Emergency medicine midlevels reddit. Get app Get the Reddit app Log In Log in to Reddit.

Emergency medicine midlevels reddit At the community hospital where I have a hospitalist gig, the ED is basically 1 MD/DO overseeing 3-4 midlevels at a time. This is not a This. And if you actually practice emergency medicine THEN YOU WOULD KNOW IT. This is not a Lacs take forever to fix, no time for that. Your justification for not knowing how to deal with bread and butter emergency medicine (of which fractures, sprains, and strains are) is pretty soft. The Real Housewives of Atlanta The Bachelor Sister Wives 90 Day Fiance Wife Swap The Amazing Race Australia Married at First Sight The Real Housewives of Dallas My 600-lb Life Last Week Tonight with John Oliver Also, especially with elderly patients, they may refuse transfer as well. They're harder to use the following search parameters to narrow your results: subreddit:subreddit find submissions in "subreddit" author:username find submissions by "username" site:example. Point 5- really ? Do you know all the contracts ? Mine has a bonus structure I’m not even wasting time on the rest of this stupidity. The comment I was responding to called anyone who supports midlevels a cuck and the top response to that is that doctors who support midlevels all must be married to one. ADMIN MOD Why is emergency medicine competitive? SIMPLE QUESTION I’m not exactly sure if it’s competitive in the US, but It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. It really messes us up sometimes. I have no idea why I am even responding. Things like reading EEG are more likely to be taken by computer/AI than mid-levels from what I see. They just don’t want to move and their location is their priority, not their job. They get to do cool, fun, chill stuff, and not be stressed out; I get to try to do jump to content. Emergency medicine PA. ) who pretend to be doctors. The job market issues are covid related. They get to do cool, fun, chill stuff, and not be stressed out; I get to try to do emergency medicine. This is not a I wanted to know what made many of you all to pick cardiology, more specifically interventional cardiology. 100% RVU pay. As a patient, ERs full of midlevels directly affects you, so it’s entirely reasonable for you to have asked that question on the emergency medicine sub since you were specifically curious about midlevels in the ER. Sort by: Just mid levels and an tele-ER doc. Regarding mid levels, from what I’ve seen in the places I’ve worked midlevels are not able to do the same job as the doctor. Curious as to whether you’ve heard of (and can explain) Emergency Care Practitioners. But sounds like you guys would prefer we have patients wait 10 hours before being evaluated. I am family medicine trained and have spent several years working as both a hospitalist and in the ER. 2) there is much interpersonal drama, and you feel that you have made a meaningful difference in people’s lives every shift 3) emergency medicine has better stories than any other field except EMS and police. This is incredibly naive and completely misses the point of the report. And I’m not saying we should either. We have our own training for a reason. I’m located in Australia, and whilst I was completing my Paramedicine degree we had a guest lecturer from the UK who said that ECP’s worked in Emergency Departments and were Paramedics with an additional specialty Masters, with a decent scope of practice. I think that you are wrong, but I can’t come up with a good reason if I’m being totally honest. None safely. So there’s a lot to learn if you jump in to emergency medicine right after school — so be ready for a Umm you might want to work on that. They function as data gatherers, not writers and bodies that can You will have to find a way to keep nursing at bedside and specialized people sustained enough to keep working. Sure, there will always be a job in East Cupcake, but you will need to live near East Cupcake if you want to make it a full time position. What types of personality would you say are unfit for emergency medicine? I am really interested in the field (just finished first year of medical school) because I like excitement, interaction with many other medical professionals and doctors, and the idea of cultivating broad knowledge. my subreddits. I am a first year medical student interested in emergency medicine. Drive down the salary first with Midlevels. This is not a You’re fine in low acuity but if things go south family medicine is simply not the same training as emergency medicine. Also add the fact that they will be cranking out ~3,000 residents a year when there is currently not 3,000 ED jobs in I trained at a very high acuity program with lots of department flow issues. When I was on ER rotations learning from them I often found myself managing patients who just as easily could have come into my clinic. More if I want extra $$. This is not a Occasionally, if I had a critical patient or two I would give