ABFP doing EM residency after?

[Itssalsatime]

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Hi all, long time reader, first time poster.
My wife is wrapping up her 3rd year of family medicine at one of the top programs in the nation.
AOA honor society
Honors undergrad
271 step 1
272 step 2
She has all her certificates as well. ATLS, PALS, etc

After doing family medicine outpatient for 3 years she has come to find out how much she HATES it. Hates going in early and leaving late, hates answering inboxes on her days off, hates the slow environment etc.. she wants to do EM, especially after Moonlighting at several locations she loves it.
We also came to find out EM docs make $200~/hr....

What should we do? She wants to do EM. We have contacted several recruiters and found out she is able to work in rural environments, which have awful schools for our kids.

I see that there is an EM Fellowship that is accredited at the University of Tennessee Jackson, which after completion of one year and working one year full time you will be able to sit for the BCEM:
See here for confirmation:
Option #3:

http://www.abpsus.org/emergency-medicine-eligibility

If we were to go that route, would she still be *shunned* out by EM hospital directors? Or would she still be able to work in a 100k patient annual facility?


I researched The Residency route and found out that it is nearly impossible to get into since the program would not be paid as much (since she completed family medicine).

It seems to me that doing the BCEM 1yr accredited University Tennessee EM fellowship followed by 1 ye of work then sitting for her BCEM, would be her ticket?

Any suggestions and advice would be highly appreciated, my wife is currently doing 30 hour rotations in the hospital right now and we are both really stressed out and I actually arguing about what we should do. It is so difficult to find Clarity and all this and we both just feel like breaking down.. please help

 

[Gither]

Don't think she can sit for ABEM, but BCEM which is from ABPS and not the same thing. From what I understand, even after the fellowship, it MAY open up more doors, but still remain significantly limited in where she can work.


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[Itssalsatime]

Don't think she can sit for ABEM, but BCEM which is from ABPS and not the same thing. From what I understand, even after the fellowship, it MAY open up more doors, but still remain significantly limited in where she can work.


Sent from my iPhone using SDN mobile

You are right, BCEM approved
She would be able to sit for her BCEM.
After 1 year fellowship and 1 year full time in the ED.
So would this be the best route?

 

[Itssalsatime]

All, or most, job postings i see on Practicelink.com says Board Certified is fine?

 

[JustPlainBill]

Similar thread in FM forum

 

[Itssalsatime]

Yeah, not sure if that is OK or not. I figured there might be people who only look in the EM or FM forum and wanted to present our problem to both groups.

 

[emergentmd]

Yeah, not sure if that is OK or not. I figured there might be people who only look in the EM or FM forum and wanted to present our problem to both groups.

I am quite sure that most hospitals (I have been credentialed in about 10) requires Passing the EM board. I don't know if it is ABEM (our most recognized board) specific, but I am sure some do require this. But THEY all require that the docs working in the ED have finished an approved EM residency.

So for the ones I have seen, you have to have EM residency + EM Boarded (likely have to be ABEM).

I believe you wife is out of luck. She would be able to work in smaller/Rural EMs but likely would waste her time going the BCEM route.

Now, in Texas, I am credentialed at a smaller/rural ED that contracts me at $325/hr. I believe all docs are contracted at the same rate but I am not sure.
Alot of these smaller EDs in Texas are less than an hr drive from a big city with good schools.

 

[Itssalsatime]

I am quite sure that most hospitals (I have been credentialed in about 10) requires Passing the EM board. I don't know if it is ABEM (our most recognized board) specific, but I am sure some do require this. But THEY all require that the docs working in the ED have finished an approved EM residency.

So for the ones I have seen, you have to have EM residency + EM Boarded (likely have to be ABEM).

I believe you wife is out of luck. She would be able to work in smaller/Rural EMs but likely would waste her time going the BCEM route.

Now, in Texas, I am credentialed at a smaller/rural ED that contracts me at $325/hr. I believe all docs are contracted at the same rate but I am not sure.
Alot of these smaller EDs in Texas are less than an hr drive from a big city with good schools.

Messaged you

 

[alpinism]

If we were to go that route, would she still be *shunned* out by EM hospital directors?

Yes.

At this point in time essentially all urban community hospitals require EM residency training plus the ability to obtain ABEM certification.
The only hospitals that would possibly hire an FM trained grad would be rural critical access hospitals.

Or would she still be able to work in a 100k patient annual facility?

No.

She likely would not be able to get a job at any hospital that sees over 20K per year.
Even then many small hospitals are now requiring EM residency training or will start to require it over the next few years.

I researched The Residency route and found out that it is nearly impossible to get into since the program would not be paid as much (since she completed family medicine).

There are a number of EM programs out there (Texas Tech El Paso is one example) who happily accept applicants with prior residency training.
If you do a search on here and ask around in person you should be able to come up with a list of at least 10-20 places.

 

[Itssalsatime]

Yes.

At this point in time essentially all urban community hospitals require EM residency training plus the ability to obtain ABEM certification.
The only hospitals that would possibly hire an FM trained grad would be rural critical access hospitals.



No.

She likely would not be able to get a job at any hospital that sees over 20K per year.
Even then many small hospitals are now requiring EM residency training or will start to require it over the next few years.



There are a number of EM programs out there (Texas Tech El Paso is one example) who happily accept applicants with prior residency training.
If you do a search on here and ask around in person you should be able to come up with a list of at least 10-20 places.

Thx, i made a new thread

 

[Old_Mil]

Hi all, long time reader, first time poster.
My wife is wrapping up her 3rd year of family medicine at one of the top programs in the nation.
AOA honor society
Honors undergrad
271 step 1
272 step 2
She has all her certificates as well. ATLS, PALS, etc

After doing family medicine outpatient for 3 years she has come to find out how much she HATES it. Hates going in early and leaving late, hates answering inboxes on her days off, hates the slow environment etc.. she wants to do EM, especially after Moonlighting at several locations she loves it.
We also came to find out EM docs make $200~/hr....

What should we do? She wants to do EM. We have contacted several recruiters and found out she is able to work in rural environments, which have awful schools for our kids.

I see that there is an EM Fellowship that is accredited at the University of Tennessee Jackson, which after completion of one year and working one year full time you will be able to sit for the BCEM:
See here for confirmation:
Option #3:

http://www.abpsus.org/emergency-medicine-eligibility

If we were to go that route, would she still be *shunned* out by EM hospital directors? Or would she still be able to work in a 100k patient annual facility?


I researched The Residency route and found out that it is nearly impossible to get into since the program would not be paid as much (since she completed family medicine).

It seems to me that doing the BCEM 1yr accredited University Tennessee EM fellowship followed by 1 ye of work then sitting for her BCEM, would be her ticket?

Any suggestions and advice would be highly appreciated, my wife is currently doing 30 hour rotations in the hospital right now and we are both really stressed out and I actually arguing about what we should do. It is so difficult to find Clarity and all this and we both just feel like breaking down.. please help

Honest answer: don't waste your time doing a second residency. Do a one year em fellowship. That will open the door to a lot of jobs.

 

[Itssalsatime]

Just wanted to update this thread.

We found two potential places to work
Both of then are 15k/annual patient facilities.
The do a 3 month mentorship program where you work hands on with a seasoned EM physician.
Then you work in one of their rural sites (about 45 minute drive)
$195 an hour day shift.. $215 nights
Not bad... my wife is happy (all that matters, lol)

They said that it is a 1099 job. But they also have us a W2 option.. not sure which would be best.. she would not be able to deduct the 45 miles to and from work everyday, so not sure.