- Joined
- Sep 18, 2015
- Messages
- 657
- Reaction score
- 856
Weird how there is a strong positive correlation between training and quality...PAs are much better clinicians than NPs in my 15 years or so of experience.
Weird how there is a strong positive correlation between training and quality...PAs are much better clinicians than NPs in my 15 years or so of experience.
Outside of hospital and insurance corporation-backed talking points that were made up in a board room, I have never heard of Canadian healthcare being subpar for a developed nation. Do you have anything to support your assertion with?Which results in substandard care for patients who don't live near a tertiary care center. But substandard care is the norm for treatment of many conditions in Canada, so add emergency care to the list.
The metrics for waiting time for time-sensitive medical problems like CAD, and cancer are well known and publicized.Outside of hospital and insurance corporation-backed talking points that were made up in a board room, I have never heard of Canadian healthcare being subpar for a developed nation. Do you have anything to support your assertion with?
PA programs are expanding quite a bit in the last few years. Makes me wonder if this will continue to be true.PAs are much better clinicians than NPs in my 15 years or so of experience.
I can see a real difference between a "fellowship" trained PA (also newer PA) and the non-fellowship trained but more experienced PA. The fellowship trained PA is much stronger in emergency medicine. N=2.PA programs are expanding quite a bit in the last few years. Makes me wonder if this will continue to be true.
I think @VA Hopeful Dr is referring to actual PA school, the implication being that the proliferation of PA programs will lead to a decrease in educational standards at those newer schools.I can see a real difference between a "fellowship" trained PA (also newer PA) and the non-fellowship trained but more experienced PA. The fellowship trained PA is much stronger in emergency medicine. N=2.
Academics will always tell you medicine is better than other fieldsMaking post more succinct:
Academic EM is oblivious and/or doesn't care about how bad things are getting. Suspect they'll care more next year, when at that point, there will have been two classes of residents not getting jobs.
Academics will always tell you medicine is better than other fields
“Goldman Sachs underlings are griping over grueling, 100-hour weeks that they say have caused their mental health to decline — and, they claim, have pushed them closer to leaving the bank.
“What is not ok to me is 110-120 hours over the course of a week! The math is simple, that leaves 4 hours for eating, sleeping, showering bathroom and general transition time This is beyond the level of ‘hard-working,’ it is inhuman/ abuse,” the analyst complained.
“The sleep deprivation, the treatment by senior bankers and physical stress… I’ve been through foster care and this is arguably worse,” another added.
“Junior bankers should not be expected to do any work after 9 p.m. Friday or all day Saturday without a pre-approved exception, as that is the only safe-guarded personal time that we get,” they wrote in the presentation.
![]()
Tired Goldman Sachs underlings beg to work ‘just’ 80 hours a week, instead of 100
The complaints come from 13 first-year analysts in Goldman’s investment banking group, who surveyed themselves, according to a presentation that is making the rounds on social media.nypost.com
![]()
Goldman Analysts Work Too Hard
Also penny stocks, mutual-fund voting and Bitcoin liquidity.www.bloomberg.com
I agree in my admittedly limitedPAs are much better clinicians than NPs in my 15 years or so of experience.
damnAcademics will always tell you medicine is better than other fields
“Goldman Sachs underlings are griping over grueling, 100-hour weeks that they say have caused their mental health to decline — and, they claim, have pushed them closer to leaving the bank.
“What is not ok to me is 110-120 hours over the course of a week! The math is simple, that leaves 4 hours for eating, sleeping, showering bathroom and general transition time This is beyond the level of ‘hard-working,’ it is inhuman/ abuse,” the analyst complained.
“The sleep deprivation, the treatment by senior bankers and physical stress… I’ve been through foster care and this is arguably worse,” another added.
“Junior bankers should not be expected to do any work after 9 p.m. Friday or all day Saturday without a pre-approved exception, as that is the only safe-guarded personal time that we get,” they wrote in the presentation.
