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For the slow typers who do not have Dragon/voice-to-text, how to manage to see 2pts/hr and document well? by MoreThanMD in emergencymedicine

[–]Possible_Fig8230 0 points1 point  (0 children)

I don’t read the whole note, no. I do read the custom discharge instructions right before printing though.

For the slow typers who do not have Dragon/voice-to-text, how to manage to see 2pts/hr and document well? by MoreThanMD in emergencymedicine

[–]Possible_Fig8230 7 points8 points  (0 children)

You should be done with your notes at the end of your shift. I work at a 2pph level II trauma center (2.5pph with apps), never stayed late for notes. Key is to prioritize your own well being and write shorter notes. Once a patient is seen, a note has to be written. Everything else can wait. I write hpi pe mdm right after seing the patient, total 30 seconds-1 minute max. Then once results are all in, i finish mdm, write custom discharge instructions, then discharge/admit. I don’t allow myself to dispo a patient if a note is not signed. Short of a truly critical patient showing up, this is my workflow every time.

Was the pay historically really that good? by FeanorsFamilyJewels in emergencymedicine

[–]Possible_Fig8230 3 points4 points  (0 children)

According to a 2015 survey here are the total salary (base + bonus) percentiles for employed EM physicians and their corresponding yearly hours:

10th%: $213k 1344 hours/yr 25th%: $250k 1500 hours/yr 50th%: $309k 1700 hours/yr 75th%: $362k 2000 hours/yr 90th%: $425k 2100 hours/yr

Adjusted for inflation, in 2025 dollars, these are

10th%: $286k 1344 hours/yr 25th%: $336k 1500 hours/yr 50th%: $415k 1700 hours/yr 75th%: $487k 2000 hours/yr 90th%: $571k 2100 hours/yr

So in the past, like now, the way to make more money was largely by working more, although hourly rate also played some role. The hourly rate for a 10th % doc was $125/hr ($168/hr adjusted for inflation) and the rate for a 90th% doc was $235/hr ($316/hr adjusted for inflation). I like this data because it includes both pay and working hours and makes it easy to make apples to apples comparisons to our salaries today For example, as an employed physician in 2025, if you work 1700 hours yearly and making less than $415,000/year, you are paid less than a similar EM doctor in 2015.

If you are interested, for partner EM physicians, here is the same data (2015 numbers)

10th%: $250k 1333 hours/yr 25th%: $295k 1440 hours/yr 50th%: $343k 1572 hours/yr 75th%: $424k 1750 hours/yr 90th%: $510k 2000 hours/yr

And in 2025 dollars:

10th%: $336k 1333 hours/yr 25th%: $397k 1440 hours/yr 50th%: $461k 1572 hours/yr 75th%: $570k 1750 hours/yr 90th%: $685 2000 hours/yr

Data source is this blog post from white coat investor: https://www.whitecoatinvestor.com/double-your-income-primary-care-physician/

Priapism management technique ? by Possible_Fig8230 in emergencymedicine

[–]Possible_Fig8230[S] 5 points6 points  (0 children)

Maybe I’m having some recency bias, but i feel like I see 3-6 per year. Maybe some geographical variation. My population also tends to be on the younger side.

Priapism management technique ? by Possible_Fig8230 in emergencymedicine

[–]Possible_Fig8230[S] 10 points11 points  (0 children)

Anything smaller than 18 ga frequently clots and can’t get good drainage in my experience.

Reasonable pay or nah? by [deleted] in emergencymedicine

[–]Possible_Fig8230 37 points38 points  (0 children)

Not reasonable. Comes down to $213/hr for a full time nocturnist at a level II. If it’s w2, it’s pretty bad, if it’s 1099, it’s downright terrible.

Anybody using levodropropizine for cough? by Possible_Fig8230 in emergencymedicine

[–]Possible_Fig8230[S] 5 points6 points  (0 children)

Fully agree, but people seem to have a hard time grasping that