The Gateway to the Madhouse

Madman's got an enlightened post about the pros and cons of Emergency Medicine, from an internist's perspective. Plus, historical context! And then, his own impression:
Overall, I am kind of jealous of these emergency room physicians. I think that we as internists lost a lot when this specialty came into existence. The entire chapter of “presentation” is missing from our clinical experience. “Stabilization”, an art in itself, is too. For me, this is the exciting part of medicine, when the life of the patient is in your hands and the knowledge you’ve labored to learn can really make a difference.

He's given me some grief in the past, so it's nice to see his true feelings finally revealed.