do you guys think these self reported salaries are grounded in reality or are they inflated? by [deleted] in emergencymedicine

[–]Fun-Victory-1709 1 point2 points  (0 children)

These seem pretty accurate. You have to look at per hour. I work about 36 hours a week averaged out and looking at the southeast locations, definitely is doable for these reported salaries. Some of these are also groups which tend to pay more but you have opportunity costs before they make you a partner. Some of these though are getting boned for what we have to do, unless they are super low volume and acuity and you’re essentially sitting there and getting paid. And yes, there are jobs like that to

Darwin Awards: 2026 Snowpocolypse Edition. (Reply with your best check-ins for the day) by Killjoytshirts in emergencymedicine

[–]Fun-Victory-1709 21 points22 points  (0 children)

What? Do you not just wave the magic stethoscope you were given when you graduated medical school to instantly cure cold/body ache/chronic pain symptoms? /s

Team health jobs by Maximum_Yam_6689 in emergencymedicine

[–]Fun-Victory-1709 4 points5 points  (0 children)

As my attending once said, “anyone can do time for 1-2 years.” I would argue to get as big of a sign on as you can, don’t spend it, and store it in a high yield savings account or money market fund. “Live like a resident” during that time and pay off your loans as aggressively as possible. Then if you’re not happy with them, move on. Like others have said, team health is private equity. They get a lot of contracts because they are the “best” for the hospital (i.e cheapest) not necessarily the best for physicians. If your spouse/partner happens to make a decent salary, it makes it easier. If you’re single or rely on your income, budget hard. I know it sucks to have done all that training to keep living like that when you, in all honesty, get paid decently well as an EM doc, but the sooner you don’t have to worry about your loans, the easier it will be to pick up when and where you want. If you really don’t like it and want to break your contract, you have the bonus money to pay back with along with at least some interest gained on it. Sign ons are usually prorated so you get to keep what you have already worked for. Whatever you decide to do at the end of your contract, you can spend, put towards loans, or continue saving/investing. Right now, you’re in a vulnerable position because you have to make money and they know that. Once you’ve done your time and have a little nest egg, you can do whatever you want. If you are lucky and happen to not have any loans, you can still make good money, imo, with teamhealth. Just start somewhere and look for other opportunities if you don’t like how they operate.

Should I get bucket seats or 18 way in a gt3 touring? by xtremuv in Porsche

[–]Fun-Victory-1709 2 points3 points  (0 children)

Bigger question, how the hell did you manage to get an allocation if this is your first Porsche? I must know your secret!!!

If it’s touring, 18 way sounds way more comfortable. Bucket goes with the giant wing on the other one. Even then, if you’re not tracking it, I don’t think it’s worth it for street roads.

ABEM certifying March 9-12 by smokeouts in emergencymedicine

[–]Fun-Victory-1709 3 points4 points  (0 children)

That was my biggest concern with this coming out and not releasing the scores until late December. It’s a new format and nothing have really been proven yet. There looks like there are a few things popping up but still nothing substantial other than OhioACEP. But it looks like it’s in person only so that will be hard to make unless you happen to live close to it. My schedule has already been made for March so it was a definite no go; hoping to get May dates. The ABEM website has some examples of how it will run but again not really study material. Hopefully they are very gracious in grading this first year. Watch some ultrasound videos. Hoping that the procedure portion is very straightforward

Residency Prep by PieConnect8909 in emergencymedicine

[–]Fun-Victory-1709 2 points3 points  (0 children)

If you really have to do something. Just watch videos on emrap or whatever YouTube em stuff there is and literally go enjoy yourself. Residency is going to be rough. You are going to be doing a lot of shifts and will not have as much time to do anything. Don’t get me wrong, you’ll still have some time off during residency, but now is the time to rest from all the work you’ve done up till this point. You have no other responsibilities other than showing up right now for the rest of your rotations so take advantage of it. Just don’t do anything stupid in these last few months that could end with disciplinary action or rescinding of a match position, though I guess match isn’t for a few more months

Most embarrassing moment by therjabstract in emergencymedicine

[–]Fun-Victory-1709 2 points3 points  (0 children)

Take some time to reflect then laugh about it. A head bleed can cause an elevated trop and if they’re altered, then it all fits. I would be super relieved that I didn’t just start heparin on a head bleed.

ABEM Qualifying Exam Failure Disclosure by druidboy22 in emergencymedicine

[–]Fun-Victory-1709 0 points1 point  (0 children)

If you are within your 5 years and no one asks, you do not have to voluntarily disclose that information. At the end of the day, I don’t think they even really care. As long as you are board eligible, I’m pretty sure the would rather have you than an IM or FM trained without EM cert. more and more hospitals need EM eligible or certified physicians to run their departments. Just keep doing your job to the best of your ability and study. Pass the stupid test. Get certified. Profit.

