Recent content by ToastyEM80s

"Med spa/Aesthetics? Wildly saturated and incredibly competitive from a business perspective. I've looked into this and it's not an easy street at all. You're competing with midlevels and RN injectors who've mastered the Instagram and social media marketing game. They're all way more attractive...

I don't think the locums agency got the message lol. I change addresses and email but somehow they get my contact info. Sort of like the AMA - I move and yet their spam follows me around, even though I was never a member But after getting everyone's helpful feedback, I think I will probably...

I think that AI/LLMs are probably the biggest blindspot that most physicians are overlooking. Let's take emergency medicine, we are losing autonomy and much of our work is now mandated algorithmic protocols. We are highly discouraged from deviating from said protocols, and if we do - we...

I think in the old days of small SDG practices, there was a case to be made for seniority perks. However, now-a-days we're all basically employees of large CMG's or large hospital systems. Unfortunately, we've all become interchangeable cogs.

It's good to know that you can actually take a break for > 6 mos and still be okay from a hiring stand point. I never took more than 3-4 weeks off for fear of having to explain a break. It does help alleviate the concern that I can come back if I decide quitting was the wrong decision after a...

Not IL or PA, but a state with ZERO tort reform.

1. I understand that now, having gone through two lawsuits and more mature in my career. However, it's not how someone newly practicing, in their first lawsuit views it. 2. One dismissed early, one did go to trial but verdict was in my favor and dismissed with prejudice. These cases came...

That's fantastic. Skilled EM physicians older than 60 seems to be a rare treasure now-a-days. Just curious, but what do you think was key to maintaining your longevity in EM? Are you working for a CMG? Academic? SDG? I mostly worked with CMG's - which I think partly led to my early burn...

This has been my experience as well. Jobs are plentiful if you are agnostic to location or willing to travel. However, PRN jobs within a desirable metro is fairly nonexistent unless you are willing to start out full-time and downgrade to PRN/part time. I haven't found a hospital-based ER in...

The depression and SI resolved after the dismissals. It was the factor of two things: 1. It was early in my career and I wasn't sure of the impact. I was far from FI, in quite a bit of student loan debt, and impact on my career/future credentialing. 2. The opposing side is quite good at...

I would like to explore the idea of teaching. Is there such a thing as volunteer faculty? If so, could anyone point me to some resources on how to obtain such a position?

Appreciate all the advice from everyone. Thank You. Everyone's posts have given me a lot of valuable insight. Agree with the post that said, “I loved practicing emergency medicine in the past, but the practice of emergency medicine is no longer like the way it was before, and I haven’t yet...

Yeah, looked into that. I'm so burned out, even 6 shifts seems too much. I'm open to 2-3 shifts per month but Per-Diem gigs seem pretty hard to get. Recently moved, could still work per-diem at my old hospital but it would mean a flight/hotel. Also worried about liability risks. I know...

So this is going to be another "Should I leave EM?" post. No eye-rolls please. Worked community ER for > 10 years. Early 40s, and finally hit my FI number. Experienced firsthand all the usual reasons for wanting to quit. Sued twice, which led to a period of depression and suicidal...

I would love to work as a contract physician, but I'm not entirely sure where to get info on that. I checked out USAJobs and emailed some people over there but no one seems to know how to find out who has the contract. Called over to their ER without any luck (nurse wouldn't let me talk to the...