The Emergency Medicine Jobs Outlook

The question is as clear as it is unsettling: Are there enough emergency physicians in the United States to fill all the emergency medicine jobs available? Will there be enough qualified physicians in the future? The answer will affect everything from emergency room patient care to the geographic distribution of emergency room jobs around the country.

On a related issue the demand side there is no debate: utilization of emergency room services keeps growing steadily. According to the General Accounting Office, emergency room visits have been growing 3% per year for the last several years and show no sign of abating. Driving this demand is the growing number of Americans who are uninsured and who consequently have had no preventive check-ups which might have red-flagged diseases before they became acute and compelled an emergency room visit.

Demographic trends in the US will exacerbate the situation: the US population is growing 2-3% per year which will organically lead to more emergency room visits. The population is also aging which will lead to more patients coming to the emergency room presenting symptoms of respiratory, cardiac and neurological disorders.

Other population trends, such as increasing substance abuse, violence and obesity, just to name a few, will also increase emergency department utilization.

Managed care programs HMOs, PPOs, etc. were once heralded as the answer to crowded emergency rooms, but this has not been borne out by the facts.

On the supply side, approximately 1,400 new board-certified physicians arrive at hospitals and clinics every year to fill emergency medicine jobs. This output is increasing by about 3-4% per year but is not enough to meet demand. One study predicts that the supply of emergency physicians will increase gradually to meet demand in 20 to 30 years. However, many experts disagree with this sanguine outlook and predict moderate to severe shortages in the years ahead.

One reason is that not all emergency medicine jobs are found in the emergency room. For example, some emergency medicine physicians will choose jobs in hospital healthcare administration, governmental healthcare administration or medical research. Others will opt to work in non-clinical specialties such as toxicology or sports medicine. Still others will work in clinical emergency medicine jobs at hospitals but less than full-time. All of these career tracks will not help fill full-time emergency medicine job shifts at US hospitals.

Perhaps some of the excess emergency room demand will be met by ER physicians who are not certified by the American Board of Emergency Medicine (ABEM). While the exact number of non-board-certified physicians working in emergency departments today is unknown, one study a few years ago estimated that the percentage could be as high as 50%. However, as the supply of ABEM-certified emergency physicians grows, and as hospitals increasingly require ABEM certification as a condition of employment, the supply of these “non-specialists” will decline .

However, many of these physicians have had long careers in emergency medicine and they will continue to work in the emergency rooms of the future if only for the fact that they will be needed to serve the demand, particularly in rural, low-volume and other less-than-desirable work environments.

Another factor affecting the emergency medicine job workforce is the growing role of non-physician ER providers, such as nurse practitioners (NPs) and physician assistants (PAs). It is widely believed that one NP or PA can increase the efficiency of one primary care physician by approximately 50%. However, it is unclear if this is also true in emergency medicine. What is undisputable is that these mid-level providers can handle a significant portion of emergency department encounters at salaries which are substantially lower than emergency medicine physicians.

And their numbers continue to grow by as much as 50% over the last few years as they are turned out at a rate almost three times the output of US medical schools. The hope is that these mid-level practitioners will fill many of the emergency medicine jobs at hospitals and clinics in the future, taking some of the pressure off emergency room physicians.

How To Treat Polycystic Kidney Disease By Chinese Medicine

Generally, there are two ways of treating Polycystic Kidney Disease. On one hand, cysts can be narrowed or removed by surgery which has instant effects, but the disappear of cysts will leave space for the growth of new cysts. On the other hand, with the advantage of safety, Chinese Medicine is applied in treating Polycystic Kidney Disease. Why Chinese Medicine is suggested? How does Chinese Medicine treat cysts?

Treating Polycystic Kidney Disease by Micro-Chinese Medicine

Due to oral medicines have side effects on most organs, such as stomach, liver, intestines and so on, Micro-Chinese medicine is invented as a external therapy. Patients only need lie on the two medicine bags for 45 minutes, then can they enjoy the massage of medicines on the kidney position. Comparing with surgery, Micro-Chinese Medicine Osmotherapy does not need cut, anesthsia and some oral medicines.

There are two main functions of Micro-Chinese Medicine in treating Polycystic Kidney Disease.

