b'decisions quickly and without all theI also think EM as a third-yearhelp ensure that those that truly love information, to get patients where theyrotation could be helpful in termsEM find their way to the specialty need to go as quickly as possible so weof training students on how to dealand might help minimize attrition in can treat the next person?Sometimes,with emergencies. Compared withthe future for those who are better I would ask How would this beemergencies handled on the floors, insuited to something else. It would different, in an ideal world? What wouldthe ED, there was a coordinated chaosprovide exposure to the broader field you prefer they do? Usually, I framedand a relative calm. I wonder if learningof EM, giving valuable experience in this in the context of wanting to knowhow to handle the stress and unknownsemergency response and a better how to be an EM resident that wouldntof a code or rapid response doesntunderstanding of the capabilities of drive their consulting services insane -happen best in the ED. I found myselfthe ED, which every physician will need but I almost always received the samethinking an EM resident should be partat some point in their career. At my answer, if somewhat begrudgingly.of every code team, just so there wasmost optimistic, I think it might make Usually, it was something to the effectsomeone there who is trained to handlea difference in relationships between of Realistically, theres not much thatthese sorts of emergencies. Now, Ithe ED and other specialties, and could be done differently, based onwonder if the situation wouldnt bemaybe spark a change to improve the circumstances beyond their control.better handled if all residents had spentconstraints in which EM must operate. Interestingly, in those moments,time in the ED as medical students, andAt the very least, I think it would help the frustrations with the ED turnedat least had some experience with thewith the confusion and stress of jam-more towards frustrations with theorganized team approach.packed fourth year schedule planning, situation itself, or the constraints inI cant say for certain what sort ofwhich at the moment, would be a very which everyone was forced to operate.impact requiring EM as a third-yearwelcome reprieve.Would the relationship between EMclerkship would have, I firmly believe and inpatient admitting specialtiesit would be a positive one. It might be different, if everyone had early exposure to EM and could better empathize? Theres also the consideration of what experience in EM would give to those who ultimately end up in other fields. I would argue that every single physician will interact with the ED in some capacity throughout their career. For those specialties based in the hospital, more often than not, the ED is the gateway to admission. For those in outpatient specialties, knowing the ED workflow would be helpful before sending patients on their way to the Emergency Room for a prompt workup. Perhaps that would help with patient frustrations, and the erroneous expectation that the ED is quick, made-to-order primary care.PACEP News | Spring 2024 13'