Fellowships in EM generally are strictly a means of boosting your academic credentials. I know thats a generalization, but for the most part, its true. They aren't going to get you paid more for the most part. And if you don't want to do academics and just want to work out in the community, you can still be an EMS director without a fellowship. So there is little reason to do EM fellowships outside of academic pursuits. From a pay standpoint, its a bad financial bargain, especially Peds EM, which makes less money than regular EM and is a several year fellowship. That's why 95% of Peds EM docs are Pediatricians not EM docs.
I don't want to come across as being against fellowships, its just you have to want to do them for the right reasons. They aren't competitive at all in EM, just because most people want to just graduate and work.
For full time non-academic EM, I think you'll see most full time ED docs coming in around 30 hours/week or so on average. A little more if they want to make more obviously.
For ACGME, core physician faculty are not supposed to work more than 28 hours/week clinically on average throughout the year. That number is 24/week for an APD.
Those are obviously clinical hours where the faculty are actually on shift. That's not accounting for any education stuff, meeetings, etc.
Residents in EM are capped at 60 hours/week, although at least in my program, no one averages anywhere near that. Most of our residents are working 40-45 hours a week in the ED clinically.
Residency is intense at times, and not terrible at other times.
You want to target the top places you want to go in my opinion. Afterall, most people do wind up matching at a place they were. Most students rank places they are more familiar with higher, and most programs rank students that rotated with them higher. I'm not saying rotating somewhere is a guaranteed high rank spot, you have to do well when you rotate there. But if all else is equal in the application, programs are going to rank the person they know over the person they don't.
Yes. And you wont have any problem having someone give them all to you! I'm a night time person, naturally, I usually would go to bed around 2am or 3am. I absolutely hate mornings. I work all late evening shifts, with my shifts ending at 3am. But I also throw a few 10p-7a's in there. But you will NEVER see me there in the AM unless I have a meeting or I'm at residency conference.
Several hundred. I think this year it was in the 500 range. It's variable year to year.
