I know we’re not always going to agree with each other in the ED, or
with the specialists that we call, but there are some physicians in our
department who seem to find conflict at every turn. What are some
strategies for keeping the peace while still fighting to advocate for
I rarely see women in leadership roles in emergency medicine. Why do you think this is and what can I do to get an administrative position down the road?
Our physician assistants are fantastic and have functioned independently
for a long time, but recently we had a bad outcome and now the hospital
wants us to supervise all PA cases. This seems like a waste of time and
it will slow down our docs. What do we do?
I’ve served as the associate medical director in a few different ERs,
only to be passed over when the department needed a new chairman. What
am I doing wrong and how do I find out how to reach that next level or
should I just count on being an associate director forever.
My hospital is spending a lot of time talking about 30-day readmissions
and how the ER needs to stop admitting people. Frankly, I don’t
understand how a readmission is an ER problem. Aren’t we taught that a
patient returning to the ED is like a red flag warning giving us an
opportunity to correct something?
I’ve been in my position for a while and while I’ve been able to make
some improvements with projects, I don’t feel like our ED has hit its
potential yet. Are there any secrets to getting my agenda moved forward
throughout the hospital?
Before I had kids, the only people who truly needed me as a matter of
life or death were my patients. Looking back, life was relatively easy.
When I was working, all my energy was focused on the ED. When I was off
work, I did whatever I wanted.
The long term benefits of breastfeeding your child – and of creating a
family-friendly ED environment – outweigh the perceived problems.
One of our group members recently came back from maternity leave. We are
all very happy for her and her family. The problem is that due to the
fact that she is currently breastfeeding, she has to “go in the back to
pump” 2-3 times per shift. While she is gone, the charts pile up, her
residents have no direction, and throughput stops for her patients.
As a senior resident, I was hoping to make a final decision about my
future job by the end of the year. The problem I’ve found is that all
the offers I’ve gotten look similar. What intangibles do I need to
consider to be sure I make the best choice?