First of all , Micro-Chinese Medicine can expand the blood vessels on the face of cysts, accelerate the blood circulation, promote the permeability of cyst wall, then the sac liquid can flow out through the cyst wall with the blood circulation. In this way, cysts will be narrowed. However, how to prevent the appearance of new cysts?

Micro-Chinese Medicine has functions in repairing damaged kidneys, thus recovering kidney functions. After kidney functions have been improved, the toxins, excessive fluid and sac liquid will be eliminated with the urine. So, we can prevent the sac liquid flow into cysts, thus preventing the appearing of new cysts and the enlargement of small cysts as well.

However, as we know, Polycystic Kidney Disease is knotty for it is a genic disease. It is difficult for patients to get rid of it completely, but we can treat the disease and make patients with Polycystic Kidney Disease live as healthy people. With the help of Stem Cells Transplant, kidney function can be improved rapidly and effectively, so we can prevent the growth of cysts effectively. In addition, stem cells can also generate new cells to replace the dead cells around cysts, thus making sac liquid flow out smoothly. If you want to know more about the treatment, you can email me: I hope we can fight against the disease together.

Choosing Hypnotherapy Vs. Other Medicine

Why Should You Choose Hypnotherapy Instead Of Traditional Medicines?

Hypnotherapy, an alternative form of medicine, is becoming hypnotized by a hypnotherapist or other capable clinician, to help treat health problems or other issues. Current studies have shown that around 40% of Americans have tried or used some form of alternative medicine rather than trying pills or medications that may have unpleasant side effects. Medical and scientific specialists believe that many alternative remedies are really worth a try, and have seen favorable results. That being said, you should check with your medical practitioner before trying something new when it comes to your health.

Lots of people would prefer not to use pills and medications to help with their medical issues. So many medications come with side effects and some can even become very addictive. Hypnotherapy can be a great alternative to medicines and pills. Hypnotherapy is an amazing way to beat bad habits, manage pain, and fight many disorders. Scientifically proven, hypnosis is a fantastic way to modify behavior and encourage mental and physical well-being.

When it comes to hypnosis, you might have misconceptions and wonder whether it really is harmless and if it can really help. Are you ever so engrossed while reading a book, or watching TV, that you don’t even realize things happening around you? Have you ever been driving, relaxed for a while and when you reached your destination, realize that you don’t actually remember getting there? These are moments you were under a type of hypnosis. We’ve all experienced it. Its a productive and safe way to treat both physical and mental ailments.

Whatever the issue may be, you should look into hypnotherapy as a treatment alternative. The results are extraordinary. You don’t have to take my word for it. Check out some testimonials of a few people that have had amazing progress with Martha Wilks Harrison, and the Brigham Hypnosis Center.

Fleas, Ticks And Getting Your Dog To Take Medicine

Late spring, summer, and early fall are usually the months when fleas and ticks are at their worst. Some areas have nice climates year round, these areas have year round fleas as well. Your dog may be an inside dog; that does not mean that he is immune. Just taking your dog out to use the bathroom can start a flea infestation. A variety of other animals (stray cats and dogs, squirrels, etc) comb neighborhoods, these can very easily drop unwanted visitors at your door, literally.

There are products on the market to help control the pests that get on your animal as well as those that get in your yard, your vet can recommend the best products for you to use for your dog’s safety.

You also need to do some other ‘home maintenance’ things. Some of these include:
1. Anything your pet spends much time on should be cleaned as best it can. For instance, if he uses his own bed, wash it in hot water and dry on high heat. If he spends time on the couch, vacuum it regularly (your vet may recommend a mild pesticide be use on the couch (and other places your dog uses a lot), depending on infestation and severity.
2. Vacuum your entire house, washing any throw rugs. Often flea eggs are dropped from the pet into the carpet through shedding. Just because they are no longer on your dog doesn’t mean that they are not viable. These eggs will hatch and grow just as they would if they were on your dog.
3. Brush your dog frequently. Combs designed for lice removal in humans make excellent combs for flea and flea egg removal in short-haired dogs. Longer hair is more difficult unless you have a very passive dog that will allow you to comb down to the skin with the tiny combs but are better done with flea combs designed for dogs. Bathing should be done at least bi-weekly and a good conditioner (oatmeal-based is great) should be applied to help sooth your dog’s skin.
4. Keep your lawn mowed, believe it or not, this helps with flea infestation.

