Emergency medicine reddit I am a PGY-2 who is interested in urgent care and rural ED moonlighting after graduating. Residency: Like I said earlier, I would classify my program as a large community program, with some academic flair. Socialized medicine is not free. Only about 1/3 of people who apply to medical school in the US even get in, so that's the first hurdle. Become an EMT, get a glimpse of the emergency side of medicine, and learn the basics of things you'll learn much more about later. Shifts: EM shifts are at all hours of the day, Hospitalist shifts are more in the nature of day vs Night (maybe a mid shift if you’re a triage hospitalist). Started doing the emergency room after I had to fire 1 of our emergency room doctors as a real result of poor patient care, and an incident that he placed patients in real danger. Would recommend things more tailored to your level of knowledge. Members Online vestigalthoughts 103 votes, 76 comments. Dr. We are expected to be experts even if we aren’t. You wouldn’t know that fields like electrophysiology or colorectal surgery exist, because those docs usually don’t have tons of free time to post on Reddit. Pay was not a factor in entering this field or medicine in general, but it may be a factor in WHERE I aim to practice. There is a book called "the ultimate emergency medicine guide". That is, until I was 100% certain I was leaving the emergency department after 10 years, to do a Pain fellowship. We believe in the mission of emergency care. Going anonymous in order to collect some data. The Law School Admission Test (LSAT) is the test required to get into an ABA law school. I received great experience and worked for 7 years in Ortho before PA school. Emergency medicine is probably the least competitive specialty and I anticipate it won’t get any more competitive over the next few years. After this year in internal medicine I plan to get an intro position in emergency medicine. One thing I will say is to anyone retaking, try to make studying a positive experience. Members Online Smart-Location-3495 4:45am: Medicine calls me back. Someone told me residency is pretty difficult, and after that, there is a high chance of being left out. Archived post. While Reddit is a great resource, you’ll find that many people (not all, but many) are negative towards EM when they don’t have the experience to understand the full picture. The adrenaline rush, the fast pace, it’s great, but after a while it’s a crash and burn. I am a family medicine hospitalist. In order to specialize you need to first get an "intro position", which is 1 year long. In order to be eligible for certification by a member board of ABMS, generally speaking, you need to pass an exam or exams ("the boards" in your posts). Including dentistry, palliative medicine, family medicine, plus the other things you listed. makes it a dumping ground for literally anything and everything that both should and shouldn’t be there. The people are great and drill weekends do not feel like work. Liberal city, amazing pathology, residents are so strong, mix of community/academics, great fellowship opportunities for those who want to stay, and a department that fosters innovation, cherishes wellness, and is truly diverse. Background: I'm a 2nd year emergency medicine resident in a large community program. People usually try a few different of these to gather experience and try different specialties out. Don't put the cart before the horse. EM is a great job. Members Online emdoc9871 /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. There's always been a heavy layer of bullshit in the practice of medicine and it has always interfaced with the patient's social and financial situation. Emergency medicine doctors/residents, could you provide me with some pros and cons you have felt by choosing the profession? Hey guys, so i am a doctor planning to specialise in emergency medicine. Tbh i like the freedom after work hours on it “EM is more stressful than IM”—Plenty of less stressful fields make more money than EM so there doesn’t seem to be a great correlation in medicine between stress and higher pay. I was an army medic prior to medical school so for the most part I had always thought that EM was the path that /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. I am doing one in internal medicine right now. Also I was falling behind on charts due to the lack of time. