This part does bug me in retrospect. There needs to be more “See the drunk guy frequent flyer in room 5. He made an offhand comment that he wants to kill himself, like he does every day when he comes in. If he actually does tomorrow after you put your name on the chart, you might lose your medical license. Let me know what you think!”
You seem upset. Is something bothering you?
The state of EM.
Except tens of thousands of doctors in the US and Canada already do a mix of ED and outpatient FM every month.
I certainly was one. But I'm cured now. The cure was very toxic, though. It almost killed me and made my hair fall out, like chemo.
Prove that. (You can't. It's not true.)
Nothing sadder than attendings that come to a website called Student Doctor Network to trash talk medical students and then gang up on the med student when they get called out.
Many of the people replying have been on here since their student days or at least early in residency. Definitely the thing to do is rage blindly against the advice that’s buried under a layer of sarcasm. Wait a minute, you may actually have some trouble during EM training since that’s how quite a bit of learning is presented in the ED.
The rest of the "things med students need to stop thinking/saying" have been pretty funny and seem like good advice/warnings for people interested in EM. But the example that started thread was a really bad one. That is all I was calling out.
True. If you have a time machine and are willing to go back 30+ years.
This is good practice for me as I’m currently on my Child Psyc Rotation:
It wasn't bad, it's of a known class of statements indicative of a certain (usually M3) viewpoint that EM is this magical entity that can be paired with essentially any other specialty in such a way that you get all the advantages of both specialties and fewer/none of the disadvantages. I've seen dozens of threads regarding all sorts of pairings and most of them revolve around some... fuzziness regarding what being an ED attending actually is and how it interfaces with the lifestyle and skill set of other members of the House of Medicine. The reality is that there are few EM attendings that REGULARLY pull shifts in the ED that also have an active practice in another residency trained specialty. You're conflating there being a lot of non-EM trained docs that moonlight in EDs with there being a lot of dual-residency trained docs that split their time.
And they don't do either well.
Bold to say that FM and IM trained doctors don’t do outpatient well. Obviously they aren’t as good in the ED as EM trained people…if they were, there would be no reason to have created EM as a distinct speciality.
fixed it for ya
Your people are aggressive with resuscitation...
Rural medicine is it's own beast with vastly different standards than what exists in the suburbs/cities. And that's jobs aren't exactly appealing to NP/PAs either. Barring personal attachment to the region or not having any other choice, most people with post-graduate training in a medical field don't choose to work in rural areas. That's not a doctor thing, it's an American thing. There could be a horde of EM docs in Denver barely making payments on their student loans that still would never consider a job paying 2x as much in Madison, IN.
I corrected myself to say 5-10k in the US and Canada, not just the US. Tens of thousands was way off.
I agree right now it is an American thing to not want to go rural. Both NP/PAs and EM docs don't want to practice rural.
Let me clarify. To be good at something requires quite a bit of dedication. Do IM or EM, not both. If you're doing both, you probably won't be that good at either one.
Those rural Canadian doctors that are doing so much heavy lifting trying to prop up your argument that MS fantasies of dual residency trained docs (EM/something not EM) being normal are generally not going to be dual trained. They're likely to be FM with an EM certification which is roughly similar to our FM + EM "fellowship" pathway in the the US. Which isn't the same as doing an EM/FM dual residency. And at least in the US, the majority of FM+EM cert aren't going to be working outpt clinic but exclusively EM.
Would you expect anything less from a future pediatric interventional neurodermatologist? Don’t worry though, I’ll only do that part time - the remainder of my time will be spent in a rural primary care clinic.
I wasn't talking about dual residency trained docs and never have in this thread. I might be misunderstanding you--the phrasing of part I put in bold above is a little confusing.
To which I replied:
94-95% of Canadian FM+EM doctors work in urban to suburban areas, so we don't need to worry about them messing up the numbers I calculated above. I was talking about rural to very rural areas.
