Em/im/cc

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Trisomy13

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Is anyone here familiar with the 6 year EM/IM/CC residency offered at U. Pitt? Anyone who has interviewed there, or is currently in the program? I'm very interested in EM and equally happy in the ICU (two different paces, I know, but there are too many facets of each that I enjoy to just choose one route).

I've been reading here that there are positions for EM docs with training in CC (regardless of whether or not the fellowship is "official" for EM), and i am curious as to the necessity of the additional 2 years (the /IM part), or if an EM with CC fellowship would train me sufficiently to be a good CC doc.

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First of all it is at henry ford not upitt
right now you cant apply directly to the em/im/cc they take one of thier first years if someone is intrested
I interviewed there and have some familiarity if you have any specific questions

I am planning on doing em/im then critical care but i think a straight em guy can do it as well. If you dont like medicine doing em/im will be a bad idea.

There are many threads discussing EM/CC
 
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Apollyon said:
There is an em/im/cc program at Pitt, but, last I heard (>1 yr ago), was not funded, so there was no one in it yet.

The FREIDA site has the Pitt program listed and as taking applications for 2005-2006. I don't know how up to date the information may be however.

I tried to post the link here, but it didn't work. Just go the the main FREIDA site and then search the Residency/Fellowship site for the EM/IM/CC programs. The Detroit and Pitt programs are both listed.

http://www.ama-assn.org/ama/pub/category/2997.html
 
Hawk22 said:
The FREIDA site has the Pitt program listed and as taking applications for 2005-2006. I don't know how up to date the information may be however.

I tried to post the link here, but it didn't work. Just go the the main FREIDA site and then search the Residency/Fellowship site for the EM/IM/CC programs. The Detroit and Pitt programs are both listed.

http://www.ama-assn.org/ama/pub/category/2997.html

Lots of threads on this issue indeed. There is a Yahoo! discussion group dedicated to furthering the growth of emergency medicine trained CC specialists. One of the fellows from the interdisciplinary program at U Pitt is a frequent poster there. There are several online resources as well..

1. The Yahoo! Group Coalition for Critical Care Medicine in the Emergency Department
http://groups.yahoo.com/group/c3med

2. NSUCOM EMS Web Site- Critical Care Medicine Page
http://nsucomems.tripod.com
Click on the "critical care medicine" hyperlink to visit ACEP, SAEM, on other websites focusing on this issue.

ACEP does support the creation of a certificate of added qualifications in critical care (mouthful) for emergency physicians. However, ER docs who are NOT IM trained are not actually board eligible. There are PLENTY of EM trained physicians who function as intensivists. Programs often advertise for physicians who are board certified in critical care but do recognize the expertise that ER guys (and gals) bring to the table. The six year Henry Ford Program, as I understand it, leads to board eligibility in all three disciplines. David Huang, one of the UPitt fellows, and incoming chair of ACEP's critical care section is an incredible resource on EM and critical care. His email address is available at the Yahoo! discussion forum. Interest in this section is active and growing- I recently spotted an advertisement for a critical care fellowship at the University of Florida in Gainesville. Most people "in the field" recommend at least two years of critical care specific training for emergency med physicians. Though this will not result in actual "board certification," the expereince is equivalent to the medical,surgical, and anesthesia critical care fellowships. The SAEM maintains an updated list of these fellowships that actively recruit and accept emergency physicians into their post graduate slots. The well established surgical critical care fellowship at R Adams Cowley in Maryland has been doing just that for several years.

PuSh
 
there supposedly *is* a program at Pitt, and being from Pittsburgh I'd prefer to go there instead of Henry Ford (but i'd take what i could get). I'm happy to see that CC is a real possibility after an EM residency. I don't know how i feel about IM yet because it is my final rotation (starting in 3 weeks). Originally i had planned on going through Gas to approach CC, but recently i have had nagging feelings about Gas and whether i would be happy doing that...the pace, the procedures, the lack of controlled chaos that the ED thrives upon. eh.. at any rate it's all a nice distraction from my current OBGyn rotation.
 
Trisomy13 said:
Is anyone here familiar with the 6 year EM/IM/CC residency offered at U. Pitt? Anyone who has interviewed there, or is currently in the program? I'm very interested in EM and equally happy in the ICU (two different paces, I know, but there are too many facets of each that I enjoy to just choose one route).

I've been reading here that there are positions for EM docs with training in CC (regardless of whether or not the fellowship is "official" for EM), and i am curious as to the necessity of the additional 2 years (the /IM part), or if an EM with CC fellowship would train me sufficiently to be a good CC doc.

Hello,

A word, make a new post to the attn of KGUNNER1. This doc went through that HF program and knows alot about all of them. I am sure he is busy, but he will reply and give you first hand info.

Agape...
 
sunnyjohn said:
Hello,

A word, make a new post to the attn of KGUNNER1. This doc went through that HF program and knows alot about all of them. I am sure he is busy, but he will reply and give you first hand info.

Agape...
Actually I did the EM/IM at Ford and 2 years at Pitt (CCM) with David Huang, so I know both programs quite well. Ford got approved for the 6 year plan back when I was a 5th year and on the way out (2001). Mike Donnino is graduating this year from it. I think Ford is only taking applicants from their own internal resident pool.

Pitt was approved for the program when I was a fellow there, I think it was in 2002 or 2003. Scott Gunn is the program director. The last I heard was that even though it was approved, there were no GME spots (EM or IM would have to give up one to create one for this new program) and the funding wasn't worked out. If you go to Pitt's website, www.ccm.upmc.edu you can find out more. Or you could just email Scott Gunn or David Huang directly (David is still there).


Kyle
 
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