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- May 10, 2008
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I'm wrapping up PGY3 year in a little community hospital on the West Coast. We are overworked and understaffed as a residency, and our ER is TERRIBLE. There's no ER residency at our place, so it's all attendings/PAs that give us consults. Never any workup done ("here's this lady with a right sided white out on xray, can you admit?"....no ABG, no CT Scan, no attempt to get some history). Now after 3 years of this, my colleagues and I have become accustomed to getting dumped on by ER physicians and mid-levels with patients who haven't been worked up at all. We also have gotten used to having the ER attending handing us 4 admits at once.
My question is, what is admitting like at a university center (one with an ER residency)? I would assume that for the sake of the ER resident's training, they would be expected to have a thorough workup done before consulting IM to admit? I ask because I plan on going to a major university for hospitalist work and wanted to hear real-world experiences with the admission process at these places. Anything is better than where I'm at now, just wondering what I can look forward to.
My question is, what is admitting like at a university center (one with an ER residency)? I would assume that for the sake of the ER resident's training, they would be expected to have a thorough workup done before consulting IM to admit? I ask because I plan on going to a major university for hospitalist work and wanted to hear real-world experiences with the admission process at these places. Anything is better than where I'm at now, just wondering what I can look forward to.