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Iam an emergency physician. It’s been 10 years since I completed my residency and skipped off into the big wide world where my name is the one marked “attending physician” on the ER chart. This 10-year marker apparently qualifies me as an “expert” (medical educators use this benchmark to assign expert status — apparently you’ve seen enough to be smart about what’s going on, but haven’t yet forgotten enough to be behind the times). Further reflection forces me to admit that comments I used to dread, like being asked if I was old enough to be a doctor, or if I’d ever done the procedure before that I was preparing to do, have disappeared — and now I miss them. I suppose if you’re going to be an expert, you may as well look the part! Since I am beginning the peak of my career, I felt it was time for some reflection. People are always asking me if I like my job, and occasionally make comments like “it really takes a special person to do what you do” — a kind of backhanded compliment that suggests I might be some sort of sadist who enjoys blood, gore and emotional distress. After some contemplation, and even in the face of extensive publicity on the sorry state of overcrowding in our nation’s ERs, I have to say that yes, I do like my job. Very much, in fact. And as an answer to all those people who ask me what it’s like to work in an ER, and for the medical students who are contemplating emergency medicine as a career, I’ve prepared my own list of the top 5 reasons why I love being an ER doc.

ER top 5: a few thoughts on why I (generally) love my job