555 EM spots did not fill in Match
Started by calvinhobbes
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The ivory tower of academic EM is vastly different from real world community EM, where the majority of people practice.
All these academic blogs/podcasts are silent on how ****ty EM is, almost like they're gaslighting us.
Totally get why students arent picking EM. No matter how "prestiguous" the program is, you'll still get beat every shift in the real world.
All these academic blogs/podcasts are silent on how ****ty EM is, almost like they're gaslighting us.
Totally get why students arent picking EM. No matter how "prestiguous" the program is, you'll still get beat every shift in the real world.
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My friend failed step1 twice and step2 once; matched EM today. I am happy for him.
Good for him but he probably shouldn’t be a doctor.
Well, NP with online degree and 500 hrs preceptorship are "doctors".
Every EM leader needs to hang their head in shame. This is completely embarrassing for the specialty.
For all the jokes we make about medical students, it sounds like they're actually listening. They'd rather do anything else than work in the ER.
For all the jokes we make about medical students, it sounds like they're actually listening. They'd rather do anything else than work in the ER.
Just because I call myself a ‘pro athlete’ doesn’t make it true.
Are they capable of waking up? They will happily fill the slots with FMGs.
I did my residency in NYC and stBarnabas is notorious for bad nurses and scut work. More so than other NY places. I have several close close friends who did their training there. They all say the same thing. Great pathology and learning but terrible ancillary staff.
Im not trying to downplay their program. My friends are badass ER docs due to their training there and I have nothing but love and respect for them. But maybe just maybe residency programs will use this to change the culture of malignancy that plagues so many of these programs.
EM is crappy so we really can't be shocked. Saying a student that has multiple failures shouldn't be able to get into EM is crazy considering what EM has become which is a CMG wasteland
We have a report saying we are going to implode in 10 years (go to a field that dies in a decade lol. What specialty has ever said that lol). Med students are some of the smartest and most wise youth. EM is just a bad option.
The Power house residency has colapsed even the magnificent In and Out residency can no longer attract American grads. EM will probably get some spots but it is because foriengn medical grads who want to be in America they would go into any specialty if they had the chose they would choose like AMG
We have a report saying we are going to implode in 10 years (go to a field that dies in a decade lol. What specialty has ever said that lol). Med students are some of the smartest and most wise youth. EM is just a bad option.
The Power house residency has colapsed even the magnificent In and Out residency can no longer attract American grads. EM will probably get some spots but it is because foriengn medical grads who want to be in America they would go into any specialty if they had the chose they would choose like AMG
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Th NP doing 500 hours is smarter than the premed doing all this and paying all this money but letting a standardized test tell you if you can ever get a job.
NP can even pick different specialties and even if they are bad litteraly the only downside of it is that people will talk about you on doctors forums and a noctor reddit.
For the premeds reading on this you would be better off doing NP and PA as you are now really think if the MD is worth it now.
NP can even pick different specialties and even if they are bad litteraly the only downside of it is that people will talk about you on doctors forums and a noctor reddit.
For the premeds reading on this you would be better off doing NP and PA as you are now really think if the MD is worth it now.
There are some truly crap residencies on there, like anything HCA and many of the NY and PA programs, but also some decent ones, like Sparrow.
Texas seems pretty unpopular- is it normal for Baylor not to fill?
Did @gamerEMdoc fill or is he scrambling?
Texas seems pretty unpopular- is it normal for Baylor not to fill?
Did @gamerEMdoc fill or is he scrambling?
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Baylor didn't fill.
Thats not the real baylor college of medicine. Baylor is in Houston. The only two programs that existed in the Dallas area were UTSW and one in fort worth Tx. This Baylor Dallas is a completely brand new program, has to be. It didn’t exist in 2016 when i applied. And as a UTSW grad, i sure as hell should have been aware of Dallas programs.
"Baylor University Medical Center, Dallas", despite the confusing name, is not affiliated with Baylor school of medicine.
If just 2 of these programs could be shut down, emergency medicine in California might have a fighting chance. Ideally, an Inland Empire based program (RUHS, Desert, or Arrowhead) and Kaweah Delta should bite the bullet and close shop.
