M4 here, matched into EM in March. How often do you work nights? My gameplan as I got older would be to move from community to academics and/or work for a group where they have night differential and take a paycut to work days and/or start adding in some urgent care shifts. This is way more often than I hear burnout associated with any other specialty. The pay is pretty good. Around Easter, he volunteered to be part of a team handling surge capacity for the hospital’s respiratory intensive care cases, as doctors were still learning how to care for patients and effectively… In general, a fellowship schedule means a transition from an almost exclusively shift-work schedule to a more regimented academic schedule peppered with ED shifts. Hi all, I'm an M2 studying for boards and my fiancé is an M3. I will say that there is a high burn-out rate for emergency medicine. I should mention, though, that regardless of where he ends up, he'll have to work some of those annoying overnight shifts and holidays. My future residency does 12 hour shifts, 8A-8P and 8P-8A. It has nothing to do with the people who work there. Me, I work in an academic center. 3:15 Pandemic driving Canada to brink of mental health crisis The death of a Granby, Que., emergency physician has sent shockwaves throughout the Canadian medical community. Press J to jump to the feed. If that sounds like you fiancé, then I think he'd be a good fit for EM. Do you have a nice work/life balance? I work 13-15 shifts a month, including 2 nights in a row from 10p to 6a. One of the biggest cons I've heard is the difficulty in adjusting to overnight shift work and how it only gets worse as you grow older. This part of Medscape's annual Physician Lifestyle Report focuses on their responses to our survey questions about burnout and depression. Thanks for your response! Emergency medicine training also enc… I also hear salaries a bit higher than that usually. Do whatever you want you won't have to come back or sleep in the hospital. Three shifts a week is a pretty normal schedule isn't it? Mitchel Schwindt is an emergency physician. As an M3 you should have an idea of what each specialty does to the staff by looking at what kind of lives your supervisors/attendings live. Two coronavirus vaccines developed by AstraZeneca and Oxford University and by local pharmaceutical firm Bharat Biotech received emergency approval from the … My residency in emergency medicine is over, and I’m working at an academic emergency department in a Chicago hospital. night shifts get harder as you age, Look around at the docs in the ED what is the average age of the guys/girls working the friday overnight. Don’t change JUST because of lifestyle. Press J to jump to the feed. We work hard, and we play hard when we clock out and we love what we do. The problem is; a great lifestyle with a specialty you hate could be as bad a specialty you love with a poor lifestyle. The lifestyle of a toxicology fellow varies from program to program but is generally balanced between ED shifts and medical toxicology responsibilities. Number of fellowship programs There are 3 civilian programs, as well as 2 military options: • Mayo Clinic • Wright State University • The University of Texas-Medical Branch in Galveston • US Air Force Residency in Aerospace Medicine at Wright-Patterson Air Force Base • US Navy Residency in Aerospace Medicinein Pensacola, Florida Differences between programs The Mayo Clinic is a true fellowship and only accepts applicants wh… He is looking into emergency medicine residency, but doesn't know much about the actual lifestyle. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. The erratic schedule is a big attraction for me. Another busy one, and they’re happy to see me. When you panic, people die. There are local practices of EM docs that can have 5-10 docs in the practice that contract out to a local hospital. Family medicine physicians continue to be in high demand, but their future is shifting to different work environments and payment models. But there was another sine qua non in my job search: I must work part-time. #4 More so than most specialties in the house of medicine, we are an interchangeable cog in the machine. He's a relaxed person, smart but he works hard while he's actually at the hospital. There are also very large nation wide practices encompassing thousands of docs that contract out to hospitals, and depending on the number of docs you have working at an ER and the bargaining power of the practice will dictate how many shifts you work. Grew up knowing a few emerg docs and have a few buds doing emerg starting next year. A lifestyle within a lifestyle. Hi all, I'm an M2 studying for boards and my fiancé is an M3. That said I could be wrong. Family Medicine. A typical day and week in my practice: It depends on which shift you are working, but in a busy shift, I usually come on and take reports from the doctors who are going off. He's not a redditor, so I thought I'd ask on his behalf. This will most likely be what I do for the next 30-40 years. I'll pass this along to him! Employment type: Employed by a group. I make sure to say hi to the night team and ask how their night went. A lot of the mid-career emerg docs teach classes in our med school and I think this is probably a combination of the high burnout rate and the excellent handle on the foundations of medicine they have. EM docs know a good amount about everything and know how to manage very sick people on death's doorstep. He'll be doing his ER rotation in July, but until then I thought I'd ask about your experiences to get an idea from people who have actually done it. When the flight attendant comes on the intercom on a plane and asks 'Are there any doctors on the plane?' Everyone here is still in school. No call. Pediatric Emergency Medicine. I get far more time with my wife and son than most of my colleagues and I have a lot more fun at work. This year’s Medscape physician compensation report reveals that emergency medicine physician salaries are on the rise, and they are one of the highest-ranked physician specialties in terms of job satisfaction. All medicine interns spend 1 month in the ED during