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Originally Posted by GoBuckeyes913
How many ED shifts do you work/month? Does it take away from pay you could be making? (I've got a TON of med school debt, but who doesnt).
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I can only really comment on my deal. The fellow who was one year my junior has a completely different deal from a different hospital system as does one of the other faculty members.
I work 120 hours per month currently (which is likely to go down with my new residency responsibilities). 140 hours is considered full time. That translates to 13-14 shifts per month and shift are typically 9.5 hours, but can be as high as 12 or as low as 7 depending on which particular shift it is. For that, I round 4 days a month for the entire hospital system and try to cover the routine consults at the hospital where I do most of my ED work. I also have to devote some time to the residency program, although that is more nebulous.
I get paid less as I am working in the ED less, however I have balanced that with pay from my academic duties. It nets out about the same although I am working more than if I were straight ED.
Others have different deals. Commonly, a straight shift reduction is given in exchange for academic work.
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I've heard of places that have inpatient tox beds, so I would assume that Tox can primary admit. Sorry for all the questions, you've been a big help 
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Some places do have dedicated inpatient tox beds. I would love to have that, personally. Ward Donovan at Pinnacle has build that for himself. It would be great and allow me to practice more tox. However given the number of bodies that our group has available, I can't ensure that someone will be in the hospital 24/7 and I don't have enough patient in the hospital at anyone time to justify getting people to pull that off. That may change in the future, but getting there is a tough journey. As of now, our group has chosen not to be a primary admitting service. Tox is considered an all ages specialty, so you can justify admitted pediatric patients as well.