The match just occurred and the new physicians are fleeing the field of Emergency Medicine. For the uninitiated, the match is where new physicians who have just completed medical school are matched with the specialty and the hospital the Want to go into. Emergency medicine is typically a very competitive specialty and only the best and the brightest physicians can get a good residency. Resident is the grueling 3-4 years a physician spends in hands on training for their given specialty. Competitive residencies in EM are typically heavy in trauma and treating patients who have severe or unique pathology.
This year there are 216 unmatched emergency medicine residences. 216 programs that failed to get applicants. In a given year there are usually less than 10 positions unfilled. It is clear from these stunning results that future physicians have watched what the current EM physicians went through ( lack of PPE, salaries cut, violence in the ER) and are deciding not to pursue Emergency Medicine.
What this means for the lay person is that they will see less qualified people in the ER in the future. Patients will be forced to see non physician practitioners (NP’s and PA’s) while being charged the same. The ER docs that are coming into the field May have gotten there, not because they wanted to be an ER doc, but because it was the only job available.
https://www.reddit.com/r/Residency/comments/te2vj6/em_unfilled_spots/?utm_source=share&utm_medium=mweb
https://www.reddit.com/r/emergencymedicine/comments/te4xz0/residency_match_had_219_unfilled_positions_in_em/
One of my emergency rooms had 16 of us covering 36 positions. Nobody lasted over a year. When one of us was injured or broke down or attempted suicide, it became 15 covering 36 positions and increased the risk to us and patients. That is not a field where you can understaff without consequences coming hard and fast.
Patients will be forced to see non physician practitioners (NP’s and PA’s) while being charged the same.
Sounds like profits :so-true:
provided a consultation for a doctor who recently left their EM position (citing lack of PPE, recently becoming immunocompromised, personal issues) and now the hospital is harassing them with threats and insinuations of legal action. It's maddening because they keep rescheduling a hearing on his alleged misconduct, but also refuse to provide any details as to what the misconduct was.
Yeah I fucking can't wait to get out of this doomed shithole country
"The positive externality: the world is overpopulated anyway"
"idiocracy is starting"
Definitely reddit
What I appreciate about that top comment is that the brilliant person making it might be arbitrarily struck by a drunk driver tomorrow. They might arbitrarily have a heart attack or a stroke or appendicitis. They might slip on ice and hit their head. Then they'll find themselves at the back of the eugenics line they wished for trying to convince the patients in front of them that their IQ is too high to die. Even if they manage to, they'll get a midlevel provider the healthcare system created to undermine itself at its peak capacity. Each missing nurse will increase their chance of death by 7% and each missing midlevel- why would they want to work in the same ward under the same conditions with all of the extra liability for such sick patients?- increases their wait.
This is a good thing, now the market can compensate by raising the wages for emergency care doctors, who now face higher risks and more difficult working conditions :ancap-good: