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> our older doc (60+!!) has no accomodations made for him despite a full time position. As we are a private practice any accomodations would cost him $
--> This topic of the life of an EP is of great interest to me. I spend much of my time trying to understand the system in the USA and to make comparisons with EM in the UK (I also give lectures on the topic in the UK and in the USA). I try to use these comparisons to help either side learn from the good ideas from across the Atlantic.
On the issue of modifying the career of EPs to suit them as they gain years in the profession, I believe the system in the UK is significantly kinder than the one in the USA. Most of this is NOT by intention, but through the design of career pathways here, with this being a positive side-effect.
Money and how it drives healthcare differently in the UK & the USA is, as you demonstrate here, a MAJOR factor!
> I have been in centers where folks over 50 no longer work overnights
--> We have one like that here - it's called the UK (as far as EM consultants are concerned)... Our career "pyramid" sees to it, but it's NOT an age-related principle. It is related to the fact that EM consultants don't do nights. But they also have their career path annually appraised and the system allows them and promotes the shift to a less clinically-intensive and more teaching or management or other aspects as one progresses WITH HIGHER PAY despite this!
(Please note - ALL EM consultants in the UK are what you'd call "academic")
BTW, you put two exclamation marks after "60+", why did you do that? Is it because you are suprised that someone is still working at that age? I'd be curious to know. Thanks.
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