Surgery

[collegefreak12]

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I know EM docs do regular things...like treating stuff, or stiches, etc. But, in Emergency Medicine, are there special surgeons that perform emergency surgeries, or what?

 

[deleted109597]

No. It's like on tv, where the EM docs do everything.






Or maybe trauma surgeons exist in this fairytale world.

 

[Dr. Will]

No. It's like on tv, where the EM docs do everything.







Or maybe trauma surgeons exist in this fairytale world.

I was thinking the same thing. But it depends...are they like Grey's Anatomy? It seems they are the only docs at Seattle Grace who work everywhere. Or...is it like House? Where they seemed to be board certified in everything (and even know all the tech jobs) to be able to find that diagnosis.

 

[collegefreak12]

So...I don't get it...do the EM docs do surgery as well?

 

[Dr. Will]

So...I don't get it...do the EM docs do surgery as well?

No they don't. That's what the trauma surgeons do. If it's something serious enough to need surgery, they're taken right up by the trauma surgeons. Hope this helps.

 

[deleted109597]

Tell you what. Once you pick a major in college, then get accepted to medical school, then you can start worrying about who does what.
You definitely don't want to be writing in your med school application that you want to do EM, because the ADCOMs don't like it.

 

[DropkickMurphy]

Wow, the OP just got bitchslapped by the EM Ninja......

 

[collegefreak12]

You definitely don't want to be writing in your med school application that you want to do EM, because the ADCOMs don't like it.

Why is that?

 

[DropkickMurphy]

Why is that?

Because they like to hear that you are either open-minded or want to do a primary care specialty (family practice, pediatrics, OB/GYN, internal medicine, etc)

 

[dlung]

I was thinking the same thing. But it depends...are they like Grey's Anatomy? It seems they are the only docs at Seattle Grace who work everywhere. Or...is it like House? Where they seemed to be board certified in everything (and even know all the tech jobs) to be able to find that diagnosis.

That hospital in House has got to be the worst in the world... those residents have to run their own CT/MRIs... on the other hand, the program always has shiny new Harrison's on every desk.

 

[JkGrocerz]

im offservice on gen surg right now. Thank the Lord for EM. I give these surgeons credit, they're pretty smart but man does their life suck. prerounding at 530, then rounding again at 7 and rounding again a few hours later? and floor crap. one of the seniors was telling me that medicare has cut reimbursement so much that a CABG only gets these guys about 1100 per operation(which is usually split up between you and your assistant). this $1100 includes pre op, op, and upto 90 days of post op care including office visits. $1100 is nothing considering the insane amount of abusive training years these guys go through.

I've heard the same is happening in the EM world and we might (and some of us probably are) being forced to see an unholy amount of patients to get a fraction what we're making nowadays.

God Help us All

 

[supercut]

Yeah, there was a report in this months General Surgery News (a throwaway) that somebody presented a study demonstrating that, after accouning for overhead and costs, a surgeon doing gastric bypass for medicare pts has a net income of $245 per gastric bypass. It's getting really bad.

 

[jojo14]

You definitely don't want to be writing in your med school application that you want to do EM, because the ADCOMs don't like it.

I don't know if that's necessarily true. I told all of my interviewers for med school that I was very interested in EM, based on my prior experience, but would keep an open mind. I still got in, so there you go. The attitude towards EM in my part of the country is not that of the "triage nurse model" however.

I think, in general, you are shooting yourself in the foot to say "I want to do X" before you step foot in a medical school, because there are invariably many fields you haven't been exposed to. Just say that, and that you are open to different things, cause that's what they want to hear.