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Found 6 results

  1. Hi! I am currently a first year PA student. Upon shadowing in surgical critical care, I fell in love with the field and want to invest my career in it. I plan on applying to PA residency programs specializing in surgical critical care after graduation from school (August 2022). I was hoping for advice on how I can begin to build my resume for applying to residency programs. Any help is greatly appreciated:)
  2. I'm a current 2nd year PA student about to graduate this upcoming fall and I've been applying to different ER fellowships. I've been accepted to 2 different fellowships, which I'm so excited about! I thought it would be helpful to create a list of helpful things to look for in a residency / fellowship & red flags to stay away from. This may be geared more towards ER fellowships since that's mainly what I've been applying for. Would appreciate all of your input on this as well, since much of this is coming from what I've read on this forum and online - as well as my personal experience from comparing the different fellowships I've applied to. Let me know what you think!! What to look for: Specific clinical rotations through the fellowship Dedicated lecture time on a routine basis Dedicated / required list of procedures to complete - means that they won't just train you in the procedure but also make sure that you have enough experience under your belt before leaving the rotation. Ability to sit for the specialty CAQ exam afterwards (minimum 3000 hrs, equivalent of 18 mo full time practice) (more info: https://prodcmsstoragesa.blob.core.windows.net/uploads/files/CAQGoverningPolicies.pdf) Connected to a university / training hospital +/- medical residents - means that they're dedicated to training you as a priority, not just move the meat (not always the case, but it gives you a little more peace of mind). I guess there's some cases where medical residents are more competitive. "Your Patient - Your Procedure" policy with medical residents / interns that may want to steal a procedure from you. Reasonable salary >$50k - $60k, with CME allowance, paid vacation time (~2 weeks?), full benefits with insurance AAPAP / other Credentialing: not required, but helpful knowing that the fellowship has been scrutinized & under a specific review process. AAPAP has discontinued the accreditation process though, so may not have a lot of weight now. Red Flags: Claiming to primarily teach you through "exposure", for example, throwing you into the ER without any dedicated rotations or lectures, with maybe lower expectations on how many patients you'll see. You're basically working with lower expectations, and much much lower pay. Through a PA contracting company & not a university/training hospital. Possible that they're only interested in having low-paying PAs while claiming to give you extra training Excessive amount of research requirements. Ex: At least 10 hours per week on research, writing articles/case studies, poster presentations, clinical trials, QI studies, etc. Salary <$50k. One of the fellowships I was accepted to is in one of the most expensive cities in the US and paid about $40k, which was alarming - but this might be normal? I've read that some people have salaries anywhere from 40k - 80k, so I wasn't sure what a reasonable salary amount would be. Not eligible for the CAQ exam afterwards Anything else?
  3. 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 aneurysm many years ago. She has been in status epilepticus many times. She continues to have seizures but refuses further testing (EEG or neuroimaging), labs, or even adjustments in medication. She does seem to be compliant with the medicine she takes, but obviously the dose is not adequate and she won't increase it, so basically a moot point. She continues to be admitted for breakthrough seizures, refuses EEG, and leaves AMA. She refuses to see my SP due to personality conflicts I guess, so I'm her main neurology provider, which is fine. I'm getting more and more nervous however about possible legal ramifications if she goes into status and doesn't wake up. I know I have tried everything I can and I document at length that we discussed the various risks associated with her not complying with our recommendations, that she is aware of the risks and continues to refuse, etc. I am getting very anxious about the eventual disaster that will happen with her and me being the main person treating her epilepsy. I feel like my documentation is thorough enough that if a lawsuit would happen, it wouldn't go anywhere. Obviously I don't want it to even get to that point however. We have other neurologists here so I wouldn't be abandoning her per se, I just feel very guilty about giving up on her. As I type this I'm seeing exactly how bad her situation is and I think I know my answer. I know there are practices that terminate for less, even if patients don't get vaccinations. I would however like to get other people's opinions and see what other PA's breaking points are for when they just don't feel they're getting anywhere with a patient or if a patient blatantly ignores their medical advice. Thanks! Edit for additional details I forgot, which don't help her case at all, has had hemiparesis, thought to possibly be Todd's paralysis, but has been recommended to start daily aspirin which she also refuses.....
  4. I'm a 3rd semester PA student taking adult primary care medicine. Would it be helpful for me to start Kaplan pance q bank? Are there any other sources (preferably cheaper) that provide practice questions by topic/system? How about usmle step 2 questions? Our first exam for the class is coming up and as you can probably tell I'm having a bit of anxiety. Any advice welcome.
  5. Hi all, I am looking for PAs who have completed a residency or are currently in one and are currently located in the nyc / LI area. I would like to put together an informal info session for my PA program to give current PA students some insight into what the residency entails and your experiences. Any feedback will be greatly appreciated, and of course we will work around your busy schedules. Thank you, Kat
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