Any new EM/IM or FM/EM programs on the horizon? Make your own combined?

[Makati2008]

Hello,
I am wondering if there are any new combined programs that are opening soon? Also would there ever be a way to do or set up a combined residency on my own(for example if I wanted to do IM/EM, I go to a place and apply for their IM component and talk to the ED PD about doing an EM residency after completing the IM portion or doing them together by splitting time in the two departments.)

Also how competitive are these? My overall goal is doing both components seperately some of the time and training residents after a few years of being an attending.

I hope this question doesn't seem to horrid but wondering.

thanks.

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[AFSmiley]

Hello,
I am wondering if there are any new combined programs that are opening soon? Also would there ever be a way to do or set up a combined residency on my own(for example if I wanted to do IM/EM, I go to a place and apply for their IM component and talk to the ED PD about doing an EM residency after completing the IM portion or doing them together by splitting time in the two departments.)

Also how competitive are these? My overall goal is doing both components seperately some of the time and training residents after a few years of being an attending.

I hope this question doesn't seem to horrid but wondering.

thanks.

No new programs that I know of, but I probably know as much as you do. It's definitely a field that a lot of people have shown some interest on SDN and the FM/EM debate pops up in their respective forums once every few months. Just remember- some overlap does exist, but to quote another user: Acute Generalists vs. Chronic Generalists.

It'd be pretty hard to set up your own combined program- residencies have schedules which are meant to fulfill educational requirements for their particular specialty. A combined program is a joint effort between two departments to specifically meet the requirements of both specialties congruently. Setting up your own combined program would basically mean doing one, then the other.

~Smiley

 

[group_theory]

Technically it is possible if you have the support of your IM PD, your EM PD, and your hospital's GME. Also lots of paperwork involved (for everyone), and you also need the blessing from the ABIM and ABEM. Plus there will be logistical issues to iron out (who is your primary PD, where will funding come from, etc.

The latest trend is for the ACGME to accredit combined residencies (with Med-Peds being first since it is the most numerous)

If ACGME finishes with Med-Peds and turns toward the other combined specialties ... you may run into trouble again

 

[deuist]

Which one (FM or IM) do you want to do and why? The three fields (EM, IM, FM) have different skill sets and their own literature. Trying to keep up with two of them would be very difficult. According to surveys of EM/IM graduates, the majority practice only EM. Also, why would you want to create your own residency, as their are already several combined programs out there?

According to NRMP, in 2011 there were 4 spots for EM/FM, and 31 applicants for them. All spots filled with only one of them going to a U.S. senior. There were 26 spots for EM/IM, and 83 applicants for them. All spots filled with 22 of them going to a U.S. senior. The combined programs seem competitive according to these numbers, although there were four unfilled positions in EM-IM this year.

http://www.nrmp.org/data/resultsanddata2011.pdf
http://www.ncbi.nlm.nih.gov/pubmed/22224155
http://www.ncbi.nlm.nih.gov/pubmed/19673705
http://www.ncbi.nlm.nih.gov/pubmed/12460856

 

[Makati2008]

Which one (FM or IM) do you want to do and why? The three fields (EM, IM, FM) have different skill sets and their own literature. Trying to keep up with two of them would be very difficult. According to surveys of EM/IM graduates, the majority practice only EM. Also, why would you want to create your own residency, as their are already several combined programs out there?

According to NRMP, in 2011 there were 4 spots for EM/FM, and 31 applicants for them. All spots filled with only one of them going to a U.S. senior. There were 26 spots for EM/IM, and 83 applicants for them. All spots filled with 22 of them going to a U.S. senior. The combined programs seem competitive according to these numbers, although there were four unfilled positions in EM-IM this year.

http://www.nrmp.org/data/resultsanddata2011.pdf
http://www.ncbi.nlm.nih.gov/pubmed/22224155
http://www.ncbi.nlm.nih.gov/pubmed/19673705
http://www.ncbi.nlm.nih.gov/pubmed/12460856

Thanks for the data. I am a D.O. and some of the places I looked at said welllll we take a look at a select few D.O.'s every year, while others I looked at don't have any in the program. Also the ones in Michigan(Henry Ford) states that I must do a TRI(which makes it a six year residency per their director) since it is required for D.Os in that state.

As far as the two skill sets I would be able to use them both. I am going back to a rural area and I will be required to cover ER as well as Clinic both and that skill set would come in handy. Also when I get older and my body says no mas I am going to go Academic if I can.

I know a lot of guys "backdoor" into EM that way but it is honestly not my intent.

 

[AFSmiley]

Which one (FM or IM) do you want to do and why? The three fields (EM, IM, FM) have different skill sets and their own literature. Trying to keep up with two of them would be very difficult. According to surveys of EM/IM graduates, the majority practice only EM. Also, why would you want to create your own residency, as their are already several combined programs out there?

EM/IM yes, but there really aren't many FM/EM programs. Only two I can find on FREIDA. Yes-its difficult to keep up with both fields, but not impossible. Contrary to popular belief, the majority of MedPeds physicians keep up with both fields and continue to see adults and children.

http://www.ncbi.nlm.nih.gov/pubmed/15165981

Fm trained docs working in the ED is discussed ad nauseam on SDN. There are some FM graduates who go on to practice in an ER. My guess is, as EM continues to grow, the opportunity to do both will greatly decrease without being BC/BE in EM.

http://www.jabfm.org/content/19/4/404.full