In r/emergencymedicine, a surgeon describes county-style training where senior surgery residents direct trauma decisions with limited attending presence, highlighting variability in supervision and inter-specialty roles during resuscitations.
I'm a surgeon who trained in one of those gritty County programs.
At my level 1 shop, I ran code 1 and code 2 traumas, and gave orders to the EM attendings as a senior Gen surg resident.
Intubate or not, cric or not, CT scan, ICU, OR- it was my call.
My attendings didn't show half the time, and when they didn't, I was next in line.
I did 10 thoracotomies. EM never did any.
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