Thank you Scott Weingart for summarising the core issues of Emergency medicine and the ones I have been struggling with as a trainee. The cognitive dissonance that I have had over the last 3 years are encapsulated in your arguments and explains why I experience daily micro-aggressions towards ED from other specialties, the laughs and complaints I hear re ED when I hang out in groups of doctors outside work. I will be looking to transition to another specialty to look after sick people and to work in an area that is respected by my peers - I got into ED for the reasons Scott stated and other specialties provide this. As for a revolution, I think this is overly optimistic with no indication EM is heading in this direction. If a pandemic-sized stress cannot induce a revolution in the specialty, then nothing will. I foresee ED to take over more roles of a burdened primary care setting, more nurse practitioners, CMOs, GPs working in ED to take on more of the job and for medicine to take a larger chunk of the health budgets. ERs are not well suited for efficient screening of well patients. I foresee other specialties taking the interesting, sick patients more and more.
@@aluminiumknight4038 I finished specialising in ED, I'd call that grit and disagree with your comment on being 'Kinda weak'. I think happiness and contributors to happiness should affect your career path. If a job is not making you happy, then change your job. The change will make you happier in the long-run.
It was a great presentation. We, emergency medicine specialists who are part of the show, face difficulties all over the world and especially in Turkey, where performance anxiety is at the forefront. We definitely need a new paradigm. Thank you very much for your guiding and eye-opening conversations. And I wish SMACC and CODA would continue...
Emergency Medicine is a weak specialty, primarily because with a little bit of training in a few procedures anybody can do it to include internists and family physicians. Other than spending seventy percent of our time in front of computers as data entry clerks, the rest of our job is mostly minor care and routine exacerbations of chronic medical conditions. There are relatively few high acuity ERs where the Emergency Physicians spend any significant part of their shift with really sick patients. I’m not saying we don’t handle emergencies, but as an example, I worked in a city of about 150,000 that had eight full-service Emergency Departments including a level one university trauma center. There are not enough real emergencies to justify that. Which is why every single one of them advertised for patient on billboards.
It depends where you live. More low-middle income countries see a wide range of emergencies. There is a large admin burden but in South Africa where trauma, communicable and non-communicable illnesses combined with the social realities…there’s much value in emergency medicine.
Thank you Scott Weingart for summarising the core issues of Emergency medicine and the ones I have been struggling with as a trainee. The cognitive dissonance that I have had over the last 3 years are encapsulated in your arguments and explains why I experience daily micro-aggressions towards ED from other specialties, the laughs and complaints I hear re ED when I hang out in groups of doctors outside work. I will be looking to transition to another specialty to look after sick people and to work in an area that is respected by my peers - I got into ED for the reasons Scott stated and other specialties provide this.
As for a revolution, I think this is overly optimistic with no indication EM is heading in this direction. If a pandemic-sized stress cannot induce a revolution in the specialty, then nothing will. I foresee ED to take over more roles of a burdened primary care setting, more nurse practitioners, CMOs, GPs working in ED to take on more of the job and for medicine to take a larger chunk of the health budgets. ERs are not well suited for efficient screening of well patients. I foresee other specialties taking the interesting, sick patients more and more.
Kinda weak to let other doctors joke in their casual convos affect your career path
@@aluminiumknight4038 I finished specialising in ED, I'd call that grit and disagree with your comment on being 'Kinda weak'. I think happiness and contributors to happiness should affect your career path. If a job is not making you happy, then change your job. The change will make you happier in the long-run.
It was a great presentation. We, emergency medicine specialists who are part of the show, face difficulties all over the world and especially in Turkey, where performance anxiety is at the forefront. We definitely need a new paradigm.
Thank you very much for your guiding and eye-opening conversations. And I wish SMACC and CODA would continue...
Calling it "EDM" alone would be great marketing for sure. Break out the glow sticks.
Emergency Medicine is a weak specialty, primarily because with a little bit of training in a few procedures anybody can do it to include internists and family physicians. Other than spending seventy percent of our time in front of computers as data entry clerks, the rest of our job is mostly minor care and routine exacerbations of chronic medical conditions.
There are relatively few high acuity ERs where the Emergency Physicians spend any significant part of their shift with really sick patients. I’m not saying we don’t handle emergencies, but as an example, I worked in a city of about 150,000 that had eight full-service Emergency Departments including a level one university trauma center. There are not enough real emergencies to justify that. Which is why every single one of them advertised for patient on billboards.
As a emergency medicine fellow that's definitely true
It depends where you live. More low-middle income countries see a wide range of emergencies. There is a large admin burden but in South Africa where trauma, communicable and non-communicable illnesses combined with the social realities…there’s much value in emergency medicine.
👍
If I could post a shia Lebouf standing ovation meme, I would.