![]()
Tired Goldman Sachs underlings beg to work ‘just’ 80 hours a week, instead of 100
The complaints come from 13 first-year analysts in Goldman’s investment banking group, who surveyed themselves, according to a presentation that is making the rounds on social media.nypost.com
![]()
Goldman Analysts Work Too Hard
Also penny stocks, mutual-fund voting and Bitcoin liquidity.www.bloomberg.com
Omg that Bloomberg link was a hilarious read!Academics will always tell you medicine is better than other fields
“Goldman Sachs underlings are griping over grueling, 100-hour weeks that they say have caused their mental health to decline — and, they claim, have pushed them closer to leaving the bank.
“What is not ok to me is 110-120 hours over the course of a week! The math is simple, that leaves 4 hours for eating, sleeping, showering bathroom and general transition time This is beyond the level of ‘hard-working,’ it is inhuman/ abuse,” the analyst complained.
“The sleep deprivation, the treatment by senior bankers and physical stress… I’ve been through foster care and this is arguably worse,” another added.
“Junior bankers should not be expected to do any work after 9 p.m. Friday or all day Saturday without a pre-approved exception, as that is the only safe-guarded personal time that we get,” they wrote in the presentation.
![]()
Tired Goldman Sachs underlings beg to work ‘just’ 80 hours a week, instead of 100
The complaints come from 13 first-year analysts in Goldman’s investment banking group, who surveyed themselves, according to a presentation that is making the rounds on social media.nypost.com
![]()
Goldman Analysts Work Too Hard
Also penny stocks, mutual-fund voting and Bitcoin liquidity.www.bloomberg.com
So, what was the intent of your reply here? To downplay fears? To tell folks "they don't know how good they have it" when the job market is a giant flaming turd?I worked EM at the Pit for close to 20 yrs typically seeing 3pph. I have never been assaulted by pt or even close to it. If they look angry or dangerous, I stand close to the open door and do a very limited visual exam.
I have worked manual jobs when I was HS/College. To say that an EM doc work is harder than my manual job is downright WRONG.
I worked hand picking blueberries in 100 degree heat. I have worked in a newspaper warehouse in Tx without AC and must be 110 inside with paper dust all over the place.
Anyone who thinks an EM doc working in an AC place essentially talking the whole shift is difficult is downright incorrect.
I am not saying EM is easy but I rather do that than my manual jobs for $200/hr.
It’s the classic “you don’t have it bad because things could be so much worse” argument. Just as dumb as saying “you can’t possibly be happy because you could have it so much better.”So, what was the intent of your reply here? To downplay fears? To tell folks "they don't know how good they have it" when the job market is a giant flaming turd?
I have been assaulted at work. Your n=1 doesn't mitigate the dangers of our job.
I just don't get the point of replying "Well, I've never been assaulted...and you spoiled millennials don't know how good you have it!".
I mean, sure, man. I could quit my job and go dig ditches in the heat. Or I could not. I just don't understand this point of view. Very boomerish.
So, what was the intent of your reply here? To downplay fears? To tell folks "they don't know how good they have it" when the job market is a giant flaming turd?
I have been assaulted at work. Your n=1 doesn't mitigate the dangers of our job.
I just don't get the point of replying "Well, I've never been assaulted...and you spoiled millennials don't know how good you have it!".
I mean, sure, man. I could quit my job and go dig ditches in the heat. Or I could not. I just don't understand this point of view. Very boomerish.
I love how my parents-in-law talk about how they "deserve" Medicare because they "paid into it". Never mind that the average Boomer will take out much much more than they contributed. I'm all for giving them back exactly what they paid in.....Why engage with these boomers? they don't care. They got theres and that is all that ever mattered.