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various I've been pulling cards just fine for all of my rotations so far but EM is coming up soon. 5 days ago · Pretty realistic for a medical show. Apr 17, 2022 · I'm a new grad PA 1-2 weeks into a full time ER position in an urban area, which I feel extremely grateful for. The sub is currently going dark based on a vote by users. The Reddit LSAT Forum. By that, I mean that many people who were not personally suited for emergency medicine applied for and Although Emergency Medicine pay rates have declined, the military doesn't even come close. They call medicine. People are starting to realize it sucks. The administrative side is way worse than civilian side and the medicine in a non-wartime tempo is pretty weak. Hello. For all these reasons it is not subject to the same market pressures that currently face general emergency medicine. For some that maybe camaraderie with other residents. You may be debt free but you'd come out way ahead in four to seven years working as a civilian. I wasn’t totally prepared for how much I may miss on my kids because of work but I also an just speaking from a resident perspective and not an attending yet. If you have the desire to become a physician, that's where you start. Enough drama to keep my non medical spouse interested This field is headed for very bleak times once oversupply becomes apparent. While in medical school, you can develop your exposure to emergency medicine, as well as to orher btwvches of medicine. This subreddit's mission is to provide resources, support, feedback, and a community for those interested in emergency medical services. We would like to show you a description here but the site won’t allow us. However, when I did have a few shifts in the ED at my institution, I didn't particularly appreciate how the history were collected and how many ED docs made misdiagnoses. The best place on Reddit for LSAT advice. I got lucky and my school pays for it and it rules. I can't seem to find out how to make an emergency medicine deck for that particular shelf exam though. 250k lol no. i dont even think the job posting i saw for hawaii was that low. Other fields of medicine also don't have the same private equity invasion that EM does (although this will become the norm across the board). Members Online QueMo Jun 3, 2021 · I was 100% certain I'd be a General surgeon. Our program is trying to implement a call out (jeopardy) system (similar to what residents have) to cover ED shifts in case someone calls out/has an emergency. I have had rotations as part of the house job but that wouldnt be same as you guys having years on it. Emergency medicine is grueling because just about everyone is miserable, sleep deprived, and pissed off: for good reason. Members Online 1 star ER review need to be a billboard My personality thrives on medical workup, solving issues, and learning about all aspects of medicine (broad knowledge base). I'm 19 and have been working as an EMT for the last several moths. most jobs somewhere in the middle around 220-240/hr or 330k to 350k/yr. I wanted anesthesia vs family medicine in medical school, and even did several anesthesia aways. We are a professional subreddit that is completely anti-snark. New subspecialties and FPDs are driven by the community, not the member boards. HIPAA friendly -- no patient data. For others location. Broken down by system, very easy reading with a lot of diagrams and pictures. I'm also IMG so I just want to take an easier path now. Really a curse. Then they realize that emergency medicine is not as much of a lifestyle specialty as they thought it was. A medical student asks about the job prospects and lifestyle of emergency medicine (EM) in a subreddit for healthcare providers in the emergency setting. There are hundreds maybe even 1000+ excessive training spots with more residency programs wanting to open up for that sweet sweet cheap EM resident labor. Post any questions you have, there are lots of redditors with LSAT knowledge waiting to help. Current rank list mainly prioritized on location, program director vibe, current resident happiness/social activity level, sense of community, and program length. Also it is typically lower paid and largely academic by default as there aren’t many community pediatric hospitals. It’s a cool job but proceed with caution if you’re a med student. I’m so biased. 3 year program. I call ortho. Full Code has some sim cases available with the free version of the subscription. "Avoiding Common Errors in the Emergency Department"- Mattu et al. The word Paramedic is inclusive of anyone who has donned a uniform to provide emergency care to the sick and injured. Tintinalli's Emergency Medicine Manual - smaller version/reference guide compared to comprehensive Tintinalli's book (I purchased this, maybe have opened the book 10 times throughout residency) Tintinalli's vs. Check out our related subreddits: r/newtoems - "This subreddit's mission is to provide resources, support, advice, and a community for those interested in emergency medical services (EMS)" /r/Healthcare: Links and discussion about health care: systems, costs, problems and proposed solutions. The medicine save reviewing a few obscurities was the easiest part of the damn thing in review and on test day. The patient is admitted to medicine. It's not just reddit chatter. Mar 14, 2015 · Not everyone feels the same way about emergency medicine though. I say this Welcome to r/Paramedics, we are a subreddit dedicated to the profession of EMS