Recent content by EMCC

  1. EMCC

    Concert Exam

    I contacted ABEM, and after the fall testing session, they will start sending updated certification notifications. The website may not be updated until 1/1/2020, since technically our certification is until midnight 12/31/2019...
  2. EMCC

    Concert Exam

    Just took it today. Easier than Peer IX, though some of the questions were very similar... Hopefully my results in 90 days mean I don't have to register for the September offering!
  3. EMCC

    income

    Thanks! That is actually higher than what I assumed...
  4. EMCC

    income

    Is that primary care or specifically hospice/palliative care.
  5. EMCC

    To US or not to US

    What I don't get with the "P word" is how a twice a day drug is supposed to be not inferior to a once a day (at night) drug??? Because we don't check how thick the blood is? Just doesn't make sense to me... I have seen 4 head bleeds and one GI bleed. I am tempted to start consulting hospice...
  6. EMCC

    To US or not to US

    Maybe I missed it, but why exactly was the patient in the ED? I realize she had an elevated D dimer, but what were her complaints? Assuming Leg pain/edema--yes, I would U/S her. Below the knee, get the coumadin therapeutic (I know, not our job). Above the knee, she needs to get therapeutic...
  7. EMCC

    Perimortem C-Sections

    I have done one...I pray I never again have to even think of it again on a patient, let alone do one. To all the students and residents; it sounds and looks sexy, but there is nothing fun about cutting open a dead YOUNG woman and scooping out a dead (usually) fetus and trying resuscitate...
  8. EMCC

    EM/ICU: hours for dollars..

    This is a tough question to answer as you framed it... BUT, I practice both EM and critical care. It usually ends up being 60/40 to 70/30, in favor of EM. My hourly rate is higher when I work in the ED. My RVUs generated and billed actually tend to be higher in the ICU. I get paid for...
  9. EMCC

    Written Boards

    Granted it was a few years ago, but I am pretty sure yo will get a packet months later (April-ish?) that will tell you when you will be scheduled for the oral boards. Again, a few years old, so things may have changed, but that is what I remember from "yesteryear."
  10. EMCC

    Nicotine Free Residency?

    I agree wholeheartedly. BUT, that is the line the manufacturer of the test sold to the hospital admin hook, line, and sinker... Probably because Cleveland Clinic uses the same test.
  11. EMCC

    Nicotine Free Residency?

    I graduated from this hospital a few years ago--the policy was not in effect at that time. What led to this was the ridiculous amount of staff that would not smoke on campus (smoke free), but would go and smoke on the corners near the hospital. The resulting litter (disposed butts) actually...
  12. EMCC

    VBG=ABG, but I "know" my TLC was in the vein!

    A few things: Frail, cachetic people are harder than slightly obese people to get into the vein. So, 'easy' means little in them. If this patient is hypotensive and SIRS, then yes, arterial blood can look venous when 'dribbling out.' Regardless of venous or arterial placement of the...
  13. EMCC

    ACEP Vegas

    I did what you did. So much more room for much cheaper than ACEP... ACEP tries to make you feel guilty for not booking through them, but either I am jaded, or they have already taken too much of my money without any real gain; I don't care...:sleep:
  14. EMCC

    Attendings and moonlighters: Hospital Dues?

    That must be a regional thing. I live in Pennsylvania and have never, ever had to pay "dues" to the hospital--other than my blood, sweat, and tears... Sounds like the 'donation' some of my colleagues have to make to fund the yearly christmas parties their departments throw...
  15. EMCC

    Working in Guam?

    I would be very hesitant to work in Guam... I personally have no experience, but according to our elected officials, Guam is in danger of tipping over into the ocean if more people go there...:o http://www.youtube.com/watch?v=zNZczIgVXjg
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