Adults + Kids?

[kalico]

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As more docs complete the peds EM fellowship, how does this (or will this) affect other EM docs? Are EM docs seeing both adults and children in practice, or is it already very separated?

Also, if an EM doc does complete a peds EM fellowship, is it realistic to find a position where you can treat both adults and children -- or do EM docs practicing in major cities ultimately have to choose?

-K

 

[docB]

It is the exception rather than the rule to have a dedicated peds ED with peds trained docs. Usually the regular EPs see everyone. There is a shortage of peds trained ER docs and that will likely continue. If you do the training you won't lack for a job.

That being said dedicated peds ER pays less than regular ER. You'd think it would be more because the payor mix for kids is so good which it is. The problem is that the reimbursement for Peds ER is less because the overall acuity is not high.

 

[waterski232002]

I wish I never had to see a kid again.... Maybe I need to search out one of the "adult only" ER jobs when I'm done.

 

[Apollyon]

The problem is that the reimbursement for Peds ER is less because the overall acuity is not high.

See, that's the thing I don't get - Urgent Care is all level 3's, and they make a killing. Even if all peds is level 3's, you can crank out 3-4 kids per hour, which should make it financially favorable.