I Can’t Get My Dog’s Liquid Medicine Down
Face it; there are times that we have to medicate our dogs. Usually it’s just not much fun; flailing legs, squirming bodies, and twisting heads are not a joyful experience for either one of you. These tips should help you accomplish this feat. Remember to follow all medication instructions and dosage requirements.
1. Have a treat ready if the medication doesn’t have to be taken on an empty stomach.
2. Measure the medicine into the dropper.
3. Sooth your dog through calm movements and soft words.
4. Wrap one arm around the dog’s neck, between your thumb and first finger, take hold of the lower jaw.
5. Tilt the nose up, but not straight up.
6. Insert the dropper’s tip toward the back of the cheek without opening the mouth.
7. Slowly squeeze the dropper’s ‘bubble’ letting a constant, slow flow of the medication into your dog’s mouth. He will swallow instinctively.

Extra tips, in case your dog is a bit harder to control:
1. Flailing dogs can be wrapped in towels (or blankets for larger dogs).
2. Give high praise and a treat when the process is over (as long as the medication does not need to be taken on an empty stomach).
3. Keep the dog’s body in front of you.
4. There are new ways to flavor pet medications. Certain pharmacists and veterinarians can perform this service for little cost.

Using these instructions and tips, you should be able to successfully give your dog the medication he needs in a less traumatic experience for both of you. High praise for anything good always reinforces good behavior, so every successful attempt should be treated as an exceptional feat for him. He will continue to improve, eventually making the process quite simple.

What Comprises the Ayurvedic Medicine for Hair Reduction

Ayurveda is one particular with the celebrated varieties of orthodox medicine not simply within the eastern hemisphere but also inside western entire world. This type of holistic treatment method consists of three varying factors with the system. They may be collectively known as because the doshas, which work hand in hand to stop the manifestations of entire body imbalances. Hair loss is one of those manifestations; ayurvedic medicine believes that hair loss is triggered by the imbalance inside the pitta dosha, otherwise called the fireplace factor of our system. Ayurvedic medicine holds that the hair reduction would be the result of anxiety overload as manifested within the pitta dosha of somebody. That is believed for being an psychological outrage or burst of anger as a result of pressure. When ayurvedic medicine for hair loss is utilized by a person, hair retention, likewise being a noticeable normalizing of blood stress and nerve perform, is to be expected.

Inside observe of ayurveda, the medical professionals of this type of medicine consider that hair reduction can only be taken care of by focusing for the root result in of your difficulty: the white blood cellular production of the bone marrow. They researched and found out that when the system produces normal stages of white blood cells, the human body has the perfect control through pressure and diseases, which would lead to a healthier hair and usual hair follicles and scalp. Even so, they also think which the destruction of hair may also be related on the genes of a person. It is why obtaining healthy bones and sturdy immune methods will not guarantee that you may have a hair that’s usually in excellent condition.

What are these ayurvedic treatment options for hair reduction and the way do they actually get the job done? In ayurveda, the doctors prescribe all all-natural treatment plans which include suitable and well-balanced weight loss plan, acceptable crucial oils, aromatherapy and scalp restorative massage, enough relaxation and pressure unwinding, likewise as meditation. Since strain is regarded because the worst contributing issue for the emergence of disease, ayurvedic solutions like yoga exercise workout, relaxation and therapeutic massage are often prescribed to patients struggling from hair loss. These treatment plans, as what was mentioned previously, target the hair follicles at their foundation in order to facilitate good blood circulation and eradicate debris and toxins that inhibit nutritional vitamins and mineral to travel to the hair for nourishment.

Aloe vera is a key component of ayurvedic remedies for hair loss. It produces a soothing sensation that may be believed to possess the power to quiet along the “angry fires” in the pitta dosha or fireplace ingredient. All you’ve got to complete is drink cup of aloe vera juice every day, or restorative massage aloe vera oil or gel with cumin onto the scalp and hair follicles to facilitate greater hair regrowth and make the brand new hair develop into stronger, shinier and more attractive than ahead of.

An additional critical part of ayurvedic medicine for hair loss is scalp therapeutic massage. Hair loss is believed to get the result of inadequate blood and oxygen flow around the underlying scalp. When someone suffering from hair loss begins to therapeutic massage his or her scalp on a regular basis, the blood circulation to the scalp improves and oxygen reaches the hair follicles, foremost on the advancement of new hair.