Finding the job you want

[Gamergirl]

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I've been reading through previous threads about what to look for in an EM job, and I was wondering if anyone had some additional input on things they would look for in terms of a job coming out of residency/training.

Also, I would love it if anybody has any tips on teasing these things out when you are looking. Has anyone tried to do "trial runs" or like locums at future jobs before committing?

From previous threads I have come up with:
1) The people you work with (probably a little tricky to figure this one out). You could get some feel for this on your interview I assume.
2) The location (including income taxes, malpractice ratings on ACEP)
3) Pay (payor mix, salary, benefits)
4) Malpractice coverage
5) Patients per hour 1.5-2.5-reasonable
6) Administration
7) Nursing/consulting services, hospitalists
8) EMR/physical plant/facility (i'm adding this one)

One thing I'm interested in is making sure that I work somewhere that has a reasonably varied/sick patient population - I figure you get some idea of this based on the interview/maybe from ICU admission/admission rates- though most likely this is hard to figure out for sure until you work somewhere.

Would love to hear any advice anyone can offer on figuring these things out. Thanks in advance for your help.

 

[bravotwozero]

If you want variety, you'll do fine at most community gigs, where there's usually a mix of OB, peds, and adults. It's at the large academic places/transplant centers where things get very specialized, you see a lot of one kind of population (transplant patients, hemodialysis people), and have to call a million consultants and fellows to get them admitted.


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[gamerEMdoc]

First question: Nonacademic or Academics (working in a residency)
If academics, University based (consultant and fellow for everything) vs Community (more ED independence with less consultant/fellow overload, but less research, etc)
If nonacademic, then you have a million different options, and you'll probably first start narrowing down by geographic preference, looking at the options you have where you want to live, then factoring in many of the things you mentioned above.