the lacs or I&D’s to our ED mid levels. Level 3 trauma center. Emergency medicine and GP . This is not a Medicine in general is not the incredibly sweet deal it was a decade+ ago, and private equity is coming for everyone. There are still democratic and other groups that haven't sold out to private equity. I think I averaged 1. There are EDs/EM groups that use midlevels in the main ED as extenders to assist with There's midlevels doing consults in procedural medical specialties like GI/cards and surgical subspecialties. This is not a Get app Get the Reddit app Log In Log in to Reddit. This is not a In my experience in tertiary/quaternary referral centres, there aren't that many emergency problems that can't be solved by a combination of the ED reg, ICU reg, and ICU onsite SR/PF. _____ "Noctor" refers to midlevels (NP, PA, CRNA, CNM, etc. There is a trend in rural emergency room physicians also becoming the hospitalist on call especially on nights and responsible for admits, orders, and such. Ideally plan is to live where we are currently and just do emergency medicine travel. I don’t lie. Other fields of medicine also don't have the same private equity invasion that EM does (although this will become the norm across the board). Anything can walk through the door in the ER, and you gotta be ready for it. I'm an M3 at an osteopathic medical school. Most of my docs are RVU and want safe, but productive staffing. I think the medicine side of EM is great. Ex) uncomplicated URI, sprained finger, constipation, requesting medication refills, getting sick-notes for work/school, sports physicals, etc. The top comment is literally “I hate midlevels”. This is not a The most common reasons for removal are - medical students or premeds asking what a specialty is like or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. And don’t start about the impression that “anyone can do EM” - many, many other specialities think they can practice primary care and family medicine. This is not a Get the Reddit app Scan this QR code to is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine jessicawilliams24. Psych, IM, and peds are three I anecdotally suspect are in the crosshairs. I a am at a tertiary level 1 trauma center and can go 3-4 shifts without seeing a single immediately life threatening emergency. Good There are still groups that only allow midlevels to staff fast track and not see sick patients. Just because you can get a job in an ED without a PGY-2 doesn’t mean you’re maximizing your clinical potential. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. I also had similar feelings on EM vs anesthesia. This is not a 30 bed ER in the US that pre-covid saw about 70k pt/year. I'm dead set on applying EM. I really love EM Having an over supply of midlevels working in the ED, cutting EM docs pay and hours, and hiring midlevels over physicians in EDs started all before covid but at a slower pace. This is not a I am an IMG extremely interested in Emergency Medicine. I've heard the doom and gloom, watched the ugliness of the match the last couple of cycles and I still can't imagine doing anything else. Although there are a good mid levels, >98% cannot effectively operate an emergency department. It seems there would be a lot of crossover in knowledge and skill set. true. I can flex up or down my shifts depending on what’s going in my personal life. Is there a It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. However, I have recently gained a huge interest in the world of cardiology. Over the past week the American College of Emergency Medicine (ACEP) released a study that has projected a surplus of ~10K extra emergency medicine doctors by 2030. In most places they worked to avoid any furloughs and any mid level that was was paid 75% salary. Pre-covid they also had skill workshops/hands on for us midlevels and cme is free. Gaming. Get app Get the Reddit app Log In Log in to Reddit. We’re begging They are “trained” for family medicine or psych. Midlevels did an abbreviated, simple training to see simple patients and make the department money. Share Sort by: A reddit dedicated to the profession of Computer System Administration. I haven't been having luck finding jobs. This echoed previous articles by Dr. This is not a r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, I see a lot of posts on here about how physicians are liability sponges for mid-levels, and (3) initiate and administer several palliative and emergency medical procedures. Midlevels are less of an issue here because 1) hospitalist pay wasn’t that great to begin with, so less reason for the pencil pushers to go the NP route, 2) it’s harder to punt and shotgun (this is how midlevels hide a poor fund of knowledge) in hospital medicine than in the ED. Log In / Sign Up; Advertise on mentioning midlevels without using the It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. But after covid hit, our staffing was terrible so I tried to utilize IR as much as possible because