our first year. EM is the best job I've ever had. diversify before going for the big bucks. Hematology - Oncology. He's not a redditor, so I thought I'd ask on his behalf. John L Holmes, Sustaining a long career in emergency medicine: Issues for emergency physicians of all ages, Emergency Medicine Australasia, 10.1111/1742-6723.13370, 31, 6, … /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of … See what leaders expect in the coming years, and how individual physicians can help achieve key goals of this crucial specialty. Most say they would choose the same specialty again if given the chance, and they are one of the specialties with the least amount of paperwork and administration. Is it safe to assume that they make way more than this or would they still be around that 300k mark, EDIT: My bad guys, Ill take this to r/emergencymedicine, post this in r/medicine if you you're looking for people who have actually done it. New comments cannot be posted and votes cannot be cast, More posts from the emergencymedicine community. HIV/AIDS. I don’t feel comfortable there. Having a physician husband actually gives you some flexibility. SOMETIMES there is just nothing they can do. From what I gather it is a great lifestyle if your brain is built for it. For instance, I knew of an attending who has kids and wants to spend lots of time with them, so she was able to negotiate that she only works 2 overnight shifts and one day shift a week while her kids are at school. Dr. … 10?) But I also get to help out during school events occasionally or do random things in the middle of the day. that is very astute, I would do it again, but another 25 yrs of vague sx from someone fishing for percocet and the endless flips from days to nights and back get old after 10+yrs. No office, no staff, little paper work, someone else does your billing, work 30-40 hours per week, make great money = ALL GOOD. I chose something else because I unfortunately will get old one day and the shift work and intensity are not my jam. Infectious Diseases. Lots of extreme sports folks. The emphasis is on pre-hospital care and the acute care aspects of the other specialties. Love my free time. Allow me to explain. On average, a full-time ER job may include 10 … Admittedly my family is fantastic and is really great about being cool with my weird schedule. Surgery (at least most types) has on call and odd ball OR times so is similar to shift work in a way. In addition I have other academic responsibilities that I have to participate in. Outside of shiftwork, the lifestyle is pretty good. The time on shift is intense but when it's done it's done and you leave. Sports Medicine. Once you are through you can limit your practice based on your needs. Emergency Medicine. Your email has been sent. “I was shocked at the offers I received,” recalls Samantha. Just like most careers and jobs, emergency medicine medical practice typically consists of a standard routine. I have cared for 2 coworkers who have crashed their cars driving home (oh and I had my own little incident driving) give yourself some outs i.e. Won't do anything else. Europe also shows the second largest market in the electronic medical thermometer market due to lifestyle changes and adoption of the technologically advanced … Residents have access to a broad range of opportunities at the many campuses of the Johns Hopkins Health System in Baltimore, Maryland. Teaching residents in an urban setting is important to me. I know lifestyle questions can seem superficial, but it still is worth being familiar with the total reality of a specialty. Undersea and Hyperbaric Medicine. Years in practice: 24. General Surgery. I do about 112 clinical hours a month (roughly 14 shifts). by Will Sanderson, Danny Cuevas, Rob Rogers Imagine walking into the hospital to start your day – ambulances are blaring, the waiting room is clamoring, babies are crying. Almost all of my colleagues are married with kids. Some people on forums suggest that one of the specialties with good lifestyle is emergency medicine. Barring a mass casualty situation or a coworker suddenly becoming ill, no last minute cancellation of plans to have to go see a patient in the hospital. http://www.reddit.com/r/emergencymedicine/comments/2fozqy/looking_for_honest_opinions_about_em_lifestyle/, New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. What would you suggest? EM docs are the type that when a building is burning down, they're the ones calmly escorting people out of the exits, not running around panicking. Press question mark to learn the rest of the keyboard shortcuts. The shifts are all over the place, some start in the middle of the night, some end in the middle of the night, and some are 9-5. I will tell you that I love emerg but it is not usually an old man/woman's game. Gastroenterology. Medicine continues to evolve at a steady clip, and tomorrow’s practice holds the promise of an incredible adventure. These professionals specialize in advanced cardiac life support, trauma care and management of other life-threatening conditions. It is a high-pressure, fast-paced and diverse specialty that requires a broad base of medical knowledge and a variety of well-honed clinical and technical skills. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. I have read plenty about the challenges of the day to day job/work environment itself, and I'm very much ok with them. or when he has to stay at the hospital overnight. But that's a part of the job and he should be prepared for that should he choose to do EM. Emergency physicians treat all age groups in a myriad of conditions with varying degrees of severity. Granted, she doesn't make as much money as her coworkers, but that's her choice and she's happy with it. Yes I'd do it again. National average I believe is somewhere in the 250-300K region, but I hear with bonuses you can make more. That doctory feeling of rapid intubation or chest compressions is so rewarding though. Thank you, I really appreciate your perspective! Your Email Recipient's Email. It has everything to do with the system. The constantly shifting schedule works well for me, and I'd much rather do that than have to be on