Thursday, May 4, 2017

The Dichotomies of EM Practice

emDocs - May 2, 2017 - Author: Nouhan P - Edited by: Koyfman A and Long 
"What is the most accurate description of an Emergency Medicine persona? Is there a pattern to the skills that strong EM physicians bring to their practice? When I started many years ago as a young resident, the EM doc was cartooned as a less learned, procedure-hungry, loud, risk-taking cowboy who was destined to burn out. I was questioned as to why I would want to pursue that career as a more introverted person. I found my strongest EM teachers, however, were quick-witted, calm, observant resuscitalogists who could juggle many simultaneous, difficult tasks. I wanted to be like them. EM physicians were the MacGyvers of the House of Medicine. Some of them were even loud cowboys who suggested I needed a megaphone in resuscitation upon graduation! Still, I knew I could manage resuscitation confidently without maximum volume because of my strong training. Over the multiple years of my EM career in a busy, urban center in Detroit, I have observed many dichotomies that coexist in the practice of Emergency Medicine and in those who are drawn to EM. What are the qualities of the best Emergency Medicine physicians who deal with the changing complexities of our practice? The EM mindset is complex, fluid, and dynamic..."