EM doctors are meticulous about what matters now. Non acute doctors often don't understand how to approach a problem with the same level of prioritisation and get annoyed that EM didn't cover a completely non life threatening differential.
I mean,general surgery demands high standard capability. It’s more suitable for ppl with good comprehensive skills,which makes it 100+ levels difficult 🤷♂️
I really liked the appeal of emergency medicine initially however after shadowing an EM doctor I found that it was a bit too much for me. Thanks for sharing your perspective I definitely relate to some of your reservations with the specialty 😅
How long did you shadow in the ER? General geographic location? Did you ever enjoy it? I'm shadowing an ER Doc in LA County, and I find it surprisingly slow. I've done 16 hours, and the most "interesting" thing I've seen is a prolapsed uterus. Granted I'm not at a trauma center, so we don't get stuff like that.
I’m a Wildland FF/EMT now. I was in medical school and left during covid. My intention is to go back. I’ve done shift work my whole life, and EM docs are still in that paradigm at a much higher level.
your videos, be it on med school insiders or here, are so strangely and uniquely motivating. i just passed all of my exams and i didnt feel like all that studying was worth the 10 minutes of joy i had after passing my exams, but these videos give me something to look forward to. thank you very much dr. jubbal.
EM is the best training for general practice. Young Docs learn so much in the ED. The downside is the workload and stress when you're on. You need to be able to switch off when your shift is done.
Having worked in large hospitals the past 4 years, respiratory techs are the unsung heroes of the ER when it comes to saving lives. Also saving lives are the cardiologist and their team of cardiology fellows, nurses and technicians who perform cardiac catheterizations. Lots of people saved by these folks as long as the patient arrives still alive on the ambo.
Unfortunately, now a days, EM physicians take hours of work home (notes/billing) thanks to most hospital administrators. On top of ever increasing patient volumes, decreasing hospital resources, reduced nurse staffing, and an exceptionally ill populace thanks to large gaps in health care coverage and most people not having access to a "living wage" - there is no "clock in/clock out" to speak of. All of the above, including at times abuse from other specialities, is why the burn out rate is so high. The ED is a catch all for all the holes in the American Health Care System, the dark underbelly that shows where our true values lie as a country.
@@christiancasteel5962 As another EM resident, I think that COMPLETELY depends on where you are doing your residency/working. I'm in one of the busiest ED's in the US with some of the most disadvantaged patients. I chose this, yes, but in my program your experience is a target that 90% of the time can't ever be met, and not from lack of trying. There is a huge difference between an ED with a waiting room of 20 and a waiting room of 200.
@@christiancasteel5962 Ex has been an EM for 12 years. More times than not, the charts had to be done at home. I went to enough parties with her colleagues to know that she was the norm, not the exception
If that’s the case, and you have to chart at home, yeah that takes away a huge incentive. What do you mean, though, you go home, and administrators keep demanding you write and add to notes from some remote access system even on your days off?
Love this "why I didn't" series! It's very illuminating to hear about your experiences and honest personal perspective on pros/ cons of different specialties. We all have different pros/ cons, some of your pros were my cons and vice versa. Really informative stuff regardless. Keep it up. Can you do psychiatry, neurology, internal med?
This was an extremely well made and superrr helpful video for me personally. Everything from the editing to the content, was very well made. So thank you so much!
I like EM. I went into medical school with EM as a goal. But, after going through EM clinical rotations, I still worry that, long term, I could burn out. And I don't want to do that years later. So to this day, I'm still in between EM and Family Medicine.
@@redpilledbachelor7776 Yes. IM is still an option, but I gravitate to FM just because the width and the versatility of that specialty. Yeah, I know it has TONS of paperwork and administrative tasks, but it still appeals to me.
@@musiqal333 interesting, I just accepted to a special master program with DO school linkage. Personally if I have to pick between IM and FM, I'll take IM just so I can only focus on adults and I like 7 on 7 off schedule.
Unfortunately I had four ER visits earlier this year -- all of them hours long and three resulting in admission. During at least three of those I heard the staff having to deal with an abusive patient. The abusive patients appeared to be homeless and likely both mentally disturbed and suffering from addiction. I felt very sorry for the staff having to deal with them.
