Nice! I’m not busy enough yet but I’m hoping they will get me an NP eventually to do inpatient and post op stuff. Can’t have PA in my state or I’d go for that.
You're not in a state, you're in IHS... they can do whatever they want.
🙂
I’m a bit worried about skill atrophy as well. I’m doing 1-2 cases a week but it’s almost all diabetic foot right now. Haven’t done a scope since residency and not sure how it would go at this point.
You should have no problem getting some trauma in IHS... did you talk to ER docs/midlevels?
Ortho is non-existent or very minimally at most IHS. Even if they are there, usually not go-getters to any extent.
I'd talk to ER/urgent care "providers." A lot of it will be diabetic trauma, but it beats 100% pus bus cases.
Do get ready for stupid questions on-call from PA/NPs and attempts to call you in for dinky things.
It will eventually get you to boards, though (trauma ORIFs lead to eventual fusions, scopes, etc for post-trauma OA).
The hardest part for IHS is getting the
elective recon (many pts are bad candidates... obese, no transportation, subtance use, etc).
It exists, though. Talk to PCPs about what you can do. They know you can do wounds and ingrowns, but talk deformities/msk.
Double that rare recon cases for VA jobs as very very few female pts, no kids, even more psych problems.