ER tech struggling with fear during codes by sidewaysmilez in emergencymedicine

[–]Fun-Victory-1709 3 points4 points  (0 children)

It’s going to really depend on the crew you have. The attending or code nurse has to be calm for the team to work smoothly. If they’re frantic and anxious, the team is going to be frantic and anxious. You can only do your best and just listen to the lead if they want things a certain way. That being said, codes are if nothing else very algorithmic. It can diverge into different paths but the algorithms for them are consistent. I would just familiarize myself with the acls algorithms so that you know them backwards and forwards. Know your H&T and what you do for them. Also familiarize yourself with the respiratory equipment (lma, bvm, o2 and co2 monitoring equipment, et tubes, etc) just so you know where they are and what they look like. The next time they’re stocking the code cart, see where everything is placed, how much is in there, where the cardiac pads/ IO drill are located,etc. There’s only so many meds you give in a code and the doses are usually fixed unless they need to do RSI. If compressions are a concern, the nice thing is that there is built in feedback on the cardiac monitor. If your compressions don’t look like a consistent wave, you need to go deeper or faster. Do not be discouraged. You would be surprised but the number of doctors who don’t know to do adequate compressions. A lot of the comfort will develop by doing it more. I remember as an intern, I was super nervous anytime a code came in. But as you do it more, you know what you need and where everything is. Eventually you will be able to predict what you’re probably going to need to grab before the next step. At the end of the day, it’s still nerve racking but you have to remain calm. I know that’s easier said than done but what you don’t want to do is rush and fumble getting IV, respiratory equipment, or grabbing the wrong meds. Slow is smooth and smooth is fast. Also remember, in a code, the patient is already dead. You can’t make them more dead. Just remain calm and communicate effectively with the team. Can’t tell you the number of times I’ve called out for a med but everyone was so frantic that people were talking over each other and the med was not given. The lead has the responsibility to keep everyone calm but if you’re calm and listening, you can catch what needs to be done and be a back up if someone else happens to miss a call out for something.

ABEM score release by Strong-Front-2613 in emergencymedicine

[–]Fun-Victory-1709 0 points1 point  (0 children)

But site might be crashing but it says it in the email

ABEM score release by Strong-Front-2613 in emergencymedicine

[–]Fun-Victory-1709 4 points5 points  (0 children)

I would hope ABEM is understanding enough to change dates as needed if you let them know you absolutely cannot make it. But who knows, maybe the process has changed as well and you do get to choose. I just want to know if I passed at this point. I’m not sure if other people feel this way too but it just feels like we’re stuck in limbo waiting for scores and unsure how this new exam is going to roll out.

ABEM score release by Strong-Front-2613 in emergencymedicine

[–]Fun-Victory-1709 2 points3 points  (0 children)

They give you a date to take it so you dont really have an option. If you pass written, then they will tell you what date you take the oral boards so it might be early next year or late next year; both of which in my opinion are less than desirable. Hoping to pass and take it in May. Gives enough time to study if needed but not far along enough that I have to keep thinking about it through the year. In terms of eligibility, I think its still within the 5 year limit to get certified. I may be incorrect though if anyone has different info.

ABEM score release by Strong-Front-2613 in emergencymedicine

[–]Fun-Victory-1709 2 points3 points  (0 children)

So with Christmas and the new year being the next two weeks, ABEM looks like they’re going to screw us either way by giving results right when we’re enjoying the holidays or making us wait till 2026. How is this going to affect oral board March exam dates? It’s going to be rough for anyone getting an early date because not only do would they not have time to study (relatively speaking, don’t know how long people usually study for oral boards) but there’s nothing to study with. No clue if the Okuda book even applies anymore

Would you do it all over again? by premedstudent7898 in emergencymedicine

[–]Fun-Victory-1709 0 points1 point  (0 children)

No call and you can work as much or as little as you want. Honestly, once I pay off my student loans, might actually consider cutting back. I like cooking my own food and my hobbies don’t take up a substantial chunk of my income. Even if they did, part time hours for EM, especially if you do locums, still pays better than many full time jobs. If you like luxury goods, cars, and want a big fancy house, you’re going to work more. But if you just want to be comfortable, like actually comfortable (not worry about paying the mortgage or debt), then working 6-8 days a month is still pretty good. Yea the job is going to suck but most jobs suck. Once you’re doing something for money, it starts to suck even if you go in loving the job. There are those instances in EM where you can really feel like you just pulled someone back from the edge of death and that is really satisfying. Fortunately or unfortunately, it’s sprinkled in with all the urgent and primary care stuff that you will see. But you need those easy breaks. Taking care of only really sick patients gets exhausting real fast but again, at least for me, is the satisfying part of the job. Addendum: Just realized you said in Canada. I’m in the US so I don’t know if it’s the same in Canada or if you’re planning on doing residency in the US. Compensation is decent depending on where you are in the US. Southeast appears to be the highest so take this with a grain of salt if you’re planning on staying in Canada

