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As a 4th year med student fielding interviews, I'm at a critical fork in the road with regards to career planning, and I don't have many IRL mentors who can help me with these nuanced questions:
I'm applying to IM and IM/EM residencies, and I'm fairly competitive in that I expect to match at one of my top 3 choices. I've gotten interviews to many of the top tier IM programs, and most of the IM/EM programs.
My end game is definitely in critical care. I'm not too excited about pulmonology, and the general theme seems to be that you should have something to "retreat" to when you need a break from the ICU. Can one of you kind souls please help me out, since these are my options below. One issue I'm struggling with is that I've gotten interviews at some really prestigious academic places (i.e. better rep than the combined programs), so I'm wondering how much would the "prestige" of my residency program influence what fellowship offers/interviews I get?
For those who don't know, the EM/IM places I'm talking about are Hennepin county, Henry Ford, UIC, Christiana, VCU, Ohio State (not listed in any particular order)
I'm looking at:
1) IM/Pulm/CC (which I'm not very crazy about the pulm part)
2) IM/EM/CC wherein I could do some 10-12 hour ED shifts as my "break" and eventually retire with outpatient IM clinic
3)IM/ID/CC - ID clinic + ICU shifts
One thing I've heard a bit about while on the interview trail is that many academic places won't take a CC trained doc into their MICU, because they want someone who is also pulm-trained for outpatient clinics and bronchs. Or they'll say something like we need someone who's done 250+ bronchs (which can only happen if you've got formal pulm training).
I'm not 100% on working in an academic ICU, but I definitely want that door to be open for me to decide 5 years down the line. However, from what I understand, MICU shifts are different than SICU and Cardiac ICU shifts. Could someone elaborate a little more on the differences between the 3? And also, if anyone has any opinion on the "requirement" for pulm training to work in an academic MICU, I'd really appreciate it.
I'm applying to IM and IM/EM residencies, and I'm fairly competitive in that I expect to match at one of my top 3 choices. I've gotten interviews to many of the top tier IM programs, and most of the IM/EM programs.
My end game is definitely in critical care. I'm not too excited about pulmonology, and the general theme seems to be that you should have something to "retreat" to when you need a break from the ICU. Can one of you kind souls please help me out, since these are my options below. One issue I'm struggling with is that I've gotten interviews at some really prestigious academic places (i.e. better rep than the combined programs), so I'm wondering how much would the "prestige" of my residency program influence what fellowship offers/interviews I get?
For those who don't know, the EM/IM places I'm talking about are Hennepin county, Henry Ford, UIC, Christiana, VCU, Ohio State (not listed in any particular order)
I'm looking at:
1) IM/Pulm/CC (which I'm not very crazy about the pulm part)
2) IM/EM/CC wherein I could do some 10-12 hour ED shifts as my "break" and eventually retire with outpatient IM clinic
3)IM/ID/CC - ID clinic + ICU shifts
One thing I've heard a bit about while on the interview trail is that many academic places won't take a CC trained doc into their MICU, because they want someone who is also pulm-trained for outpatient clinics and bronchs. Or they'll say something like we need someone who's done 250+ bronchs (which can only happen if you've got formal pulm training).
I'm not 100% on working in an academic ICU, but I definitely want that door to be open for me to decide 5 years down the line. However, from what I understand, MICU shifts are different than SICU and Cardiac ICU shifts. Could someone elaborate a little more on the differences between the 3? And also, if anyone has any opinion on the "requirement" for pulm training to work in an academic MICU, I'd really appreciate it.