I am someone who will be in the healthcare field as a nurse not as a physician. The general consensus was this type of event would continue to repeat itself, and even with resolution of blocked flow, each time would kill more myocardium and either she dies from an MI or an acute heart failure. and the answer to this is...it depends. The rules going into effect Thursday also allow veterans to go to non-VA urgent care clinics at VA expense without prior approval, though they may have to pay a co-payment. 3 years) so they are the same as any other IM doc who has completed a residency. They figure that the good CPR we did restored enough blood flow to the myocardium to allow for restoration of an organized rhythm. This is a highly moderated subreddit. The agency previously provided outside medical care under seven different programs, including the so-called Choice program, which was created in 2014 after veterans died waiting for appointments at the Phoenix VA. But is there any other organization I can join or volunteer for to educate and spread the message? Obituaries and articles about healthcare workers who have died in the international fight against the COVID-19 pandemic can be found in /r/medicinememorial. So we package her up, get her into the ambulance, and start an IV, draw labs, and get on our way. “Veterans like the care VA offers, and eligible veterans will always have the choice to receive internal VA care or to receive community care.”. Trump signed the law last June, known as the VA MISSION Act, but its key provisions didn’t take effect until now. WASHINGTON – Veterans will have expanded access to medical care outside Department of Veterans Affairs facilities beginning Thursday under a law signed by President Donald Trump last year and touted as a major achievement by Trump on the campaign trail. Otherwise the reservations upstate (the Oneida and Mohawk, for example) are your best bet. As for privatization worries, he said the agency and its budget are growing and the percentage of non-VA care paid for by the agency has decreased in recent years. the post above, "medicine chiefs" by definition have already finished a complete medicine residency (i.e. There's the possibility of loan forgiveness, also: I think the loan forgiveness is possible with any of the gummit programs like VA, IHS and Federal prisons. http://www.va.gov/JOBS/Job_Benefits/continue_edu.asp, http://www.ihs.gov/GeneralWeb/WebAp...chregion=area&CFID=109103016&CFTOKEN=83689823, http://www.ihs.gov/FacilitiesServices/AreaOffices/AreaOffices_index.asp. Press J to jump to the feed. So if our 30 second field interpretation of real-time ECGs was not equivalent to PGY-6 cardiology fellows, I do not know what to tell you. Please read … JavaScript is disabled. “Veterans should expect a fairly transparent and seamless transition to the new Veterans Community Care Program,” the agency said in a recent post explaining the new VA program. I checked the PPP site and obviously, it’s for physicians for patient protection and I am not a physician so I can’t join. I can't comment on others. The ECG is kind of bizarre, and I don't think i have seen both ST elevation and ST depression in every single lead before. This is a highly moderated subreddit. Dispatched for prehospital EMS as a "Cardiac Emergency with chest pain" and and arrived on scene ~7 min later to find a 60 year old female with an "extensive history of cardiac failure" (per dispatch notes), who was sitting fully-upright in an easy chair exhibiting obvious agonal breathing. I moonlight at the VA and they haven't required us to be board certified...you must have finished a residency though (i.e. Place your sponsorship banner here for $50.00 per Month! There are clearly 2 different conversations going on here. • Health Professional Scholarship Program (HPSP) Physician … All Rights Reserved. I still believe physician lead care is important, and I believe in its current from, NP schools are not vested in the development and education of their students. The new law combined those into a single, new program with expanded eligibility criteria. VA Claims Insider, LLC is NOT an accredited agent, VSO, attorney, or entity recognized by the Department of Veterans Affairs (VA) and is not affiliated with the VA in any way. I worked with on the Zuni reservation (Zuni-Ramah service unit in the Albuquerque area) and had a wonderful experience, but there is a lot of variability as to day-to-day life, tribal receptivity to outsiders, and safety amongst the sites. VA officials previously estimated the new rules could increase the number of veterans eligible for VA-sponsored private care to as many as 2.1 million – up from about 560,000. For specialty care, they can see private doctors at VA expense if they have to wait longer than 28 days or drive more than an hour to see a VA provider. