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Emergency Medicine Fellowship for Family Physician | Emergency Medicine | Student Doctor Network
Hi folks,
I realize this topic may have been discussed before, but I didn't find much when I searched.
I'm currently in practice in family medicine.
I like it okay, but I'm starting to feel a little burn-out.
The chronic stuff is getting a bit old.
The low pay is getting a bit old.
The always on call, little time off is getting a bit old.
When I was in school, I strongly considered going into emergency medicine (as well as a couple other specialties) but ended up choosing a family med residency instead for various reasons.
I was never really sure I had made the right choice however and those doubts are starting to grow.
I've considered trying to go do a second residency, but I'm married and I'm getting a bit old.
Plus, I don't really understand the whole residency funding thing, but every time I try to investigate this, there are always comments basically saying that doing a second residency is difficult because the programs won't get funded by medicare or something along those lines.
Bottom line my grades, USMLE stuff, etc were pretty good, and I have little doubt I could've matched in Emerg.
Med as a student, but now as a practicing Fam.
Med doc, I'm not so sure how likely it is I could get into an EM residency.
I know a lot of ER's are already staffed by FP's and I've had job offers, but to be honest, it's not where my training was focused.
I don't want to get in over my head and hurt anyone through my own incompetence.
So, when I look at the American Academy of Family Physicians website directory of fellowships, I see there are several one and two year "unofficial" fellowships in emergency medicine.
A couple of these are with the University of Tennessee and a few are at private hospitals and run by Emergency Medicine physician groups.
I wanted to get a feel from some of you folks who are in this specialty.
Do you think it would be worth my time exploring this option?
Pros? Cons?
Feedback appreciated!
Thanks,
Sam
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There are 1 year fellowships in Canada that FPs can do in order to work in the busier urban ERs.
I know most of them still feel grossly unprepared to manage an ER independently, but after 5-10 years out in practice they usually feel as competent as their 5 year EM trained counterparts.
They get to bill the same, anyhow.
As for your situation, I'm sure it it all depends on how long you've been out in private practice, what kind of acute care experience you've had in the meantime, etc.
If you just graduated from your 3 year FM residency, had lots of EM + ICU exposure and then went on to do the fellowship, it would be a lot different than if you've been in a clinic and haven't managed a really sick patient in 15 years.
I'm just a med student, so this is only based off what I've heard from friends who went through the route that you're considering.
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2/5 physicians that work in my group are family practice trained.
In the near future, in the rural communities, there is a shortage of board certified ER docs.
I think a fellowship would help you get a job in those areas.
I'm sure there are numerous residencies that would love to take a crack at a seasoned FP doctor as long as you seem teachable (If it is obvious that you are going to be second guessing every decision that your attending makes, they will be reluctant).
Lets be honest, you are going to have more knowledge on certain subjects than the majority of your attendings.
There will be innumerable experiences where you have to swallow your pride and keep the, "This attending is an idiot, they are totally mismanaging this patient." comments inside.
Considering that a huge percentage of ER patients are more urgent care- type visits, you are going to out-shine your fellow residents and attendings consistently on most patients (urgent care and primary care topics are brushed over lightly in ER residencies, and the majority of effort and learning is focused on true emergencies and interventions).
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So what are the odds of getting an ER position in the city.
Also what about the fast track side of the ER.
Also if one gets a job in an ER group will they make the same money as an ExR physician.
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Quote: : so what are the odds of getting an ER position in the city.
Which city? New York City?
Close to 0/infinity.
Rapid City (the one in South Dakota) probably reasonable.
(100-10000/infinity).
Cities in the middle?
In the middle.
If you want to work in the ED, do an EM residency.
If you want to work in the clinic, do FM or IM.
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