Working in ER without doing ER fellowship

[YellowEmu]

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hey all

interested in working in the Peds ER but don't want to spend another 3 years getting a fellowship in Peds ER

I know I'll only get to do levels 3-5 (ok who are we kidding there are no 5's) stuff but at the same time, this seems like a good way to balance raising a family and working in medicine at the same time.

My questions are 1.) what is the going pay for this type of work and 2.) does anyone have experience in this and can give me their insight?

 

[Stitch]

This isn't too uncommon given the relative dearth of EM trained pediatricians, so many centers will hire you for double coverage. There may be some jobs outside of a dedicated peds hospital, but I don't know of them. Depending on the setup and your interests you may be able to pick up higher acuity charts as well. Some places also have a separate 'fast track' or 'rapid treatment unit' that's pretty much only level 4 and 5 if you'd rather do that (I'd rather pry out my eyeballs with a spoon).

The pay depends on your location, but you'll probably make what a general pediatrician makes.

These jobs probably won't be around forever though. Peds EM is getting fairly competitive, and there is definitely a push to staff peds EDs with fellowship trained docs. In terms of liablility it's better as well. The fast track jobs will likely stay open however, though mid levels are doing those too.

 

[ForbiddenComma]

Interesting.

At my place, all of the general peds attendings regularly pull shifts at the peds ER; however, there is always one fellowship- or EM-trained doc down there no matter what. I don't think there's any formal division of labor beyond the ER doc taking the traumas... informally, the likely admits are handed to the general peds docs because they are likely to round on those kids sooner or later on the floor.