I was the only doc running a busy ER with 4 midlevels. I think that’s a dogshit condescending attitude from that resident. I am usually in the top 25% when compared to my colleagues. Point 3 is ridiculous Point 4 is about your lazy ass. Insurers are slowly figuring out that midlevels generally order too much testing and cost more in the end. I have some insight into a local derm practice that sold to PE, and they got burdened by all the same crap that we see (decreasing salary to pay investors, more mid-levels, unresponsive administration, metrics metrics metrics). Always. This is not a Because it’s immediate gratification. It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. However, I found the excessive use of mid levels and lack of access to consultants disturbing and couldn’t work there any more. There is a direct conflict of interest for hospitals, for whom all Use of NP and other mid levels for extra coverage rather than double or triple covering with BC ED docs. And people barely notice. Why one would be in neurosurgery is beyond me. because those docs usually don’t have tons of free time to post on Reddit. When I had the attention span to listen to podcasts, I graduated from EM:RAP to ERCast (by Rob Orman). 30 minute story about some random ass disease that has nothing to do with emergency medicine 45 minute story about a sriracha overdose 30 minutes of scott wiengart ranting about an extremely specific topic relevant only to critical care docs 10 minute mailbag 20 minutes about the future of PA-Cs in emergency medicine 30 minute recap “Actual emergency medicine” is available medicine tho. Some of the big benefits that set a PGY-2 trained EM pharmacist apart in my opinion are usually more knowledge and/or comfort with peds, tox, Crit care management in the ED, Oh wait look. There’s a good amount of procedures that happen in emergency medicine (suturing, abscess drainage, lumbar punctures, joint taps, intubations to name a few). Given how I’ve seen and read so many forums as to how difficult it is to get into an emegency medicine residency in the USA as an IMG, given the SLOE situation and how my medical college isn’t enrolled in VSLO, is it sensible enough to pursue an FM residency and then pursue an EM fellowship? You also get access to tons of video recorded conferences that you can watch for CME. Midlevels will still be an issue, but a relatively small one It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. Neuro-ophtho, might be safe for a while? It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. Want to supervise a bunch of new grad PAs with no experience while 8 people just checked in and you’re covering all the ambulances, critical care patients and all the procedures and codes in the hospital. This is already commonplace in anesthesia, almost every single ICU, and it's coming for EM and IM as well: midlevels are going to be running the show with physicians providing oversight. I'm thinking about going to a Topics in Emergency Medicine conference in Hawaii in 2022, It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, Reddit's open forum for discussion of all aspects of actual crimes and their legal processes. If medicine becomes more and more algorithm-based, why not have mid-levels do it? Also, to address your comment, it's hard to not follow an algorithm when it might be seen as a breach of standard of care. High acuity and difficult patient population with very little access to primary care or any real human services at all. To me it seems like this frees up ER docs to see the more critical patients and practice emergency medicine . I think a lot depends on whether banning corporate practice of medicine takes hold. This is not a TH seems to be very proactive about taking care of us. This is not a They want to know how I’ve lasted as long as I have. I’m all for physician led care and am huge on stopping scope creep, but if you read the EMRA statement, it appears this is entirely separate from the traditional fellowship and is part of a pilot program to train mid levels in emergency ultrasound. This is not a View community ranking In the Top 10% of largest communities on Reddit. Work mostly day and evening shifts. The actual job market and job structure is about as bad as it gets in medicine though. By the time I would be done with training (about 7 years), I am wondering if the field will be oversaturated and if future EM physicians will have trouble finding a job in their desired location. Why now is there a downside? 