Combined anesthesia/medicine

Started by G0S2
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G0S2 said:
To generate the "complete" perioperative physician.
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Not sold.

I don't think this dual training is the future of our specialty. These staff you discussed the training program with said they would do this if they were applying for residency? Did they give any insightful details as to why they would, besides the superficial statement of becoming a complete perioperative physician?

I don't understand the purpose of the dual degree, or how one would apply it in a sensible manner to the daily practice of medicine?
 
pie944 said:
Why?
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aviator-leonardo-dicaprio-11.jpg


The way of the future....
 
I do believe the anesthesiology residency will change in order to demonstrate an even further distance between our training and those of the midlevel and to fit the new health care environment. This will manifest itself in either more combined residency programs or an additional year of training with more medicine or CCM. There has already been an increase in the number of "advanced anesthesia" fellowships out there.

In the new era of health care there will be "medical homes" and this will also encompass the pre-op, intra-op and post-op arena. We should play a role in this, however, we are already giving it up to the hospitalist. Someone mentioned here recently, as ridiculous as it sounds, a hospitalist may oversee pre-op, intra-op with CRNAS and post op in the ward or open unit.Not far fetched at all.

Do I believe we already have the training to do this? Yes. This opinion,however, is not shared by the those in charge of the way health care is moving.
 
I'm already a complete preoperative physician.
Can I get grandfathered into an advanced anesthesia fellowship? I'll ask Alex.
If anyone does an advanced anesthesia fellowship now, they're smoking crack.
Combined residency... ward months being a glorified social worker most of the time, years of longitudinal clinic. Longitudinal clinic makes you a better anesthesiologist you know.
No-freaking-way man! Not a chance.
And you only lose 2 years of income.🙄 It's totally worth $600-$1M😱 to make my MD look more impressive than some doctor of RN degree.:banghead:
And you'll still have to do a fellowship to get a lower paying ICU job, if you can find one.
Sign me up!
 
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So you get to pay big bucks for MOCA and MOCIM (or whatever their version of the maintenance of certification scam is called)? Awesome!
 
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pie944 said:
I don't understand the purpose of the dual degree, or how one would apply it in a sensible manner to the daily practice of medicine?
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Agreed. I considered applying to combined EM/IM programs for a while but decided against it, in large part because most grads end up practicing only EM (plus I did a sub-I which reminded me hiw much i dislike floor medicine. I think the same would happen with this program--grads would by and large end up practicing anesthesiology exclusively.

A program like this may give you a different perspective from a single-boarded physician, but I remain unconvinced such a perspective is superior.
 
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