What is it like practicing medicine in a prison? Watch this to find out!

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  • Опубліковано 3 гру 2024

КОМЕНТАРІ • 27

  • @sxirs
    @sxirs Рік тому +2

    I just started working corrections this week. This was a great interview. I'll probably watch it more than once.

    • @TheMedicineCouch
      @TheMedicineCouch  Рік тому +1

      That’s great! Glad you like the video. After you were corrections for a little while come back and tell everyone what you think about it if you remember.

    • @anthonydavid5121
      @anthonydavid5121 Рік тому

      Rick, hi. I am an NP x 25 years, mostly primary care. I am soon interviewing fora jial position. Never done it, sounds interesting. Could you share with me some interview questions to expect, or things I really should focus on during my panel interview? Thanks Rick. Anthony

    • @sxirs
      @sxirs Рік тому +1

      @@anthonydavid5121 well honestly my interview was unremarkable. I found out that my position had been unfilled for 9 months. In hindsight, I feel the interview was a formality. So I interviewed on-line and I had 2 interviewers. The regional medical director and the Health Services Administrator (HSA) The first question was, Why did you want to work here in a jail with inmates? I have done many things and one thing I did was work as a teacher where I did a stint of working in a halfway house with violent juvenile offenders. I told my interviewer this and told him that I wasn't easily intimidated. I also had a friend that works in another prison tell me about the position and I mentioned that he was instrumental in me gaining interest. I told them that I liked a team approach and from what my friend told me, it seams this is how things are there. I also mentioned that I worked 16 yrs in an environment where we worked as a team so I am partial to that as we can all pull from each others strengths. Another question was, Do you have a problem saying no?" He was leading to the fact that the inmates will try to find a weakness to exploit and try to get things they want and not necessarily need. I typically run my interviews like a conversation like one I have with a friend. Once the conversation is established, I'm in my comfort zone. The HSA asked how I felt working outside of my typical environment. Like I may have to travel a small distance to satellite prison for a health call and of course I said I had no problem. I asked if such a facility is stocked to manage a medical emergency and she answered it was. I think may times those opportunities that pop up are a good opportunity to ask a question pertaining to the job. The rest was mainly about my experience and background. I also mentioned that my 16 yrs working for poison control I was well versed in toxicology and often received calls from prisons regarding suspected toxicities of inmates. So I offered my services if ever a case presented where there was a tox scenario. I was hoping I didn't get the famous question, "tell me a little bit about yourself" which they didn't ask. I hope that helps. Like
      said, they needed to fill the spot and I think the interview was a formality. Maybe a little bit of impostor syndrom on my part. Hope this may be of help. Check out the book Jail Medicine on Amazon, I believe the digital version is 3.99. I has some very good sections that are scenarios that do and will happen.

    • @anthonydavid5121
      @anthonydavid5121 Рік тому +1

      @@sxirs RICK- a huge thank you for your reply and for telling me some of the questions they threw at you. I have a panel interview next with the the CMO and 4 other officials at the City Jail in SF! I have only done primary care and this would be a new practice domain for me. it wont be easy but after speaking with an RN and an NP who have worked in correctional medicine, I dediced to apply! They told me that they both loved their jobs! I am wathing correctional medicine videos on you tube and I'll check out the book you mentioned. Again, thank you so much for replying with such detail and for supporting a fellow NP. Best, ANTHONY

    • @anthonydavid5121
      @anthonydavid5121 Рік тому

      @@sxirs One quick question: How is anxeity and pain managed? Do you write Rx for benzos and narcs in a jail? I dont want people be anxious or in pain but I also dont want to fuel an addiction. THANKS!

  • @Sam-tu4hp
    @Sam-tu4hp 2 роки тому +1

    This was such a unique perspective and I’m grateful you shared it with us. I feel like you don’t hear a lot about this specialty very often

    • @TheMedicineCouch
      @TheMedicineCouch  2 роки тому +1

      Thanks for watching Sam! I agree. I heard it talked about a couple of times during school, but never got much details and I haven't been exposed to it all through my career so far. It was interesting to hear Vivek's take on working in corrections, but I gather from some discussions about the video that happened on LI and FB, that some providers have had some pretty bad experiences. Maybe one day I'll do a follow up interview with someone who has a different perspective on corrections medicine!

