EM and or Anesthesia residency help!!!

[mustafalop]

I have a dilemma, just wanted to know what you guys thought. I am ending my 3rd year considering either anesthesia or emergency medicine, but i will not be graduating until Aug, i will be done all my requirements july 1st. I am still going to take a shot and go thru the match, but what are my options are there programs in either residency that will allow me to start in August. I know that there are some programs that require you to do an internship year first for EM and it is required of course for anesthesia. But i am just not sure what to do....any advice???????

thanks a lot

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[Mr. happy clown guy]

Coming from someone who matched EM and has done an anesthesiology rotation...I have no idea why ANYONE would do anesthesiology! I respect the people that do it, but I am thankful I am not one of them!

 

[migraineboy]

Well, that's one way to interpret "any advice"

Musta...contact the individual programs that you are interested in and see if they offer alternate start dates. Some programs will and others will not.

 

[mustafalop]

well thanks for the "advice" Mr happy clown guy...i am so happy that you matched, but obviously there is a specialty for everyone and people find interesting things in each specialty that draws them to it. so that's why people do anesthesia, also because people like you dont want to do it....but thanks
hey migraineboy thanks for the advice, would it be wise to contact the programs now or wait until actually going thru the interview process?
thanks again

 

[Mr. happy clown guy]

Calm down people...my point being, that there are HUGE differences between the two specialties. You should be developing your 4th year curriculum NOW to support your residency choice. If you want EM, doing at least 2 months of EM is necessary during your 4th year. Scheduling these rotations during august, sept, and october are prime opportunites to learn at possible residency sites, and with the competiveness of EM, it is necessary that you are SEEN.

More infomation can be found on <a href="http://www.acep.org" target="_blank">www.acep.org</a>
<a href="http://www.emra.org" target="_blank">www.emra.org</a>
<a href="http://www.aaem.org" target="_blank">www.aaem.org</a>
<a href="http://www.saem.org" target="_blank">www.saem.org</a>
these sites are ALL EM sites, giving a perspective on the practice of emergency medicine.

 

[Goofy]

•••quote:•••Originally posted by Mr. happy clown guy:
•Coming from someone who matched EM and has done an anesthesiology rotation...I have no idea why ANYONE would do anesthesiology! I respect the people that do it, but I am thankful I am not one of them!•••••Hi Clown,

I love your moniker. It makes responding to you seriously a bit of a chore however

In any case, I'm sure you realize that people can say the same about any field. Personally I tried to love ER. The salary and seemingly good hours represented huge bait. In the end, I disliked the overwhelming amount of primary care practiced, having to deal with so much obgyn, and having such a huge indigent population for my patients. I also found the hours to be much longer than the so called 'shift' let on. Most attending I encountered in several different hospitals came early left late, and complained of constant jetlag. Additionally, they voiced considerable concerns about longevity and what they would do in ten years when they burned out.

Our ER's are largely populated by young whippersnappers fresh out of residency. Attendings age 50 and above are a real rarity. Additionally, I didnt' like the limitations on fellowship.

Having said that, it doesn't mean ER is a poor choice for everyone. Certainly it is a great match for the right personality. I just don't fit the mold. I'm glad you do, because we certainly need excellent physicians on the frontline

 

[migraineboy]

I would recommend contacting programs now (or soon) to find out which programs would allow you to start in August. There is no point in applying to programs that would not allow you to start late. As clown stated, late summer/early fall is the best time for rotations at places that you would like to be considered, so set up these rotations now. As far as EM vs. Anes., you are going to find opinions either way. I too really wanted to love EM, but I did not like vast number of "non-emergency" patients that we saw. I ultimately chose anes because I enjoyed my anes. rotations and I have an interest in critical care. It may sound silly, but write out a pros vs. cons list for both EM and Anes. Might make things a little clearer. Something else to consider...you could apply both EM and anes. EM is more competitive at this time (although anes was quite competitive this year), so you could apply EM with anes as a back-up if you just can't decide. I know some people who applied both rads and anes this year. Hope this helps...

 

[halothane]

ER is great for those who like being a jack of all trades. If you are thinking about being specialised, being content with knowing your stuff thouroughly and capitalising on the shortages of Anesthesiologists you may think of Anes. Also An is $$ a lot more lucrative than ER. Cardiac, Pain management folks are known to make well over 400K and Anes median income is higher than ER even without fellowship....why several categorical surgeons are bailing out to go into An this year. Best of luck and welcome to the exciting world of Anes. ( if you decide)

 

[Mr. happy clown guy]

Find the fit that is best for you...these two specialties are worlds apart. Anes is one of those fields that lends itself to alot of "hanging out and doing very little", but pain management seems to have its niche (but PM&R is battling it out for the same patient population).
Go for the best fit for your personality.

 

[navs]

I'm always reading this argument about PMR vs. anesth. for pain management.

After researching a bit these are the facts: I read somewhere that ALL the pain fellows are run by Anesth AND that 52% vs. 15% is the ratio of members of the AAPM for anesth. vs. PMR.

Sounds like, even though probably unfair, right now it is up to anesth. to lose pain management to other fields, a la PMR, neuro, etc.

Or am I completely wrong, any info. would be appreciated by the PMR guys out there.

Thanks.

 

[mountaindew2006]

It would be great if you all who wrote this back in 2001 would rekindle this thread and tell us where you are at and what's going on with this topic ..EM vs Anesth. it's funny because I just recently made a post like this in the clinical rotations forum.

thanks