EMCrit?

[cbrons]

Does anyone listen to these? http://emcrit.org/
I have listened to maybe 50 of them now, and I find them very informative and entertaining. I'd love to know how to get something like Dr. Weingart's job too...

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[racerwad]

Does anyone listen to these? http://emcrit.org/
I have listened to maybe 50 of them now, and I find them very informative and entertaining. I'd love to know how to get something like Dr. Weingart's job too...

He is the tip of the FOAM iceberg. He has basically made his own practice. By the time you are in practice, there will probably be more opportunities to work in a similar model, although you might need to be flexible. He has a nice list of residency programs that emphasize critical care as part of the curriculum that might be informative, too.

 

[RustedFox]

EmCrit is the best. Weingart's ideas have definitely changed my practice, and the website is an excellent springboard for great/creative problem solving thought.

 

[TheBlueBlazer]

He's a smart guy, and his podcast was one of the major reasons I decided to do a critical care fellowship. The comment section is fantastic and frequently full of great advice. That said, one of my mentors told me that the time to listen to things like EMCrit is not during medical school or intern year. You need to establish a solid base of fundamental understanding before venturing off into his world of opinion. If you start quoting EMCrit, EM-RAP or the like during a rotation or during your intern year, especially some of the more iconoclastic stuff, and your understanding of EM is still fledgling, you're going to rub some people the wrong way.

 

[alpinism]

The jobs are definitely out there.

More common in the NYC area from what i've seen.

Stony Brook, Elmhurst, and Kings all have ED/CC units staffed by a resident/attending.

Kings has a 10 bed CCT unit (critical care trauma) that's right next to the ambulance bay. Lots of crashing and burning type patients every shift - GSWs, stabbings, overdoses, GI bleeds, massive PE, sepsis, etc - all incredibly common.

Many of the attendings trained at Shock Trauma under Scalea (who also founded the Dept of EM at Kings back in 1991)

http://medschool.umaryland.edu/facultyresearchprofile/viewprofile.aspx?id=4501

 

[alpinism]

The options right now are to either work as a joint EM/CC specialist and split your time between the ED and ICU (more common) or work as a resuscitation specialist and just see the most critical patients in the ED (less common). The "resuscitationist" concept is something just recently developed but has been gathering a large underground following over the past few years.

http://resus.me
http://edecmo.org

 

[Arcan57]

Resuscitationist is a concept that has much less to do with physician knowledge than hospital/nursing resources. Most EM grads are going to have a solid understanding of the current (within the last 5 years) state of the art for resuscitation. I love Weingart's concepts but the situations he describes are either 1) vanishingly rare in my clinical environment or 2) require a level of physician/nursing resources that is simply unavailable. Just like "no nights", there are jobs in EM that allow for significant amounts of 1:1 care. While the majority of those jobs are going to be in low volume rural areas that don't have the population base/in-patient resources to justify a resuscitationiast position, some are going to be in high volume, quaternary care referral hubs. If you plan on obtaining one, you need to be laser focused and prepare for the reality that the conditions required for such a position to be viable are quite uncommon.