Questions about competitiveness of PEM from EM

[EMApp17]

Hi

So as I'm nailing down my rank list there are a few questions about programs that are really sticking out for me deciding. I'm fairly certain I want to fellowship in PEM after EM, I know "money blah blah, w/e" I understand all that stuff.

My main question is, will going to a community EM program hurt me to fellowship in PEM?

There is a program I really like, in a city I'd love to live in that I'm contemplating putting above a few other programs. These other programs are academic and/or county with dedicated P-EDs in them or access to academic PED that they use for peds shifts.

The community program that I love has sufficient peds volume and sends you out for PICU rotations at the academic center.

TL;DR - Is PedsEM competitive for EM applicants (as it is for peds guys)? Would an EM grad be less competitive from a community program?

---

Members don't see this ad.

 

[canigetawhatwhat]

Pem wants more em people.

Not competitive.

 

[alpinism]

You will have no problem getting a PEM spot from any EM program in the country.

 

[The White Coat Investor]

It's probably not that competitive because you're spending additional years training in order to be paid less. Weird thing about many EM fellowships.

 

[Psai]

It's probably not that competitive because you're spending additional years training in order to be paid less. Weird thing about many EM fellowships.

Same problem with peds lol

 

[witzelsucht]

Same problem with peds lol

PEM is very competitive for peds. Many people do chief years or work pedi hospitalist before being able to match. General peds making $150-180 does PEM fellowship and can make 250-300 working half as many hours. General EM after 3 years training can make 300-350 in the community, or do fellowship in PEM and take a 50k/yr paycut with the very significant benefit of not treating gomers with AMS and dizziness.

 

[emergentmd]

Unless an EM doc wants to deal only with kids, wants an academic job then its a wasted year of fellowship.

I worked at a Peds ER where half the docs were PEM, half adult EM docs. I probably dealt better with 90% of the cases, but those complicated 10% is where PEM are better suited for.

But regardless, Those better trained PEM docs were making 140/hr while I was pulling in 220/hr.

 

[deleted109597]

PEM is very competitive for peds. Many people do chief years or work pedi hospitalist before being able to match. General peds making $150-180 does PEM fellowship and can make 250-300 working half as many hours. General EM after 3 years training can make 300-350 in the community, or do fellowship in PEM and take a 50k/yr paycut with the very significant benefit of not treating gomers with AMS and dizziness.

You can make way more than that. There are community peds shops that pay $275/hr.