Is it common or feasible for an attending in another field to moonlight in a community ED one day/night a week or so? Obviously I'm referring to someone who hasnt done an EM residency or done the EM boards.
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How about deciding to "retire" early and living in two locations, say Arizona and Wyoming or Hawaii and Tahoe. You are a board certified EM physician. Can you just moonlight a couple of days per week instead of belonging to a group?
Yes.
Although 'moonlighting' a couple of days a week is almost full time and is at least part time.
How about deciding to "retire" early and living in two locations, say Arizona and Wyoming or Hawaii and Tahoe. You are a board certified EM physician. Can you just moonlight a couple of days per week instead of belonging to a group?
I think Hawaii has enough ER docs. That's a saturated market there.
It's ironic you mention that, as you are exactly correct. Although HI in total is down 25% for doctors, the only specialty that has enough docs is EM, at 104%. (Yes, that means that, officially, HI does not have enough plastic surgeons.)
The irony is that my hospital is in Chapter 11, and may next week go to Chapter 7 (liquidation), and people are scrambling, and there isn't anything. Everybody is full up.
There are a few of us part timers.Common? Most that do EM it do it all the time. Not many work in the ED once a week. Is it feasible? If someone gives you a job and you have the time. You won't be any good at it, so I wouldn't bother.
My goal would be the flexibility to live in more than one location depending upon the season. Still keep up the skills and earn some money, but not be tied to one location.
Is it common or feasible for an attending in another field to moonlight in a community ED one day/night a week or so? Obviously I'm referring to someone who hasnt done an EM residency or done the EM boards.
There are probably quite a few non BC/BE people out there who have taken it upon themselves to learn it the right way. However, from experience and also from reading the literature, they are in the minority.There are a few of us part timers.
My evaluations from the EM boarded guys here are fantastic. Admittedly, they are biased. Without me, they are working 16 12's a month.
Yes, and for basically the same reason. While you may not be the "best" by whatever metric, you're likely pretty adequate. However, not all are the same. I've seen FMs lose their scoping privileges after too many perfs.When I first came here, the gastro kicked and screamed about my endoscopy privileges. He still complains about my screening colonoscopies, but it only took a few days for me to be more than competent to manage uninsured acute bleeds/food impactions at two in the morning.
There are probably quite a few non BC/BE people out there who have taken it upon themselves to learn it the right way. However, from experience and also from reading the literature, they are in the minority.
From personal experience, taking checkout at rural places from part and full timers (for years!) that aren't EM, you can distinctively notice a difference. Things that make me pucker, they don't seem to even notice. One guy checked out a WPW in a fib to me. As he was talking, he said "Yeah, I put them on a cardizem drip, just waiting on cardiology to call back for transfer." They weren't in RVR, just slightly tachy at 108 when he started it. I cut checkout short to go personally stop the drip. Unfortunately, we all have gaps in our knowledge, but at least the EM people had to learn the "real bad stuff" in the theoretical in residency. The PC people learn some, but it isn't the same. And since they didn't work in an ED for 24 months of their residency, they weren't exposed as much then. Just a fact of the numbers needed to learn.
Yes, and for basically the same reason. While you may not be the "best" by whatever metric, you're likely pretty adequate. However, not all are the same. I've seen FMs lose their scoping privileges after too many perfs.
For the vast majority of EM, you never need to do something "right now." You can always go look it up, and many people simply don't out of pride or not being aware that they don't know the best way. There's also the time issue. But those "right now" moments are what make the difference.