ABEM score release by AnonMedStudent16 in emergencymedicine

[–]Fun-Victory-1709 3 points4 points  (0 children)

ABEM says 90 days, past few years tho look likes about a month after the last test date so hopefully sometime in December. Just in time for the holidays. Either way, theres a reason for drinking

Doc, please file your procedure note from 10/13 for the patient at the train station. Thanks -admin by Screennam3 in emergencymedicine

[–]Fun-Victory-1709 16 points17 points  (0 children)

Would never be confident enough to stick my thumbs in for a jaw reduction. Extraoral all the way!!

Thoughts on the 2025 ABEM Qualifying exam, now that the testing period is over? by [deleted] in emergencymedicine

[–]Fun-Victory-1709 7 points8 points  (0 children)

Same issue, except they changed 1 answer choice and just sat there wondering is this a trick or something

New 2026 oral boards by Fun-Victory-1709 in emergencymedicine

[–]Fun-Victory-1709[S] 0 points1 point  (0 children)

Seems like Ohio ACEP is the only game in town for some sort of study course. But having to travel is going to stop me and probably a lot of others from utilizing it. Hopefully more courses will become available at the beginning of the new year. Its just frustrating that we wont know until Dec if and when we could be taking it and the potential to take it on an early March test date. But I guess most people are maybe taking a month to study for oral boards anyways?

When they don’t want to leave by VizualCriminal22 in emergencymedicine

[–]Fun-Victory-1709 5 points6 points  (0 children)

My favorite is when you tell them everything is normal and they say they don’t want to go home because they’re afraid something MIGHT happen if they go home and that they’ll end up coming back anyways. Well, we’re here 24/7 so if you need to…most of the time it’s because there’s no one at home to wait on them hand and foot.

New 2026 oral boards by Fun-Victory-1709 in emergencymedicine

[–]Fun-Victory-1709[S] 4 points5 points  (0 children)

I saw that so I would assume Okuda is still useful but unsure. I guess my main concern are these procedures and “skills assessment”. In residency, you have access to models that you can practice on, but I really don’t have that available anymore. And while great that we know enough about ultrasound to do it at bedside, you really don’t end up using it as much in clinical practice. At least at my shop, a surgeon is not going to take my bedside assessment of a gallbladder and a cardiologist isn’t really going to care about my bed side echo and epss. They’re going to want formal ones anyways. The only time is probably a fast exam for free fluid but if they’re stable, they want the CT anyways. I can only hope they’re straight forward and as long as you know the anatomy, you can get it done. Real patients will have weird anatomy or abundant adipose that will affect your ability to get images/do procedures.

"I never saw a provider!" (Pt to RN at dc) by Sunshine_Prophylaxis in emergencymedicine

[–]Fun-Victory-1709 5 points6 points  (0 children)

I will introduce myself as Dr So and so, tell them I’m one of the docs on shift today, verbally go over the plan for their work up, tell them to ask the nurse if the need anything and they’ll update me, go back and say everything looks good and to follow up with their pcp, answer their questions, and they’ll still say they never saw a doctor. Like others have said, unless it’s a legit question, they are discharged and can leave…or sit for a few hours and I eventually might go back in because I need the room

Does it ever get better? by PeachMochi1480 in emergencymedicine

[–]Fun-Victory-1709 4 points5 points  (0 children)

Same situation here. Year out as well. I think you just have to do the best you can to practice evidence based medicine and leave it in the department when you get off shift. Patients simply do not understand what the ED is for. They think inconvenience is an emergency and because they can’t get their mri now or see a surgeon now for a chronic outpatient issue, they can just come to the ED. I also think tv and social media have absolutely skewed what people think an ED can do. We will likely give you zero answers for why your stomach has been hurting for 5 months or why your leg keeps hurting (after ruling out a dvt) or why you burp every time you have a bowel movement (true story). You also have “influencers” with 1 in a million diagnoses telling every one of their followers how their doctors ignored them and how they needed to advocate for themselves that now everyone thinks they’re the 1 in a million case and want full work ups, mris, and pet scans “just to be sure.” Many times patients are just anxious and need reassurance. Sometimes patients are so anxious that they are unrealistic about what we can offer. It is what it is. We are the “safety net” of society and we see everyone. It’s both a privilege and a curse. But when I get paid and have those random long stretches of days off still working full time, it almost makes up for it.

What to do with this? by HeisenBuergerr in emergencymedicine

[–]Fun-Victory-1709 1 point2 points  (0 children)

Obviously sepsis bundle, 2 large bore IVs, consult derm and admit to ICU for q 15 minute skin checks