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. Rules established under the law and published Wednesday in the Federal Register say the VA will pay for veterans to see non-VA doctors if they have to wait longer than 20 days or drive more than 30 minutes for primary or mental healthcare at a VA facility. In response to inquiries from USA TODAY, VA press secretary Curt Cashour said the agency “does not expect a significant increase” in VA-sponsored care for veterans. IHS jobs aren't going to be in major cities or suburbs (AFAIK), and a lot of people don't want to work in a prison. Copyright © 1999-2020 CRG, a 501(c)3 nonprofit organization. “Eligibility for community care is not the same as actually opting for community care,” Cashour said. Our VA doesn't hire residents to work...you have to be finished with residency (i.e. I presented this case in true good faith. In order to be a FT employee however, you need to be BC/BE in the specialty in which you are working. The next day she was referred to palliative care and hospice at home. thanks for the above posters' feedback regarding moonlighting at the VA. r.e. At my location, you have to have finished 3 years of GME. We’ll also cover your care if we pre-authorize you (meaning we give you permission ahead of time) to get services in a non-VA hospital or other care setting. Trump signs bill to expand veterans private care, President Donald Trump has signed a bill into law that will expand private care for veterans as an alternative to the troubled Veterans Affairs health system. Link to high-quality, original research whenever possible. My VA allows any licensed physician to moonlight on the inpatient service assuming they meet the credentialing requirements. Previously, veterans who had to drive more than 40 miles or wait longer than 30 days could choose to see a private doctor paid for by the VA. VA officials previously estimated the new rules could increase the number of veterans eligible for VA-sponsored private care to as many as 2.1 million – up from about 560,000. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. All posts require user flair. But VA is a more pleasant option for most people. They have said that diversion would damage the agency’s ability to provide care, causing more veterans to get non-VA care, and ultimately triggering the privatization of the agency. Nothing could be done. Please read the announcement very carefully. Over the past decade, there have been numerous reports of VA facilities failing to provide timely care. Then, after assisting ventilation with a BVM for ~1-2 min, we saw the ECG findings are attached from a 12-lead which was run right after ROSC. Find out if you’re eligible and how to sign up to begin using this tool. VA Claims Insider, LLC does NOT assist veterans with the preparation, presentation, and prosecution of VA disability claims for VA benefits. By Joel Davis, VP of Hiring Solutions at Doximity. I am not the world's best ECG interpreter, but this one stuck out to me as well as seeing these findings resolve over time. No personal agendas, self-promotion, or surveys. The fiscal 2018 ratings include nine one-star hospitals, the lowest possible, down from 14 hospitals that received one-star ratings in 2017. VA Claims Insider, LLC does NOT assist veterans with the preparation, presentation, and prosecution of VA disability claims for VA benefits. 33% of this call involved packaging her up in a Reeves stretcher and moving her out of her SUPER tight house to our stretcher. No requests for professional advice or general medical information, No promotions, advertisements, surveys, or petitions. The cardiologist knew this patient, who ended up having two inoperable blockages that covered the anterolateral region. DEPARTMENT OF VETERANS AFFAIRS Veterans Health Administration Title 38, U.S.C. • VA has opened the 2019 application cycle effective February 20, 2019 until 11:55pm on May 3, 2019 at which time the application cycle will be closed. MINIMUM MAXIMUM COVERAGE TIER 1 . attending level), not just have a license. EDIT: I am super glad this generated so much discussion and so much disagreement among providers. (June 6), published Wednesday in the Federal Register, allow veterans to go to non-VA urgent care, worried it will divert money from VA health care, Your California Privacy Rights/Privacy Policy. The Department of Veterans Affairs’ (VA) Veterans Health Administration operates one of the largest health care delivery systems in the nation, with over 160 medical centers and more than 1,000 outpatient facilities. The expansion of veterans’ medical care choices was a key campaign promise for Trump, and its rollout will be closely watched by veterans’ groups, who have worried it will divert money from VA health care. Caveat: this was a 3 person EMS crew so we had extra hands to setup defib pads plus tack on a 12-lead almost simultaneously. Believe it or not, there is actually an IHS clinic in New York City, for all tribal members who have migrated in for work.

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