from all over the world. We had a PT involved in a MVC that came in with a fractured femur along with a dislocated hip. Step 1. This year, the national average is $221 per hour, a 36 percent increase over 10 years. by like 100k a year. I originally wanted to go into structure firefighting, but have become very interested in emergency medicine. I have a huge amount of respect for emergency medicine physicians. Like yourself, I found the emergency room a totally new environment. Discuss, ask, and answer questions about EMS education, certifications, licensure, jobs, physical & mental health, etc. Emergency medicine is a young specialty. I understand that this is something that can vary from shift-to-shift or across institutions. In the United States, Emergency Medicine struggled for years for their independence. As others have said the group politics, hospital politics, impossible metrics, boarding, violence, lack of respect from physician colleagues, structural inefficiencies, constant night shift recovery (I worked at least one night shift a week), fights for /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. The comments reveal the challenges and controversies of EM, such as staffing companies, residency spots, and profit motives. PedsEM is its own distinct specialty and route from emergency medicine. Part of the Reddit Health Network. major cities/desirable areas will be around 200/hr, on the opposite end of the spectrum 300/hr for shitty places. ) so leaders in those are generally, if not exclusively, FRCP trained. I tried to make it an opportunity for some less common pathologies to seem instinctual. I think you do have a lot of people who went into the field because they thought they would enjoy the lifestyle. Really learn it and use the other listed above resources to hone the pearls. I get to do some emergency medicine in my level-two trauma center, and some urgent care, but I have never really been responsible for managing severe traumas requiring airway stabilization or massive transfusion. shift work sounds like a great lifestyle It isn’t. Couples matching both into Emergency medicine. Members Online Congrats to all our newly matched colleagues! Emergency medicine is the hardest profession. . I am looking for some reliable data on average total compensation for a full time emergency physician by state, or even better, by city. That is, until I was 100% certain I was born to be an EM physician. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. I like that it's less schooling than an MD and that there is the option to change specialties if you want. Members Online reapples "EKG's for the emergency physician" both I and II, Amal Mattu. This, didactics, and your clinical experience will be your real educational meat. Showing the Level of Interest · Suggested: Start a Sleep Medicine section with ACEP and/or AAEM o ACEP website has option to apply for new section I know this has been asked before, but I would appreciate any advice. [Residency] Emergency Medicine Residency Lifestyle Residency So I understand EM residency has a diversity of experiences and that only when in the ED, there's a cap of 60 hours per week. Join r/emergencymedicine to discuss EM cases, share FOAMed resources, and get advice from peers. The oral boards are really meant to provide a minimum standard, so the moonlighting pediatrician, the ophthalmologist who was establishing their "real" practice, the alcoholic surgeon who couldn't stay organized to keep their practice, all of those were folks who could, at one point in time, "practice" emergency medicine, and the oral boards Their training doesn't cover a lot of the subspecilaty interests in emergency medicine (trauma, critical care, transport, etc. Emergency Medicine resident physician here. Specialty’s job market was unfortunately ruined by corporate medicine but that isn’t most docs fault. Source: EMT and PA-S1 /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. around 120hrs-130hrs a month of work or 12-14shifts. Background: I'm in the US, graduated from a coastal American university with an undergrad degree in the humanities, then attended a Midwest medical school with an MD degree, followed by a three year residency in emergency medicine in a coastal state, and then worked as an attending/faculty in EM for shy of a decade and a half. Have an organized approach. I rotated at my current hospital and completed an elective in Emergency Medicine at a different trauma center. Current third-year interested in both EM and Anesthesia. Just being able to be in the room with the Drs, take the PT to the CT scan, see the X-rays, CT scans was just plain cool. Subreddit for emergency medicine residents to share tips, discuss EM literature, and talk about residency. EM resident magazine and ACEP now and for website, Academic life in emergency medicine. The actual job market and job structure is about as bad as it gets in medicine though. They refuse. I was wondering what the metrics are