Job Hunting

Wow...I haven't had to actually find a job for 25+ years. Putting together a CV, phone interviews, in-person interviews, salary and benefit negotiations, cost of living and quality of life decisions, new state licensure. It's

been interesting.

I purposely decided not to hang up my own shingle and have been looking at group practices or staff positions. They have run the gamut from Medicaid mills on up.

I have had 2 serious offers so far. One is from a private group of physicians who own their own hospital and have a small in-house dental practice. I am strongly considering that one. The other position at a state hospital just had it's funding pulled as a cost saving measure. So much for that.

Off to a third interview on Monday. We'll see how that goes.

The bait shop is still a consideration. Maybe I'll add a marina... ;-)

On the R.O.A.D

Retired On Active Duty. I used to make fun of those guys, now I am one! My official retirement orders have been approved. Now I need to spend my last few months on active duty looking for a new job. 3 interviews so far. One at a hospital in Pennsylvania, one in North Carolina, and a group practice in North Carolina.

Or maybe I'll buy a bait shop.

Don't Be Dragging Us Down!

M.D.O.D.: I've got it!

ETOTHEPI,

Do you really want to unleash the fury that is a bunch of angry people armed with small, sharp instruments?

Just the Facts...Joe Friday schools Obama

Dentistry Succumbing to the Mid-Level Craze

You are going to get what you pay for. We're headed back to the Barber-Surgeon days....

A while back I wrote about the emergence of mid level practitioners in my field (dentistry).

http://docv-downinthemouth.blogspot.com/2008/12/more-mid-level-practitioners-emerge.html

Alaska and Minnesota have begun to license such practitioners. In my opinion, the argument for and against is very similar to the controversy that goes on about PAs and NPs. Once again, I see the the problem not being their breadth of knowledge, but their depth.

While very little in my world is life threatening, there are those occasional "Oh @#$%!!!" moments especially with medically compromised patients. The very population that most of these mid level providers will treat is also the population that has problems with uncontrolled diabetes, hypertension, heart disease, and so forth. I can teach just about anyone to pull a tooth or plug a filling but you have to remember that tooth is attached to a human being. You have to be ready to deal with the complications. Not all of dentistry is a mechanical art and that difference is what you pay me for.

Another blog on the subject:

http://www.boingboing.net/2009/10/08/armed-to-the-teeth-t.html

And a really great blog, "The American Way of Dentistry:

http://www.slate.com/id/2229633

A Little Slice of Life

Only in America....

http://peopleofwalmart.com/

Access Problems

On the Buckeye Surgeon's blog, https://www.blogger.com/comment.g?blogID=2760353953251845523&postID=6887089455401358985 is a discussion about a prisoner that was given a reprieve from his death sentance (lethal injection)because they were unable to get venous access. If that is a problem, why not go the IO route?

My understanding is:

• IO access is a safe and effective route
for accessing the central vascular system

• IO access is similar to central line access and carries
less risk of complications. (At least in theory)

• IO is the first alternative to IV
in adult cardiac arrest patients

Just a thought....