    • @Sam-tu4hp
      @Sam-tu4hp 2 роки тому

      @@TheMedicineCouch I’ve seen some other health professional channels taking the opportunity to talk about LGBTQ health this month. I wondered if you had any plans to interview someone who works in an LGBTQ clinic in the future

    • @TheMedicineCouch
      @TheMedicineCouch  2 роки тому

      Hi Sam. I would love to interview providers who work in every area of medicine eventually, but no, I do not have any interviews with LGBTQ clinic providers yet. If you, or someone you know is a PA or NP in this field and wants to be interviewed, contact me at admin@themedicinecouch.

  • @Notgivinyallmyname99
    @Notgivinyallmyname99 2 роки тому +2

    I’ve worked as a PA in correctional medicine for 19 years. I LOVE your page. Just found it today. Thanks.

    • @TheMedicineCouch
      @TheMedicineCouch  2 роки тому

      Welcome aboard Karen and thanks for the kind words! 19 years in corrections! That's impressive! Do you agree with what Vivek had to say? He is a newbie to corrections, and you have years of experience in that area, so I'm curious.

    • @Notgivinyallmyname99
      @Notgivinyallmyname99 2 роки тому +1

      @@TheMedicineCouch Hello. Yes, most of what he said is VERY familiar. No one ever talks about corrections so it was rare to hear someone talk about what I’m familiar with. I will add that now there is a HUGE drug abuse and withdrawal component. Street drugs are not what they used to be and they’re MUCH more dangerous now. A lot of effort is put into assessing and treating withdrawal to avoid serious outcomes. Used to be benzo & EtoH w/d was the worst but now with fentanyl and xylazine in heroin, we need to be extra cautious. I’m in a city maximum security jail. We offer an MAT (suboxone) program now also. Unfortunately there is also a huge amount of drug abuse IN the jails now. I actually came to your page for a video on non clinical jobs. Looking for a change.

    • @TheMedicineCouch
      @TheMedicineCouch  2 роки тому +1

      @@Notgivinyallmyname99 Wow! Yes, I can see how it's becoming more challenging and I completely understand your looking to make a change! I'm always actively looking for people to interview about the non-clinical jobs, so keep a look out for more of those videos in the future.Also, let me know if you come across any non-clinical jobs that you want to know more about and/or think I should make a video about. You can email me at: admin@themedicinecouch.com. Best wishes on your career!

    • @sxirs
      @sxirs Рік тому

      Karen that's amazing 19 yr career. Any suggestions for a newby Dr starting corrections? Like any books or good websites. I have so many questions.

  • @anthonydavid5121
    @anthonydavid5121 Рік тому

    Loved this, thanks! Tell me, if you see a patient in pain and in need of a narcotic, how do you manage that? Can you Rx narcs, benzos or is that a no no in correctional medicine???

    • @TheMedicineCouch
      @TheMedicineCouch  Рік тому +1

      Hi Anthony. That's a really good question that I didn't think to ask. Anyone reading this know the answer and can help us out?

    • @ItsJennNotJenny
      @ItsJennNotJenny 11 місяців тому

      ​@TheMedicineCouch I can ask my pcp. He used to practice in the prison system

    • @TheMedicineCouch
      @TheMedicineCouch  11 місяців тому

      That would be great!!

  • @workinonit7508
    @workinonit7508 2 місяці тому

    What is the wage range?

    • @TheMedicineCouch
      @TheMedicineCouch  2 місяці тому

      That's really hard to answer as it depends on the facility and where it's located. However, I would say in general that private corrections medicine pay should be fairly equal to family medicine pay. Jobs with the federal government can pay significantly less, $80,000 - $1000,000, but often come with structured pay raises and great benefits.

    • @workinonit7508
      @workinonit7508 2 місяці тому

      @@TheMedicineCouch that's based on 40hrs a week?
      For a master's degree 120k min is what I would expect. Interesting topic. Thanks for your response

    • @TheMedicineCouch
      @TheMedicineCouch  2 місяці тому

      @@workinonit7508 Well, it's complicated when it comes to federal jobs. I agree that $120,000 should be minimum, but you have to look at the whole package. Some federal jobs come with housing allowances, which is tax free money, and other benefits. Also, it may take several years, but with the raise structure, long time PAs in the federal system could end up making more than private practice. And of course, you can't forget the health insurance and retirement benefits which are usually significantly better than the private sector. So, like I said....complicated! 😄 You might be interested in this video where I interview a PA who worked in the federal prison system for years, then he went to the FDA. He did this work while being in the Public Health Service. He talks some about pay and benefits and why he thinks it is a good deal. ua-cam.com/video/vyObD_7O_j8/v-deo.htmlsi=IwRaoDEfryzhFzS-