• SDN Site Updates

    Hey everyone! The site will be down for approximately 2 hours on Thursday, August 5th for site updates.

  • How To ACE Your Medical School Interview

    In this webinar hosted by SDN with experts from BeMo Academic Consulting, you will learn a simple five-step process to help you translate your interview invitation into an acceptance.

bhs_runner

Junior Member
10+ Year Member
7+ Year Member
May 12, 2004
23
0
Status (Visible)
Can you work in an ER if you are an IM doctor? I know that FP docs work in smaller ERs but can IM docs do this also.
 
Nov 24, 2002
22,299
7,977
SCREW IT!
Can you work in an ER if you are an IM doctor? I know that FP docs work in smaller ERs but can IM docs do this also.

You can try, but it is unlikely that an ED will hire a straight IM-trained doctor. When was the last time you intubated someone? How much trauma experience do you have? I mean, it can be done, but is falling away. The FM folks find their way in still because EM is very broad, as is FM training - however, there are a few things that FM still doesn't do (like trauma). It's a closer fit, but still not EM.

Now, would you want an EM doc treating the IM clinic patients? I sure wouldn't (having done an IM year - even if it was prelim). FM docs could treat those patients, but, still, it's not the perfect fit. You want the right person for the right job.

The Harborview example is unique, in that there are no other civilian EM residency programs that have non-EM boarded faculty running them (ABEM - the American Board of Emergency Medicine - states that you can have non-EM trained people on faculty, but the core has to be EM-trained and BC/BE - or, as the parlance now goes, "BC/BP") - that is why the UW civilian program is no longer, and it's military only now.

The Harborview ED runs like the stereotype people have of the ED - doing not much, and consulting out the butt. The more the doc in the ED does, the less he calls someone else, and the smoother things go.
 
About the Ads

Eidolon6

Senior Member
7+ Year Member
15+ Year Member
Jun 8, 2003
149
5
45
Status (Visible)
  1. Fellow [Any Field]
Some community ERs will use IM trained folks in the ER. VA hospitals routinely employ non-EM trained physicians for their "ERs". Little major trauma to be had at many of these places, where training in ATLS and a trauma referral route would suffice. Triaging patients is a skill shared by IM, FP and EM although they all have their nuances.

As with other areas of medicine...EM is underserved (which still makes me wonder why some of them are so hot about wanting critical care certification...but I digress) and rural areas, as usual, are underserved.

Many of these are "moonlighting" opportunities.

Historically, many if not most grandfathered ER physicians had IM backgrounds.

All this being said, you will not likely be employed at a tertiary referral center or larger hospital as an "ED" physician unless you have the EM training background or were fortunate enough to grandfather in back in the 80s. If you have a bug to do ED work, then your best bet is to do EM or a IM/EM combined residency.
 

PhillyGuy

Member
10+ Year Member
5+ Year Member
Dec 17, 2005
75
0
Status (Visible)
  1. Medical Student
Time has changed. You can no longer be certified in EM if you've only completed an IM residency. I think you have to do an EM fellowship after the residency if you want to the board eligible, which is a requirement for a job at a lot of places.
 

kungfufishing

Senior Member
7+ Year Member
15+ Year Member
Mar 7, 2003
1,053
6
Status (Visible)
  1. Attending Physician
there is not an EM fellowship after IM residency that I am aware of. If you want to work in EM, train in it. Who would you rather your doctor was - one formally trained in the specialty or one working outside of his/her area of expertise?
 

Trepp

Living the dream
10+ Year Member
Sep 27, 2006
66
0
www.medwanderer.com
Status (Visible)
  1. Medical Student
there is not an EM fellowship after IM residency that I am aware of. If you want to work in EM, train in it. Who would you rather your doctor was - one formally trained in the specialty or one working outside of his/her area of expertise?

IM docs are like supermen/women. We can do ANYTHING! ;)
 
About the Ads
This thread is more than 14 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.