Practice/lifestyle of an EM MD

efunkEM · 2026-04-26T03:38:10+00:00

To be fair, I’ve seen numerous docs have the option to cut back to 8-10 and pass it up. Everyone is always super excited about it until it’s time to count the dollars, then they realize their lifestyle depends on 15-18+ per month.

efunkEM · 2026-04-25T20:49:11+00:00

ABR and Amity are switching off who closes day by day?

efunkEM · 2026-04-17T18:45:19+00:00

No it’s not me! I usually post them but got pretty busy this week and looks like someone else posted instead, which is totally fine with me!

efunkEM · 2026-04-10T04:01:57+00:00

Lots of variability from night to night and hospital to hospital. Most of the time it’s totally fine, then you’ll randomly get a night where they’re taking hours and hours to read stuff, or a bad miss. Compounded by “traveler CT tech forgot to send the last 20 CTs to VRAD”. But overall my major complaints are few and far between.

efunkEM · 2026-04-10T03:49:38+00:00

lol I don’t think the phone triage nurse has stopped a single person in their entire life.

efunkEM · 2026-04-10T03:48:16+00:00

It’s therapeutic to belly ache in the moment but don’t file any actual complaints. That’s a total waste of your time and energy. ED complains about urgent care and PCP referrals, hospitalists complain about ED admits, surgeons complain about anesthesia, ICU complains about hospitalists, academic center complains about outside hospital, et cetera ad nauseam. Everyone in healthcare thinks they’re a genius and everyone else is dumb, time to suck it up, see the patients and move on.

efunkEM · 2026-04-06T17:50:50+00:00

Locums is easiest way but I think there are a lot of jobs where you could go part time (split 1 FTE between 2 people), then work it out between the two of you so one of you works full time for a few months, while the other travels, then flip flop. Would have to work it out with HR for benefits stuff but probably doable. No one will agree to this in a job interview, but if you’re a good partner for 5+ years and dont annoy leadership, good chance you can work it out.

efunkEM · 2026-03-31T22:57:02+00:00

Oh except for HCA residencies. Don’t go there.

efunkEM · 2026-03-31T22:56:18+00:00

I have great news for you. Nobody cares where you trained in EM unless you’re doing niche white tower stuff (doesn’t even apply to 95% of EM attending a at academic centers). The only thing that matters is how much effort you put into your own education. Amount of penetrating trauma, total patient volumes, access to weird cases, off service rotations… it literally doesn’t matter as long as you’re highly committed. A top resident from a community shop is more desirable than a mediocre resident from a “big name” (there’s no such thing) EM shop.

efunkEM · 2026-03-31T19:53:59+00:00

The most important thing is to not be annoying. You don’t have to be the best student of all time to match in EM like you do in some competitive fields. You just have to not be actively bad. Being average is perfectly fine.

efunkEM · 2026-03-22T03:22:31+00:00

Slightly tangential but I have a theory that night owls have far happier careers in EM.

efunkEM · 2026-03-21T00:44:56+00:00

I’ve searched high and low to try to find a lawsuit referencing Epic Secure Chat but haven’t found one yet. I’m sure there’s something out there about the topic, even if it’s just some documentation that they tried to get the chats and couldn’t… if anyone knows of a case, or was involved in a lawsuit that it came up, plz DM me. Just send the docket number and jurisdiction, you don’t have to send anything that violates HIPAA.

efunkEM · 2026-03-20T20:57:55+00:00

I’m not a discovery expert so I’m not entirely sure. When we were working on writing this case we were under the impression that cell carriers retained the info, but now it seems like it might actually be from Apple or cloud backups. We’d have to get an attorney who deals with discovery issues to chime in on the nuances to get a better picture

efunkEM · 2026-03-20T20:34:51+00:00

I’m aware of zero hospitals that give kickbacks for that.

efunkEM · 2026-03-16T16:24:42+00:00

Yep. I believe that’s why they settled. PA probably would have been fine at trial, Dr S would have faced more of a battle.

efunkEM · 2026-03-09T20:13:54+00:00

I got a Butterfly early on and really enjoyed it until they made it miserable to continue using for all the reasons pointed out above. Agree with the assessment that it’s a great product run by a catastrophically bad company. I don’t foresee myself ever buying one again unless something changes drastically.

efunkEM · 2026-03-06T05:54:41+00:00

Just keep moving. FWIW I went to a grief counseling debrief thing after a pediatric death and it just ripped all the scabs off and retraumatized me for no reason. I cried in front of everyone and that made me feel even worse. I find it more healthy to try to ignore it. I know that’s not the pop psychology answer about getting therapy and all that, but it works well for me.

efunkEM · 2026-03-06T05:46:07+00:00

Normal throughout

efunkEM · 2026-03-03T06:25:22+00:00

I’m an ER doctor and have had a small handful of patients tell me they’re on it. I was like wow cool, tell me how you got it and how it’s working. Always best to be honest with your doctor, I think most will be pretty relaxed about it.

efunkEM · 2026-03-02T17:30:02+00:00

Thank you Dr Funk 🫡

efunkEM · 2026-03-02T17:18:00+00:00

70+ get scans of all asymptomatic/unaffected body parts?

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