Anesthesiology & CCM

[Vinniemac888]

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Just a question about the critical care world --- how common is it for anesthesiologists who have completed CCM fellowships to work in MICUs or combined med/surg ICUs? If my eventual goal is to work part time in the OR and part time in a medical ICU, is it a realistic (and not uncommon)?

My 'problem' is that I really enjoy anesthesia, but I also really enjoy medicine & medicine rounds... and want to combine the two aspects like that. Not as interested in surgery...

 

[cchoukal]

My only exposure is in the academic setting, but at some of the larger programs, anesthesiology intensivists often work in the MICU or on MICU patients. At Pitt, the dept of CCM is separate from medicine and anesthesiology and their attendings are anesthesiologists, pulmonologists, surgeons, and EM physicians, and they attend in all the units in the hospital. At UCSF, the division of CCM is admiistratively housed within the dept of anesthesia and perioperative care, and faculty include anesthesiologists, pulmonologists, and surgeons, and they cover med/surg units, heme-onc medical ICU, cardiac surgical and others. At my program, the U of Chicago, we have 2 guys who attend in the closed MICU. My understanding is that this is true at Stanford as well, though I haven't seen that. There are surely other examples, but that's what I can tell you.

 

[TheSandMan]

at Dartmouth they have a combined MICU/SICU with quite a few anesthesiology attendings. Very well run. If I had a choice of what ICU a family member would be a patient in, it would be there.