What's the "hated 4 hour rule"?Just wondering, what's EM like in Canada in terms of lifestyle (e.g. do attendings work rotating over night shifts, are there similar things to Press Ganey, etc.)?
I know in Australia and New Zealand lifestyle as an attending seems very good by comparison. For example, where I am attendings rarely if ever work past around midnight, they seem to generally work 4 days per week x 10 hrs per shift, and also rarely if ever work weekends. Press Ganey doesn't seem to be as ubiquitous. You don't seem to worry as much about getting sued as you do in the US. A slower pace and much less volume compared to the US, although maybe fast by Aussie/Kiwi standards. Patients are more grateful in general. It's considered a bit strange if a patient doesn't say thank you afterwards.
But on the negative side, pay is apparently a lot less (in general I've seen about a $350-$400k "package" but not all of this is strictly income). Also there's the hated 4 hour rule. It's a universal healthcare system, you have to see anyone and everyone and there's not really a whole lot of private work for EPs.
Sorry about that. Here is a good explanation which tries to be objective, though the reality is most EPs here seem to really hate it.What's the "hated 4 hour rule"?
Awesome, thanks Old_Mil!Canada = work rotating overnight shifts like here.. Pay is equal to my current job.. Very little malpractice risk.. Annual malpractice premium is like $1k a year.. You incorporate and pay a fraction of the taxes you do here.. The physician doxumentatoon section of a chart is about the size of an iphone 6+ screen. To be fair the Canadian dollar has weakened significantly over the past two years though I think this is a temporary thing that will begin to reverse this afternoon.
Austrlia = pay is equal to here.
New Zealand = the pay is about half of what it is here but if you go in as a consultant you have no scheduled nights just on call nights to answer the phone and go in if your regiatrars get into trouble.. Like half the pph of a job here because with the registrars you have more warm bodies seeing patients.. This is a great way to ease in to retirement, if you aren't following in Birdstrike's footsteps.
This is an absolute ----ing tragedy for EM in the USA that we haven't found a way to make this happen, at the very least in a graduated way, as one progresses in seniority. I consider this a massive failure in EM leadership in the United States. They've been too content to move up their administrative chain knowing they can reduce to two shifts a month and leave the chum at the bottom to figure out how to fend for themselves or get chewed up by sharks, all while promoting lies like,I know in Australia and New Zealand lifestyle as an attending seems very good by comparison. For example, where I am attendings rarely if ever work past around midnight, they seem to generally work 4 days per week x 10 hrs per shift, and also rarely if ever work weekends.