b'PACEP Medical StudentCommittee UpdateRyan Pinto, PCOM OMS-III worked as an emergency departmentdepartment to manage patients after admission technician while in undergrad and felt I had builtor discharge, keeping track of patients after they a solid understanding of how ED patient careleave the department is an opportunity for growth and administration generally worked. Whenregarding verifying accuracy in your diagnosis, the opportunity to write this article arose, Iwork up, and management that is invaluable to brainstormed topics where I could draw from mythe learner. He emphasized that the job of an EM previous experiences. In reflection, as a currentphysician is to rule out and treat the bad and scary second year medical student at PCOM heavilythings that could kill a patient when they present engulfed in didactics, I feel far removed fromto the department. Oftentimes once the critical clinical medicine and an environment I was once soissues are ruled out, many patients receive vague comfortable in. While my past experiences hold aabdominal pain, chest pain, or other ambiguous special place in my heart and are the driving factorsdiagnoses as the physician may need to rush to for my desire to practice Emergency Medicine,the next emergency or tackle the ever-increasing they are vastly different from what an EM physicianpatient volume. He believes being allotted time in experiences daily. My goal for this article was toresidency to perform follow upswhether after talk with various EM physicians, from resident toadmission or through a PCP or specialist notesemeritus, and share their experiences to allowcan really help direct future care and services to students to gain some realistic perspectives. I askedhopefully reduce the number of repeat visits that physicians at various stages of their career theEDs so frequently see nowadays.question: What is something you would change to strengthen the field of Emergency Medicine orAttending Physician Perspective:emergency departments in general?The next perspective comes from an old mentor Resident Physician Perspective: of mine, back in my home state of Illinois, Imran Khan, DO. He believes the Emergency Medicine I was fortunate to get the perspectives of Templesystem and the whole healthcare system in general University PGY-1 Alden Mileto, MD. He beganwould be strengthened if emergency departments by telling me that from his experiences rotatingwere better understood by subspecialties. In his and auditioning at various programs before theexperiences working in a large community ED, Match, all residency programs follow a similarhe says it often turns into a dumping ground structure due to ACGME guidelines, but they allfor patients who have chronic or undiagnosed have their own strengths and weaknesses. Whileailments that can be difficult to work up or some are stronger in procedural skills, others maychallenging to manage in the outpatient setting. have greater strength in community medicineThis chokes up EDs and thus backs up the system. exposure or academic research. He advised thatPatients similarly suffer, as they continue to look for while no single program is perfect, he wouldanswers in a place built on the premise of treating like to see programs overall focus more onand ruling out life threatening emergencies, while emphasizing following up on patients who comeoffering them interim solutions. through the emergency department. AlthoughAnother attending, who chose to stay anonymous, it is not typically a role within the emergencyhad a response that piggybacks off Dr. Khans very 12 PACEP News'