What are some fellowships that people have considered to get out of full time EM. Things like US or EMS are mostly just attempts at getting specialized into academics, but realistically, you're still practicing emergency medicine.
Can we compile a list of fellowships that help you get out - Please list pros, cons, lifestyle, compensation, work hours, career longevity, training length, fellowship competitiveness etc.
Are pain and palliative the only two options that truly get us out of Emergency medicine? What else is out there?
-Cool procedures (Epidurals, spinal cord stimulators, kyphoplasties, nerve blocks/ablations, joint injections, etc) which are 1/3 your time.
-No holidays. Ever.
-100% predictable schedule control.
***-Always well rested***
***-You'll never feel that awful, oppressive, heavy, weight of dysthymic, circadian-rhythm shift-work, jet-lag
-Pays very well
***-90% less stress than EM***
-1 year fellowship
-Work hours (for me M-Th 8am-12pm, 1pm-4/5pm; Fri 8am-12pm)
-Longevity: completely sustainable for as long as any MD remains healthy, like Derm or any other no-call specialty; subjectively, it feels I could do this 20-30 years longer than EM, if I needed or wanted to (I don't, but still).
-You pick and choose your patients and can reject any consult beforehand, screen patients/referrals and discharge any patient for any, or not reason at all.
-Outpatient, free of administrator and hospital types
-Never feel overwhelmed
-No work related PTSD or having to go into the bathroom to puke, cry or suppress emotions from tragic unexpected, and impossible to reconcile peds deaths
-It buys you a second specialty; ie, if you don't like it, no biggie, just go back and work ED shifts.
-Clinic days can be on the boring side
-You will get drug seekers but in my experience and with my practice patterns it's about 1% of what EM folks think it would be and I can honestly say I see far less abusive med abusers/dealers than I did in the ED (yeah, really).
-Having to deal with EM people who don't have the faintest clue what you do, because they think Pain equals seeing ED drug seekers all day, when actually EM is the only specialty that equals seeing ED drug seekers all day
For me, it's worked out real well, has been life changing and life and career saving in a big way and restored my positive outlook on life. It's worth considering the 1 year fellowship if you're lucky enough to get a longshot fellowship spot. Anyone who knew me from my EM posting days 10 years ago, knows I was a burned out shell of a human, and spent about 2 years writing EM related stories to post here, EP Monthly and Kevin MD to rid myself of years of ED induced PTSD (it worked actually, and the stories are all on here, EP monthly and Kevin MD).