Do any CCM attendings just practice CCM and not their background specialty?

[cardsurgguy]

I've noticed that almost all CCM attendings practice CCM and whatever specialty they came from, i.e.

If surgery, they do general surgery
If anesthesia, then they give anesthesia in the OR
If pul/CCM, they have pul clinic


Is this as simple as preference on the part of these physicians, maybe get a little variety by doing multiple things?
Or is there some other reason for it?

Do any CCM attendings practice exclusively CCM with all of their time in the ICU and none operating, giving anesthesia, or in pul clinic?




Also, one more thing, do PICU docs who did a peds residency first have another form of their practice analogous to pul clinic for the IM people?

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[2ndyear]

I've met anesthesia/CCM docs that just do CCM, but you're right that most do both. Same goes for surgeons, I have come across surgeons who just do CCM. In most cases though significant time was spent on administrative/QA when not in the unit. I worked with one IM/CCM guy (no pulm) who just did CCM. No administrative duties at all, just units. He was pretty happy.

 

[KGUNNER1]

I've met anesthesia/CCM docs that just do CCM, but you're right that most do both. Same goes for surgeons, I have come across surgeons who just do CCM. In most cases though significant time was spent on administrative/QA when not in the unit. I worked with one IM/CCM guy (no pulm) who just did CCM. No administrative duties at all, just units. He was pretty happy.

Most IM/CCM docs (no pulm or other sub-subspeciality) practice only critical care.

kg

 

[cardsurgguy]

Most IM/CCM docs (no pulm or other sub-subspeciality) practice only critical care.

kg

so I'm assuming that PICU docs practice just peds CCM?
(at least I don't remember any other activities in an office setting for PICU docs)

 

[mukisa]

Where I work (large Children's Hosp) the PICU is run by either a member of a Peds Pulm/CC group or a couple of anesthesia Docs who also rotate through. Most all have clinic or Anesthesia responsibilities on non PICU days.

 

[blanche]

Where I work (large Children's Hosp) the PICU is run by either a member of a Peds Pulm/CC group or a couple of anesthesia Docs who also rotate through. Most all have clinic or Anesthesia responsibilities on non PICU days.

how does that work? picu is different from adult ccm in that you do a picu fellowship OR a peds pulm fellowship, its not combined like adult pulm/cc fellowships. if you want to see pts in clinic, you'd do pulm and would be mainly a consultant to the picu only for kids with pulm issues. if you do a picu fellowship, you are in the picu, that's it (well, and research, teaching, whatever) of course, there are some fellowships that are picu/anesthesia (that's 3 years of peds residency then 5 years for picu fellowship AND anesthesia residency) THEN, i supposed you could split b/w picu and OR time. but i wasn't aware that picu attendings see anyone in clinic. i'll give the disclaimer that i've only worked in large academic hospitals though..

 

[cardsurgguy]

how does that work? picu is different from adult ccm in that you do a picu fellowship OR a peds pulm fellowship, its not combined like adult pulm/cc fellowships. if you want to see pts in clinic, you'd do pulm and would be mainly a consultant to the picu only for kids with pulm issues. if you do a picu fellowship, you are in the picu, that's it (well, and research, teaching, whatever) of course, there are some fellowships that are picu/anesthesia (that's 3 years of peds residency then 5 years for picu fellowship AND anesthesia residency) THEN, i supposed you could split b/w picu and OR time. but i wasn't aware that picu attendings see anyone in clinic. i'll give the disclaimer that i've only worked in large academic hospitals though..

Yeah, this is what I thought too.

Same here, worked on a PICU for a short while before med school at an academic center. Who knows, maybe it's different everywhere.

 

[mukisa]

Ok after reading their profiles and studying the call schedule this is what I found. Anesthesia guy is critical care and anesthesia. The PULM/CC guys and gals are as follows. One or two are both PULM/CC boarded. The rest in the group are one or the other. The CC people attending and the PULM working clinic/consulting on vented or other resp patients. Their are a few 3-4 CC docs that take call on the PULM side of things and 1 or 2 PULM boarded docs that attend in PICU. It is not at all rare to see more then one of the docs on the unit at a time along with consulting cardiologists, surgeons and other specialists etc. Hope this clears some stuff up, sorry for confusion of my other post.

mukisa