"You go in, you punch out, and you're done". Not at all true. You go in, you get zero breaks for 12 hours (if, by some miracle, you get out on time), then you go home and catch up on all the charts that you had zero time to do while you were getting yelled at by angry patients that had to wait 2+ hours to see you. Also, the constantly changing from days to mid, to night shift is hell on your mental and physical health. My ex is in EM, and the reason she's my ex is she was ALWAYS miserable. And as you can tell... I knew exactly why
Prior to getting my EMT license in 2018, I thought EM was the most thrilling specialty, but after gaining experience, I knew it's at the bottom of my list for 2 reasons: 1) the bread and butter, as mentioned in the video, is why EMTs and medics burnout. 2) I didn't realize that the purpose of an ED is to just stabilize a pt and package them to the next unit, where their actual problems are solved.
Dr. Jubbal, can you please make a video for non traditional students who have no background or education in the sciences beyond high school? Can this video cover topics such as post bacc programs, ways to become a competitive applicant (for both post bacc and med school), and a general synopsis of admissions boards' perception on these types of nontraditional students? I have a background in public accounting studied economics and accounting as an undergrad. I've always felt my calling was medicine, and I've read plenty of books on neuro oncology because it's of great interest to me. However, my specific situation led me to a career path that equated to earnings quicker in life. Now that I'm comfortable (financially), have the support system around me, and only 25yrs old, I want to focus on my calling to be a surgeon. Considering leaving my comfortable life to become a medical assistant to start building my application for post bacc and medical. So what information would be valuable for me to consider (something to consider to put into your video)?
Someone mentioned below the fact that you’re not off on your off days as you’re made to continue charting/finish documentation when you’re off. I wonder which specialty has the LEAST documentation burden.
Nano technology which is embedded in the central nervous system and which is being remotely stimulated and manipulated from a distance by digital signals should not be diagnosed as schizophrenia.
Hey Dr. Jubbal, this question isn't related to your video but I noticed that you have a spec in the schlera of your right eye. I also have the same thing but in both eyes and wondered if there is any way of ridding it. Is it just a cosmetic issue? Thanks in advance.
Question! do you think it's wise to take 2 years off to do a master's program before applying for residency, after completing med school that is??? i could really use some advice on this
@@giobikefans thanks for your concern, but would it not be possible to just not cut back too much on my clinical activity in those during those 2 years? or is this too ambitious?
Referring to undocumented immigrants as “illegal” is very pejorative and dehumanizing. No human being is “illegal” and this term needs to be removed from medical professionals.
Starting EM residency in July at a level 1 trauma/stroke/Peds/etc center. STOKED
Congrats!
Hey just checking in, how u doin?
@@ayup3907I’d love to know as well
stressed lmao@@ayup3907
Hey, anyway we could connect?
EM doctors are meticulous about what matters now. Non acute doctors often don't understand how to approach a problem with the same level of prioritisation and get annoyed that EM didn't cover a completely non life threatening differential.
I think " why i didn't choose general surgery " is really going to be a great episode
Waiting
I mean,general surgery demands high standard capability. It’s more suitable for ppl with good comprehensive skills,which makes it 100+ levels difficult 🤷♂️
I really liked the appeal of emergency medicine initially however after shadowing an EM doctor I found that it was a bit too much for me. Thanks for sharing your perspective I definitely relate to some of your reservations with the specialty 😅
How long did you shadow in the ER? General geographic location? Did you ever enjoy it?
I'm shadowing an ER Doc in LA County, and I find it surprisingly slow. I've done 16 hours, and the most "interesting" thing I've seen is a prolapsed uterus. Granted I'm not at a trauma center, so we don't get stuff like that.
@@sergiootero5904 def more intense at trauma centers
@@sergiootero5904 Consider shadowing at UCLA Harbor or USC instead.
I’m a Wildland FF/EMT now. I was in medical school and left during covid. My intention is to go back. I’ve done shift work my whole life, and EM docs are still in that paradigm at a much higher level.
your videos, be it on med school insiders or here, are so strangely and uniquely motivating. i just passed all of my exams and i didnt feel like all that studying was worth the 10 minutes of joy i had after passing my exams, but these videos give me something to look forward to. thank you very much dr. jubbal.
Congrats and thanks for watching =)
EM is the best training for general practice. Young Docs learn so much in the ED. The downside is the workload and stress when you're on. You need to be able to switch off when your shift is done.
Having worked in large hospitals the past 4 years, respiratory techs are the unsung heroes of the ER when it comes to saving lives. Also saving lives are the cardiologist and their team of cardiology fellows, nurses and technicians who perform cardiac catheterizations. Lots of people saved by these folks as long as the patient arrives still alive on the ambo.
