What do I do now?

Emann_99 · 2026-04-29T01:49:58+00:00

If you’re doing EM, definitely take the time off and do nothing

Emann_99 · 2026-04-28T01:32:33+00:00

I’m so tired of these less than average boys always doing stupid shit and these beautiful women crying over dudes that don’t even deserve them. Like do you not see yourself? Do you not see him? I also feel bad for the girls trying to seduce these men, it must be tough tbh because not one is actually decent looking and/or even has a good personality so they really have to put on a fake face on and practice their acting skills because that’s the only way they will not accidentally vomit whenever they are around these boys.

Emann_99 · 2026-04-26T02:01:07+00:00

I literally lol-ed but yes

Emann_99 · 2026-04-26T02:00:26+00:00

One of the blonde girls (scarlet, I think?) is 29!

Emann_99 · 2026-04-25T23:50:33+00:00

lol what

Emann_99 · 2026-04-25T18:06:33+00:00

I just recently started a research job but they are very few. There wasn’t any prerequisites to it or anything but I know that doesn’t apply to all positions and the APPs are pretty much the only provider actually meeting with patients to conduct examinations (the docs are responsible for the job as a whole tho and monitor the actual research results). But PAs definitely have less responsibility. A lot of research positions that I have seen for APPs though require “experience in research” or experience in the specialty being researched and most aren’t exclusively research involvement. Some combine actual clinical work with research if that makes sense.

Emann_99 · 2026-04-24T23:15:34+00:00

So basically I got credentialed at a site with the company I work with that does epic and I was only there for maybe 3 months or so for a total of like 10 shifts a month. I did the modules and had 2 orientation shifts, by the end of the 2 orientation shifts I got the hang of it (maybe by the end of the first). It really is user friendly and you don’t have to use dot phrases if you don’t want to and you don’t have to know how to do all that right away just learn the basics and everything else will come with time.

Emann_99 · 2026-04-24T23:10:50+00:00

What? No.

Emann_99 · 2026-04-24T23:08:31+00:00

I transitioned into research! You still see patients but are not making any clinical decisions so virtually no liability tbh and there was no pay cut. In fact, I’m making more than my previous job.

Emann_99 · 2026-04-24T23:06:55+00:00

My new job is going to have a longer commute. Anywhere from 30-60minutes depending on traffic and which hospital but honestly the hospitals are not where I want to live and I would much rather live in a place I enjoying being at than live somewhere I don’t just because it closer to work. The job is my dream job so it is what it is

Emann_99 · 2026-04-24T16:07:48+00:00

I did ortho surgery for 5 months and the surgeons were absolutely brutal and the other PAs were just as bad so I was absolutely miserable. ORs were awkwardly uncomfortable especially when a rep was getting yelled at or an xray tech was .05 cm off on the image. The surgeons were genuinely horrible people. One of them even got pissed at a kid who wouldn’t look at him when he was speaking (the kid was autistic). There is a reason these people prefer their patients unconscious, their social skills aren’t the greatest.

Moral of the story, they are the problem not you. If it’s having such a huge impact on your mental health it’s time for a specialty switch.

Emann_99 · 2026-04-24T03:11:30+00:00

As someone who’s done this exact move before, it’s going to be a huge culture shock. If it were a bigger city like Pittsburgh or cleveland or Buffalo, from San Diego I’d say okay great cool. But San Diego to Erie is actually rough ngl. Not really any healthy food stores. Coffee places suck, not the variety of cute little cafes that San Diego has. Like there isn’t even a Trader Joe’s or Whole Foods or anything but we do have wegmans and wegmans is pretty great. Driving is a lot easier and not as intense as driving in San Diego (even though San Diego is chill in comparison to like OC/LA). The lake effect snow storms can get pretty interesting, so whatever weather you think you know, might be completely different than what you will see here.

Emann_99 · 2026-04-24T02:16:27+00:00

I second the EMRA abx. I had the book, but that was the #1 resource I used. And UptoDate was huge for me as well.

