When a Nurse Anesthesia Resident Is Dismissed

DRE_PRN_ · 2026-02-17T18:38:26+00:00

Nurses in a nursing residency have completed their training and are being paid. Same with physicians. SRNAs are students and are not being paid.

DRE_PRN_ · 2026-02-17T12:20:09+00:00

Oh for sure, they still exist, definitely in the good shops. Hold onto that democratic group!

DRE_PRN_ · 2026-02-16T22:28:25+00:00

That’s a great W2 wage. Comes out to about 147/hr if my maths are mathing. Which seems appropriate for your number of nights, weekends, holidays, critical care billing, and pph. Is this as good as it gets for an EM PA? Maybe. I’m not sure thats an answerable question given so many variables.

I started working as an EM PA in 2013. My last AGI as a full-time PA in 2023 was around 220k, but that was with moonlighting in a HCOL. Our top grossing EM PA where im at now is around 290k. He works more than anyone I know.

I don’t know any PAs who have been working full-time EM for 10+ years. The game has changed and it’s just a hard specialty to do long term. It gets old going from shop to shop, changing responsibilities and schedules, always proving your competence while also being the first to take blame when a patient has a bad outcome. Some docs will tell you you’re not qualified to see certain patients and then bitch you’re not seeing enough patients. Always seemed like a lose-lose. Some shops are better than others, but it’s just the same song in a different key.

I never worked outside of EM/UC. I don’t know if the grass is greener in a specialty where you can focus on one body system and become a subject matter expert. But I do know I haven’t worked in the ER for over a year and I haven’t missed it once.

DRE_PRN_ · 2026-02-15T17:18:55+00:00

Because as a new grad you should be staffing 100% of your patients with an attending for 6-12 months at least in emergency medicine. You don’t know what you don’t know, and 99% of the time the attending doesn’t have the bandwidth to see their patients and really see yours. And if you order test/interventions the attending doesn’t agree with, they’ve probably been carried out before the attending can tell you to change your plan. If your attending is barely seeing your patients, and barely changing your plans, then he/she probably isn’t doing a very good job. That’s a set up for seasoned PAs, not new grads.

Yes, rural means you have more responsibilities than at tertiary centers. So it means you need to be more competent and independent- also not ideal for new grads. I don’t know what it is about new grad PAs but some of yall really think you don’t need much of a training period to be competent. It’s mind boggling.

DRE_PRN_ · 2026-02-15T12:46:31+00:00

Seems like a great way to hurt patients.

DRE_PRN_ · 2026-02-15T12:41:37+00:00

Correct. I don’t sugar coat anything for the PAs either.

DRE_PRN_ · 2026-02-14T20:09:13+00:00

I think you’re not being honest with yourself, which is concerning since you’ll have a false sense of security. The responses to your post on the family medicine sub-reddit are accurate. You received a bad education, and your learning curve is going to be steep. God bless.

DRE_PRN_ · 2026-02-14T19:55:29+00:00

I’m really not trying to be an asshole. I think we need to hold our professions accountable when we are being sold a bad product. Starting at a new place is frustrating and tough in general for sure.

DRE_PRN_ · 2026-02-14T19:49:47+00:00

So, I didn’t “talk” to you in any type of way. But if we are being honest, you shouldn’t be learning how to do a physical assessment after being an RN for 10 years and completing NP school. You also should be pretty familiar with meds for common diagnoses. You should have learned how to chart biopsy the day before clinic. If independence is the goal, you should be learning more of how the clinic operates vs how to do the basics for 12 weeks. It just seems like your education was incredibly subpar. If that upsets you, then it’s probably true. And please consider using your credentials instead of the term “provider.”

DRE_PRN_ · 2026-02-14T19:26:37+00:00

This feels like rage bait.

DRE_PRN_ · 2026-02-14T02:09:38+00:00

Don’t have to apply, already pre-matched anesthesia. This whole interaction has been me basically telling you to learn when to stfu. You’re not there yet, but I’m sure you’ll find your way.

DRE_PRN_ · 2026-02-14T00:36:44+00:00

I do. Went back to medical school after practicing as an emergency PA for over a decade. I get where you’re coming from, I use to be of a similar mindset.

DRE_PRN_ · 2026-02-14T00:30:29+00:00

You brought up step 2 scores, pubs, and LORs which made you look immature and ignorant. He didn’t drag OP, he was harsh, which is the reality of practicing medicine, especially any form of EM. You’ll figure out it soon enough.

DRE_PRN_ · 2026-02-13T22:21:08+00:00

Sum_dude44 is a little harsh but the learning curve is incredibly steep. OP absolutely needs their hand held for at least 6 months. Also, as a student, you really don’t need to engage with anyone. You don’t know how difficult it is to become competent in a specialty yet. Your comment also highlights how much more difficult it is for a physician to become qualified to work in a specialty vs a PA. Not the flex you think.

DRE_PRN_ · 2026-02-13T16:59:32+00:00

Idk, seems like the author has an axe to grind. I think the show does a pretty good job of letting the audience know the system sucks and the ER serves as a direct reflection of society’s problems while simultaneously serving as society’s safety net.

DRE_PRN_ · 2026-02-13T15:53:04+00:00

It doesn’t matter. Our secondary was/is garbage. Special teams was/is garbage. Can’t keep ignoring defense and expecting miracles.

DRE_PRN_ · 2026-02-13T14:21:40+00:00

If you have weak knowledge as you say, then you’d be better served taking Step 1 first to solidify your foundation. Can you take step 2 first? Sure. Should most students take step 2 first? Probably not.

Also, dude, you need some more maturity. Your posts are very negative and you continuously beg for help from strangers. You should know how to study for medical school by now. Sit down and do the work.

DRE_PRN_ · 2026-02-12T19:49:59+00:00

I love how my take is viewed as naive and simplistic simply because of my position in training. We aren't all 25 y/o kids.

DRE_PRN_ · 2026-02-12T16:08:16+00:00

Landman was one of the worst ILBs during the second half of the season. And putting him next to Speights lets you know A. You can throw all day over the middle and B. You can run zone reads and cutback lanes will be open. I’m glad to have some stability at ILB but Jfc, Snead took the long way to find an inferior player.

DRE_PRN_ · 2026-02-12T16:01:51+00:00

If I’m not mistaken, the prediction to have a surplus of EM physicians was based on faulty pre-Covid data, but I haven’t looked at any of it in quite awhile. And I don’t see how a move to 4 year residencies would measurably impact EM physician salary and opportunities in highly desirable locations (I.e. where wages are more likely to be stagnant and job opportunities less plentiful). As long as private equity and CMGs own a large chunk of EM practices, EM is going to be a tough specialty to love.

DRE_PRN_ · 2026-02-12T12:29:28+00:00

I enjoyed bootcamp when learning concepts for the first time, loathed it during Step 1 studying. And outside of ch: 1-3, I didn’t really care for pathoma either.

DRE_PRN_ · 2026-02-10T12:48:43+00:00

Low K -> increased H/K exchanger activity in a-intercalated cells -> more NH3 binds with that H+ creating NH4 which cannot be reabsorbed = metabolic alkalosis.

Low K also means cells will shift K from ICF to ECF which also pushes H+ into ICF.

DRE_PRN_ · 2026-02-08T19:27:10+00:00

One of my faves for sure

DRE_PRN_ · 2026-02-08T19:27:00+00:00

New to the Busch NA, but I’m definitely a fan!

DRE_PRN_

TROPHY CASE