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New Grads: What Type of EM Job Do You Want?

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New Grads: What Type of EM Job Do You Want?

Introduction


This issue’s article is meant to be a refresher for those new grads who haven’t secured a new position yet and for those who may be thinking of a change and aren’t sure what type of job they may be looking for. YPS has received several requests to review the types of jobs that exist in EM, so the intent of this article is to familiarize those upcoming grads and those looking for a new job with the basics of emergency medicine groups.

The first decision one has to make is academic vs. non-academic emergency medicine. Most grads will practice in non-academic environments, but there are some who prefer academics and will want to pursue that career course.

The academic practice is ideal for those physicians who want to teach and influence the development of future emergency physicians. Academic physicians value the teaching environment, research opportunities and lifelong personal learning. As an attending physician, most direct patient care is through the residents. The attending oversees several patients, has to ensure proper care is being given by the residents, and is responsible for training and educating residents during busy shifts. Academic physicians typically work a set amount of hours and are salary-based, since RVU -based income may influence the amount of teaching that is delivered. The physician will typically work less clinical shifts since a portion of their responsibilities will include education and research. This may lead to longer job satisfaction and less physician burnout. The hospital is typically responsible for all billing and collections, and malpractice is generally covered by the employer. Since academic programs take place in academic centers, there is little concern about contract maintenance, and the physician is considered an employee of the hospital. Other than patient care, the main responsibility of the physician is a continued commitment to education. These positions typically require fellowship training to attain, so the extra years of training are an important consideration to factor into your decision.

Now on to non-academic emergency medicine, where several options exist.

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