Dr. Braden Fichter Dr-Braden-Fichter

When we decided to become emergency medicine physicians, what we really did was commit ourselves to a life of learning. Most of us wouldn’t have gotten to where we are now without maintaining the childlike curiosity that made us wonder how cells work, how the heart pumps and whatever other curiosities that led us to the world of medicine. More...

We are charting new waters in the world of emergency medicine. New residency graduates have to deal with issues that our predecessors didn’t. Issues such as new legislation, the ACA, shifting pay structures, contract turnovers and the iPhone culture (with its inherent good and bad baggage) are just a few examples of the sea change we are currently experiencing. More...

The field of emergency medicine is a constantly shifting environment. We are arguably the freshest specialty in the medical house. Collectively, our adaptability is challenged throughout the years from our inception as a niche specialty in the early years, all the way to the recent sweeping legislative changes. More...

Telling my patients where I’m from has proven to be one of the most enjoyable aspects of my day-to-day interactions at work as a traveling ED physician. It usually generates a lot more questions than answers for them. Opening this conversation leads to a generally mixed response. It’s always the same emotions, surprise and excitement with a dash of curious confusion. It goes a little like this: More...

The backs of NYC cabs are collectively one of the most interesting crossroads where the human condition exists in its raw form. Truths are told, inhibitions tend to be quite diminished and choices people make are unfettered by interference from whatever cultural norms exist. More...

What did you think when you first heard the term "tail coverage?"

If you are like me, this topic generated the “look around the room searching for other people as pseudo-confused as myself” reaction and initiated the faint impetus to raise my hand and ask a question. What I could surmise at the time was that it was quite an important thing to have. I’m pretty sure Wikipedia’s definition was my initial introduction to the concept of tail coverage. More...

I remember talking to my residency chairman before I walked into the EMRA ACEP Job Fair and worrying because I really didn’t know what to expect. I wasn’t scared, but more like, "Who are all these people, and how am I supposed to tell in five minutes if I want to work for them or not?" More...

I have good news. There are not enough EM docs. Jobs are plentiful. Although this abundance of options slightly complicate your search, any complication is in your favor. With a little hard work in your day-to-day networking, you can (and should) really be in the driver’s seat. My tip to you – The American College of Emergency Physicians (ACEP) Annual Scientific Assembly in the fall is when things should really accelerate in your job search. More...

There is a certain point in residency that we all come to where nearly every single thing you do is automatic. You see the same spot of gum on the ground on the way in. Your bagel and fruit are the same bagel and fruit you have eaten for about 96 weeks (it’s still good, sure, but slightly nauseating at the same time). You have been turning out shifts in a dark winter holding on to whatever you need to get by. Your drive to work is a scene out of Groundhog Day. If you haven’t been there, I have questions about whatever Zen smoothed out the ripples in this time of your life. More...