From the early years of forging a path in emergency medicine as a new grad to the complexities of compensation models and the enigmatic world of RVUs, Jenn Mayers shares the realities of working alongside stressed supervising physicians, managing soaring patient volumes, and tackling the burnout epidemic.

We discuss:

• Jenn's Early Years in Emergency Medicine, exploring the challenges faced by new grad nurse practitioners transitioning into emergency medicine
• Challenges of Direct Entry into Emergency Departments, and the feasibility and challenges of new graduates directly entering emergency medicine roles, especially in the context of varying backgrounds and skill sets.
• Compensation Models and RVUs: The intricacies of compensation models, specifically focusing on RVUs (Relative Value Units), and the complexities of accurately reflecting a practitioner's work, along with the need for transparency and clarity in these systems.
• Contributors to Burnout: The factors contributing to burnout, such as heavy patient volumes, insufficient staffing, and the lack of primary care support, highlighting the emotional toll and the need for self-care strategies among emergency NP and PA practitioners.
• Navigating Supervision Challenges: The dynamics between emergency NP/PA practitioners and supervising physicians, addressing stressors faced by physicians and the importance of fostering supportive and collaborative working relationships.

  
  

Jennifer Mayers is a Senior Emergency Medicine Nurse Practitioner.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

How can PAs excel in rural critical access hospital emergency departments? Our guest, Dr. Eric Holden, a seasoned Emergency Medicine Physician Assistant, will unveil a solution that combines his extensive experience and expertise. 

We discuss:

• Dr. Holden's Unique Journey, from EMT training to a Doctorate in Health Sciences, and learn how it has shaped his expertise in emergency medicine.
• The Challenges of Rural EDs: Understand the distinct challenges and patient cases commonly encountered in rural critical access hospital emergency departments.
• Advanced Skills for Success: The essential advanced skills and procedures that PAs need to excel in rural settings, including intubation, cardioversion, and fracture reduction.
• Career Pathways for Aspiring PAs: Dr. Holden shares two distinct pathways for PAs to gain the necessary experience and training, whether through residencies or progressive clinical roles.
• The Role of CAQ in Emergency Medicine: Learn about the Certificate of Added Qualifications (CAQ) in emergency medicine and how it can elevate PAs' roles in rural healthcare, offering privileges similar to emergency medicine physicians.

  
  

Dr. Eric Holden is an Emergency Medicine Physician Assistant and Distinguished Fellow of the American Academy of Physician Assistants.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

Today host Omar Nava sits down with John Canion, an Emergency Medicine NP, to explore the multifaceted world of NP and PA training in the context of emergency medicine. John shares his inspiring journey to becoming an emergency medicine NP, having worked in various areas of nursing before finding his passion in the ER. He discusses the challenges of transitioning to the NP role and highlights the need for more standardized training programs for ER NPs and PAs.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

Today we are joined by Amanda Gallagher, an Emergency Medicine Physician Assistant with a unique perspective on the field. Amanda, who serves as the Postgraduate Training Director for an EMPA program at the University of New Mexico, shares her inspiring journey to becoming an EM leader and highlights the challenges and blessings encountered along the way. We also explore the historical changes in the role of EMPAs and the evolving relationship between EMPAs and physicians in the current healthcare landscape. 

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

Today we welcome Physician Associate Robert Blumm to discuss the importance of personal liability insurance in emergency medicine. Robert shares his journey, which includes experiences as a combat medic and a surgical PA, highlighting the need for decisive action in emergency situations. The conversation delves into the changing landscape of healthcare, including nursing and physician shortages, and the impact on NP and PA practice. The episode emphasizes the significance of securing personal liability insurance to protect clinicians in an environment with limited resources and increasing liability risks.

Our challenges are evolving - which amplifies the importance of maintaining professional protection in emergency medicine.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

When Gabe Westheimer first began as an emergency Nurse Practitioner 10 years ago, his role was quite a bit different. Back then one or two NPs plus a physician would take care of about 18 beds. Now, he's looking after double or triple the number of patients, plus managing patients in the waiting room.

It's a different world now in emergency medicine, but what can we as NPs and PAs do about it? And how can we avoid burnout from this situation?

About Our Guest

Gabe Westheimer is an emergency trained nurse practitioner who works at SFGH, San Francisco's premiere Level 1 trauma center and county Emergency Department.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

Christian Hommes has enjoyed working as a Physician Assistant, but at times he has felt frustrated with a stagnant career trajectory. Many of you have felt that as well, but what can you do about it? 

And what exactly is a fair compensation model for PAs and NPs when you consider factors like experience, competence, and number of patients seen?  It's a complicated question, and one that we explore on today's episode.

About Our Guest

Christian Hommes is a Physician Assistant at Envision Healthcare and a Patient Diagnosis Liaison at Ultragenyx.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

When students are applying to PA school, we're praying to get in.

When we get in, we can't wait to get out.

And when we're out, we're wondering why in the world they let us do this!

Today we're talking about that feeling of being unprepared coming out of school, and what PAs can do about it to be ready for the Emergency Room.

About Our Guests

Carly Owens and Caroline Chadwell are Emergency Medicine PAs at American Physician Partners.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

In many emergency rooms, nurse practitioners and physician assistants feel expendable for a variety of reasons - lack of pay increase, poor benefits, or even poor work environment. So what can emergency medicine PA and NP leaders do to retain talent?

Hilary Hommes is the lead emergency medicine PA at Envision Healthcare in Nashville TN.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.

Emergency Medicine PA Joel Ruetz joins us to discuss PA education and training, if it makes sense for PAs to jump from school to the ER, and the PA push for independent practice.

Emergency Medicine NP & PA Workforce is hosted by Omar Nava, presented by Ivy Clinicians, and produced by Earfluence.