Recent content by alpinism

Heh our chair makes 500K and works the equivalent of 2-12hr day shifts. Meanwhile he is offering new grad seniors roughly 200/hr for 12-12hr night shifts.

I don’t think anyone expects a full time schedule but its nice to work a few nights and holidays

Nope straight hospital employed academics

Perfect example of the lack of leadership in emergency departments: So I was on nights last week and our chairman was scheduled to relieve me in the morning. Waited for about 10 min before we called him and he's apparently not coming in until noon and the vice chairman was supposed to cover...

I just laugh whenever anyone suggests to cut down to 4-8 shifts a month if you start hating the shifts at your hospital. Pretty sure most of these people have never actually done it and just assume its a quick and easy fix for most docs. These part time jobs are few and far in between in most...

Agree with the other posters. There's a lot of variation with propofol dosages needed for sedation. I've given everything from under 50 to over 500 to do fracture reductions. Where I work in an inner city knife and gun club almost everyone is high on drugs and routinely needs 250+ just to fall...

I'm not sure how accurate that dataset is since many of those groups listed as non PE owned are still PE backed like USACS and ECP for instance. In that case its more like 33% for each of the 3 group types which seems to be more accurate in my opinion.

Heh don't worry PE backed companies have started to come for ICUs too since COVID. Sound has an entire Tele-ICU with NPs service they've been marketing to community hospitals. Link: Critical to care: Telemedicine continues to bridge gaps in ICUs across the U.S. | Sound Physicians

So if you look at the most recent match figures: The number of total MD applicants has plummeted 40% while the number of total IMG applicants has skyrocketed 40% in the past 4 years. Basically US docs are being replaced with non US docs looking for a residency spot here in the United States.

I have a bunch of friends that used to work at UM and interviewed with them back in 2018 for a faculty position. For those not aware UM has the main hospital campus in downtown Baltimore and several community affiliates throughout the state including the main trauma center for the DC suburbs...

To be fair the vast majority of "arterial bleeds" I've seen transferred were nothing but some mild capillary oozing. I'll also mention that unless there is a total loss of extremity perfusion there really isn't any need for emergency operative intervention. Not to hate on anyone's training...

In my experience most admin become admin specifically cause they hate clinical medicine. Its one of the huge problems with EM that most leaders don't even like to practice the specialty.

I'll occasionally work locums at rural shops that do 24 hrs shifts. Personally speaking it's not worth it unless you can regularly expect to get a full nights sleep on shift. In my experience at many hospitals that's next to impossible unless its super low volume under 5K census. Even then...

The residents do all of the work so the faculty attendings can basically just sit back and collect the fees on all these admits.

Oh don't worry they also recently expanded our trauma activation rules. Examples of cases they want activated: Reported fall while on anticoagulation from any height Reported fall that occurs in pregnancy from any height Reported fall in those <5 and >65 age from any height