Current IM PGY-1 Looking for Open Anesthesia Slots

[jkh07]

Hello,

I am an intern in an IM program and am looking to transition into an anesthesia residency. I am interested in both PGY-1 and PGY-2 positions. I’ve done research in anesthesia/pain management within the military as I am a medical officer in the Army. My COMLEX level 3 scores are pending and my other COMLEX and USMLE scores are all first time passes. I sincerely appreciate any leads or advice. Have a wonderful day!

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[CopaceticOne]

I’m curious, has the Army approved the speciality switch? (Or do they need to?)

 

[jkh07]

I’m curious, has the Army approved the speciality switch? (Or do they need to?)

Hello! I am Army National Guard and, for the most part, we do residencies in the civilian sector. They do not need to approve the specialty switch. I am listed as a field surgeon until I graduate from residency at which point I would assume the AOC of my specialty.

 

[jthedestroyr]

Better off staying in IM and picking a speciality.

CMS just removed crna supervision as a "temp" order due to the pandemic. You're going to see them use this as finally getting true independence. You'll have a ton less headache on the IM speciality side, versus being in anesthesia. Trust me, I wish I had done IM instead for this very reason.

You'll thank me later.

 

[jkh07]

Better off staying in IM and picking a speciality.

CMS just removed crna supervision as a "temp" order due to the pandemic. You're going to see them use this as finally getting true independence. You'll have a ton less headache on the IM speciality side, versus being in anesthesia. Trust me, I wish I had done IM instead for this very reason.

You'll thank me later.

Thanks for your perspective! Sending you healthy vibes as we all navigate this COVID 19 craziness!

 

[AdmiralChz]

Better off staying in IM and picking a speciality.

CMS just removed crna supervision as a "temp" order due to the pandemic. You're going to see them use this as finally getting true independence. You'll have a ton less headache on the IM speciality side, versus being in anesthesia. Trust me, I wish I had done IM instead for this very reason.

You'll thank me later.

If you think all the relaxations will stick around you’re nuts. They have nearly eliminated all HIPPA rules for electronic messaging, allowing hospital to increase beds without state approval and allowing RNs MDs and the like to work across state lines without a formal license. Do you really think all this will last?

It’s also MUCH worse in primary care medicine with regards to independence. It’s essentially a lost battle there even before this pandemic.

 

[deleted171991]

If you think all the relaxations will stick around you’re nuts. They have nearly eliminated all HIPPA rules for electronic messaging, allowing hospital to increase beds without state approval and allowing RNs MDs and the like to work across state lines without a formal license. Do you really think all this will last?

It’s also MUCH worse in primary care medicine with regards to independence. It’s essentially a lost battle there even before this pandemic.

Never underestimate the power of a precedent.

You crack the door, the hordes put their boot there, good luck closing it back.

 

[jthedestroyr]

Primary care can at least go work for themselves. What is getting out of hand is you consult a specialist and you get their NP minion that writes useless dribble. I see this in the ICU all the time.

 

[deleted171991]

Primary care can at least go work for themselves. What is getting out of hand is you consult a specialist and you get their NP minion that writes useless dribble. I see this in the ICU all the time.

The problem is with the ICU attendings, my friend. The consultant who doesn't see the patient personally will not get a second consult from me. I tell them to their faces: I want the expert or nothing. I can read Uptodate myself, thank you very much.

Same for the wiseguys who come and "advise" me about stuff outside their specialty (usually Palliative), in their notes: "the patient should also be on X for Y". Then they get to read in my note that " the patient does NOT need X for Y because [evidence-based medicine]".

 

[jthedestroyr]

The problem is with the ICU attendings, my friend. The consultant who doesn't see the patient personally will not get a second consult from me. I tell them to their faces: I want the expert or nothing. I can read Uptodate myself, thank you very much.

Same for the wiseguys who come and "advise" me about stuff outside their specialty (usually Palliative), in their notes: "the patient should also be on X for Y". Then they get to read in my note that " the patient does NOT need X for Y because [evidence-based medicine]".

I'll have that power come August my friend. I'm getting out of the Ivory Tower and have my own community ICU.