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  1. This course is designed to be a "scan and surf" adventure with the education ending at 2 pm each day so participants have time to enjoy the location. With so much to do in Huntington Beach and the hotel offering a Beach Amenities Program, the SEMPA Ultrasound Course is the perfect balance of education and fun! The course 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 models under the guidance of experienced faculty and sonographers. Objectives Upon completion of this program participants should be able to: List the standard views or “windows” for each of the six primary areas of emergency ultrasound - trauma, aorta, biliary, cardiac, pelvic and procedural applications
 Accurately interpret point of care ultrasounds
 Demonstrate the standard views or “windows” for each of the six primary areas of emergency ultrasound - trauma, aorta, biliary, cardiac, pelvic and procedural applications
 Limited to 50 participants 1:5 faculty to student ratio Hands-on scanning of live models Simulation technology incorporated Lots of practice time Earn CME towards your EM-CAQ Faculty from emergency ultrasound fellowship programs Learn the core applications to emergency ultrasound Meals included Time to enjoy all Huntington Beach has to offer For more information and to register: https://www.sempa.org/education/ultrasound-huntingtonbeach/
  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. 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!
  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 everyone!! Hoping to get some insight on my offer for a position at a Level II trauma center in SoCal. I worked with this group of surgeons as a student so I know it would be an excellent learning environment and tons of good exposure. My time will be split weekly, working in trauma + gen surgery one week and strictly in ICU the next. Training will include running traumas, first assist, various procedures, ICU and vent management, etc. No surgery residents. They currently have 3 NPs and 1 PA and are looking to expand. Base salary at $110k. Hours/call: 40hr/week, leaving promptly at end of shift. No overnight shifts as new grad until myself and SP are comfortable. Contract states that call will be paid "standard on call fees" but does not state exact amount. They did stress that being on call is not likely, esp as a new grad. Benefits: Health insurance, they pay 90% of standard costs. Have to pay for my own dental and vision. ( is this normal?) Malpractice insurance covered- will be sure to ask about tail coverage. Not eligible for 401k plan until 1 full year of employment!! Seems a little odd to me, thoughts? PTO: "employee shall accrue 0.05 hours of PTO for every 1 hour of work performed" which if my math is correct comes out to about 10 days of PTO -_- hoping this is a typo because that's extremely low. The APPs currently work 4 10s a week but will likely move to 3 12s as more APPs are hired so I am not sure how this affects the amount of PTO. I am thinking of asking for 4 weeks PTO to include vacation, sick and CME days. CME: $1500, does not state specific number of days off Overall, I am really happy with the offer as a trauma position has been my dream for a long time! Not so happy with the PTO, but believe they will be willing to work with me! I would greatly appreciate your thoughts!
  6. 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
  7. 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!! :)
  8. 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
  9. SAVE THE DATE! SEMPA is once again holding its popular Ultrasound Course. Planning is still under way, but the course will be held February 22-23, 2018, at the University of Florida-Jacksonville, College of Medicine Center for Simulation Education and Safety Research. The Ultrasound Course has sold out the past couple years so sign up now to be among the first to know when registration opens. https://www.sempa.org/ultrasound-course/
  10. Has anyone here used NEJM Knowledge Plus to get CME? What is the best CME sources for surgery/trauma/critical care that doesn't cost an arm and a leg plus my left kidney? Thanks
  11. 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 of the staff are ultrasound trained. I'm running into issues with ultrasound documentation in that we are allowed to perform the exam, bill and document only if we have a credentialed physician looking over our shoulder while we perform the exam. We have been asked not to document the ultrasound in our note for both billing and medicolegal reasons (understandably). When this issue for APPs (both PAs and NPs in my new practice) came up, our group was told that it is system-wide policy that APPs can't do or can't be credentialed to do bedside ultrasound. I'm wondering what resources are available to help PAs/APPs develop a credentialing process for bedside ultrasounds within their organization. I see there is a Society of PAs in Clinical Ultrasound, however not many resources regarding this professional practice issue. Can anyone help point me in a direction or offer up their professional experience?
  12. I'm currently a trauma PA at a level 1 trauma center. I have about a year experience. I'm looking for a new trauma PA position for relocation and salary purposes. If anyone knows of any locations looking to hire, could you please let me know? Thank you.
