EM back door question.

[vent]

I would like ask you all emergency guys in this question. I am a FMG with complete US training abroad, passed my USMLEs many years ago, of course as a FMG even could not think about EM residency, though that idea was bothering me all the time.

Now completed 2 years of surgery, doing some research now, but got my State medical license. On one occassion met a guy who is a cheif emergency physician in a group small private hospitals. He told if I am really interested in EM he can offer me a job as an Emergency physician (NOT Urgent Care, no asistant but physician) with some inital supervision by a senior staff then if I do alright I can work more independently. Besides after some time he told it will have a good chance to be accepted into EM residency to be come Boarded.


What is your opinion about this, guys? Sounds to good to be truth, isn't it?Please any of your opinion will be interesting. Please help with advice....

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[deleted109597]

I find it hard to believe that the residencies would take anyone who has been working as an emergency physician for a few years (or more) into their residency. This is basically the same thing we are talking about in another "didn't match" thread. They probably would find it hard to teach.

However, if he is willing to hire you as an EP, you might want to take him up on it. I would recommend actually completing an FM residency or the like, because without board certification, your job status is tenuous at best, and future Medicare rules might make you a liability to the group. There will probably always be enough small EDs that FM people will be able to work, but the future trend is towards BC/BE EM docs.

 

[vent]

I find it hard to believe that the residencies would take anyone who has been working as an emergency physician for a few years (or more) into their residency. This is basically the same thing we are talking about in another "didn't match" thread. They probably would find it hard to teach.

However, if he is willing to hire you as an EP, you might want to take him up on it. I would recommend actually completing an FM residency or the like, because without board certification, your job status is tenuous at best, and future Medicare rules might make you a liability to the group. There will probably always be enough small EDs that FM people will be able to work, but the future trend is towards BC/BE EM docs.

thanks for answering. What you think if work experience can somehow compensate BE/BC somehow for Medicare?
thanks

 

[Miami_med]

thanks for answering. What you think if work experience can somehow compensate BE/BC somehow for Medicare?
thanks

Medicare/Medicaid doesn't use logic. It is a combination of political jerry-rigging and specialist turf war. You may be grandfathered in, but it is unlikely, as EM has existed for too long. Years of work experience will probably not help you if they decide to change the rules. It sucks, but it's the truth. Honestly, why don't you take a shot at getting an EM spot now? Some programs are less competative than others, and your previous residency experience might lead to some letters and atleast a shot.

 

[8744]

I would like ask you all emergency guys in this question. I am a FMG with complete US training abroad, passed my USMLEs many years ago, of course as a FMG even could not think about EM residency, though that idea was bothering me all the time.

Now completed 2 years of surgery, doing some research now, but got my State medical license. On one occassion met a guy who is a cheif emergency physician in a group small private hospitals. He told if I am really interested in EM he can offer me a job as an Emergency physician (NOT Urgent Care, no asistant but physician) with some inital supervision by a senior staff then if I do alright I can work more independently. Besides after some time he told it will have a good chance to be accepted into EM residency to be come Boarded.


What is your opinion about this, guys? Sounds to good to be truth, isn't it?Please any of your opinion will be interesting. Please help with advice....

Chances: Slim to none. Not with plenty of capable American medical school graduates and American residents in other specialties who want to make the switch.

 

[roja]

If you don't mind working in a smaller ED, then you can probably continue to work in an ED. However, you need to have SOME residency under your belt. This is for legal things. You can't really be covered and most ED's want soem type of residency training. Due to a lack of EM trained people, smaller ED's- esepcially in more rural areas will take FP, IM or surgeons in the ED.

Note, you will never be able to become BE/BC by doing this. There is no longer a grandfather route into EM credentialling. I would say if you want to do EM, then get into the match for next year. For soem places your experience will be a negative, at some a positive. So apply broad and openly.

 

[trkd]

I would like ask you all emergency guys in this question. I am a FMG with complete US training abroad, passed my USMLEs many years ago, of course as a FMG even could not think about EM residency, though that idea was bothering me all the time.

Now completed 2 years of surgery, doing some research now, but got my State medical license. On one occassion met a guy who is a cheif emergency physician in a group small private hospitals. He told if I am really interested in EM he can offer me a job as an Emergency physician (NOT Urgent Care, no asistant but physician) with some inital supervision by a senior staff then if I do alright I can work more independently. Besides after some time he told it will have a good chance to be accepted into EM residency to be come Boarded.


What is your opinion about this, guys? Sounds to good to be truth, isn't it?Please any of your opinion will be interesting. Please help with advice....

You have done 2 years of surgery residency? So are you in residency currently? If so, why not just try for the match this upcoming year and see what happens. Not sure why you couldn't even think of doing an EM residency as an FMG. Many do think about it and succeed.

 

[vent]

You have done 2 years of surgery residency? So are you in residency currently? If so, why not just try for the match this upcoming year and see what happens. Not sure why you couldn't even think of doing an EM residency as an FMG. Many do think about it and succeed.

Well applied 4 last years. Had only 1 interview. I am doing research now, no tin active residency

 

[Jeff698]

I can't believe this topic has been around this long without a snide remark about the title. In a strictly ZZ Top sort of way, that is.

Not that I would ever make such a comment. I'm way above something like that.

Take care,
Jeff

 

[BADMD]

It certainly can happen, however programs are going to worried about your "trainability" if you have been doing EM for a few years. If the hospital that you will be working for has a teaching program, then you may have more luck there.