GiJoe

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I know EM is hot field now and the chances of it ever becoming obselete are slim... but what if somthing happens and the demand for ER docs drastically falls? What would you do in such a situation if you're an emergency physican. Of course cardiologists/GI/etc. could always fall back on being an internist, but there aren't many subspecialties for you to go if EM goes down the drain. What options would be available if such a thing would ever happen? (even though it probably wont.)
 

DocWagner

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???
So your real question is "Can EM doctors choose to work in clinics"...I suppose so, knowing the current crisis of primary care medicine and EM overcrowding, one might as well ask "what are the chances FP will open their clinics to all comers and no longer need appointments" or "what are the chances people will stop taking drugs and doing stupid things, or stop driving fast and start wearing their seat belts"...answer=zilch.
 

OSUdoc08

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I supposed a fellowship in a different field, such as what I will do with sports medicine, will prevent any problems if jobs become short. Of course I don't think they will.
 
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Kalel

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Yeah, I agree with the previous posters. The probability of them needing fewer ER's and ER physicians, as opposed to more ER's, with the agining population and increasing usage among the general public of ER's as general clinics is almost 0 (the only way that I could see that happen is if there were some disaster that drastically decreased the total population of the US while leaving the number of ER physicians in this country in tact because they were all safely away from the disaster at some big ER conference or something). Especially in our current malpractice state and increasingingly larger number of patients that primary care physicians and specialists are trying to see per day to make up for decreasing reimbursement rates; the fact is that a lot of clinics in both primary care and specialty care will send the patients who they think might be in trouble to ER just in case even if it's just because they haven't had the time to take a full history. ER's typically become more busy around 4:30-5 pm, when physicians can no longer "squeeze" these patients into their clinics and thus just tell them to go to the ER for further w/u of whatever they are complaining of. I can only see this getting worse.
 

kilroth

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I know where I am from the EM's were filling in the primary care clinic when one of the PC docs got killed. So EM docs could work in a clinic if they needed more work.
 
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