in your residency programs for patients per hour by PGY. And some places still train FM in certain general surgery procedures. There is no tag under Step 2 v11 for EM like there is for IM/FM/OBGYN/etc. Obviously if you feel like it is a waste, you should not do it. It sounds like it to you, as it does to many med students and residents, as it did to me. This is not a condemnation, rather a genuine desire to understand my cohorts motivations. I was also thinking about emergency medicine but decided to drop that goal. If you scrape obituaries you will find lots of old cardiologists and general surgeons but few 90-year-old retired emergency physicians as there wasn’t much of a specialty of emergency medicine when they qualified. Hardest job in medicine. From a medicine stand point I think this is probably the most interesting for me and the area of medicine I like the most, but solely because a 9-5 would be easier on my family and kids. The procedures and medicine has a lot of overlap between the two, but the amount of true emergencies is very different, and only you can decide how often do you want to deal with true crashing situations. No way I would go active duty full time. There so many obstacles for IMG anyway, I'm really not looking for extra hustle. I ask them to call ortho to discuss the case with them. In everything. In 2009–2010, the national average was $141 per hour. Others feel differently, do not consider it a waste, and they are the people perfect for the spot! It’s an excellent way to get into critical care, admin, obs medicine, global and low resource medicine, academic medicine, etc etc. S. Frequent fliers, Staff shortages, psych emergencies, violent encounters, customer service nonsense, metrics, boarders, dying patients in the waiting room, having to deal with literal criminals because the police are too pussy to deal with it themselvessub specialty surgeons aren't dealing with any of these to If you never stepped foot in a hospital and instead spent all your time on Meddit, you’d think that all docs work in anesthesia or emergency medicine. I left emergency medicine after a two year fellowship and less than five years of practice. I am concerned about the feasibility of such a system and the effect on fellow Obviously, significant changes need to be made to secure the future of emergency medicine. Emergency Medicine - A lot more nights and circadian rhythm disruption once in practice as compared to general surgery - Relatively and quickly replaceable in practice, so less bargaining power with each individual hospital/group - Getting a lot of unfair abuse from consultants/getting your "mistakes" pointed out constantly Hence why this is self selecting. For other financial stuff like SO job opportunities, housing costs, salaries, etc. Would really appreciate any opinions/advice/take/rank reorder suggestions on any of the following programs . Remember that all FM docs are required to have training in emergency medicine and those of us who practice in rural EDs typically have substantial training in urban EDs, trauma surgery and ICU. They refuse to admit the ortho patient. They are great emergency medicine doctors but are mainly trained for high-flow community sites with less research focus (generalities). There is nothing like working an overnight then coming home to get kids to school or spend the day getting them to activities. Happy to chat if you have questions. For some it may be the medicine itself, maybe you LOVE research and a place does a ton of big time research. Members Online bamboozled36 Hello everyone! Long time reddit member and PEM fellow. Highly recommend. thats wayyyyy too low. The American Board of Internal Medicine, aka ABIM, and the American Board if Emergency Medicine, aka ABEM, are, for example, member boards of ABMS. In my experience in tertiary/quaternary referral centres, there aren't that many emergency problems that can't be solved by a combination of the ED reg, ICU reg, and ICU onsite SR/PF. Emergency Care and Transportation of the Sick and Injured, which is the textbook for EMT class. A lot of problems in EM are problems with medicine as a whole and are present in many other specialties. Now I've been doing Interventional Pain Medicine for 10 years and it feels sustainable for the rest of my career. Not to mention FM docs (w/fellowship) as the standard in even urban EDs. The sub will be back up tomorrow night. The big caveat is hours worked and stress. It’s just a question of do I want to be in emergency medicine or not. I think the medicine side of EM is great. Plus, as a veteran myself, the military is ridiculous. During that time The usual career path for EM specialists is to go into academics or instruction to train more EM, head entire Emergency Departments, Govt, Research, EMS, or enjoy the good life of working on a cruise ship. For various reasons, emergency medicine enjoyed a popularity that was probably unwarranted. The ABEM Board ultimately makes the decision whether to pursue qualifying status in Sleep Medicine. While CCM is more hours, I thoroughly enjoy crit care days more than EM and its way nicer to have time to sit and leave the hospi While board certification in critical care medicine is not available to emergency medicine specialists (currently only anesthesia, internal medicine, surgery, obstetrics and gynecology and pediatrics have accredited fellowships), the fellowship is STILL POSSIBLE. EM pgy1 who considered IM for a hot sec and did my required AI on an IM hospitalist service. This specialty has been my focus, and throughout my medical school and my internship electives, I've dedicated myself to becoming a better physician. