Do you refer to the CT scanner as the donut of truth?
Your avatar is a d-bag
Hi haha Avenlea and I go way back and I'm honestly a better person because of her. Thanks for being there for me when I needed it.
If we are ordering scans on trauma patients, the only thing I write in free text is "trauma" because I don't have time to write things because placing orders is not important compared to addressing the patient and helping out in the trauma bay itself.
I do call it the Donut of Truth and we are very unhappy when the donut is not warmed up and ready to go when patients need it lolol.
Hey gyngyn, long time! Hope you're well.
Haha he is my idol. I'm a huge fan of him and you should listen to Jocko's podcast titled "The Unimaginable Path of Jonny Kim"
I think we're going to have 2 separate healthcare systems: one led by idiot NPs and PAs who think they know it all and want independent practice rights. This is where the poor people will end up because it's "cheaper." You'll still have the other side led by physicians. I think for us, there's going to be a challenge of figuring out places to work and we might end up in less desirable locations however there will always be a job for us ER doctors and I'm feeling that the outlook will improve soon too. It's already improving compared to 2 years ago
- I type the patient’s complaint (LLQ pain, etc) and free text any pertinent hx (recent partial colectomy, hx kidney stones).
Over saturation of the market by for-profit new residency programs. This is all a cash grab by these for profits to get CMS money. I interviewed at one due to location by family and they had terrible job placement for grads outside of their system. A system that pays poorly and is entirely incentive based which only drives burnout. If you choose EM go to an established residency.
Honestly I wouldn’t advise most of my patients to go into any residency let alone em but that’s a while separate issue :v
What ended up guiding you towards EM instead of your initial interest in surgery?
I've gone back and forth on this issue in the past. As a younger resident (or these days if there's a young ortho resident around who hasn't gotten a ton of experience yet), I would obviously handle all reductions and procedural stuff. However, at this point there's really no educational benefit for me to reduce another ankle or wrist (tho they are enjoyable) so I wonder if I should get the ED residents more involved in doing those so they can become proficient for their future practice.
1 patient per hour by October for an intern is insane. We aim for that by the end of intern year.
It's always like the grass is greener on the other side.
Honestly, if I had better control over my time management skills, I'd have done surgery. But because EM compartmentalizes your work and you don't take any of it home with you, there was a huge appeal in the speciality to me because I also enjoyed how hands on it was and the diversity of patients that I would see in the ED. I also turned out to like knowing a lot about different things versus going 1 mile deep in one specific area. I also liked how utilitarian EM is as a speciality. Everyone wants an ER doc when **** goes down. So in that sense, I found it to be pretty lined up with my personality
Yeah I think so. The jobs market is something of a question in the future but I really don't think I could see myself doing anything else.
If you were my attending on a shift and there was a reduction or splint to do, I would absolutely want to be involved in it and learn how you do it and basically mimic it. My favorite attendings are the ones who assume that I will work in the community and as a result make me learn how to do it all on my own. Yeah it takes more time and makes things slower but I'll really remember that shift in the future and it's helpful for my learning.