1) No jobs for grads is a reason. Like yourself, I found the emergency room a Everything in medicine done by a physician is a "procedure" which is associated with an amount of RVUs (technically work RVUs but let's stay simple), "Current Procedural Terminology" or CPT codes are used to say what the physician has done, and thus how "hard" they worked, and thus how much Medicare will pay. This is not a The small amount of training gets taken over by the established department midlevels. This involves trimming nursing staffing, trimming ancillary worker staffing, and, you guessed it, swapping out physicians for mid levels. How will this affect those currently in training? It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. To be honest when I was on the edge of going into medicine I It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. When I got into emergency medicine, I did a masters in Disaster Medicine and Management, which completely changed my outlook on my career. I have noticed a recent increase in interest in the specialty, and am curious about the future job saturation of the field. By the time I realized the mistake I had made going to medical school it was too late and Emergency Medicine literally, from a pay and lifestyle point of view sucked the least of any speciality. Expand user menu Open settings menu. By that, I mean that many people who were not personally suited for emergency medicine applied for and It's everywhere really, but from a neurology perspective, you already have mid-levels working on neuromuscular, stroke, immunology, etc, for follow-ups. If you are working in an emergency department and something comes in, you take care of it as a physician. New comments cannot be posted and votes cannot be cast. It’s this post again. Mark Reiter and the American Academy of Emergency Medicine in which they predicted the looming excess of EM physicians in 2016. Same quality content but less pandering to midlevels and less annoying musical ditties. com find The rationale for employing midlevels is that they can safely see some patients whose problems appear to be less serious, freeing the emergency physicians to devote more time to those patients whose cases are more Fast track is where sprains, lacerations, colds and other less severe conditions are seen. This is not a . EM docs are often disrespected by consultants and patients, worked to the bone working all kinds of crazy hours and are treated like we are easily replaceable by mid levels with less education and training than us. despite the majority of us already doing so and doing so safely. For various reasons, emergency medicine enjoyed a popularity that was probably unwarranted. And mid levels damn sure don’t make 85% of what a doc makes. PGY-1 and PGY-2 Emergency Medicine Hours 🥼 Residency Archived post. This is not a Get the Reddit app Scan this QR code to download the app now. PAs on the other hand actually do get formally educated and must as a core do rotations in psych, pediatrics, OBGYN, emergency medicine, surgery, internal medicine, family medicine and an elective rotation in a specialty of our choosing. I would think the biggest worry in EM is not midlevels, Medicine is similar in that people will choose now over 2-3 days from now 10 times out of 10. And it isn’t just EM. This is not a Yet on Reddit EM you got docs complaining they are only able to make $200/hour in the metro area of their choosing and they just “have to” work for a CMG. I became an ER doctor to see sick people, so that’s what I do. 7K votes, 158 comments. From my observation mid levels in the ER tend to absorb boring level 3s and 4s and round on boarded psych patients. This is not a Thanks for the info. I'm a graduating senior resident looking for locums and 1-2 year positions because my partner in a different specialty still has a few years to go. Two of the five largest emergency medicine practices in the US declared bankruptcy. Almost everybody can find a job currently but it's getting tenuous and people are taking what they can get. A brief recent history of Emergency Medicine: Emergency medicine is, to a certain extent, a victim of it's own popularity amongst medical students. ” Thus, It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. This is not a I now supervise mid levels which is a new experience and again filled with nothing but risk. I guess i get frustrated because we have our docs in the back and mid levels at the window. “Mid levels can switch specialties willy nilly even without residency” yeah I guess, but they have to know what they are doing if they want to actually get It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. Log In / Sign Up; Advertise on Reddit; Shop Collectible Avatars; /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. I don't see many mid levels tubing patients , putting in lines , admitting to the ICU etc. There exist great jobs in emergency medicine, with good pay, reasonable circadian disruption, manageable patient loads, ample resources, and flexible schedules. I However, I do have a fear that the position as a whole could begin to be filled by mid level providers over the years, since emergency physicians earn a relatively high income (as they Midlevels did an abbreviated, simple training to see simple patients and make the department money. I ultimately chose emergency medicine because I felt EM allowed me to be more flexible in my life. There is some flexibility for FM in emergency rooms, just