Is there a stigma vs. EM doctors?

[SlimJim324]

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[Seaglass]

Rarely have I come accross that viewpoint. It's usually held by someone who's ******ed.

 

[iatrosB]

Sorry for my bluntness, but a friend of mine said many doctors view ER docs as just "glorified trauma nurses." I was wondering what the experiences of everyone here has been. Does a stigma against Emergency Medicine doctors exist?

I also found this article:
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=12637854&dopt=Abstract
However, since its based in the UK, does it translate to the US? Thanks for the input.

I don't know if I trust any primary literature article with a hotmail email address as the correspondence.

 

[pinbor1]

short answer yes, it is easy to insult someone when they work in a "fishbowl" plus no one wants to hear you call them at 3 in the morning. This notion is much more prevalent in the university setting. In the private setting, physicians definitely seem to appreciate the work we do. We take care of their patients, refer new patients, save lives, etc.

 

[GeneralVeers]

Sorry for my bluntness, but a friend of mine said many doctors view ER docs as just "glorified trauma nurses." I was wondering what the experiences of everyone here has been. Does a stigma against Emergency Medicine doctors exist?

I also found this article:
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=12637854&dopt=Abstract
However, since its based in the UK, does it translate to the US? Thanks for the input.

I've heard that quote numerous times, primarily from surgeons. I just ignore it, as I'm walking out the door at the end of my shift, while they still have another 12 hours on call.

 

[WestcoastMedicine]

I don't know if I trust any primary literature article with a hotmail email address as the correspondence.

haha...awesome

 

[FISKUS]

In real life community EM - trauma and "surgical emergencies" are a very small portion of your day to day ED census. Unless or course, your community happens to be the south side of Chicago or Watts.

 

[The White Coat Investor]

Sorry for my bluntness, but a friend of mine said many doctors view ER docs as just "glorified trauma nurses." I was wondering what the experiences of everyone here has been. input.

I consider myself a glorified trauma nurse. In fact, you can go ahead and take the glorified out of it. I'm just a trauma nurse. In fact, I'm not even that. It is like I'm just a pre-med nobody. Nope, worse, didn't even get into a community college. Barely graduated from high school. I'm so dumb I couldn't even find my way out of barn after a tornado came through it.

Seriously, did you think about this before you posted? Do you know what trauma nurses do?

They chart, they start IVs, they chart some more, they put in a foley, they put a patient on a monitor, they give some morphine, they hang a propofol drip, they mix the blood, they chart some more, they get an art-line set-up ready, they page RT, they chart.....ad nauseum. Other than the charting 🙂 , I don't do any of that.

At least insult us by calling us a glorified TRIAGE nurse like the surgeons do.

 

[EctopicFetus]

they are just mad cause we are happy

 

[deleted52758]

we get one of these posts every two months. can we just refer them to our FAQ's or something? or just mock them tirelessely like we do those who ask what the #1 program is?

 

[waterski232002]

Sorry for my bluntness, but a friend of mine said many doctors view ER docs as just "glorified trauma nurses." I was wondering what the experiences of everyone here has been. Does a stigma against Emergency Medicine doctors exist?

I also found this article:
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=12637854&dopt=Abstract
However, since its based in the UK, does it translate to the US? Thanks for the input.

Actually... In the UK, emergency medicine is "accident medicine" and it is run by general/trauma surgeons... They usually have at least 5 years of residency training, if not more. So, unlike the the US, the residency is much more specialized and rigorous.

 

[edinOH]

I wish people would get their insults straight before using them.

It's glorified triage nurse, not trauma nurse.😛

 

[bulgethetwine]

Actually... In the UK, emergency medicine is "accident medicine" and it is run by general/trauma surgeons... They usually have at least 5 years of residency training, if not more. So, unlike the the US, the residency is much more specialized and rigorous.

It's changed quite a bit. The 'accident medicine' part that you refer to is because the ED was called the "A&E" -- accident and emergency.

They were (and many still are) as you state -- staffed by general medicine and general surgeons types (trauma or otherwise). But recently (last 5-10 years) it has changed. Now, they have dedicated two year training tracts in Emergency Medicine, and the specialty itself is increasingly recognized as its own entity -- keep in mind that these two year training posts are at the registrar or special registrar level... which means that it is for someone who has completed generally at least 3 years of post-graduate work -- an intern year, followed by two (or more) years of being an SHO (Senior house officer). So yes, it might be LONGER than an ER residency, but I can tell you that is isn't more specialized (though one might argue it is more rigorous since it is more years).

I can tell you that the training model is different, too. It's not always 100% attending coverage 24/7. A lot of times, the most senior person on overnight -- even in some of the equivalent-to-our level I trauma centers -- is a registrar. As a result, the surgeons (and anesthetists when it comes to airways) are often parachuted in a lot earlier in some cases compared to the U.S. where the ED trained folk are more experienced with the airway.

Again, things are changing, and the U.K. system is looking increasingly like the U.S.

 

[margaritaboy]

I consider myself a glorified trauma nurse. In fact, you can go ahead and take the glorified out of it. I'm just a trauma nurse. In fact, I'm not even that. It is like I'm just a pre-med nobody. Nope, worse, didn't even get into a community college. Barely graduated from high school. I'm so dumb I couldn't even find my way out of barn after a tornado came through it.

Seriously, did you think about this before you posted? Do you know what trauma nurses do?

They chart, they start IVs, they chart some more, they put in a foley, they put a patient on a monitor, they give some morphine, they hang a propofol drip, they mix the blood, they chart some more, they get an art-line set-up ready, they page RT, they chart.....ad nauseum. Other than the charting 🙂 , I don't do any of that.

At least insult us by calling us a glorified TRIAGE nurse like the surgeons do.

Ummm...I think you forgot the part where they chart some more again?

 

[doctor7]

i prefer "overpaid glorified triage nurse"


the only effective response is to page the surgery consult again for kicks😀

 

[JackBauERfan]

i prefer "overpaid glorified triage nurse"


the only effective response is to page the surgery consult again for kicks😀

how about "overpaid glorified trauma triage tech with mild to moderate nursing capablities scrub" or as I liked to call it OGTTTMMN