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On SDN, everyone is making $300/hr+ (just like of all our MCAT scores are 38+ and all Step 1s 270+. We also all see 2.5+ pph).
Depends but you’re going to wish you had actual EM training once your first crashing kid or multiple traumas come in at the same time.
Yeah I had a real destroyer of a shift last week and am enjoying a sleepy Monday in the exact same critical access department hoping the other shoe decides not to drop.
Is this a troll post?
Ha! Let me know what hospital this is so I can take my chances in a ditch.
Wild.
I thought this was a sleepy rural facility with solo coverage but if this has 24/7 physician double coverage then it’s likely got some pathology. Medicine is tough and I think we should have each other’s backs but somebody practicing EM without training in EM would probably be an example where I’d expert witness for the patient for a malpractice suit. Somebody practicing a specialty they’re not trained in is negligent in its own right.
The only way I can even think of why this is even a thing (non EM trained docs in EM settings), is that the oversupply of grads hasn't (yet) quite caught up to the amount of available positions. The ones that got grandfathered into EM should be mostly retiring by now.
Come now - if any specialities were closer, it's EM and FM. "Under" is not "no".
I'm somewhat surprised you're in support of non-EM trained physicians practicing EM. There is certainly overlap between a lot of specialties but that doesn't mean I want to see a non-EM trained physician in the ED.
Not in support - I was just calling out the "black and white fallacy".
I think this is a pretty easy example of choosing black or white. You either support non-EM trained docs working in the ER or you don't.
You miss the point - the "black and white fallacy" is seeing a binary decision, when there are shades of grey. We are trained in "the rapid recognition of sickness and health", realizing that the huge majority of what we see is not sick. Primary care docs can see the primary care patients as well or better than we can, but we see the sick much better. To deny this is uninformed. However, I don't support non EM in the ED, as a matter of policy.
Black and white thinking.
That kind of unfair. Do you think most people that come to the ED require the expertise of EM doc?
It's all about the setting. If a sick patient comes into a PCP's office they call the ambulance and the patient goes away. When a sick patient comes into our ED, they're ours. Nobody is going to argue that there are people in the ED who aren't sick. Probably a majority of the patients we see are going to get better no matter what we do. We're there for the truly sick ones. To minimize your own specialty is sad. With that said, I don't support any non-EM trained physicians working in the ED.
I think someone coming to the ED deserves an EM trained physician there whether or not they need all those particular skills for that visit.
We don't either, but I am likely about to start some casual work in a place so rural they didn't even have a credentialing form for emergency medicine. They told me I can just cross off family medicine, write in emergency medicine, and cross off any items I don't do as an emergency physician and they'll make it work. I'm not sure they've had an emergency physician work there in the past.
I think the management of overall patient flow including the critically ill through the very much well requires the expertise of an emergency physician though many individual patients do not.
Dude, I am minimizing nothing. As I said, when critical care is needed, that's why we're there. You are intentionally taking a lower resolution.
It's the recognition that is the difference.
Get over yourself. What if an HCA grad, who is ABEM, applied? Would you crap on them? What about AOBEM?