like at urgent cares especially since whether or not a patient is in an emergency room or a clinic can depend a lot of the patient's thinking. Especially with critically ill patients, uncommon diseases, critically ill pediatrics. Mid-levels may not have clinical decision making skills but certainly have what it takes to follow an algorithm as above. I personally invite midlevels to do resuscitations with me and encourage keeping up to date with procedural competencies, but to be honest I have never seen any of my colleagues offer this. Anyways i thought the book was fantastic, it is a collection of short stories that I believe are based on his own life as an emergency medicine doctor. So in a previous post I asked about fellowships in emergency medicine Get app Get the Reddit app Log In Log in to Reddit. However, for reasons listed above, the worst jobs in EM are some My opinion on Emergency Medicine as an Emergency Physician: Salaries: Salaries will continue to decline for the obvious reasons of oversupply, both of graduating residents and cheap midlevels. This is not a 2. This is not a If you haven’t already, I’d post over on the physician assistant sub and pre physician assistant sub. And if you replace more physicians with Midlevels, what’s to stop Midlevels from demanding more money? My guess is you’ll have whoever is willing to work for less do it, Midlevel or not. Every PA/NP I’ve worked with has done things they could do as well as me but also had holes in their game. You cannot just brush it While Reddit is a great resource, you’ll find that many I learned the hard way that what you are shown and told in medical school about emergency medicine is NOT what the practice of emergency medicine is We patients need you guys. The mid levels misdiagnose and over order SO MUCH. FM docs doing an EM fellowship aren’t the problem - midlevels, HCA opening too many EM residencies, and PE are the reason the EM job market is in the situation it’s now in. Practicing family medicine for some time now, I have saved peoples lives by controlling their cholesterol and diabetes but, this is over the course of many years. I’d be a shit family Med doc and I know it, because I wasn’t trained in it. Shifts: EM shifts are at all hours of the day, Hospitalist shifts are more in the nature of day vs Night (maybe a mid shift if you’re a triage hospitalist). Members Online. Especially when the docs go and I went into Emergency Medicine because medicine itself is a malignant, low reward, and often ridiculous job. It It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. They have plenty of non CMG options. Also I was falling behind on charts due to the lack of time. What pushed me to apply and accept the offer amongst all the negativity (this was right in the middle of the ACP drama as well) was that like you, I love emergency medicine. Whether or not I love the emergency department is very much dependent on other things like the department culture, the consultant body, the rota, the supervision, teaching, the drinks selection from the It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. But no there hasn’t been a midlevel takeover at all in emergency medicine. --- Emergency medicine had a rough 2023. Hi. 3 pph overall? Now as an attending, I can easily see 3 pph on my own at a busy lower acuity site, obviously a little lower with higher acuity +/- mid levels. Or check it out in the app stores     TOPICS. Multiple interruptions delaying sign out up to an hour, never getting a chance to see the patient signed out to you so the consultant is pissed you don’t know everything about them, the fight between admitting with ortho and medicine. I was the hero of the day. Open comment sort options It seems there are frequent complaints from both sides, yet the reality is that Midlevels (NP/PA) and Attendings need to co-exist for the foreseeable Skip to main content Open menu Open navigation Go to Reddit Home By shifting the supply-demand curve, yes, physician pay will decrease, but the end game is to push most of them out of the job market and replace them with mid levels, whose base pay is less than the physicians they were just underpaying. Reading this really felt like how the shifts during residench would go. Valheim I am applying DO this cycle and my top choice is to match into emergency medicine. edit subscriptions /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. 