Other than UWash and OHSU, which programs have integrated CCM & Anesthesia residency/fellowship positions available?
Anesthesia & CCM integrated programs
- Thread starter Strontium
- Start date
Hopkins, UCSF
- Joined
- Feb 1, 2014
- Messages
- 107
- Reaction score
- 131
why wouldn't you just do the fellowship after residency? I'm legitimately curious.
I can only speak for myself why i ranked them higher then the normal program:
1. I didn't want to apply again and knew that I wanted to be in that program (UCSF)/geographic location. I think most importantly is that I knew I was going to do ccm - I worked in critical care for many years before medical school, it was one of the main reasons i went to med school. I was interested in ccm first and became interested in anesthesia secondly (although now i find anesthesia really cool and am excited/hopeful to find a job that will allow me a 50/50 split)
2. imo a LOT better schedule in terms spreading out your ccm months. Earlier months of ICU in training and also only 6 vs. 9 months of ICU your last year.
3. Mentorship seemed stronger for those in the combined programs vs. being a normal resident and being interested in icu. You are plugged into the critical care department from day one.
These programs are definitely not for everyone though, UCSF says explicitly that if accepted into the combined track and you decide to drop out, your spot in the regular residency is not guaranteed - then again it is only an extra year so i wouldn't see why someone wouldn't just stick it out... of course its easy for me to say that as I feel at peace on the unit and working with good icu nurses, so a year seems like nothing.
1. I didn't want to apply again and knew that I wanted to be in that program (UCSF)/geographic location. I think most importantly is that I knew I was going to do ccm - I worked in critical care for many years before medical school, it was one of the main reasons i went to med school. I was interested in ccm first and became interested in anesthesia secondly (although now i find anesthesia really cool and am excited/hopeful to find a job that will allow me a 50/50 split)
2. imo a LOT better schedule in terms spreading out your ccm months. Earlier months of ICU in training and also only 6 vs. 9 months of ICU your last year.
3. Mentorship seemed stronger for those in the combined programs vs. being a normal resident and being interested in icu. You are plugged into the critical care department from day one.
These programs are definitely not for everyone though, UCSF says explicitly that if accepted into the combined track and you decide to drop out, your spot in the regular residency is not guaranteed - then again it is only an extra year so i wouldn't see why someone wouldn't just stick it out... of course its easy for me to say that as I feel at peace on the unit and working with good icu nurses, so a year seems like nothing.
- Joined
- Apr 22, 2007
- Messages
- 22,664
- Reaction score
- 9,754
Solid Reasoning for uncertain times. Critical Care is great fellowship year if you can't stomach Pain or Peds. IMHO, there are only four real fellowships in Anesthesia:
1. Critical Care
2. Peds
3. Pain
4. Cardiac
Based on recent trends in the market place Critical Care and Peds are in high demand followed by Pain. Cardiac is a great fellowship but the demand has been mostly met.
- Joined
- Dec 13, 2005
- Messages
- 6,437
- Reaction score
- 5,021
Blade is on the right track. Pain in the bigger cities is getting more saturated. I am headed back to work at the small hospital where I was born and will be the only pain doctor in a several county area. Starting a pain practice from scratch as an hospital employee. They are helping me now financially 16 months out from my start date and have guaranteed a nice salary for two years. After that it is up to me how much I will be making. It is a great opportunity for me, but the location would not be as appealing for anyone else.
- Joined
- May 15, 2005
- Messages
- 1,565
- Reaction score
- 1,860
Congrats man! Sounds fantastic (and hard to come by this day and age).
- Joined
- Apr 12, 2007
- Messages
- 593
- Reaction score
- 174
I remember my first week of private practice after completing my fellowship in CCM. IT SUCKED!!! First off the new guy never gets the benefit of the doubt from the surgeons regardless, My dexterity for spinals and blocks diminished. I lost my artistic touch with drug dosing and emergence. I was lucky to have great colleagues to help quiet the complaints, help me look better and mentor me. Hell I had not done a c-section or labor epidural in 18+months, a pediatric case in 22+ months (I had done peds and OB early in my CA-3 year).
If I could have had a more integrated approach to anesthesia and critical care that did not make me totally abandon one for the other it would have set me up much better for starting my current practice.
If I could have had a more integrated approach to anesthesia and critical care that did not make me totally abandon one for the other it would have set me up much better for starting my current practice.
