Help!!!

[rrreagan]

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Hey,

I am finishing my Transitional year in July.

I don't have a position lined up next year.

What can I do to pay the bills and where should I look?

I'm a US graduate, have all 3 steps and am in the process of getting licensed....

 

[retroviridae]

Hey,

I am finishing my Transitional year in July.

I don't have a position lined up next year.

What can I do to pay the bills and where should I look?

I'm a US graduate, have all 3 steps and am in the process of getting licensed....

can I ask why you don't have a position lined up?

Research is always an option.

 

[rrreagan]

can I ask why you don't have a position lined up?

Research is always an option.

I didn't match into the specialty of my choice and can't find anything in the scramble to my liking [MY only choice is FP].

I HATE research.... But where could I go for research and in what field?

What about the moonlighting angle? Any ideas there?

 

[fourthyear]

I'd try contacting some rural ERs or urgent care centers. In the big cities they'll want EM trained people, but in more rural areas they can't always be so picky.

There actually might be a lot of moonlighting oportunites available in major cities too - I don't know this for a fact, but I do know some programs now restrict hours that resident can moonlight (like most surgery residencies don't allow it at all anymore), so theoretically there should be extra shifts out there available for people like you.

 

[hello23]

Only EM residency trained physician should work in ER. To the op, being an FP is better than nothing.

 

[tRmedic21]

Only EM residency trained physician should work in ER.

What an incredibly narrow-minded and inaccurate viewpoint.

 

[Apollyon]

What an incredibly narrow-minded and inaccurate viewpoint.

By whose reckoning? Emergency medicine is a recognized medical specialty, and, just like any other specialty, should be practiced by specialists trained in that field. It is not unreasonable to see the ABEM viewpoint that every patient that will be seen by a doctor in an emergency department be seen by an EM-residency trained doctor.

General surgery does not prepare you to work in an ED. Internal medicine does not prepare you to work in an ED. Family practice does not prepare you to work in an ED. Emergency medicine does not prepare you to work in internal medicine, family practice, or general surgery.

Narrow-minded is your opinion - fine. Inaccurate, though? This part of your statement is factually wrong.

 

[deleted52758]

By whose reckoning? Emergency medicine is a recognized medical specialty, and, just like any other specialty, should be practiced by specialists trained in that field. It is not unreasonable to see the ABEM viewpoint that every patient that will be seen by a doctor in an emergency department be seen by an EM-residency trained doctor.

General surgery does not prepare you to work in an ED. Internal medicine does not prepare you to work in an ED. Family practice does not prepare you to work in an ED. Emergency medicine does not prepare you to work in internal medicine, family practice, or general surgery.

Narrow-minded is your opinion - fine. Inaccurate, though? This part of your statement is factually wrong.

preach it brother!

 

[hello23]

What an incredibly narrow-minded and inaccurate viewpoint.

Just one advice. Stop wasting time insulting other's specialty. you are just making a fool out of yourself.

 

[NinerNiner999]

One Word: Dermabrasion
Two Words: Vericose Veins
One Word: Welfare
Two Words: Burger World
Four words: Go Back to School

 

[DrQuinn]

Fatty McFattypants.

I'm just going to follow you around on SDN and drop the FMCFP bomb, Niner.
Q

 

[NinerNiner999]

Again, the tears are streaming down my face 🙂

 

[rrreagan]

Again, the tears are streaming down my face 🙂

Well---again, where should I look and whom should I contact?

I am probably going to get a license in Texas.

I am particularly interested in working in Houston for the year.....

I'm not sure what I'm going to wind up doing or where, but I would like to get a job in July or August in Houston.

I'm pretty comfortable dealing with most medical issues in a clinic setting. I can do minor procedures. I'm NOT comfortable doing intubations, central lines and things of that nature.

You can post or private message me with suggestions.

 

[surgchick]

I'm NOT comfortable doing intubations, central lines and things of that nature.

The more you do those procedures, the more you will feel comfortable doing them. You've got to get over that part, esp. if you're thinking of moonlighting in an ER.

Another option to check into is walk-in clinics or community clinics. Highly unlikely you'll be intubating and putting in central lines there.....pay might not be much of anything though.

Good luck... 🙂

 

[timtye78]

I think it is ridiculous to insinuate that the American people cannot get competent care in the ED by anyone other than a EM residency trained physician.

ABEM or not, people have received competent care in the EDs for years before the 'specialty' even existed. Most oldtime ER docs are actually either FPs or IM docs who just went to work in the ED and never left. And other oldtimers did an internship somewhere, and just went to work in the ERs. Eventually they were either grandfathered in or took exams to get the same qualifications as new residency-trained ER docs.

Not to mention the non-physician providers out there in smaller towns; RNPs and PAs. And many a competent physician from every specialty has moonlit on his or her own license. In fact, I have been told by EM attendings themselves that "I really only triage people, but I don't like to think of it that way.." and "EM is really FP in a hurry."

Sorry, I do not agree with the implications that only ED trained docs should practice EM. Studies or not, I think it is simply a turf war. If you are ED residency trained; you probably will demand more pay for what you do. And if some intern trained only MD or FP doc walks in the door willing to work ED for $65 per hour, I can understand why you'd be p/o!

