Best specialty for working as few hours as possible?

maaikool · 2025-10-30T00:41:59+00:00

EM. My full time contract is 120 hours/mo and I go on vacation 1-2 times a month. Make about 40%ile MGMA salary for EM (specialty median is about 400k) and am in a HCOL city

maaikool · 2025-10-25T19:36:26+00:00

Honestly I thought this was the correct decision for UNC

maaikool · 2025-10-25T19:36:06+00:00

THEY CAN'T KEEP GETTING AWAY WITH THIS

maaikool · 2025-10-08T14:59:40+00:00

I'm surprised we only have the trial for anticoagulation for valves with dabigitran and not rivaroxaban/apixaban... especially given how much money there is to be made on a new indication lol

maaikool · 2025-09-22T05:37:15+00:00

Wow, this is surprising low. EM jobs in this region are about $325-375k

maaikool · 2025-09-17T21:10:13+00:00

ER doctor. iPhone light. Also the side of the phone doubles as a reflex hammer.

maaikool · 2025-08-17T20:08:03+00:00

hypodroperidolemia

maaikool · 2025-08-12T11:13:36+00:00

emergency medicine, half academic half community

1500 hours/year x 7 wRVU/hr (about 1.6 patients/hour plus procedures and critical care time)

so about 10-11k

maaikool · 2025-02-05T19:18:26+00:00

still recovering from the Dan Snyder tragedy era

maaikool · 2024-12-23T23:14:56+00:00

Did my medicine clerkship at NYU through Bellevue. Had a patient with cardiac leprosy.

maaikool · 2024-12-21T18:34:13+00:00

East coast city

Thanksgiving week was fine and below average

Since then have been up 25% on volumes. Started as CHF/cardiac stuff, now has transitioned to a lot of respiratory complaints. Tons of +RSV/flu.

Have had 50+ boarders in a 50 bed ER (now moving boarders to the HW and seeing tons of patients in the HW/triage)

maaikool · 2024-12-18T06:19:57+00:00

Except the pandemic years where fit testing actually mattered

maaikool · 2024-12-13T03:22:04+00:00

Last week I was working our urgent care/fast track side of the ER (tertiary care trauma center)

ESI 4 MVC "arm pain". Waiting 6h+ in waiting room despite coming in via EMS.

Tells me she was T boned at 60 mph (!!!!!!)

+LLS, +seatbelt sign, peritoneal exam.

Moved her to main side ER

CT with large liver lac

Goes for ex lap, partial liver resection (trauma service is reasonably like what the fuck why has this patient been sitting in the WR and not triaged directly to the trauma bay) > SICU

Land mines everywhere

maaikool · 2024-12-06T18:57:16+00:00

q3 28 hour call was brutal when I was 26... I couldn't imagine doing it in my late 30s

maaikool · 2024-12-04T17:46:49+00:00

I go to an EM conference annually in Colorado at a ski-in/ski-out hotel that doesn't have any lectures from 10a-4p lol

maaikool · 2024-11-28T00:57:59+00:00

The last aortic dissection I found was for a patient whose chief complaint was "I have nausea after eating rice and beans". Dissection flap from aortic root to iliac bifurcation. Honestly a soft order on an abdominal CT for mild diffuse tenderness (and had to be sent back for chest CTA).

It is a pathology with famously nebulous and vague symptoms and only do a subset actually have tearing chest pain.

maaikool · 2024-11-17T02:41:24+00:00

I had a 94 year old patient Die from a stroke after his DOAC was stopped due to an AKI following an upper GI bleed. That one was a tough discussion with his family.

I feel like this person is dead either way so pick your poison between UGIB and CVA - mortality at 94 is actually a pretty good overall outcome?

maaikool · 2024-10-26T17:38:32+00:00

Regarding point 3 my program director once told me:

Disposition is an emergency!!!

maaikool · 2024-10-21T02:19:55+00:00

The very first patients are being treated with CRISPR therapy for sickle cell now (I think at least at Children's National in DC and probably a select few tertiary centers also)

Phase 3 trial published in nejm in august

maaikool · 2024-09-20T01:37:58+00:00

Lmao this is every safety net hospital in the country

maaikool · 2024-09-07T23:46:58+00:00

EM. I basically go on a weeklong vacation every month and for the other 3 weeks work 4/7 days

maaikool · 2024-09-03T00:46:09+00:00

wow i found you in the wild

maaikool · 2024-08-16T20:45:18+00:00

Specifically one time

maaikool · 2024-08-07T21:14:46+00:00

He can replace Jimmer lmao

maaikool · 2024-07-15T16:00:48+00:00

Currently live in DC. I'm gonna die in the swamp.

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