• Kaweah Delta Health Care District-CA (wow.... really misgauged their competitiveness)
• Kaweah Delta Health Care District-CA (wow.... really misgauged their competitiveness)
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Here's the link to the Reddit post. Please don't post the list directly here. We can't afford the legal costs like Reddit can.:
That’s the million dollar question. Why the F did acgme approve these programs and continue this absurdity
Sweet Im gonna get icu admits from this guy arent I?
Were racing to the bottom dude! Cowabunga!
Probably every old person slip and fall is counted as a “trauma”.
EM is truly in its deathspiral when we are similar to RadOnc. Hopefully I can start transitioning to something and be at least partway out in five years.
And every old person who bumped their head on blood thinners is a level 1 trauma.
You rather get a call from this guy or from a PA?
Just stirring the pot here a little bit, but might be an interesting question.
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My system takes most of these out of our hands and call it a trauma for the $$$ it brings.
EM is even worse. Radonc is still competitive. You don't fail step 1 twice ( or even once) and still scramble/soap into Radonc. They'd rather go unfilled. These 550 EM spots will get filled by someone.......anyone.
no one come for me for lurking as an M-0 (will be attending a US MD this fall), but how should I interpret this as someone who has always wanted to pursue Emergency Medicine? I am familiar with the ACEP report... and hear mixed thoughts from the MDs I work with in the ED currently. Wait and watch for the next ~3 years to see if things change?
Uh, do not do EM. Run from a sinking ship. This is not just a blip. This is a mess. But you will match if you want to!
Go into medical school with an open mind and take each rotation seriously. Most students change their mind several times.
That's true Rad Onc is academic and still small and very niche. EM has more spots than Peds
Man the state of MI appears to have waaaaay too many programs.
I appreciate your reply but I’m not an idiot and you don’t have to treat me like one. I was simply hoping to hear someone’s genuine exposition on the future outlook for EM. Not just “run, hide, do anything else!”Preferably from a current resident or attending. Specialities have waned and waxed in popularity for many years and there have been similar issues in the past with other specialities that have course corrected.
Not gonna touch that one.
I appreciate your thoughts. For someone who likes the style of EM (shift work / wide scope /non-surgical) are there any other specialities you recommend exploring further?
Bro.
We're all telling you that the future outlook is awful. What could a whole community of seasoned EM attendings possibly know?
I wish I could travel back in time and tell my past self (in like, a cool Terminator-like scene), "come with me if you want to live... now, go do FM, IM or GAS."
I appreciate your perspective. So let me ask this, what do you think could happen in the world of EM for things to recover? Inhibit scope creep? Closing HCA programs? Or is there nothing to be done.
Further, what (if anything) could make it the speciality that you WISHED it was when you entered initially?
1.) There is one thing: and that's stop the corporate practice of medicine. Unfortunately, that's not a reality on this planet.
2.) Autonomy. Any degree of control over what is and isn't to be tolerated, what is and isn't safe staffing levels, what is and isn't good for patient care.
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The issues are discussed around here ad nauseum, so people get a bit tired rehashing them. But, I mean, it's bad. The stuff you're hearing is basically all true. Suffocating midlevel encroachment, but lol we also share their liability by cosigning their charts. Dizzying rate of residency program expansion to further dilute the job market for docs, with thousands of ER docs projected to be unemployed by 2030. Also, not a new issue, but EM is probably the worst non-surgical specialty for your health. The sleep schedule changes and minute-to-minute stress are bad for you physically and mentally. This last one could be forgiven in the past because good pay was more ubiquitous. You could theoretically jump in, work in the ED for a decade or so, save like crazy, then back up to part time/do academics/GTFO and do something else entirely. Even though well-paying EM jobs still exist, they're more rare thanks to the first two issues.
Use me as a ban button
What do you like about it?
Remove 1500 resident training slots.
Ban the existence of CMGs
Require EDs to be staffed by a minimum MD ratio of 1:1 MD : PLP
Or, you know, accept that this will never happen and that the specialty is well and truly f***Ed.
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