Unfortunately, now a days, EM physicians take hours of work home (notes/billing) thanks to most hospital administrators. On top of ever increasing patient volumes, decreasing hospital resources, reduced nurse staffing, and an exceptionally ill populace thanks to large gaps in health care coverage and most people not having access to a "living wage" - there is no "clock in/clock out" to speak of. All of the above, including at times abuse from other specialities, is why the burn out rate is so high. The ED is a catch all for all the holes in the American Health Care System, the dark underbelly that shows where our true values lie as a country.
As an EM resident I can tell you ive never once taken any work home. All my charts done working 30 mins of shifts end
@@christiancasteel5962 As another EM resident, I think that COMPLETELY depends on where you are doing your residency/working. I'm in one of the busiest ED's in the US with some of the most disadvantaged patients. I chose this, yes, but in my program your experience is a target that 90% of the time can't ever be met, and not from lack of trying. There is a huge difference between an ED with a waiting room of 20 and a waiting room of 200.
@@christiancasteel5962 Ex has been an EM for 12 years. More times than not, the charts had to be done at home. I went to enough parties with her colleagues to know that she was the norm, not the exception
If that’s the case, and you have to chart at home, yeah that takes away a huge incentive. What do you mean, though, you go home, and administrators keep demanding you write and add to notes from some remote access system even on your days off?
@@christiancasteel5962 I was gonna say isn't scribe America in like every ED? I'd assume EM has the least amount of take-home charting.
Love this "why I didn't" series! It's very illuminating to hear about your experiences and honest personal perspective on pros/ cons of different specialties. We all have different pros/ cons, some of your pros were my cons and vice versa. Really informative stuff regardless. Keep it up. Can you do psychiatry, neurology, internal med?
This was an extremely well made and superrr helpful video for me personally. Everything from the editing to the content, was very well made. So thank you so much!
Glad you enjoyed it!
I like EM. I went into medical school with EM as a goal. But, after going through EM clinical rotations, I still worry that, long term, I could burn out. And I don't want to do that years later. So to this day, I'm still in between EM and Family Medicine.
Family medicine is tons of paperwork till you retire
@@ImEmpTy295 I'm aware of that.
Have you ever thought about IM, lots of fellowship opportunity afterward.
@@redpilledbachelor7776 Yes. IM is still an option, but I gravitate to FM just because the width and the versatility of that specialty. Yeah, I know it has TONS of paperwork and administrative tasks, but it still appeals to me.
@@musiqal333 interesting, I just accepted to a special master program with DO school linkage. Personally if I have to pick between IM and FM, I'll take IM just so I can only focus on adults and I like 7 on 7 off schedule.
Unfortunately I had four ER visits earlier this year -- all of them hours long and three resulting in admission. During at least three of those I heard the staff having to deal with an abusive patient. The abusive patients appeared to be homeless and likely both mentally disturbed and suffering from addiction. I felt very sorry for the staff having to deal with them.
There is a ton of anxiety that comes through the door masquerading as TIAs, ACSs, etc...
"You go in, you punch out, and you're done". Not at all true. You go in, you get zero breaks for 12 hours (if, by some miracle, you get out on time), then you go home and catch up on all the charts that you had zero time to do while you were getting yelled at by angry patients that had to wait 2+ hours to see you.
Also, the constantly changing from days to mid, to night shift is hell on your mental and physical health.
My ex is in EM, and the reason she's my ex is she was ALWAYS miserable. And as you can tell... I knew exactly why
How they make you continue notes from home by remote system? Pretty evil…
Best career advice I ever got: "Avoid the jobs where you have to deal with the general public."
Its the only specialty I see myself doing. I don't want paper work in FM and I don't want to be in a 6 year residency for surgery specialities.
Awesome!
Prior to getting my EMT license in 2018, I thought EM was the most thrilling specialty, but after gaining experience, I knew it's at the bottom of my list for 2 reasons: 1) the bread and butter, as mentioned in the video, is why EMTs and medics burnout. 2) I didn't realize that the purpose of an ED is to just stabilize a pt and package them to the next unit, where their actual problems are solved.
But what's the fun in having differentiated and stabilized patients handed off to you all the time? 😎
this is a good playlist and by any means it is not useless🙂
Why I didn’t psychiatry and anesthesiology are the ones I’m really looking forward to!
Anesthesiology coming out in the next few weeks. Psych is on the list for later this year!
