The Fellowship Review

From EMT to DO & Everything In-Between

May 21, 2024

From Paramedic to Physician: Brogan Crockett’s Journey

Brogan Crockett’s journey exemplifies a unique emergency medicine career path that blends clinical expertise with healthcare administration. His story offers valuable insights for those considering a transition from healthcare administration to clinical medicine or seeking to integrate both fields.

The Journey from Healthcare Administration to Clinical Medicine

Brogan’s career began as a paramedic in 2014, sparking his interest in clinical medicine. He pursued an undergraduate degree in health promotion and education with an emphasis in Emergency Medical Services, which led him to consider graduate studies in healthcare administration. Encouraged by a friend, Brogan enrolled in an MHA program at the University of Utah. The transition from clinical practice to healthcare administration required him to learn business language and healthcare management principles. Despite the learning curve, Brogan found value in this experience, gaining a broader perspective on healthcare systems.

Navigating the Medical School Application Process

The decision to pursue medical school after completing an MHA and an administrative fellowship was not an easy one. Brogan faced several challenges in the application process, including missing prerequisites for medical school, late application submission, completing over 30 science credits in six months, and balancing application preparation with work commitments. To overcome these obstacles, Brogan enrolled in a postbaccalaureate program, completing a Master of Science in Biomedical Sciences. This program served as a bridge between his administrative background and medical school aspirations.

Balancing Medical Education and Personal Life

Maintaining energy and focus during intense study periods is crucial for medical students. Brogan shares his strategies for managing the demanding schedule, such as studying outdoors when possible, engaging in outdoor activities like hiking, rock climbing, and mountain biking, recognizing signs of burnout and taking necessary breaks, and balancing personal relationships with academic commitments. Brogan also emphasizes the importance of having a supportive partner. His wife, who is pursuing an MPH, understands the demands of graduate studies and helps maintain a healthy work-life balance.

Future Career Aspirations: Combining Emergency Medicine and Critical Care

Looking ahead, Brogan is considering dual board certification in emergency medicine and critical care. This combination would allow him to work in both emergency departments and intensive care units, providing a diverse and challenging career path. His interest in critical care stems from enjoying procedural aspects of medicine, fascination with high-acuity cases, and a desire to see patient outcomes beyond initial emergency care. Brogan’s administrative background also positions him well for future leadership roles in healthcare, allowing him to integrate clinical practice with system-level improvements.

The Outlook for Emergency Medicine Careers

Recent trends in emergency medicine have raised concerns about job prospects and compensation. However, Brogan offers an optimistic perspective on the future of the specialty. He highlights improving match rates for emergency medicine residencies, increasing requirements for board-certified emergency physicians in EDs, potential for unionization and improved contract negotiations, and growing interest in emergency medicine among medical students. These factors suggest a potential resurgence in the value and demand for emergency medicine physicians. The integration of telemedicine and the expansion of healthcare services by companies like Walmart and Amazon may also create new opportunities in the field.

Embracing a Multifaceted Approach to Healthcare Leadership

Brogan’s unique career path demonstrates the value of combining clinical expertise with administrative knowledge. This multifaceted approach can lead to more effective healthcare leadership, as it bridges the gap between bedside care and system-level decision-making. For those considering a similar path, Brogan’s journey offers several key takeaways: don’t be afraid to pivot in your career if you discover new passions, seek opportunities to integrate different aspects of healthcare, maintain clinical skills even when pursuing administrative roles, and stay informed about industry trends and be adaptable. By embracing both clinical and administrative perspectives, healthcare professionals can contribute to meaningful improvements in patient care and system efficiency.

FAQ (Frequently Asked Questions)

How long does it take to complete an MHA to MD transition?

The transition from an MHA to MD can take several years. After completing an MHA, you’ll need to fulfill medical school prerequisites, which may take 1-2 years. Medical school itself is typically 4 years, followed by 3-4 years of residency in emergency medicine.

Is it necessary to complete a postbaccalaureate program before medical school?

A postbaccalaureate program is not always necessary, but it can be helpful for those who need to complete prerequisites or improve their academic record for medical school applications. In Brogan’s case, it served as a bridge between his administrative background and medical studies.

How competitive is emergency medicine as a specialty?

The competitiveness of emergency medicine has fluctuated in recent years. While there was a decline in interest during the COVID-19 pandemic, recent trends show a resurgence. The specialty remains popular due to its diverse patient population and potential for work-life balance.

Can you pursue leadership roles in healthcare while maintaining clinical practice?

Yes, many physicians successfully balance clinical practice with leadership roles. This combination can be particularly effective, as it allows for decision-making informed by direct patient care experience. Brogan’s goal of integrating administrative knowledge with clinical practice exemplifies this approach.

What are the benefits of dual board certification in emergency medicine and critical care?

Dual board certification offers increased versatility in practice settings, allowing physicians to work in both emergency departments and intensive care units. It can also lead to expanded career opportunities, deeper understanding of patient care across settings, and potentially higher compensation.

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