FP vs IM in the ER

[diesel]

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Who would a rural ER rather employ?

 

[DrQuinn]

Originally posted by diesel
Who would a rural ER rather employ?

Methinks they would PREFER an EM physician, but this may not happen because A) More EM physicians prefer less rural areas (general rule), and B) EM physicians usually demand more in salary.

My theory.

Q, DO

 

[tBw]

Originally posted by QuinnNSU
Methinks they would PREFER an EM physician, but this may not happen because A) More EM physicians prefer less rural areas (general rule), and B) EM physicians usually demand more in salary.

My theory.

Q, DO

That being said...I would hazard a guess that they would prefer a FP over IM (assuming no EM physician) as they receive training in some OB. But if it's more 'mid-size' than 'rural' who knows.

Caveat Emptor - I know nothing 😉

 

[FoughtFyr]

Originally posted by diesel
Who would a rural ER rather employ?

Recent insurance company changes in the wake of the "career-path" lawsuit finally ending would mean that they may be forced to hire BC/BE EM trained physicians only. A health policy professor at my school has made the arguement that "if a hospital is unwilling or unable to staff an ED 'appropriately' to an insurer's definition, they will have to close." His point, if correct, is that 10 -15 years from now there will be no non-EM docs in EDs. History supports him. There are no FPs doing surgery (in the hospital), most hospitals are limiting FPs' OB privledges, and with hospitalists doing more and more in pts, FP are being pushed out there too.

BTW - to the OP, FP before IM (if forced to) 'cuz you need peds and OB training!
- H

 

[Sessamoid]

I'm surprised that nobody has mentioned that in addition to the already mentioned reasons, IM docs know nothing about trauma of any kind. No training in suturing, wound management, assessment of abdominal trauma, corneal abrasions/foreign bodies, fracture and dislocation reduction, the list goes on and on and on.

An internist practicing solo in an ER is a series of disasters waiting to happen.

 

[deleted6669]

an internist in a group practice with double coverage is also a series of ongoing disasters. they just can't commit to a dx. everyone with bronchitis must be rule out pe because it hurts to cough, even if they have zero risk factors.....
then if the ct is negative you need u/s of both legs and a vq scan...let it go; they need an albuterol mdi and some prednisone for heavens sake!
fp is much more reality based with a good handle on peds and ob as well.

 

[Energon]

I know some very good EM physicians (older ones ofcourse) who are IM's, infact one of them used to be a top notch oncologist before he gave it up to be an EP (wifey said pay more attention to family or beat it)... point being if availability is an issue, other guys can always fill the shoes.