Letter to the Editor
Emergency medicine in the Veterans Administration may offer some of the features Dr. Rani Kumar seeks in the twilight of her career in emergency medicine. (“Emergency Medicine's Four-Letter Word: Retirement,” EMN 2013;35:18; http://bit.ly/VFZJAP.)
That said, experience may vary. Models still center around long, intense shifts, but given patient volume surges, it would be entirely plausible to add shorter double staffing at surge times. We do this in my shop.
M. Bruce Parker, MD Fargo ND