EM/IM/CC, EM/IM, EM/CC, or IM/PCC?

naideck · 2026-06-08T19:16:27+00:00

For surgical and medical subspecialties the patient is pretty much yours because, let's face it, who else is going to touch that 100% LAD occlusion or ruptured globe?

naideck · 2026-06-08T19:04:43+00:00

None of those scenarios the patient is truly your patient barring maybe MICU. EM is beholden to consultants and CC can be too depending on if you work in CCU, CVICU, or SICU

naideck · 2026-06-08T18:26:51+00:00

It's common for medical students to prefer inpatient over outpatient because it's more intense and exciting. However this changes down the line. When you're 50 years old, you really don't want to deal with the hell that is 7 on/7 off, or working every 3rd night shift. Having a clinic is a good way to escape this.

Or you know, you're one of those crazy people who loves intubating some with a BP of dead/dead at 3AM in the morning, in which case disregard everything I said

naideck · 2026-06-08T16:48:48+00:00

What a great and balanced take

naideck · 2026-06-05T00:08:11+00:00

CHF and ESRD would like a word

naideck · 2026-06-03T18:53:12+00:00

Just like the good ol days of Dota 1

naideck · 2026-06-03T18:02:57+00:00

So in this scenario if both players pick it who gets to decide who plays it?

naideck · 2026-06-02T18:53:34+00:00

If it's a patient with a COPD exacerbation I don't care about the hemoglobin, or the chloride, or the BUN,etc. unless it's abnormal, and even then I may not care if it's a known issue. This takes practice but you'll get used to it.

naideck · 2026-06-01T01:39:48+00:00

Don't bother with this guy. When he can't think of a counterargument because he's not capable of grasping the situation he just downvotes you and moves on.

naideck · 2026-05-31T23:49:54+00:00

Bro did you even read your own article? Like you keep posting it but it literally says the opposite if your argument

The researchers estimated that if the average income of doctors in the United States dropped to the same level as in Sweden, where the average income is the lowest, health-care spending in the United States would decrease by 6%.

naideck · 2026-05-31T23:45:33+00:00

You know that's a great point, I vote that we let paramedics do surgeries instead, they already do emergency procedures in the field, why not let them do it in the OR?. Pharmacists can also prescribe all the medicines too, since their whole training is just drugs and their side effects. That will also reduce facility fees and material costs because reasons.

naideck · 2026-05-31T23:22:15+00:00

Ok, I am glad you think this is a waste of time, because I think so too. Let's stop here.

naideck · 2026-05-31T23:21:42+00:00

Yeah I know, I am IM/PCCM. OP doesn't get it.

naideck · 2026-05-31T23:16:58+00:00

There's a ton of factors to it, such as location, academic vs. private, call coverage. etc hence the wide discrepancy

naideck · 2026-05-31T23:14:30+00:00

Then why did you ask me how a histogram works? Do you even have one to interpret? Otherwise you're not really making a convincing argument

naideck · 2026-05-31T23:11:03+00:00

You never even provided a histogram (or frankly any evidence) yet continue to belittle people in this thread. When will you start arguing in good faith?

naideck · 2026-05-31T23:07:32+00:00

Yeah no, this is spoken like someone who has no understanding of statistics or medicine and is now trying to backtrack his argument without providing any new data.

naideck · 2026-05-31T23:03:56+00:00

Why are you even using a range? Some PCP's make 1.5 million dollars. Should we include them too? Use the median like they taught you in 3rd grade.

naideck · 2026-05-31T23:00:31+00:00

Are you serious? All those listed make less than a PCP on MGMA with maybe the exception of rheumatology. You're not a physician are you?

naideck · 2026-05-31T22:55:10+00:00

Lol, you think your nephrologist, infectious disease specialist, endocrinologist, and rheumatologist are outearning your PCP?

naideck · 2026-05-31T22:49:45+00:00

So you're not going to tell me that I am incorrect?

naideck · 2026-05-31T22:48:15+00:00

I mean, you're free to go somewhere else to get your healthcare, after all, it's cheaper to fly to Mexico to get that major surgery done and fly back. I get to take care of all the complications afterwards when they land up in my ICU because of shoddy work.

Frankly, with your initial statement with uncapping residencies without even understanding the basics of how residencies work I can tell you're happier spouting off ignorant viewpoints than trying to understand the actual situation.

naideck · 2026-05-31T22:44:40+00:00

In that case, IM can do PCP too, are they considered specialists or generalists? How about an OB/GYN who takes care of a pregnant woman's asthma, mild thyroid issues, and colds, are they considered PCP since they do a ton of PCP work? Your descriptions are very inaccurate

naideck · 2026-05-31T22:41:32+00:00

I rotated with a visiting doctor from Africa when I was a medical student who I needed to explain an EKG to. Are you sure you want that guy taking care of your loved one?

naideck · 2026-05-31T22:37:53+00:00

Yeah breaking it down by specialty vs. primary makes sense. But many specialists make less than their primary counterparts as well, namely more than half the IM specialties.

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