2019; 56(3):e35-e38 (ISSN: 0736-4679) Rosen B; Rosen P; Schofer J; Asher S; Wald D; Cheaito MA; Epter M; Kazzi A. I suspect that’s true of all disciplines. However, the EM schedule lets me have the flexibility to take my kids to school every day – though I end up working a lot of evenings and nights to compensate. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Some areas are wide open (ie, most of Texas), while others are tough to crack (ie, Austin, TX… and Chicago… and Denver… but not impossible). With your training, you’ll be able to handle the emergent aspects of many disease processes. Lifestyle. Anyone free Tuesday night?” No one else ever is. (6)Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon. These moments however are balanced by the satisfaction of a smooth intubation or thoracostomy tube placement. It takes a certain type of person who can maintain a calm attitude, even in the most difficult situations. Working night shifts? Dept. thoracostomy tubes, intubations). Not having a longitudinal relationship with patients is a sacrifice of practicing emergency medicine so if you thrive on long term follow up with patients EM is probably not right for you. You can also pick up and move somewhere else. Is this a plus or a minus? Finally, we provide students interested in EM with some resources that can provide them with further guidance to decide whether EM is the right choice for them. There’s really no way to know until you’re already a doctor, living the doctor’s life. If you want to have relationship with your patient that spans years, you won’t get that in EM. You may also want to look at: Let’s look at some of the commonly mentioned characteristics of EM, and then we will give our thoughts. What’s the job market like?. You should know what you’re doing. Iserson’s Getting into a Residency: A Guide for Medical Students, Sixth Edition – it includes a good review and comparison of all specialties as well as advice on applications, interviews.. etc. Not knowing what may come through the door next but knowing that regardless of what it is I am going to be able to deal with it is exciting. You won’t last long, if you do. Is Emergency Medicine the Right Choice for Me? When your friends ask you out to a concert on Friday night, you reply “I have to work. However, it can be socially isolating. Yes, we work only a few days a week. Joining an EM specialty society or organization, such. Your results may vary. I can’t imagine practicing any other specialty at this point but I know in 20 years that may not be the case. With this comes a lot of responsibility, though. If you like to do procedures, we definitely have a lot under our jurisdiction. Only about 5-10% of our patients are critical enough to warrant ICU admission so you will see many more primary care problems than crashing patients. For instance, having to follow a different thought process than most other physicians, as well as the patients’ quality and expectations. That being said, those 5-10% of patients are more than you will see in the vast majority of other specialties. The reason we don’t work that many days is because this constant changing is exhausting. PC:  For me the variety is one of the most exciting aspects of emergency medicine. PC:  Doing procedures during your shift can be very rewarding. And by this point… it’s too late! Many studies have explored what influences the choice of emergency medicine (EM) as a specialty. You’re a master of emergencies. There are plenty of ways for things to go wrong as well. There is the possibility of going part time and flexibility in scheduling (very helpful when you have a family). Before then, emergency departments were led by orthopaedics and dealt primarily with injuries. These physicians thrive in high-pressure situations and can handle patients who are panicked, disoriented, or in severe pain. One of the hardest decisions a medical student has to make is the choice of specialty. laceration repairs, incision and drainage of abscesses) far outnumber the adventurous procedures (e.g. Procedures. I don’t know. PC:  The shift schedule is both the best and worst thing about a life in emergency medicine. Published by Elsevier Inc. https://doi.org/10.1016/j.jemermed.2018.11.001. Call - 0300 123 1233 Email - [email protected] Webchat - talk to an adviser Weekdays 8am - 8pm. J Emerg Med. This research received a non-restricted educational grant from the not-for-profit Resident Student Association (American Academy of Emergency Medicine) and Department of Emergency Medicine at the American University of Beirut, Lebanon. of Emergency Medicine In this article, we elaborate on the most important incentives, including the diversity in patients' presentations, having a defined and flexible schedule, the plasticity in choosing and changing a practice location, and the acuity of care and trauma experience. You can never really know until you’re living the EM life, but you stil have to make the choice. Fax: (312)-942-4021. Sunday 9am - 5pm. The older you get, the harder your body finds it to adjust to this changing schedule. Is Emergency Medicine the Right Choice for Me? I love having random weekdays off to do the things you enjoy doing but that often comes with having to work a weekend day when everyone else is doing the things you enjoy doing. He gives his personal insight into a career in Emergency Medicine and is clearly passionate about the work. Rushing in to save the day was part of the lure of EM. The downside is that there is a lot of stuff to know. Rush University Medical Center This used to be a problem when other physicians would staff emergency departments. Burnout is less of an issue. RP: for me, one challenge is that I have to work a lot of weekends that most people have off. Emergency medicine, also known as accident and emergency medicine, is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. When compared on a per hour basis with other specialties the pay for emergency medicine generally falls in the middle-upper echelon of salaries, though this should not be a reason for picking EM. Many studies have explored what influences the choice of emergency medicine (EM) as a specialty. For all other non-emergency enquiries normal opening times apply. Some days I dread it. © 2018 The Authors. Becoming a doctor ; First year medical students ; Guide to medical specialties ; Ethics ... For 24/7 emergency COVID advice please call us. I’m going to start right off the bat and tell you that the EM lifestyle is not easy. as the RSA, AAEM, SAEM, EMRA, American College. Well, there is still lots of demand for EM trained, board certified EM physicians. The high acuity and different approach needed created dissatisfaction among these doctors who weren’t trained to handle this. Usually I can get one of those days off, but not all. Overall you work less clinical hours that any other specialty in a month, however when you are at work it is often at a break-neck pace. We don’t have to carry a pager. Ultimately, I’d rather take care of sick patients. RP: There are plenty of procedures to be done. We use cookies to help provide and enhance our service and tailor content and ads. Also miss whatever is going on during the weekends. It’s just like having to guess if being a physician is right for you. Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. And yes, when we’re off, we’re off. PC:  Emergency medicine sometimes offers continuity only with the patients with whom you would never want continuity. Whether it is the critical unresponsive patient or the man that got a crack rock stuck in his ear (yes, it happened) emergency medicine training prepares you for the skills & innovation to deal with both. RP: the day to day practice, I still find exciting and I can’t imagine when that won’t be the case. One of the hardest decisions a medical student has to make is the choice of specialty. As an emergency physician you must be prepared to deal with any person with any given complaint that walks in the door so if you variety there are few if any specialties that rival emergency medicine in this respect. PC: Emergency medicine sometimes offers continuity only with the patients with whom you would never want continuity. Emergency Medicine physicians provide valuable clinical, administrative, and leadership services to the emergency department and other sectors of the health care delivery system. I work to see the people already placed in a room, but that can often be interrupted by an emergency such as a trauma, heart attack or stroke.

is emergency medicine right for me

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