Never mind that this was the same cohort that grew up during the Free-Market Grab Everything you can and screw everyone else group that deliberately cut its taxes time and again. LOL. Now this group is ready to fist-f*** the medicare rolls and they want their medical care good and cheap because they deserve it. Screw em let me know when the funeral is for these greedy idiots.I love how my parents-in-law talk about how they "deserve" Medicare because they "paid into it". Never mind that the average Boomer will take out much much more than they contributed. I'm all for giving them back exactly what they paid in.....
So, what was the intent of your reply here? To downplay fears? To tell folks "they don't know how good they have it" when the job market is a giant flaming turd?
I have been assaulted at work. Your n=1 doesn't mitigate the dangers of our job.
I just don't get the point of replying "Well, I've never been assaulted...and you spoiled millennials don't know how good you have it!".
I mean, sure, man. I could quit my job and go dig ditches in the heat. Or I could not. I just don't understand this point of view. Very boomerish.
I love how my parents-in-law talk about how they "deserve" Medicare because they "paid into it". Never mind that the average Boomer will take out much much more than they contributed. I'm all for giving them back exactly what they paid in.....
Aside from all the whinging, I think my most pressing concerns are that I believe we are on a declining trajectory (rehashed so many ways) which means that I am less optimistic about the future.You guys are the biggest bunch of whinny babies. No one is saying things are peachy or EM is the best job ever. I am sure most of you depressed, whiny, cliff jumping babies are still pulling in 175+/hr. So what you put in 11 yrs of post HS work, so did the every PHD in any field. You are worth what you worth and the number of years you put in does not always correlate to the best jobs.
If making less than 250+/hr means life is terrible or you have to move to find a job or CMGs are not fawning as in past years equates to how terrible your situation is, then you need a better perspective to salvage your sanity. Bunch of you guys need to step back, hire a shrink, or find a hobby.
99.9% of this world would have no pity for you just b/c you can't name your price in any location.
Im done with this thread and will let you guys go ahead and continue to depress everyone who reads this.
I will be the first to admit that EM work environment, salary, and job openings are the worst I have seen in 20 yrs. I have a medical director friend that wanted me to go work up north for $325/hr but the hospital sounded terrible and I have more work than I really want right now. That 325/hr were plentiful 3-5 yrs ago so yes the market has gone downhill.
But compared to other fields, its not terrible. A post on IM has a job
Major city in AZ
Hospitalist 7 days on/off
Salary: 282k/yr ($1550/day for 182 days)
That works out to $129/hr. I would say most EM docs still make 175+/hr.
The difference you're missing, again, is that you cannot even find a job in nearly any city in AZ right now in EM. That's the difference. Salary will very quickly follow as grads say they'll work for any wage to get a job there, or insert other even mildly desirable area.
Aren't EM physicians employed by Banner Medical Group? Like Hospitalists?This! And there aren't many cities with decent EM jobs in AZ.
Aside from Flagstaff ('cause Flagstaff!) all of those jobs used to be easy to come by. Now they aren't. The canary in the coalmine died a while ago.
- Phoenix - mostly CMGs with Banner. If your mission statement for medical school included I like blinding co-signing charts of unqualified MLPs, over coding charts, and fighting with hospitalists while striving for excellent Press Gainey scores written by Section 8 residents of Phoenix, then you might be working in the right place!
- Casa Grande? That is a malignant hospital with terrible staffing and is medmal central. However you'll get really good at ultrasound guided IVs on the super morbidly obese 40 year old grandparents who are on dialysis. The hospitalists are much more agreeable as they are on H1B visas and can't rock the boat. Think not having medical staff rights is an issue? How about deportation!
- Flagstaff? Good luck getting a job. The nurses (and hospital) have the docs by the b*lls. Super inefficient and likely on the endangered species list.
- Tuscon - Sound Physicians. 'Nuff said.
- IHS - even those jobs are scarce now.
Aren't EM physicians employed by Banner Medical Group? Like Hospitalists?
Phoenix is saturated because it's a desirable place to live ? Just EM or all specialities ?Last time I was there it was TeamHealth.
Phoenix is saturated because it's a desirable place to live ? Just EM or all specialities ?