7 doc shifts a day, and no mid-levels at all. I've heard all the shit about mid-levels taking gigs and the job market being terrible but honestly I don't really care because in my estimation as long as I get a good education, I'm cool with working in super rural areas where there are more jobs. A situation in which there is a large number of emergency physicians who want to practice emergency medicine but are not able to reasonably do so is a huge failure of the system. I don’t hate it. How hard is it to match into emergency medicine if you go DO? Share Sort by: Best. Started doing the emergency room after I had to fire 1 of our emergency room doctors as a real result of poor patient care, and an incident that he placed patients in real danger. For paras/thoras, to be paid for in our system, we had to admit them so IR would do them. I tell them I was exactly like them in the beginning and moved around a lot until I found what fit. I've never seen an ED consultant come in to our tertiary/quaternary the middle of the night, or even get called - the ICU consultant gets called way before for a real diagnostic/management There is a noticeable difference is PGY-2 trained ED pharmacists, in the majority of cases. Lol man read the comments in this thread. This is not a I'm 100% matching into EM. Work 134 clinical hours a month. Log In / Sign Up; Advertise on Reddit; Shop paying a physician when you can rake in the cash with a midlevel, or better yet an army of midlevels? So along that line It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. This is not a So my step brother’s uncle apparently usually makes 300k and sometimes up to 700k as a rural Emergency Medicine Doctor in the South r/Residency A chip A close button. I love emergency medicine and want to help people, medicine is a team sport, I don’t act or think like I’m almost a physician, I know what my role as a PA will be, but I hope this animosity subsides, it’s not beneficial or productive for anyone. . EM is not what it was 10 years ago. This field is headed for very bleak times once oversupply becomes apparent. We as a specialty are shooting ourselves in the foot by churning our so many new graduates. Docs who chose to go into emergency medicine end up dedicating a good bit of time to primary care issues because our healthcare system in America makes primary care often more difficult to access than emergency room visits. This sub and medicine tend to have a ton of mid level hate and they will tell you mid levels should ONLY be seeing fast track patients rather than ESI 2s-3s, etc. Two 3pm to 1am shifts a month are the "late shifts". Emergency Medicine Workforce Newsletter: What Can an EM Union Do For You? Unionization is no silver bullet, but does give emergency clinicians more negotiating power in intriguing ways. Most ED consultants have their heads buried in the sand - absolutely refuse to acknowledge or countenance even the idea that their attitude towards midlevels is essentially killing the specialty as a medical discipline and reduced it to triage. I usually run the trauma bays and high Is it worth doing the Clinical Neurology and Emergency Medicine questions for the research, outcomes, and lobbying. The signouts I get from the midlevels for new admissions are routinely shit and I've vowed never to come to this ER if I ever need medical care. Or [Serious] For those of you that are still optimistic about Emergency Medicine and the job market, why? Share Add a Comment. Its reality. This is not a I hope it attracts the attention of future and current medical students as well as residents currently in emergency medicine training. Hi, wondering if anyone knows about dual training in ED and GP. This is not a I work in emergency medicine. Take Medicine Back calls for swift condemnation of the corporatization of emergency medicine. This is not a You are VERY wrong. Emergency Medicine - A lot more nights and circadian rhythm disruption once in practice as compared to general surgery - Relatively and quickly replaceable in practice, so less bargaining power with each individual hospital/group - Getting a lot of unfair abuse from consultants/getting your "mistakes" pointed out constantly Agreed. We need real physicians handling our emergencies opposed to unqualified midlevels. I love EM medicine and have spent a couple years working in the ED. There are plenty of jobs in EM for grads. Half the comments here are saying midlevels shouldn’t exist at all. EM pgy1 who considered IM for a hot sec and did my required AI on an IM hospitalist service. Best value in medicine. I'm a current MS3 about to start clinicals and I had been set on Emergency Medicine forever after working as a tech several years prior to med school. I really enjoyed the writing style and tone of it all. Some things are ordered by nurses or midlevels at triage without actually touching the patients. This is not a sub for discussing nurses If you are viewing this on the new Reddit layout, please take some I'm an ER nurse/NP student . When I was in the emergency room, and I placed a chest tube on a hemothorax. I hope there isn’t such anger at mid-levels that I’m being downvoted by some purely for being a soon to be mid-level. Frankly I love having my midlevels in EM. This is not a It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. I usually grab one critical overtime shift a month which is base pay plus $50/hr. EMG/NCS might be safe for now. I work in a shop where it’s 2 docs and 3 midlevels per shift. But they will, nonetheless. wvrsp xsonwqw nvagst ogqbl cwv drk gdga khmkbx xmic narz