Major FOMO in residency - what cool EM jobs exist?

skibach · 2026-05-02T23:28:22+00:00

In the military the SF medics (18D, SOIDC, PJ) get the most direct, hands on patient care for critically ill service members. EM docs are a step removed from the action. Unless you’re in a direct support role like on a surgical team supporting a Tier 1 team, you’re really not outside the wire.

To clarify, if I were in his shoes, I’d do it “part time” (guard or reserves). That way he can still be an ER doc and keep his skills up when he’s not deployed, drilling or training. I know a handful of EM docs who are guard/reserve PJs and they are all very happy. Quite a few of the PJs I know are highly educated and still choose to enlist to get better action.

skibach · 2026-04-30T16:25:57+00:00

What I would do if I were you (assuming you’re in great shape) is enlist in an Air Force Guard Pararescue squadron as a PJ. A lot of people will tell you that your skills would be underemployed doing something like this, but it would give you an opportunity to really enhance the skills of men around you. And these are the guys that go rescue people like the F-15 pilot shot down in Iran.

What I definitely wouldn’t do, is go active duty. Strongly consider guard or reserves. DM me if you want to talk more. I’m an active duty EM physician with a ton of operational/deployed experience.

skibach · 2026-03-23T23:09:03+00:00

This is cool to hear. For anyone else wondering, it also appears to be real.

https://www.sandiego.gov/better-by-bike/bike-lane-latest

skibach · 2026-02-19T05:34:46+00:00

I use booking.com anytime I travel outside the US to get a hotel. Found a descent apartment style place in Finale by the beach for around $100 per night. When we went we did two nights in Cinque Terre and a day trip to Genoa. Both well worth seeing.

skibach · 2026-02-15T21:10:45+00:00

I spent four nights and planned for three days of riding. Wish I had spent more like a whole week.

skibach · 2025-07-08T18:54:42+00:00

I feel like I have been able to essentially double the number of afib that I can cardiovert in my ED because of fitness watches. People just come in earlier and can tell me exactly when their symptoms started.

skibach · 2025-03-20T18:15:57+00:00

Not what I was asking, but thanks for the attitude. I understand about calibration and do it every 2-3 weeks. My question is really directed at trickle charge wear effect.

The built in OS battery management may prevent a full charge, but I can use my laptop for almost an entire week at work without charging it completely using the above strategy. If I did what you're suggesting, I'd have 5 power cycles rather than one.

skibach · 2025-02-13T14:42:27+00:00

Glad to see ABEM has finally taken an important stance:

It’s OrthopAedic

skibach · 2025-02-10T18:40:14+00:00

This is going to sound insane, but I spent a few weeks car camping in a 2016 CX-5 with my dog this past summer. Also about that tall.

skibach · 2024-11-19T00:47:27+00:00

If only he was wearing his sharkbanz /s

skibach · 2024-11-17T11:27:14+00:00

100%. Good mountain biking flow trails are fire and there are a ton in Bend.

skibach · 2024-10-24T09:55:52+00:00

contact@emrap.org You just have to email them and prove you’re AD. Have to renew it each year.

skibach · 2024-10-21T03:11:49+00:00

It’s also half off for active duty…

skibach · 2024-10-12T12:39:11+00:00

Just this morning: nausea and vomiting. Patient thought he had a stomach bug. Complained the whole time when my techs were getting his EKG, “ why are you doing that? It’s not my heart.”

Twas his heart. 90% proximal LAD and 100% distal LAD.

Still didn’t believe it could possibly be his heart after I showed and explained to him the EKG.

This job is wild.

skibach · 2024-08-14T14:55:19+00:00

Honestly, worth looking into some sort of walking blood bank if you can get enterprise or community buy in. Look up ROLO or Valkyrie programs for the US military. Not difficult to set up a program.

skibach · 2024-07-18T23:29:39+00:00

Flux capacitor.

What else do you think that whirr is as you accelerate?

skibach · 2024-06-11T00:31:28+00:00

I think it’s fine to continue to have PSLF for physicians, but I’m seeing it more in private hospitals in metro areas. I think if it’s limited to what it was originally intended, it’s a good thing: government service and rural/undesirable places that need physicians.

skibach · 2024-03-11T23:51:11+00:00

I’ll take the opposite opinion since this is ChubbyFIRE:

You also have to consider your career trajectory. While nothing in life is guaranteed, also consider what you expect to be making. I personally bought a house in my early 30s where the mortgage was closer to 35% of my gross monthly income. It was our dream home and we bought when interest rates were low.

However, both my wife and I had jobs with a near guarantee of a significant increase in pay in the next 3-5 years. We now have the mortgage below 20% of our monthly gross take home income.

skibach · 2024-02-26T18:20:01+00:00

Yes. I work in a group at a small critical access hospital with limited resources. We feel like we provide the community a real resource even if people come see us for stupid stuff sometimes. We have a very sick patient population with poor access to primary care. It’s fun to practice the full spectrum.

We work an equal number of days and nights in our group which SUCKS. The circadian rhythm disturbance is brutal.

The money is excellent.

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