SDN Members don't see this ad. (About Ads) Hey all, Just had a question... How much different is it to work in a regular run-of-the-mill community ED (not one in bumble, but a decent one) vs the feel of working in a tertiary care hospital with every subspecialty on-call? The reason I ask is because I just started a rotation in a tertiary care university hospital and coming from a county hospital - I feel like I'm forced to consult everybody (and I mean.... everybody). I can't even send a kid home with a probably patellar tendon sprain because ortho has to come down, evaluate the kid, and place him in a knee immob + crutches (which was what I was going to do in the first place)! I want more hands off but I also want the consult services there just in case I'm in trouble. Is the community hospital different? (I'm trying to remember how it was rotating in a community ED as a med student but I know there's a big difference between how a med student practices EM vs a resident so I can't trust my judgement on that...) Thanks.