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. EM will always see a wider variety of patients (OB/gyn, Peds, trauma in its many forms, and Attending W-L is fairly good Ish. It’s draining. Glaucomflecken did a series on Insurance and Medicine. Members Online Other-Tea-701 Hello, everyone! I'm new to this subreddit, a PGY-3 resident who fell in love with emergency medicine during medical school. Browse posts by flair, filter by topic, and follow the rules of this subreddit. I read it every year before the ITE and before boards which I just took. 8 hour shifts. I have been interested in emergency medicine ever since working as an ED scribe in the time between college and medical school. Members Online [deleted] Nothing is free and we all work for somebody else, but medicine is similar to education in that it’s a career undertaken in service to other. The healthcare system in the U. true. Insurance is predatory and any company that makes money based on your labors and sick people is wrong. I've never seen an ED consultant come in to our tertiary/quaternary the middle of the night, or even get called - the ICU consultant gets called way before for a There's also a Case Files Emergency Medicine and a First Aid for Emergency Medicine but I haven't tried using those so can't vouch for them. Whether this is policy-making to regulate midlevel encroachment, limiting EM residencies, somehow regulating EM “pharma bros” from making $$ by destroying the EM market, etc. For others its 3 vs 4. Stop worrying about things largely out of your control, like the emotional state of consultants being asked to do their job, Press-Ganey scores and the number Per hour or per year CCM and EM are similar. It was officially recognized as a specialty in 1972, but as recently as the 2000s, some large hospitals and medical schools and universities did not recognize it as a separate department, but rather organized it a division of internal medicine or general surgery. I do about 6 weekends a year plus annual training. Emergency physician incomes in most areas of the United States continue to increase. Emergency medicine attending lifestyle is a lot better as a young childless attending. Check out the sidebar for intro guides. I understand that while the specialties share some similarities in terms of acute management that they are fundamentally different. 4:50am: the pediatric patient's CT scan is negative. Rosen's - dealers choice, these texts were available through my residency's library, therefore I never purchased By bad experience, you mean, you‘ve been able to stay in one area or get the duty stations you desire? I’m prior enlisted (distant past already, combat arms in a prior lifetime as it were before got out went back to school and eventually medical school), but now as a married father with 2+ small children, when considering commissioning as a medical officer, I’m taking into account if Emergency medicine is extremely popular at my school but I am having trouble understanding the draw. Tintinalli's. “EM works nights”—IM nocturnists barely approach $200/hr at busy hospitals and they only work nights. You need to go where there are things that make YOU happy. god especially when you have over that 10 active patient part of your shift and you get bombarded every 1-2 minutes with nursing requests, family discussion, ekgs, codes on floor, nursing admin calling down to make sure you exclude sepsis in my note with s/p tpa stroke pt etc bullshit. Is there a specific deck for Cheesy Dorian or Zanki that will sort out the EM My rebuttal was I wanted options for different exit plans, robust procedural training, the ability to easily go into academia if I wanted to, and to ultimately be the best doctor possible…and learning emergency and internal medicine seemed like it would be the best way to accomplish that. But UT Health in Houston is amazing. Reading journals is often more for folks with deep knowledge of a subject making subtle changes to their knowledge and practice. I've recently learned what a PA is and am intrigued by it. Members Online foldedpaperz A brief recent history of Emergency Medicine: Emergency medicine is, to a certain extent, a victim of it's own popularity amongst medical students. omjfgj qres nqeeadv gselaue cxpcr uccs jmi hjzp edt ukwv