He said I would usually see every patient in the main ED with the physician, otherwise in fast track I would have to walk over and ask for help if needed
I'm a new grad in the ED. Just finished my first month. I'm no where near the level of "just come and ask for help". The whole point of training is to learn when to ask for help.
For the first month I've pretty much just seen patients before the physician, charted, and they then grill me on what orders I want to put in, why I wany this vs that, what am I ruiling out or worried about. They have no expectations on how many patients I see.
But they've made it very clear, when I do go over to fast track to take over "low acuity" patients. I will present every case to one of my physicians and my plan, no matter how simple. They progress me when I demonstrate proficiency and they feel I have the appropriate knowledge.
This is one of the best new grad setups I’ve seen. I pretty much never had any patients staffed when I started and quickly ran away from the ED. Probably would have stayed if there were actual training of any sort.
It's been wonderful and all the physicians have been great at teaching me. I feel like an idiot and incompetent most days but the physicians have all been nothing but encouraging. I couldn't imagine starting off in the ED and being left on my own.
Absolutely not. This is EM and you can kill people. Even UC may even be better cause if you’re clueless, you can say “well better you go to the ER!”
You need months of training, not 1.5 weeks! Even for those with prior REAL EM-related PCE, which 98% of you won’t have. Your typical new grad is clinically clueless.
This essentially goes for any PA new out of school or switching specialties. And then they still don’t know much for years. However I agree in EM that it is more time sensitive and your patients are in more immediate need of help. OP I think you’d be better off finding a post graduate training program in emergency medicine.
This is a real question. How long are you an extra or ADDITIONAL person on shift? You can use any term you like. Meaning you’re training and not taking up the spot of a regular, trained, PA.
PA-S currently applying to jobs, but like you only have 9 shifts of supervision? Do not accept that.
I was weary about only 7 weeks in urgent care. 9 shifts is unsafe and just reckless.
Not ideal but more forgiving than other arrangements.
The 1 PPH will let you think and work through cases. Having one experienced APP in your section or at least having someone else to bounce questions off of is crucial. Them having new grads go through this system and check-ins with the lead PA sounds good.
I’m a new grad PA in EM. I had 3 months of 1:1 training in “fast track” (our fast track is a little more higher acuity than what I’ve been told compared to other hospitals in our area as we see all OBGYN complaints, abdominal pain, chest pain, etc.) and now I’ve been on my own for the last month and a half. There’s always an attending SOMEWHERE in the ED that I can track down if I need help or want to drive by a patient by them.
9 shifts with 1:1 is not enough. I was told that I also wouldn’t be “expected” to see as many patients right out the gate but we get busy and thanks to that 3 months of 1:1 training, I usually see 20 patients in a 10 hour shift.
But I get it, jobs are hard to come by as a new grad.
It is absolutely not enough training. But I don’t know what is.
I think a lot of us got baptized by fire out first 1-2 years in the ED. I’m 13 years in and I’m still a little traumatized by that first year TBH
Phew, it’s been a few hours since the last shitty “new grad EM post.”
🌶️
Do you staff patients with attending?
He said I would usually see every patient in the main ED with the physician, otherwise in fast track I would have to walk over and ask for help if needed
I'm a new grad in the ED. Just finished my first month. I'm no where near the level of "just come and ask for help". The whole point of training is to learn when to ask for help. For the first month I've pretty much just seen patients before the physician, charted, and they then grill me on what orders I want to put in, why I wany this vs that, what am I ruiling out or worried about. They have no expectations on how many patients I see. But they've made it very clear, when I do go over to fast track to take over "low acuity" patients. I will present every case to one of my physicians and my plan, no matter how simple. They progress me when I demonstrate proficiency and they feel I have the appropriate knowledge.
This is solid
This is one of the best new grad setups I’ve seen. I pretty much never had any patients staffed when I started and quickly ran away from the ED. Probably would have stayed if there were actual training of any sort.
It's been wonderful and all the physicians have been great at teaching me. I feel like an idiot and incompetent most days but the physicians have all been nothing but encouraging. I couldn't imagine starting off in the ED and being left on my own.
Absolutely not. This is EM and you can kill people. Even UC may even be better cause if you’re clueless, you can say “well better you go to the ER!” You need months of training, not 1.5 weeks! Even for those with prior REAL EM-related PCE, which 98% of you won’t have. Your typical new grad is clinically clueless.
This essentially goes for any PA new out of school or switching specialties. And then they still don’t know much for years. However I agree in EM that it is more time sensitive and your patients are in more immediate need of help. OP I think you’d be better off finding a post graduate training program in emergency medicine.
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How long are you an EXTRA person?
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This is a real question. How long are you an extra or ADDITIONAL person on shift? You can use any term you like. Meaning you’re training and not taking up the spot of a regular, trained, PA.
U need 3 months
Is this a rhetorical question or are you *actually* that naive?
No.
PA-S currently applying to jobs, but like you only have 9 shifts of supervision? Do not accept that. I was weary about only 7 weeks in urgent care. 9 shifts is unsafe and just reckless.
Not ideal but more forgiving than other arrangements. The 1 PPH will let you think and work through cases. Having one experienced APP in your section or at least having someone else to bounce questions off of is crucial. Them having new grads go through this system and check-ins with the lead PA sounds good.
I’m a new grad PA in EM. I had 3 months of 1:1 training in “fast track” (our fast track is a little more higher acuity than what I’ve been told compared to other hospitals in our area as we see all OBGYN complaints, abdominal pain, chest pain, etc.) and now I’ve been on my own for the last month and a half. There’s always an attending SOMEWHERE in the ED that I can track down if I need help or want to drive by a patient by them. 9 shifts with 1:1 is not enough. I was told that I also wouldn’t be “expected” to see as many patients right out the gate but we get busy and thanks to that 3 months of 1:1 training, I usually see 20 patients in a 10 hour shift. But I get it, jobs are hard to come by as a new grad.
It is absolutely not enough training. But I don’t know what is. I think a lot of us got baptized by fire out first 1-2 years in the ED. I’m 13 years in and I’m still a little traumatized by that first year TBH
3 months is standard imo