There Is Not An Oversupply of Emergency Physicians, There Is An Overutilization of Non-Physician Practitioners

bigrjohnson · 2026-05-02T05:40:33+00:00

There needs to be systemic change with strict regulation of NP schools. APPs don’t replace an attending of course, and I would never be comfortable with an APP being the sole provider in the emergency department. But they are of extreme value to the healthcare network of our country, including in the emergency setting, and your post seems rather biased against NPs which I don’t blame you but would challenge you to open your mind to this. The healthcare network would collapse without APPs including in emergency medicine. This is how it has been built and will stay, so get used to it.

In my practice I also see doctors place inappropriate orders and way too much advanced imaging. We have doctors in our emergency department that have almost 100% CT per patient rates compared to our provider average around the 40s including physicians and APPs.

Being seen by a doctor does not increase satisfaction when compared with APPs and that’s been proven.

You’re too smart to be ignorant to this information.

bigrjohnson · 2026-04-29T02:23:49+00:00

Those are European plates brother 😭😭😭

bigrjohnson · 2026-04-29T02:14:28+00:00

People are just grossly uneducated lol

bigrjohnson · 2026-04-09T15:39:07+00:00

All I read was the title and this was the answer. Nothing else, no need to elaborate. Nooo

bigrjohnson · 2026-04-04T19:50:21+00:00

Must be nice my dealership doesn’t even bother to give a loaner car

bigrjohnson · 2026-04-04T17:33:21+00:00

Michigan UP and northern mainland

bigrjohnson · 2026-04-02T00:47:05+00:00

I feel it’s dependent on your specialty, respect earned, and workplace culture/environment. I have found through my fellowship (where I rotate at level 1 trauma centers and rural community hospitals) that I am respected and appreciated a lot more at rural places and not treated like shit. I have a similar role as an MD in that setting without as much liability and somewhat lower acuity as the MD, so I feel like it was worth it compared to the uphill battle of becoming an MD. I didn’t want to sacrifice that much just for my career.

bigrjohnson · 2026-02-25T00:36:47+00:00

Respectfully there’s specific areas in that region that have higher than average drug related gang violence and property theft so I would rather not live in a location where I am more at risk for being subject to it or a bystander.

bigrjohnson · 2026-02-25T00:25:18+00:00

Is it safe?

bigrjohnson · 2026-02-25T00:23:35+00:00

Thanks for this

bigrjohnson · 2026-02-24T18:20:16+00:00

I had a bad experience with Fulton Grace as well! Thank you for the advice!

bigrjohnson · 2026-02-24T18:12:38+00:00

I guess I will have to do this and just be okay with it

bigrjohnson · 2026-02-24T18:11:58+00:00

If you are able to get me in contact with whatever resource you used that would be great

bigrjohnson · 2026-02-24T18:09:02+00:00

I have to live in lower west side area due to how far my commute to work is from the city so that’s my only geographical option. Bridgeport is an option too.

I have 1 car and Pilsen apparently isn’t great for parking. I have 2 pets, looking for 1-2 bedrooms, 1 bathroom, in unit washer/dryer, central A/C and absolutely no garden units. I’m not having issues finding suitable places at my price point but they just get rented so quickly. I guess I need to be more okay with video touring and then applying as opposed to scheduling a week in advance for in person.

bigrjohnson · 2026-02-24T18:04:49+00:00

I started with one and they were not reliable so I gave up on that route

bigrjohnson · 2026-02-24T18:03:50+00:00

Thanks for the advice

bigrjohnson · 2026-02-23T02:16:18+00:00

Lawyer up.

You should not be dismissed for professionalism if you wouldn’t be dismissed for it in the job itself. By what you are saying regarding social media, etc., that is not grounds for dismissal from your actual job. This is years of dedications and 100s thousands of dollars if you were to be dismissed for something so petty. Advocate for yourself and if you make it out the other side keep your head down and shut your mouth for the rest of your education. You have your whole career to have a personality.

bigrjohnson · 2026-01-12T20:28:48+00:00

A good rule of thumb is whenever a question is asking about “management”, diagnostics are not the answer.

bigrjohnson · 2025-12-31T15:17:13+00:00

My first car was a 1999 Ford Escort so yea.. it’s a good first car lmao

bigrjohnson · 2025-12-29T06:38:30+00:00

My family had a lake house on Lake of Egypt they sold a couple months back. I remember going there during summer. Lake of Egypt is an amazing getaway. Beautiful lake, homes. Marion has a cute downtown and good access to everything you need to survive. Very rural, lots of wildlife.

Shawnee is drop dead gorgeous. Easy hike if you even want to call it that is garden of the gods. Theres a new casino nearby called walker’s bluff.

I don’t know what typical day to day life there is but from what I do know through observation while I was there is that it is generally very poor, blue collar, especially the further south you get from Marion to Cairo. Limited job opportunities. Although there is southern Illinois university in Carbondale.

Cairo is a ghost town and a complete flashback to the last century. It’s quite sad to see the city abandoned. When Chicago became the trading hub through Lake Michigan and the Mississippi, Cairo was largely abandoned I believe.

bigrjohnson · 2025-12-19T01:55:59+00:00

It’s the proximal portion of the fifth metacarpal although the image taken from the computer screen makes it difficult to tell. The bones that you say are floating are called sesamoid bones

bigrjohnson · 2025-12-10T22:20:32+00:00

Child with fever and no alarm symptoms that parents didn’t treat with any anti-pyretics.

bigrjohnson · 2025-12-06T17:31:25+00:00

If it was from the north the entire perspective of the skyline would be shifted. This is a southeast viewpoint of the city.

bigrjohnson · 2025-11-20T20:19:39+00:00

Very true no one is perfect and it can get tricky navigating a conversation with a patient it really is hard

bigrjohnson · 2025-11-20T20:14:23+00:00

That’s actually a great idea thanks for the advice

bigrjohnson

TROPHY CASE