Every patient has a new unexpected problem.
Diagnosis is unknown in majority of the patients, therefore a clinical challenge.
There will not be any patients for regular follow up like in other specialties
Work is only during duty hours. You're free once you leave the emergency department. You don't have to worry about any patients.
The scope of EM extends thoroughout the breadth of medicine & surgery. You can see patients who can be categorized into every known specialty.
You get to know every consultant and doctor in the institute or hospital due to the referrals given from the emergency department.
You are never bored in emergency medicine.
You play a major and most significant role in prehospital care and disaster management.
Emergency physicians need a level 1 hospital, where there is access to all specialties and major investigations, to function. They cannot open clinics.
Majority of the patients are not emergencies.
Violent abusive patients and attenders are a common scenario.
Very sick and severely injured are a common presentation. Resuscitations and deaths are common.
Patients usually do not stay for more than 24 hours under you.
Patients and attenders often do not remember or acknowledge the effort you would have put in.
Your own collegues (from other specialties) fail to understand the nature of EM work and think that you're only doing first aid & referrals.
Pay scales cannot reach the level achieved by other specialists who have well established practice such as those in cardiology, orthopedics, etc.