Okay, so orientation is over. One day on the Golden Princess and two days of training.
For people interested in applying, it appears they are getting a large amount of resumes. Of the 11 people there, only one person had the minimum 2 years experience (and had a fair amount of ER exp on top of it). Everyone else ranged from 5-30 years experience. Who they are looking for (and I now understand why) are not medics that still crave working a 911 system. They want people that are not burnt out, but people that are ready to move onto something else and they are having more success in the 5+ year experience category. If you are sold on the idea and still hitting the minimum experience, fluff your resume with clinic/ER work. It demonstrates you have some understanding of this job.
There's spin in orientation, but the overall response from the medical teams is positive and they are looking to expand (and other cruise lines are putting the program under the microscope). One of the senior VPs is a former ship doc who created the idea of medics on board as expanding the medical skillset, namely prehospital. The program is only 9-10 months old, don't expect it to be smooth in transition.
Things I like:
Your secondary responder in the 911 response is the clinic doctor, no nurse intermediary. AMAs, variations on orders, additional resources, questions and concerns are all through the 'on call' physician. To me with too many years with MICNs, this is HUGE.
The emphasis that the medics are in charge in the prehospital setting. Assuming you know what you're doing and have demonstrated that to the rest of the medical staff, you're calling the shots, delegating actions, and jumping in where you want.
Uniqueness. You're an officer, one of just seven medical officers (around 200 officers on a ship), and usually one of the only Americans. The guy who scanned my ID was from Nepal, the server at lunch was from Laos.
The attitude. Too many years working the city has worn me down. The overall tone on the ship is different. As one shipboard medic put it, when everyone is smiling at you, it can't help but be infectious.
Things that suck:
Paperwork, as in real paper and there's a lot of it. Only thing electronic is (ha) billing. Your prehospital paperwork is simplified, but working in the clinic means learning nursing notes and charting. Yuck, but necessary.
Monitoring gastroenteritis. The bane of cruiselines, how its controlled involves a lot of isolation and monitoring of crew and passengers. The only interesting part, it evolves like an immune response in a body
.
Lot more stuff I can put down but football is calling. PM me with questions.