  13. I am currently a Trauma PA at a level I trauma center. My salary is below the national average, but according to the hospital system it's based on "years of experience". So as a recent graduate, I'm placed at the bottom of the salary bracket. Unfortunately, PAs are not well compensated at this hospital. I love my job though and therefore have been doing some research to present data to my employer of what mid-levels are making in trauma. If there are any trauma PAs that work for a level I or II trauma center and would be willing to share their salary and any other compensation (bonus, CME, license repayment, etc.) it would be greatly appreciated. Thank you!
  14. I recently passed my PANCE and have been offered a trauma position at a level I hospital. I really want to pursue a trauma career and I am very excited to have the opportunity as a new grad. The offer is $35.89/hour but salary position, therefore no overtime or holiday pay. It works out to about $74,651 which is below the national average for new grad salaries. Malpractice is covered but no CME coverage. I've been told the hospital does provide enough opportunities to meet the minimum amount of CMEs though. Vision, dental, and medical insurance. PTO is accrued the more time I work, which I'm pretty sure is standard for all hospitals. (?) And that works out to about 4 weeks vacation time, of my PTO. I've talked to former preceptors, professors, and other PAs, most say this is low, but also a difficult to position to get as a new grad. Also, this is in South Florida... which I know is saturated with PAs therefore lower average salary. I would just like a little more input. Thanks!
  15. Hi gang, I'm hoping you all can help me. I have been working with a solo practice physician for 3 years now. We make an excellent team and he is very easy to work for. Regardless, I feel like I am being shorted financially and I am trying to work with him to improve my compensation/benefits package. Here is what I get now: $109,000 base salary, includes stipend to buy own health insurance policy bonuses - basically quarterly, generally always $1,000 pre-tax, amorphously tied to my production/performance 2 Fridays off per month + 4 weeks of PTO (vacation, sick, and CME leave) CME allowance of $2,000 /yr reimbursement for cell phone DEA, CDS, licensure all paid membership in ~2 professional societies paid I routinely work 50+ hrs/wk and routinely take work home on the weekends (3 ish hrs of patients papers to review that I just don't have time for during the week or discharge summaries, etc) I suggested the idea of additional pay based on services I referred for (for example we do in house EMG/NCS and I assume benefit financially from every referral for an in house one that I make) and for surgeries I assist in. I have also requested an improved benefits package to include more money for health insurance, paid disability coverage, life insurance, etc. In the interest of full disclosure, I am also considering just leaving this position to do something else like hospitalist. I am feeling burned out on this job and not completely certain that I want to keep fighting to improve this compensation/benefits package. Thanks for your insight & help!
  16. Hello! I found this forum and I think it is a wonderful help. I have been working on my narrative and have had several people review it but I could use the suggestions of someone who does not know me. Thank you! I am 34 years old, I have a good job and a wonderful family. Many people might wonder why I would decide to go back to school at this time in my life. The answer is simple. There is a need for health care providers in my area and I can help fill it. I work with patients on a daily basis as a certified ophthalmic technician (COT) who share with me the frustrations that they have when it comes to their health care. I have heard the story time and again about patients receiving letters that his or her provider has moved on to something bigger or better. Sally, a diabetic patient who comes to our office on an annual basis comes to mind. Last year, when I looked at Sally’s chart I saw that we had written diabetic report letters to a variety of providers over the last several years. I asked her who she wanted us to send this year’s report to and she started crying. I knew Sally fairly well so I took her hand and asked what was wrong. She then told me that she didn’t know who was going to read the report because her provider had changed three times since she last saw us; one of them she hadn’t even met. This was particularly disturbing to Sally because she had a complicated medical history and difficulty with blood sugar control. She confided in me that she was starting to think providers didn’t even care about their patients anymore and she was afraid she was going to die before she found someone who would know her and her medical problems well enough to treat her. Sally’s dilemma is not unique. Primary care physicians come to this area and then seem to move on after a couple of years. Physician Assistants (PAs) have started to fill the gap in health care but there are not enough of them either. Many of them stay around just long enough to gain experience and then move on as well. I live in Branson, Missouri and have worked with patients in the Ozarks for a long time. I understand that many of them are slow to trust people in the medical field but once their trust is gained, they are fiercely loyal. Nearly 20% of the population is of senior age. This age group of people have health issues and concerns but they want to go into a facility and see faces they know and trust. They want to discuss their concerns with providers who know them, not providers who just read their entire medical history in a chart five minutes prior. I am not saying