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Recent thread posts reflect unemployed EM docs, surge in residency programs, rise in corporate medical groups, mid-level encroachment, etc that have real impacts on the specialty. There are various posters talking about the past exodus from EM, current exodus or exploring the options for future exodus.
I couldn't help but think that EM should flip the paradigm, and not be a base specialty but instead revert to a fellowship of 1-3 years duration. Tap into the roots where IM/FM were the original EM. This could even allow a fast track process similar to Psychiatry with Child & Adolescent Psychiatry where the PGY-IV year becomes the first year of fellowship. It could be a fast track option where after 2 year of IM/FM, the ensuing 2 years are EM and folks can become double boarded.
I believe this could be a win for the specialty because it would allow an out, an alternative for docs who are burned out in years to come. The main fall back currently is urgent care. And lesser so a fellowship in Hospice, Aerospace, Toxicology, Pain, etc.
Should EM cling to the current model as a base specialty?
I couldn't help but think that EM should flip the paradigm, and not be a base specialty but instead revert to a fellowship of 1-3 years duration. Tap into the roots where IM/FM were the original EM. This could even allow a fast track process similar to Psychiatry with Child & Adolescent Psychiatry where the PGY-IV year becomes the first year of fellowship. It could be a fast track option where after 2 year of IM/FM, the ensuing 2 years are EM and folks can become double boarded.
I believe this could be a win for the specialty because it would allow an out, an alternative for docs who are burned out in years to come. The main fall back currently is urgent care. And lesser so a fellowship in Hospice, Aerospace, Toxicology, Pain, etc.
Should EM cling to the current model as a base specialty?