I agree, just not with such a harsh tone. I say that if you realize that you would like to do something else after only one year of your EM residency, then EM was never really for you and you probably shouldn't have applied for it. I know that people realize that they don't like something and some poeple just change their mind but I don't think that residency is the right time for you to be "trying things out and see if they fit". Residency training should be training doctors who want to have a career at that particular specialty not doctors who don't know what they want to do. As Dr. McNinja said, it's these type of people that take spots from others who want nothing more than to be an EM physician. Same thing applies for surgery residents. I don't understand how you can get a categorical surgery residency (hence assuming that you have proven your love and dedication to a career in surgery to prospective programs) and then less than one year into residency you realize that it's not for you or it's too hard or now you realize that you want kids and a life and a family. Do these residents spend their clinical years in a fairytale land? How are you applying for surgery and not know that intern year (as well as the rest of your residency) will be pure hell of 100 hour weeks and you will really not have anything resembling a life for a few years? Don't these people do Sub-I's or electives in their future career? Sorry about the venting but this just hits a nerve.I don't wish them luck. They kept me from getting a job last year. They're dead to me.
i agree people who are really interested EM do generally better, just like any field, if you put my in GYN i'd be a slacker, not enthusiastic, and pretty much a pain to everyone around me!A lot of it has to do with people going into EM for the wrong reasons. I've seen interns come in with no skills, but great enthusiasm for the profession and they do well. Likewise I've seen people with prior residencies (like FP or IM) start EM thinking that they'll have more family time, have a better salary, or just an easier schedule. These people who clearly have no interest often crash and burn.
But I gotta' say it, I just negotiated a contract for my first job that is for much, much more than I would have made if I had stayed in the Specialty That Dare Not Speak Its Name. And I do have a better schedule (more days off in residency, I mean) than if I had stayed at a place I'm just going to call "Earl" to avoid riling up its many fanatical defenders.A lot of it has to do with people going into EM for the wrong reasons. I've seen interns come in with no skills, but great enthusiasm for the profession and they do well. Likewise I've seen people with prior residencies (like FP or IM) start EM thinking that they'll have more family time, have a better salary, or just an easier schedule. These people who clearly have no interest often crash and burn.
Family MedicineSpecialty That Dare Not Speak Its Name.
Dukea place I'm just going to call "Earl" to avoid riling up its many fanatical defenders.
I'm going to start telling people I ranked Ortho as a back up.I wonder how many of these vacancies are due to people who matched into EM because it was their "backup plan." At my school we had a huge number of people match into EM, but I know for a fact that a few of them aspired to anesthesia or derm. If someone starts off like this, having been disappointed already by not matching into their dream specialty, I would think that the negatives of EM as a field would catch up even faster.
No, no, no, no. The Duke of Earl's Family Medicine Doctor was beating dead horses outside of the interstate, while using a truck (Mack I believe). You hadn't heard?wait, the family medicine doctor of the Duke of Earl was beating horses on the interstate?
I'm never quite sure where people get the "Gas is more competitive than EM" thing.Seriously, EM as a backup to Gas? Based on recent data, that's like saying you applied to Peds as a backup to IM. Marginally more competitive, but completely different.