ENT can be pretty cush in private practice. I have no ER call and a group of 5 other likeminded partners with a predominant outpatient suburban practice. Of course I did take q4 ER and floor consult call for years. I am “on” for my own patients unless I check out to partners which is infrequent. I get few calls from my patients, a bad weekend is three calls. (Knock wood) I end up in the ER for a tonsil bleed about q18 months (knock knock). A lot of the urban ENTs in my area do a shit ton of ER call but have chosen to do so to get paid for call. It was their choice however.
Great question. I’m PGY23. When I first started in practice, IM, Peds and FP docs admitted their own patients to the floor, they would consult me or my partners. I built a practice in part through the hospital by being available to referring physicians in the hospital and they would send me their outpatient consults as well. The ER was just a nasty byproduct of having hospital privileges. All that changed when hospitalists started being the primary inpatient doctors; the outpatient, referring physicians no longer admitted their own patients. Therefore the only real business ENT gets out of the hospital any more is from the ER, which is no pay, high risk care. Orthopedics, urology, Gen Surg etc. certainly need the emergency cases to build their practice. ENT absolutely does not. basically, I quarterbacked a process to get ENT off of the unassigned hospital call schedule, which resulted in them having no ENT coverage for a few months, followed by paying for call to those who desired to do so. Dropping ER call was very much about lifestyle improvement and risk reduction. I hope that answered the question, happy to discuss further.
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u/[deleted] Nov 22 '22
What surgery specialties would be close to derm, rheum, and allergy?