practice in any emergency department. In addition to over 40 hours of online EM education, Fellows will
  6. Hey folks, I've been working in emergency medicine for about 1 year in a setting with a good mixture of high acuity and fastrack patients at a teaching institution. I've also worked during this time per diem at a low volume urgent care. While this has been an outstanding first job in terms of resume building and learning, it of course has the downside of wild hours, nights, weekends, holidays, etc. at a rather noncompetitive hourly rate/salary. I don't hate the job, but I also don't see myself doing emergency medicine forever. Or at least...not at this salary. For those who started i
  7. Just wondering if there has been any update of PAs practicing in Canada, specifically emergency medicine. Any clue on the scope of practice and salary?
  8. 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 fie
  9. Thumper was a respondent on the Becker site and "Optimal" in this setting refers to optimal exceeded workloads which many of us have. Not unlike Thumper, I agree that this is an issue that has ramifications such as this study but affects many more caregivers such as the different techs, nursing assistants, PAs and NPs in the hospital setting and emergency room clinicians as well as surgical staff, including the surgeons themselves. The nurses are the first to suffer as a large group as they are understaffed and instead of a 6:1 ratio of nurse to patient, a night shift nurse can have a 16:
  10. Hello folks, I'm currently a PA-S graduating in a few months. I'm posting in the general discussion since I wanted to get opinions from PA-C's, particularly w/ urgent care experience. I've applied for a number of EM jobs, and am in the process of applying to urgent care positions as well. I've decided work life balance is very important to me, and Urgent Care seems to fit the bill from what I've seen. My question is, do you guys think Urgent Care is an appropriate field for a new graduate? I will have had 2 rotations in EM by that point, and will not be solo at any of the UC loca
  11. 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 p
  12. Good Afternoon PA Family, I am an EMT on my path to physician assistant school and I am looking for someone to shadow in the greater San Diego County area. The specialty of the PA is NOT of the utmost importance, but if I had a preference it would be in ER, Pediatrics, or any primary care. However, I would be grateful for the opportunity to shadow a PA in any specialty. I am very curious, have great interpersonal communication skills, professional, and most of all have a passion for PA medicine. Thank you for taking the time to read my post. If you have any questions, please do not hesit
  13. Hey guys, I’m a second year PA student graduating in December (PANCE in January). I’ve always planned on doing an EM residency and now is the time I finally get to apply. I picked about 6 residencies to apply to. I was wondering if anyone knows how many applicants the programs are getting now that they are gaining popularity. I did well in PA school (pending last two rotations) and worked as a tech in the ED prior to PA school. A lot of the programs are only accepting 2 residents per cycle and it has me a little concerned. Thanks for the responses in advance
  14. I started my practice in an ED at a level one trauma center and was informally trained in bedside ultrasound on the job. Over my 3.5 years with the group, PAs were brought into the same rigorous training standards as the EM residents with the goal of securing credentialing for all PAs. I ultimately completed the requisite exams and was technically credentialed at that point. I left that position shortly after and began working with another area organization in EM. Bedside ultrasound is culturally used less as the average practitioner with my current group has less experience, however many
  15. Given the incredibly small number of respondents, the AAPA salary data is almost worthless. Meanwhile, reading the responses to many of these posts often makes it seem that almost any offer is too low! Does anyone here practice in the southeast (Virginia, North Carolina, South Carolina, Georgia, Tennessee)? I think Florida is a separate animal and it's still hard to know if comparisons between states translates well. However, given a more or less standard benefits package as a full-time employee (health, CME, PTO, 3% escalating to 10% retirement 401K), what do you think is a fair hourly sa
  16. Question that I've been struggling with...when do you pull the trigger on firing a noncompliant patient? We terminate after 3 no shows, if they are threatening, if there is a lawsuit (haven't seen that happen but obviously policy). I know many also terminate for failure to comply with recommendations. Almost all patients are noncompliant in some way, whether it's not making dietary changes, taking meds as prescribed, etc, and we don't terminate them. What about extreme cases? What is the breaking point? I work in neurology and we have a patient with epilepsy secondary to craniotomy for an