I can change health care, or even the health care practices in my area. What I am saying is that I know there is a need and I believe I can help. After Sally had wiped her tears, apologized for being so weepy and had her smile back in place, she kiddingly told me I should just go back to school and she would come see me for care when I was done. I smiled back and told her I wished I could do that for her. I thought about that conversation many times over the next year. It forced me to consider my current position. I have worked in the same office for nearly a decade. I know the patients and they know me. I started out as a technician knowing nothing about ophthalmology but I set myself on a course to learn all I could about the profession and excelled. During my employment I have had the opportunity to achieve two level of certifications as well as join the surgical team as a scrub tech. I have been privileged to work under a physician who encouraged me to keep moving forward and challenged me to not just gather information from tests but to consider what the results might mean to the overall health of the patient. This process made me very aware of several things. I have a great deal of respect for physicians and the training and knowledge they possess. I also crave patient interaction, like being part of a team and need to be challenged. After considering my current role, it became clear to me that I am ready to move forward. My experiences and training as a COT have prepared me to better understand the role of a PA. PAs, in general, are able to spend more time with patients than a physician. They are part of a heath care team and are involved in the challenges of assessing and treating patients. Ironically, after deciding to follow the PA path I got a close look at the PA career when another physician and his PA opened a satellite practice out of our office. The PA and his supervising physician both offered valuable advice about the day to day functions of their roles and invited me to observe their activities at length even before I was able to officially shadow them. Seeing the relationship they had and watching the team approach that was taken towards patient care validated my assessment that I would fit comfortably in the role of a PA. So here I am, back in school. Staying up late and getting up early. During the last year I have been a full time employee, a full time student, a wife and a mother. Change isn’t easy, but I meant it when I told Sally I wished I could help. Maybe one day she will be able to come see me.
  17. A.Raven

    Navy PA advice?

    Looking at my options for navy PA career... In night classes working towards my bachelors, and working full time at the VA working with veterans with PTSD...treatment and research. Mainly working with combat trauma, some MST, ranging from WWII to OND. All branches. Will be switching to full time school once current DOD funding is up in two years time. Prior to that was back and forth from 29 Palms, doing PTSD screening and research, working with active duty marines over a 2 year period, pre and post deployment. My school background is British (an English equivalent of pre-med/pre-vet) - sufficed for the DOD work but credits wouldn't transfer to Californian colleges so I'm having to redo a lot of work pretty fast. Currently legal resident but will be applying for citizenship year before I graduate from bachelors. Looking to get some feedback/advice as to path for trauma/critical care. Fully flexible with stations stateside and overseas, would prefer working greenside and have no problem with concept of deployment. I know right now with cut-backs and adjustments post OEF that positions are competetive; am planning on taking an EMT course this year, and getting as many clinical hours as possible in the next two years. Anybody got any advice for an older female (26, will be 28/29 at graduation)? Will my age hold me back? Is the VA psych experience likely to be worth anything towards the PA school application? Any advice as to additional paths of work experience to pursue? Will be going to speak to a recruiter soon, but want to get as much info from other sources as possible. Thanks for reading, cheers in advance for any info.
  18. Does anyone know if any hospitals in Miami, Fl. hire PA's for their critical care units? Or in South Florida? Any experienced ICU PA's there or elsewhere find they are satisfied with their positions in the ICU (allowed to do procedures/ sufficient amount of autonomy/ used appropriately in the team model / happy with pay, etc)? Looking to gain more knowledge about PA's in the ICU/critical care field, any info is much appreciated! Thanks :)
  19. Am I allowed to officially sign documents PA-C once I have passed the NCCPA exam? Do these laws differ by state?
  20. Hi, so I'm new to the forum and I am really interested in becoming a PA. I know that Trauma PAs and ER PAs are different but I am interested in the "duties" of the ER PA. Is it true that the ER PA will see the more minor cases while the Physician will run the code or stabilize the trauma pt? I have many doctors and nurses in my family and they all give me different answers. I understand that the duties vary but in general what are the primary duties? Personal examples are good too! Basically, I don't want to become an ER PA if it means I will be treating the lacerations and stuff, I would rather be assisting in the code or helping stabilize the trauma pt. before handing them off to the trauma team or the OR. Would it be more worth it to go to med school if ER is what i really want to do? (I have done lot's of shadowing etc. and ER feels like the place for me :)) How does an ER PA contrast with a Trauma PA? Thank you in advance!! Daniel
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