I worked EM at the Pit for close to 20 yrs typically seeing 3pph. I have never been assaulted by pt or even close to it. If they look angry or dangerous, I stand close to the open door and do a very limited visual exam.
Those of you who are tackling, restraining, physically fighting patients: This is a no win situation for a physician.
Agreed. I dont feel the need to prove my toughness. Is not my job. Ill help my team for sure. I can hold my own but if you think i care more about proving how tough i am with some psych patient at the risk of one hair on my body being harmed you are all wrong.Agreed. The only time I'll engage is if other staff is already trying and at risk of getting hurt without additional assistance.
I'll try to get the staff out of the scuffle or help restrain the pts last limb if they just need one more set of hands. But I'm not going mono e mono or anything of the sort.
A few years ago a shop I worked at actually brought in a martial arts instructor to teach us how to strike patients. Obviously it was only if the patient had already engaged and we needed a last resort to protect ourselves. It was so damn refreshing for admin to acknowledge that our well-being matters.
What do you do now? Still full-time in the pit? Still seeing 3 pph?I worked EM at the Pit for close to 20 yrs typically seeing 3pph.
Veers is Canadian, and graduated from [a US] med school. I'm one of the USFMGs.While I know there are some US IMGs on here (I think veers) prior to the explosion of residencies it was hard for these guys to get spots.
WHAT?! 🤣Veers is Canadian
Last year already had 144 days above 100 and people are still moving here like crazyWasn't there a projection a few years ago that by 2050 it'd be >100 degrees in Phoenix for over 1/3 of each year?
I'd disagree with you there. Grew up in - 40 degrees and would.neved.go back to it.Any place that gets above 110* isn't desirable.
You guys are the biggest bunch of whinny babies.
Guys,
Please help me with my dilemma. I am 36 years old, finished an ED residency 7 years ago and have been working in a community ED in Texas.
I can't remember any of my USMLE scores but it was middle of the road, and I was in the middle of my class. I am not even sure if my stats matter as I have been working for such a long time.
I am getting somewhat burned out and am looking into a radiology residency. I have saved enough money, this is not a big matter for me.
Here is my dilemma. I am a partner and make alittle over 400k a year, working 15-16 days a month, 8 hr shifts. I can go down to part time any time I want. I would like to make as much or more if I finish a radiology residency. I know I would enjoy radiology as I got my electrical engineering degree in college and I enjoyed the math and physics. I think I can work longer and be happier as a radiologist.
Please help me with these questions.
1. Is it reasonable to expect to make 500+K coming out of residency. I hear that some of the radiologists at my hospital makes $1mil plus
2. How many hours are the radiologist working per day, how many days a month, and how many days on call?
3. How hard would it be for me to get into a residency at my age, and experience
4. How should I approach matching? Should I call up the program directors and ask if there is an opening? Should I go through the matching process?
5. Can I skip the intern year as I have done it already in my ER residency
Any thoughts, or advice would be helpful to me.
Again, Thank you
Last year already had 144 days above 100 and people are still moving here like crazy
Same in Vegas. They can't build houses fast enough, despite long, blistering Summers and short miserable Winters.Insanity
Emergent, I have no specific problem with you, but I have been on this forum a long, long time, and wasted far too much time here.
I remember another doctor who was “whining” nonstop in the late 2000s despite making twice what we make and wanting to switch to radiology. It was you (I quoted the thread above).
So try to tap into that memory and have a little empathy for people who are feeling similar angst to what you did. Hopefully they find the same peace with the field that you eventually came to.
Emergent, I have no specific problem with you, but I have been on this forum a long, long time, and wasted far too much time here.
I remember another doctor who was “whining” nonstop in the late 2000s despite making twice what we make and wanting to switch to radiology. It was you (I quoted the thread above).
So try to tap into that memory and have a little empathy for people who are feeling similar angst to what you did. Hopefully they find the same peace with the field that you eventually came to.