How many of you all moonlight or have residents in your program moonlight in the ED setting?
How many of you all moonlight or have residents in your program moonlight in the ED setting?
I liked moonlighting because generally are alone and running the show. Gives you practice outside of residency before graduating and having to totally be on your own. It's pretty scary to be in your own office as the attending those first few weeks and you have the revelation that you are totally responsible. I liked having that time before had doing urgent care in the evenings to have practiced being alone (but I still had call backup if I needed in a pinch). Yes and it was nice to have extra cash to pay down debt in the process.Is there any advantage to moonlighting, besides the money? Like do moonlighters get more hands-on learning or anything?
Maybe what I am trying to ask is, is there any disadvantage to not moonlighting?
I liked moonlighting because generally are alone and running the show. Gives you practice outside of residency before graduating and having to totally be on your own. It's pretty scary to be in your own office as the attending those first few weeks and you have the revelation that you are totally responsible. I likes having that time before had doing urgent care in the evenings to have practiced being alone (but I still had call backup if I needed in a pinch). Yes and it was nice to have extra cash to pay down debt in the process.
Unless its a podunk ER with nothing in the way of traumas OR you're ATLS certified and good with procedures, this sounds like a terrible idea.Advice I got from an attending:
PGY1 - moonlight urgent care. Anything you can't handle gets sent to the ER anyway.
PGY2 - moonlight in an ER setting where you are the second physician or have an experienced PA with you
PGY3 - moonlight in ER solo
Depends on what the moonlighting is. Doing disability exams (one of my moonlighting jobs) could easily by done by a 2nd year. Weekend coverage of the local psych hospital, you're right, would be best left for 3rd years.I would wait until 3rd year until moonlighting. That extra year or two of experience is really important. Patient care comes before money.
I agree with VA that this is a terrible idea. First of all you need a license before you can moonlight and that is super hard to get as an intern, plus you KNOW NOTHING as an intern and wouldn't be able to recognize what could potentially be a really sick patient that needs to go to the ER ASAP. Don't do it until third year when you are experienced with codes and medical management and been in the ER first.Advice I got from an attending:
PGY1 - moonlight urgent care. Anything you can't handle gets sent to the ER anyway.
PGY2 - moonlight in an ER setting where you are the second physician or have an experienced PA with you
PGY3 - moonlight in ER solo
I would wait until 3rd year until moonlighting. That extra year or two of experience is really important. Patient care comes before money.
I agree with VA that this is a terrible idea. First of all you need a license before you can moonlight and that is super hard to get as an intern, plus you KNOW NOTHING as an intern and wouldn't be able to recognize what could potentially be a really sick patient that needs to go to the ER ASAP. Don't do it until third year when you are experienced with codes and medical management and been in the ER first.
Heck I"m working this scary ER job right now and there is tons of stuff that comes through the door that I don't touch because I have no experience with that type of case (yes, I'm allowed to do that) and send them to the ER doc on the other side of the wall. The key is knowing what you don't know and realizing that you can't possibly handle every case that comes through.