It’s the person I sometimes think I am, but in reality I try to have positive energy at every patient encounter

Right!?!

When EM has to absorb all of the social failings of society it’s going to lead to long wait times.

the authors do mention important limitations, especially how acute/emergent some of the diagnoses might actually be; regardless, worth a read

Oh for sure!!! Decent literature showing practice variation across numerous specialties

I think looking at low value admissions is a very worthwhile endeavor — and every ED doc knows at their shop who the people are that admit and scan everyone :)

But I think that’s not the point because admissions are to reduce morbidity and mortality, and that’s hard to study.

I think the elephant in the room if we’re going to say that all these admits don’t change morality is… what is the point then of GIM / hospital medicine?