 

[turtle md]

I think it is ridiculous to insinuate that the American people cannot get competent care in the ED by anyone other than a EM residency trained physician.

ABEM or not, people have received competent care in the EDs for years before the 'specialty' even existed. Most oldtime ER docs are actually either FPs or IM docs who just went to work in the ED and never left. And other oldtimers did an internship somewhere, and just went to work in the ERs. Eventually they were either grandfathered in or took exams to get the same qualifications as new residency-trained ER docs.

Not to mention the non-physician providers out there in smaller towns; RNPs and PAs. And many a competent physician from every specialty has moonlit on his or her own license. In fact, I have been told by EM attendings themselves that "I really only triage people, but I don't like to think of it that way.." and "EM is really FP in a hurry."

Sorry, I do not agree with the implications that only ED trained docs should practice EM. Studies or not, I think it is simply a turf war. If you are ED residency trained; you probably will demand more pay for what you do. And if some intern trained only MD or FP doc walks in the door willing to work ED for $65 per hour, I can understand why you'd be p/o!

When I did an international rotation in Mexico, the gas was passed during all the surgeries I sat in on by the ¨FP¨ equivilant. I am sure that way back in the days, FP's managed much more than they do now. But things evolve and become more specialized. Just as I wouldn't want someone not well trained in Anesthesia to anesthetize me, so too I wouldn't want someone not well trained in Emergency medicine to take care of me in a serious emergency. FP's probably can handle most of what is seen in the ED, but most is not all.

 

[Apollyon]

I think it is ridiculous to insinuate that the American people cannot get competent care in the ED by anyone other than a EM residency trained physician.

ABEM or not, people have received competent care in the EDs for years before the 'specialty' even existed. Most oldtime ER docs are actually either FPs or IM docs who just went to work in the ED and never left. And other oldtimers did an internship somewhere, and just went to work in the ERs. Eventually they were either grandfathered in or took exams to get the same qualifications as new residency-trained ER docs.

Not to mention the non-physician providers out there in smaller towns; RNPs and PAs. And many a competent physician from every specialty has moonlit on his or her own license. In fact, I have been told by EM attendings themselves that "I really only triage people, but I don't like to think of it that way.." and "EM is really FP in a hurry."

Sorry, I do not agree with the implications that only ED trained docs should practice EM. Studies or not, I think it is simply a turf war. If you are ED residency trained; you probably will demand more pay for what you do. And if some intern trained only MD or FP doc walks in the door willing to work ED for $65 per hour, I can understand why you'd be p/o!

"Studies or not" - it's evident you are going with "not".

http://67.43.153.76/showpost.php?p=2159489&postcount=24

If ever a post was appropriate, this is it.

edit: talk about irony - the article quoted above got a response, and the response was written by a guy I knew back in my paramedic days - he was a doc in NYC and a locum tenens guy (and used to be one of the 3 guys who rotated writing a medical column in Discover). Small world.

 

[FoughtFyr]

I think it is ridiculous to insinuate that the American people cannot get competent care in the ED by anyone other than a EM residency trained physician.

ABEM or not, people have received competent care in the EDs for years before the 'specialty' even existed. Most oldtime ER docs are actually either FPs or IM docs who just went to work in the ED and never left. And other oldtimers did an internship somewhere, and just went to work in the ERs. Eventually they were either grandfathered in or took exams to get the same qualifications as new residency-trained ER docs.

Not to mention the non-physician providers out there in smaller towns; RNPs and PAs. And many a competent physician from every specialty has moonlit on his or her own license. In fact, I have been told by EM attendings themselves that "I really only triage people, but I don't like to think of it that way.." and "EM is really FP in a hurry."

Sorry, I do not agree with the implications that only ED trained docs should practice EM. Studies or not, I think it is simply a turf war. If you are ED residency trained; you probably will demand more pay for what you do. And if some intern trained only MD or FP doc walks in the door willing to work ED for $65 per hour, I can understand why you'd be p/o!

😱 Lots of wounded soldiers in the Korean and Vietnam wars got their anesthesia from nurses directed by the surgeons. And that was after your specialty existed. Given that "evidence", I think we should fire all MD/DO anesthesiologists and let the CRNAs run the place!

Or, maybe given the lack of cath labs in rural areas, and the data that suggest cardiac cath is a "time-sensitive" invention, we ought to look into moonlighters doing caths. I mean, since the central point of your argument is that "any doctor can do the job", quality be damned, I think the cath lab is the next logical place to moonlight.

Yes, this entire post is SARCASM; I'm sorry, that is the only response I know to ignorance and stupidity!

- H

 

[GoPistons]

I think most docs are fairly competent to take ER patients... granted any ER should have at least one full-fledged ER trained physician to take on the most difficult of cases, but most ERs should be structured to have lower paid docs (residents, NPs, etc.) work the easier patients...

this turf war issue alwayz comes up... half of the "docs" working in the ER at one of the hospitals in Baltimore where I trained weren't even EMed boarded...

now, the real kicker... surgeons, cardiologists, ER docs, etc. have no business making final interpretations on films... whether they are CT, MRI, plain film, etc. that's where mistakes really happen... it's like poker... everybody thinks its so easy and they can do it... but only very few take the time to really learn the game... Rads residents work 4 years just to master this one skill...