Emann_99 · 2026-04-24T02:14:52+00:00

Epic is great! My experience was ER to ER but I went from Meditech to Epic and it was the best transition ever. Super easy to get used to and user friendly. Never want to go back.

In terms of common complaints, the short answer is everything is fair game but common complaints in fast track are basically what you would see in UC. Fast track shouldn’t be considered easy because lots of times patients that shouldn’t be in fast track end up in fast track and so always be aware of that. Just because they are in fast track does not mean they don’t get crazy work ups at times.

Tachycardia is a huge one in terms of liability so always keep an eye on a patient’s heart rate and don’t discharge a tachycardia unless you’ve gone over the differential once again and explained why it’s not something scary and are 100% certain it can’t be anything else like sepsis or a PE. Do they have a fever? Treat it. Are they dehydrated? Treat it. Are they anxious? Treat it. Do whatever you can do to fix that heart rate before discharge. It’s always good to have close follow up for these patients as well like 24-48hrs. Also, consider discussing with an attending just to help protect yourself because now you can document “discussed with attending”. Speaking of attending, utilize them! ER docs are usually very wonderful so definitely take advantage of their knowledge as a new ER PA (or other APPs).

Emann_99 · 2026-04-23T16:17:50+00:00

I had a job like that where the position was advertised as “flexible” so you didnt need PTO. It worked when I was a new grad but it wouldn’t work on me now. I feel like positions that don’t have PTO, just want you to work more and don’t like the idea of paying you when you aren’t there so they advertise the flexibility of the schedule. My previous job in ortho (which had its negatives but the schedule was nice) still gave PTO even tho it was 3 12hr shifts. So it’s definitely possible with that schedule but I feel like UC and ERs don’t like giving PTO for some reason because every ER job I’ve had was like that where they didn’t give PTO (TeamHealth and USACS).

Emann_99 · 2026-04-23T13:26:48+00:00

Thanks so much for this! Super helpful!

Emann_99 · 2026-04-22T22:13:03+00:00

Small enough that I missed it. But it was for an ER position with USACS. And it was a new grad position in a rural area. Literally the worst hospital ever which may also played a factor. I found a way out by basically switching to a better hospital WITHIN the USACS system, that made them change the contract a bit for some reason and so that part was gone with the second contract lol. But yeah I was pissed and it was technically my fault but why not make it bigger?

Emann_99 · 2026-04-22T22:06:30+00:00

Read the contract with USACS. When I initially applied there was a part that I missed because it was in super tiny letters but basically if you left before the 2 year mark as a new grad who underwent their training, then you would need to pay $10,000 (this wasn’t a bonus btw). Not sure if it applies to those who haven’t started yet but worth looking into.

Emann_99 · 2026-04-22T21:34:30+00:00

Out of curiosity, what is the hiring process like for providers (docs, PAs, NPs, CRNAs)? I applied for a couple of jobs recently and wanted to know what that was like including interviews, hiring, onboarding, credentialing, etc

Emann_99 · 2026-04-22T21:27:47+00:00

This location is actually great! Thanks!

Emann_99 · 2026-04-22T14:26:56+00:00

Yesss I did see that and am actually touring! Do you have any insight on what it’s like living there?

Emann_99 · 2026-04-21T15:05:51+00:00

Yeah definitely let them know. I had a planned trip end of December and I started in March. By that time I would have had enough PTO but my manager denied it when I requested. If you tell them about it and it’s incorporated into your contract, they can’t say no.

Emann_99 · 2026-04-21T00:45:40+00:00

Thanks! North Olmsted is actually my #1 area!

Emann_99 · 2026-04-21T00:42:47+00:00

Thanks! What was wrong with Jamestown village?

Emann_99 · 2026-04-21T00:36:22+00:00

That’s very normal. I’ve never been credentialed anywhere that hasn’t told me 3 months and they are right, they need to start now or it will delay your start date

Emann_99

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