EvoDevo said:
Wow, great stuff, Seaglass. 👍
I have some questions for anyone now...
1. As EM physicians, do you all feel that you get to "do something" for your patients? 2. How's the job satisfaction?
3. Seaglass, you mentioned salaries....I thought that all PGY1's had the same salary no matter what.....I'm wrong?
4. "Trauma is boring." Okay, so what are the appealing things about EM? What makes one choose this specialty over, say, IM/Surgery/etc.
Thanks for all the help, guys. 😀
1. yes! especially the critically ill ones -- which is of course why the er was designed to exist in the first place. you'll realize that once IM attendings in private practice are very uncomfortable with vfib, vtach, svt, codes. partly because they are in a setting with no monitoring and partly because it's been a long time since they've run codes. sick, unstable patients are the "exciting" cases -- they are the ones that you can make a difference. chronic pain, i probably don't do much for my patients, but then again, they weren't supposed to come to the er.
2. Job satisfaction -- some days are better than others. some days are more satisfying -- when you know that your medical intervention saved someone an intubation, for instance. it's nice to diagnose a PE with non classic findings -- it does make you wonder why you went down that path and how scary it is to practice er.
3. pgy-1 salaries range from probably around 36,000 to 43,000 or so a year. each subsequent year is about 1000 or so higher. it does depend on the program. you'll see that nyc pays more but the extra 7000 may still not be enough if there is not subsidized housing. sometimes less urban places actually pay more depending on how much they are trying to get residents to go. top location programs (california) can get away with paying less since so many people want to go there. pgy-1 salaries are the same at each hospital/program. so regardless of whether you are psych, er, surg, ob/gyn at for instance, Hopkins, you'll get paid the same.
4. trauma kind of sucks. it's so cookbook. trauma teams get in the way. jams up the er. i like er because i like variety. i like moving around when i'm at work. i like quick, focused h and p's, not long chat sessions. i like procedures. i like turning around chf's, asthma, copd's on the brink of intubation. i like not being on call. i don't like long term medical managemnt of blood sugars and hypertension. i don't miss calls from personal patients with chronic complaints. i like the ability to have a different schedule (er is flexible).
hope that provides you with another viewpoint. though, i tend to agree with all that seaglass has said.