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The answer is because admin is replacing ER doctors with PAs and NPs and medical students can see the writing on the wall and want to guarantee they will have a job for the rest of their career
Wait until these NPs and PAs have to carry their own liability. NPs in Kansas can practice on their own now. Wanna act like a doctor, hold the responsibility/liability like a doctor
@@JackHanma-vu2dy What are you talking about? Are NPs and PAs legally required to carry their own malpractice insurance? I don’t know about you but no hospital I’ve worked at has made NPs or PAs buy their own malpractice insurance. Doctors though, carrying their own policy on top of the hospital’s general. Also, for PAs, at least in Missouri, a doctor has to read over the notes/orders to approve them. The PA messes up, doctor doesn’t catch it…they aren’t coming after the PA like they will the doctor. Everyone’s playing a valuable role but not accepting and understanding there is going to be a size-able knowledge gap is doing nobody any good. Just taints people’s view of midlevels as a whole when the pompous ones act like they are doctors.
Correct. This is precisely why I’m not going apply to EM residency. I worked in an ER long enough to see that NPs and PAs thrive there like the leeches they are
Imagine residency in my country. You won't get salary but have to pay monthly to the university instead for 4-5 years 😂 70-80+ hours a week. Yet all GP scrambled to get that residency position 😝
You include the clip calling it a "multifactorial" problem and then proceed to not explain any of the factors. Mid-level encroachment, unreasonable metrics, corporate takeover of the ER structure, and corporations using residents as cheap labor is the tip of the iceberg. This isn't going to fix itself and if it's worth telling the public a story about the dismal match this year, it's worth telling them why instead of saying "oh, it'll be back up again next year."
Wow, did a whole segment on a real issue in medicine and they didn’t even discuss WHY the interest is declining. Very poor reporting! Interest is declining because of oversaturation, HCA and private equity creating too many for-profit residencies and flooding the market, ERs hiring midlevels (PA/NP) over physicians to save money, the general treatment of ERs as a dumping ground, the poor treatment of ER staff by the public…the list goes on!
Did u hear the program director at the end say its normal and multi factorial. This is crazy, the AAEP has sold its dignity and pride for peanut. Keep hiring mid-level provides until the system explodes.
Yes, some doctors don't get matched because those doctors wanted to do other specialties most likely. What's happening in EM is quite sad/interesting, spots are going unfilled because not enough people want to specialize in that field - you may ask why? And the answer is a combination of hiring too many NPs/PAs who are essentially leeching from your job as doctors are ALWAYS liable for a mid-level, as the doctor holds the most responsibility even though he/she might not even see the patient. After that it's mainly just due to burnout rates, divorce rates, horror stories they have heard, aftermath of covid, or EM just not being interesting enough for a medical student to want to specialize into it. I worked at an ER as a scribe for about a year and I personally found it to be such a horrible environment to work in (and I worked at the so-called "Best" one in my city).
@@areumpark2717 Yea definitely, I think the toxic culture stems from both burnt out doctors and a constant shortage of nurses. In the ER, docs and nurses are stretched as thin as possible to maximize return on investment (doctors are costly assets) and that raises your patient load by quite a few on average. On top of this, the charting demands from the ER physician is quite intense which either means u are underpaying a scribe or are taking time after your shift to fix/finish all your notes. Lastly, the ER is not as “emergent” as it may seem. The reality of the ER is seeing majority elderly patients, drug-seeking behavior, or abuse of the ER itself by homeless/uninsured patients. The doctors I worked with were nice, apart from a few exceptions of course, but they all felt extremely burnt out and many were looking for ways out of the ER. Mainly through hospital admin jobs
Most of the initially unfilled spots were in the HCA residencies set up by corporations who have minimal interest in teaching. They want to use residents as cheap labor and as a pipeline to work for them.
As someone who works with hundreds of medical students: part of the issue is that many current ER physicians aren't willing to work with medical students. If medical students are not exposed to Emergency Medicine rotations, or are placed into rotations with attendings who clearly don't want them there, they are not going to choose to apply into that specialty. Make Emergency Medicine more welcoming to medical students if you want more residents. Very simple!
Applications are low because the job market is saturated with EM physicians and thus if you do residency you will finish and either not be able to work where you want, or you will have to work for much less money than you should. It will eventually even out again after multiple cycles of decreased interest, but for the time being, it's not a good job outlook.
Making sure patients feel seen and treated as a human being is definitely something some ER doctors (and other medical personnel) have forgotten about. I hope she continues with the same outlook and approach into her program because the good ones really do make a difference even when you're having such a bad day.
Dont blame the doctors. The administrators at these hospitals are the reason why ER doctors are so overworked, burnt out, and may not act the way you'd like them to
blame admin for replacing er physicians with midlevels and expecting the remainder to manage the same pt load with more distance in the middle. hard to see and connect with pts when you physically dont have time to talk on avg more than a few mins
Lol laypeople don't understand. When admin is breathing down your neck about how many patients to see and bill, you just hope to keep up with those expectations to keep your job
PA and NP position have very little to do with it. There is going to be in oversupply of EM physicians by 2030. This is mainly because of the massive expansion of residency programs. So no, there is no “em shortage or whatever this video claims”.
I mean I may be in the minority, but I live in a large southern city and I can count on one hand the amount of times I've seen a doc in the ED in my life haha. Sure feels like there is a shortage, regardless of the reasons for it
the residents of today complain a lot about work hours but they don't know how good they have it relative to how it was for many decades and historically. we would have been grateful to have work hours limits or just some humane facsimile. corporations have also hurt EM as many doctor run emergency rooms have become run by bureaucrats and attendings treated as easily replaceable with limited employee rights. if the matched med student wanted to make sure fractures are not misaligned she should have gone into orthopedic surgery.
Oh look doctor boomer is here. Just because y'all did cocaine to stay awake back in the day doesn't mean we have to. Medicine is toxic because of this bs culture your generation created