Dr. Jubbal, can you please make a video for non traditional students who have no background or education in the sciences beyond high school? Can this video cover topics such as post bacc programs, ways to become a competitive applicant (for both post bacc and med school), and a general synopsis of admissions boards' perception on these types of nontraditional students? I have a background in public accounting studied economics and accounting as an undergrad. I've always felt my calling was medicine, and I've read plenty of books on neuro oncology because it's of great interest to me. However, my specific situation led me to a career path that equated to earnings quicker in life. Now that I'm comfortable (financially), have the support system around me, and only 25yrs old, I want to focus on my calling to be a surgeon. Considering leaving my comfortable life to become a medical assistant to start building my application for post bacc and medical. So what information would be valuable for me to consider (something to consider to put into your video)?
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I would also love this!
Someone mentioned below the fact that you’re not off on your off days as you’re made to continue charting/finish documentation when you’re off. I wonder which specialty has the LEAST documentation burden.
What on earth is that weird P' wave before the P wave in the intro photo? My EKG senses are tingling...
The issue with EM is that most patients are not even true emergency. Most of them are urgent care stuff anyway.
and as an urgent care nurse, a lot of patients that come to UC should be going to ED 😂🫠
Please do why I didn’t anesthesiology!
Nano technology which is embedded in the central nervous system and which is being remotely stimulated and manipulated from a distance by digital signals should not be diagnosed as schizophrenia.
Hi, Can you make a video about Why you didn’t pathology, too? Thank you!
Yes
@@kevinjubbalmd Hi, perhaps you could talk about forensic pathology in either Why I didn't or So you want to be series? Thanks!
Not wanting to be a doc but my cousin is pathologist i would def watch it.
I’d love to see your take on Peds!
Can you do radiology
Very educational! Thank You :)
Thanks for watching
Why You DIDN'T... Radiology?
you didn't choose EM because you're wrong.
😂Sir♥️♥️♥️
The EM abuse can be broken down into 2 things: homelessness and meth.
What about anesthesiology? Or intensive care? ;)
Amazing video my son!
this is irrelevant.... but i hv to say that dr. jubbal looks so much like Kang Ha-neul (south korean actor)
Just gonna say, if one goes into EM, black coffee>tea 🤣. Sorry Dr. Jubbal, I’m just quoting an EM mentor
I would be interested in why i didnt intensive care
Great video, why u didnt neurology would be great given the fact you studied neuroscience, thx
Can you do why I didn’t do cardiothoracic surgery
Fair take
why i didn’t anaesthesia video next 🙏
I like this channel more than medinsiders just cause I can connect with Dr. Jubbal
Soo good Dr. J
Why you didn't psychiatry?
Hi Dr Kevin, I'm just 17 and I really want to be a EMD tho. If I may ask, which specialist are you ?
Hey Dr. Jubbal, this question isn't related to your video but I noticed that you have a spec in the schlera of your right eye. I also have the same thing but in both eyes and wondered if there is any way of ridding it. Is it just a cosmetic issue? Thanks in advance.
Just cosmetic. Got hit in the face with a tether ball in 3rd grade. Rest is history
Great video
Question! do you think it's wise to take 2 years off to do a master's program before applying for residency, after completing med school that is??? i could really use some advice on this
No, you'll forget your clinical years.
@@giobikefans I see, but will this time be considered as gap years in the US or will it look bad on my C.V.? I'm an img.
@@mrx4814 I don't think they'd be considered gap years. I just think the transition back to clinical work would be challenging with a two year break.
@@giobikefans thanks for your concern, but would it not be possible to just not cut back too much on my clinical activity in those during those 2 years? or is this too ambitious?
You even quit medicine 😂
shout out to the undifferentiated medical student for a similar series
Pluripotent just like a stem cell
Residency is as much about personality as pathology....birds of a feather.
Please do neurology. :)
The angriest people around are hungry people and people in pain. Who'd have thunk doctors and servers have something in common? 😊
Undocumented *
Heyy , why I didn't clinical genetics
1. infested with PA/ANP charlatans
2. unemployment
Why I didn't Oncology
Are you mainly talking abt emergency medicine or trauma surgery?
emergency medicine
You must enjoy chaos.
Second
Can robot 🤖 replace doctor ?
Nope.. as long as it won't replace the patients..
Did he just say tickle? Wtf?
Referring to undocumented immigrants as “illegal” is very pejorative and dehumanizing.
No human being is “illegal” and this term needs to be removed from medical professionals.
Chill out, lol.
This job sacks
2 paitent complaints can get you fired
Avoid this shit
What? Damn
@@JT-tx2ns
Yeah medicine truly is hell now .doctors are in the pocket of the corporation.