Accident and Emergency Medical
Accident and Emergency medicine is a medical specialty involving care for undifferentiated, unscheduled patients with acute illnesses or injuries that require immediate medical attention. While not usually providing long-term or continuing care, emergency physicians undertake acute investigations and interventions to resuscitate and stabilize patients. Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units.
Work patterns
Most emergency physicians staff hospital emergency departments in shifts, a job structure necessitated by the 24/7 nature of the emergency department. The employment arrangement of emergency physician practices are either private (with a co-operative group of doctors staffing an emergency department under contract), institutional (physicians with an independent contractor relationship with the hospital), corporate (physicians with an independent contractor relationship with a third-party staffing company that services multiple emergency departments), or governmental .
Training:
In India, many private hospitals and institutes have been providing Accident and Emergency Medicine training for doctors, nurses & paramedics since 1994, with certification programs varying from 6 months to 3 years. However, emergency medicine was only recognized as a separate specialty by the Medical Council of India in July 2009. Colleges such as Sri Ramachandra Medical College, Chennai, Vinayaka Missions University, Salem and Christian Medical College, Vellore ,Annamalai University were among the first to establish structured postgraduate programs. 3 year Emergency medicine residency is also provided by Apollo hospitals at various sites (Hyderabad, Chennai, Delhi, and Bangalore) making the candidates eligible to appear for MCEM examinations.
The National Board of Examinations has announced that DNB emergency medicine would be started from the next academic session at various accredited hospitals/colleges in India.
Opportunities:
Accident and Emergency medicine by itself is an emerging opportunity in India. Apart from being consultants in EM, emergency physicians can become the best emergency department administrators, emergency medical services (EMS) directors, EMS & paramedic trainers, disaster planning consultants, EM research directors, first aid trainers for non medical personnel, etc. Opportunities are numerous even if you are not interested in clinical care.
They can even be the best public relation officers (Due to the close association & intricate knowledge EPs have of the working of every specialty and their personnel. And due to excellent skills they have in managing any problem whether related to patients or their attenders)
Every emergency physician is trained appropriately in the latest and correct methods of cardiopulmonary, trauma and pediatric resuscitation skills. This makes them the best doctors to teach first aid and CPR skills. We are not telling that other doctors are incapable. But the nature of EM work provides ample skills needed for the EP to train anybody (whether medical or non medical) appropriately in first aid, cardiopulmonary resuscitation and trauma resuscitation.
Salary:
Pay scales vary depending on the hospital and the region. The quality of EM training, qualification and EM experience definitely matters. There are no average figures availlable. Pay packets currently vary widely between each EP depending on the nature of his / her responsibilities. A good emergency physician doing 36-42 hours a week duties in a corporate hospital's busy ED with no added responsibilities can expect no less than Rs. 6 lakh per annum in South India, excluding benefits. Definitely more so in the North.
People who are crossing over into EM after completing postgraduation in other specialties will not be as competitive in the job market as emergency physicians trained & qualified purely in EM.
Work patterns
Most emergency physicians staff hospital emergency departments in shifts, a job structure necessitated by the 24/7 nature of the emergency department. The employment arrangement of emergency physician practices are either private (with a co-operative group of doctors staffing an emergency department under contract), institutional (physicians with an independent contractor relationship with the hospital), corporate (physicians with an independent contractor relationship with a third-party staffing company that services multiple emergency departments), or governmental .
Training:
In India, many private hospitals and institutes have been providing Accident and Emergency Medicine training for doctors, nurses & paramedics since 1994, with certification programs varying from 6 months to 3 years. However, emergency medicine was only recognized as a separate specialty by the Medical Council of India in July 2009. Colleges such as Sri Ramachandra Medical College, Chennai, Vinayaka Missions University, Salem and Christian Medical College, Vellore ,Annamalai University were among the first to establish structured postgraduate programs. 3 year Emergency medicine residency is also provided by Apollo hospitals at various sites (Hyderabad, Chennai, Delhi, and Bangalore) making the candidates eligible to appear for MCEM examinations.
The National Board of Examinations has announced that DNB emergency medicine would be started from the next academic session at various accredited hospitals/colleges in India.
Opportunities:
Accident and Emergency medicine by itself is an emerging opportunity in India. Apart from being consultants in EM, emergency physicians can become the best emergency department administrators, emergency medical services (EMS) directors, EMS & paramedic trainers, disaster planning consultants, EM research directors, first aid trainers for non medical personnel, etc. Opportunities are numerous even if you are not interested in clinical care.
They can even be the best public relation officers (Due to the close association & intricate knowledge EPs have of the working of every specialty and their personnel. And due to excellent skills they have in managing any problem whether related to patients or their attenders)
Every emergency physician is trained appropriately in the latest and correct methods of cardiopulmonary, trauma and pediatric resuscitation skills. This makes them the best doctors to teach first aid and CPR skills. We are not telling that other doctors are incapable. But the nature of EM work provides ample skills needed for the EP to train anybody (whether medical or non medical) appropriately in first aid, cardiopulmonary resuscitation and trauma resuscitation.
Salary:
Pay scales vary depending on the hospital and the region. The quality of EM training, qualification and EM experience definitely matters. There are no average figures availlable. Pay packets currently vary widely between each EP depending on the nature of his / her responsibilities. A good emergency physician doing 36-42 hours a week duties in a corporate hospital's busy ED with no added responsibilities can expect no less than Rs. 6 lakh per annum in South India, excluding benefits. Definitely more so in the North.
People who are crossing over into EM after completing postgraduation in other specialties will not be as competitive in the job market as emergency physicians trained & qualified purely in EM.
Colleges Offering:
- JJM Medical College, Davangere
- JSS Medical College, Mysore
- Kempegowda Institute of Medical Sciences, Bangalore
- S S Institute of Medical Sciences& Research Centre, Davangere
- St. Johns Medical College, Bangalore
- Vydehi Institute Of Medical Sciences & Research Centre, Bangalore
Accident and Emergency Medical
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