I am not a cardiologist, but even I know that adenosine doesn't convert atrial fibrillation.
The other day, I was reading through a patient chart that was admitted to me and realized that the ER doc gave a patient in Afib 4 boluses of adenosine. All four times, the heart rate slowed down, they saw it was afib, and then gave them more adenosine.
What the hell? What is this world coming to?
I inquired about the ER doc. Turns out they are a new attending from a "prestigious" academic place. Apparently, at prestigious academic centers, they don't teach you how to practice real medicine by yourself, they teach you how to call consultants and cardiology all the time. The fellows and specialists show up right away, problem solved.
You are in the real world buddy! You are going to have to learn how to function adequately on your own. It shouldn't be that hard. All those boards you took? Try to remember some of the basics.
That's the problem with academically trained physicians. It takes them about 1.5 years to get up to speed and learn how to really practice medicine. Ninety five percent of hospitals in this country are not academic centers, but rather little community hospitals.
If you are considering and academic versus a community residency.... please add this to your considerations.
Stop killing people!
