I took a fantastic emergency medicine (EM) job when I finished residency. There was no question in my mind that it was the best job within a hundred mile radius, maybe more. When I first started, my expectations were met. My group held a contract to staff a busy but well-staffed suburban emergency department, and had held that contract for almost 20 years when I signed. The hospital was independent, locally administrated, and not part of a mega healthcare system. Its atmosphere was collegial and clinician-friendly.
The ER was well-staffed with all-star nurses and techs with experience. Everyone who worked in the hospital wanted to get a job in the ER. There were three nurses per nine-bed zone with a float nurse (gasp!) in each zone. Sure there were snags and busy days, but it ran about as efficiently as an ER could. The patients were well-cared for and generally pleased.
About a year after I took this job, a large regional health care system bought our hospital. It was called a merger, but we all knew otherwise. We took their name, adopted their colors and logos, and began answering to administrators who worked 40 miles away and didn’t know us.
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