  17. Hello, I'm graduating in August and am planning to take the PANCE in mid September and start work at an ED on a Native American reservation in the fall. I'm interested in finding out if/how EM providers manage to take advantage of IHS loan repayment programs. It seems to me that the work requirements by the loan repayment program (LRP) are quite restrictive and wouldn't work very well for clustered blocks of shifts like I plan to do (I plan to commute for my shifts from my home 3 hours away and stay on the rez while I'm working). If anyone has any experience making their EM shifts work wi
  18. I am have been a full time emergency physician assistant and part-time orthopedic surgery first assist PA since I graduated in 2012 but I am interested in transitioning into dermatology. I currently live in Raleigh, North Carolina and I am finding it difficulty to get my foot in the door without prior dermatology experience. I have contacted a hand full of local dermatologist but they are either not hiring and/or unable to allow me to shadow as they are precepting students. I have even joined SDPA in order to network. Any suggestions on how to make the transition?!? Thanks for
  19. Hello everyone! So in pursuit of attaining HCE for PA school, I recently became a NREMT. I got my first job soon after with an IFT private EMS company that turned out to be quite shady. Not to get to into it, but coming from prior career, I have an expectation of professionalism and was appalled at the sanitary and safety conditions of the equipment, and the constant flirtation with MediCare fraud. Needless to say, I resigned very quickly and am looking for something else. Which brings me to a question. I have 5 years experience as a Pharmacy Technician. This was while I was in high
  20. Hey, Sorry if this is a repost but I couldn't find anything on this forum about the actual interview process for ER Tech positions. I have an interview Friday morning at a big (>30 bed) Level 1 trauma center and I am pretty nervous about my chances to get the "emergency services technician" position. I have my EMT-B and have a little (read very little) experience volunteering in another hospital ER and some experience on a squad but not a ton outside of what I did through school to get my cert (maybe 36 total hours with local FD on 911 calls). I do however have about a year of experienc
  21. I was just given an offer for per diem in the ER. The job consists of 24 hour shifts and I would be the only provider. I did two rotations here and know I will be seeing anything from the common cold to full codes/ traumas. No benefits because it is per diem and they offered $51 an hour. I feel this is kind of low based on the fact they are 24 hour shifts and I am on my own and it is the ER. Many of my classmates are signed contracts for 45-55 an hour full time, which includes benefits. Thoughts?
  22. Hi all, I'm currently a PA-S from in the clinical year and I'm looking for a 5-week rotation in emergency medicine. I'm passionate about emergency medicine and have been on track to work in the ED since becoming an EMT/Paramedic years ago. I'm flexible as to the location, willing to move to anywhere, USA! Ideally from October 6 to November 7, but flexible on the dates as well. Also open to the possibility of working at the ED after graduating if offered. Thanks for any leads you guys can provide!
  23. Hey guys, so it may be a bit premature to think about this. But first: I am currently a PA student, almost done with my didactic year (3 more months to go!). I entered the PA program straight from undergrad, currently 22 yo. The only HCE I had prior to beginning the program was working as a lab assistant for a year while finishing up undergraduate studies. I also had some rotation experience to different labs as a student pursuing medical laboratory technologist degree. And roughly 400 hours of volunteering experience. I am still currently working as a lab assistant in a big metropolitan hospi
  24. I am about to graduate from PA school in May and have begun my job search. I ideally would love to work in an ER, but am also open to urgent care considering most ER jobs require some experience. I currently live in NJ but my entire family lives in california so upon graduation that is where I plan to go but am having a difficult time finding positions online that are open to new grads in ER or urgent care in the Los Angeles area. Does anyone have any advice as to how to get into one of these positions? I am open to recruiters and have signed up with a few but have also been warned by my progr
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