call. No beepers. All about my emergency medicine rotation here at Mayo Clinic! Emergency medicine as you grow older? Thank you for the reply, I never thought about the erratic schedule being a sort of benefit but that actually does make some sense. I pull up the tracking board to … “Shadowing” Dr. Clem. Press question mark to learn the rest of the keyboard shortcuts. Optional Message. The Johns Hopkins Emergency Medicine Residency Program is one of the oldest and most dynamic in the country, offering residents the opportunity to work and learn in a large urban hospital setting surrounded by some of the brightest medical minds in the world. Send me a copy. Medscape Emergency Medicine Physician Lifestyle Report 2018: Personal Happiness vs Work Burnout. So I was hoping to hear the opinions of some attendings about their experiences in the field. Day in the Life of a 3rd Year Emergency Medicine Resident 6:50 am: Arrive at work, walk into A/B pod, and pick out a computer for the day. I can’t do Emergency Medicine. I do not like the environment of the ED. At our centre they work four 8-hour shifts a week, so the hours are pretty light. make the most of your residency opportunities. Family medicine (5.7) was the top-rated primary care specialty, followed by pediatrics (5.3) and internal medicine (4.7). Pain Medicine. A central team will visit Andhra Pradesh to investigate a mysterious disease that has begun spreading in the state's Eluru city claiming one life and affecting around 350 people so far. There is a bit of a trend towards more senior staff working better/daytime hours, but mostly everyone's schedule is constantly shifting. The unspoken rule of most places is you show up 30 mins early to pick up new patients the old team doesn't have time to get to before they leave, and you stay an hour after your shift to finish up notes. Over 30,000 doctors from Gujarat joined the nationwide protest called by the Indian Medical Association (IMA) on Friday against the Centres decision to … But he doesn't seem to be sure about how long those shifts may be (7 hours? He says that he likes that ER has shifts and that he'll know exactly when he gets off. "National average I believe is somewhere in the 250-300K region, but I hear with bonuses you can make more. Practice setting: Group practice at a community hospital that has an emergency medicine training program. They don't know it but they're really asking for an EM doc. Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. Send. Most full-time ER doctors work in shifts ranging from 6 to 12 hours long. EM is shiftwork, if that daily grind isn't "you" then look for a daily clinic or maybe rounding service. One thing I will mention is I often hear the word "burnout" right after the words "emerg doc". To answer your question about shifts, it depends. Medical Toxicology. 43.7k Members Our unique four-year program provides residents with the opportunity to spend their final year of training foc… Residents Lifestyle and Happiness Report 2016 8 hours? Last year was “brutal, exhilarating, terrifying, awesome, and ultimately grueling” for Jonathan Golob, assistant professor of infectious disease at the University of Michigan. I would absolutely do it again. In attending life, shifts vary depending on where you work and what amount of bargaining power you have. He is looking into emergency medicine residency, but doesn't know much about the actual lifestyle. Critical Care Medicine (and here there are 3 options - can be done through anesthesia, internal medicine, or surgery) EMS (obviously the best and coolest subspecialty) Hospice and Palliative medicine. Once you decide to have a family, you don’t “have” to be the primary breadwinner. Hospital Medicine. There are many great things about Emergency Medicine. For one, I … Emergency medicine physicians possess the knowledge, skill and management talents that easily translate into a variety of opportunity within and outside the walls of a hospital. Welcome to /r/MedicalSchool: An international community for medical students. Emergency medicine is the specialty that focuses on the recognition, evaluation, and care of patients who are acutely ill or injured. There's a lot of life happening outside of 5pm-bedtime. Definitely the ED attracts an adrenaline junky-type crowd, but not exclusively. He's a relaxed person, smart but he works hard while he's actually at the hospital. lifestyle; health; Reddit users send an image of a grieving doctor in California viral. Would you do it again? ", I know of a few docs who work full time in 2 different hospital and work part time in rural hospitals. You stroll through this sea of humanity and eventually arrive at your workstation. Most residencies are 3 years, but a 1/4 of them or so are 4 year programs. I've heard that for most people, though, you really get what you want. I can't imagine having a set schedule in perpetuity let alone a 9-5 M-F type of job. Yes, I miss some holidays and work nights and weekends. sub specialize have some side interest that could give you a way off the night shift. Are you able to see your family enough? The Daily Clinical Aspects of Emergency Medicine Are Repetitive. Burnout continues to be a pervasive issue among physicians. Canadian M4 here (doing peds next year). Not to say other specialties don't have this quality, but for EM docs, having a cool and collected demeanor at all times, even wen the shit is hitting the fan, is an absolute must. Emergency medicine doctors (EMD) work in emergency rooms or trauma centers and treat patients who need immediate care. Specialty: Emergency medicine. I'm a 3rd year medical student who's currently strongly considering emergency medicine as a future career option. I'm married with 2 kids. Other places I interviewed at did 10 hour and 8 hour shifts. In residency, the length of shifts, how many you work, and when varies by residency. Students rated the lifestyle of their own specialty only slightly higher (range 0.02 to 1.8) than all other students. Anecdotally, for graduating family medicine residents whom I have trained, the job offers look even better than most reports. 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