Esutt89 Posted October 12, 2015 Share Posted October 12, 2015 Hello, I am a new grad located in a major city of the Northeast. My future plans involve getting into emergency medicine. I currently have 2 offers on the table. One of which in a family practice, as well as a 1 year EM "fellowship". I also have an interview at an ER in the area (unsure of details of this job). EM fellowship: ER shifts only, 4-10's per week. No off site rotations. No didactic. Certificate granted after completion. - Salary is 58,000$ - 2,000$ CME - 2 weeks PTO - 4,500 yearly healthcare stipend - DEA, memberships, malpractice covered Fam Medicine: 4 days per week, one Saturday morning per month. Roughly 40 hours per week. 16-20 ppd. - 90,000 salary (chances for bonuses) - 5 wks PTO - full health care coverage (unsure of dental) - 401k up to 3% of salary match - non-compete for Primary care only (specifically written in contract) - CME 1,500 - Malpractice (occurrence made) Clearly these offers are pretty lopsided. My question is, is it worth it to take the pay cut to jump right into the ER? Is the transition from family medicine to EM difficult or do recruiters and employers look at this experience as a big plus? During both interviews I felt very comfortable with the attending physicians. They seemed to be very interested in teaching and supporting of a new grad (the one offer is termed a fellowship so clearly it should be). Also, the family medicine offer has a deadline 2 days before my interview at the other local ER. Not sure if I can get additional time to decide or how to go about it. Any thoughts would be greatly appreciated. Thanks. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 12, 2015 Moderator Share Posted October 12, 2015 ER shifts only is not a fellowship worth attending. you need the off service rotations in critical care, anesthesia, surgery, etc to make it worthwhile. I think I know the program you are looking at. they are just looking for cheap labor. maybe look into a reputable postgrad program.... Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted October 12, 2015 Moderator Share Posted October 12, 2015 Agree with emed. No didactically, no off service rotations, not a real fellowship Link to comment Share on other sites More sharing options...
cinntsp Posted October 13, 2015 Share Posted October 13, 2015 I wouldn't even bother with something advertised as a residency/fellowship that isn't listed with APPAP and more importantly, doesn't have anything that a residency/fellowship would have other than working shifts. Look to more established programs. Link to comment Share on other sites More sharing options...
primadonna22274 Posted October 13, 2015 Share Posted October 13, 2015 Absolutely NOT a fellowship. No didactic and working full time for $30k (min) under market?! Take the FM gig. Sent from my SAMSUNG-SM-N910A using Tapatalk Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted October 13, 2015 Moderator Share Posted October 13, 2015 I wouldn't even bother with something advertised as a residency/fellowship that isn't listed with APPAP and more importantly, doesn't have anything that a residency/fellowship would have other than working shifts. Look to more established programs. Have to disagree with one point. There are many fine programs that are not involved with APPAP. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 13, 2015 Moderator Share Posted October 13, 2015 there are 28 em postgrad programs now. most excellent. many not on appap. Link to comment Share on other sites More sharing options...
Esutt89 Posted October 13, 2015 Author Share Posted October 13, 2015 Yes, I definitely agree that it is not a real fellowship. However, I should have mentioned earlier that I plan on applying for 3 APPAP fellowships. One begins in July of 2016 and 2 of them start October of 2016 (my graduation date was a few weeks too late to start this year). So clearly I will need to get a job in the mean time. Link to comment Share on other sites More sharing options...
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