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curious if anyone else here is applying EM/IM
Em/im 2005
- Thread starter mikegoal
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mikegoal said:
I'm thinking about it, but debating on next year vs. the year. It will all hinge on my decision to do an MPH, which I'm thinking about next year. I would feel much better about applying to these programs if there were a few more of them...
Are there any people out in SDN-land that have completed (or are currently in) EM/IM programs that would like to discuss the bene's / neg's of such programs? My decision is still well off from now, but I wouldn't mind hearing a little discussion about these programs.
For those who are currently applying, why are you applying EM/IM? Is it b/c you're more interested in longitudinal care (along with procedures from EM)? Is it b/c you are worried about burning out? (I know there have been studies on this in regards to BC EM MD's, but studies don't always make people feel comfortable) Or are there other reasons for doing both programs?
I genuinely would like to hear from some students on this - thanks.
For those who are currently applying, why are you applying EM/IM? Is it b/c you're more interested in longitudinal care (along with procedures from EM)? Is it b/c you are worried about burning out? (I know there have been studies on this in regards to BC EM MD's, but studies don't always make people feel comfortable) Or are there other reasons for doing both programs?
I genuinely would like to hear from some students on this - thanks.
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I am applying EM/IM because i want to do critical care and practice in an academic setting. I think this way is the best for me even though u can do CC after EM. I could see myself doing either EM or IM. I dont think it is a good idea to do if you only like one specialty. I plan to spend half my time in EM and half in the ICU. I may at some point do some hopitalist work on a teaching service. I like the fact that it prepares you for anything. The big negative is that there are so few spots. Strangely my second choice in residencies would be surgery with a trauma/CC fellowship
Dr. J? said:
I did EM/IM at Henry Ford, then Critical Care Fellowship at Pitt. I currently practice 1 week in the unit, 5 days in the ER and the rest doing shock research. I think I have the best job in the world. The extra years paid off. Not monetary (not even close) but rather job satisfaction. And if I ever just want to hang it up and go into private practice (ED) I could go to a nice group on the coast and make a nice living. It would be very hard to go from that job to mine now.
KG
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I think PimplePopperMD is in an IM/EM program.
Q
Q
KGUNNER1 said:
That sounds like a sweet set-up you got there. What made you gravitate towards EM-IM? Were you shooting for the ED-CC-Research trifecta all along or did it just happen that way?
Excuse the ignorance, but how are you able to practice differently compared to someone who is EM-boarded with CC fellowship?
Thanks for the 411, KGUNNER. Really appreciate it.
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I am sure there are more out there doing the IM/EM application trail. There are usually around 15-30 true applicants, then there are people trying it on a whim at a few select programs. Most places get 200-300 applications.
I'm at UIC in EM/IM. We are usually slower to get the invites out, but should be out at the end of October/beginning of November. I hope people are looking to come out to Chicago, and aren't just sticking to the coasts.
However, you really can't go wrong no matter which program you look into. Each one gives a strong education and the grads/residents I have met are all outstanding. The best advice I can give is that you find the program that you feel fits you best (based on location, people, rotations, academic versus community based, etc...).
The residents in my program have gone into ICU, ED alone, IM/EM practices, and presently one of our 4th years wants to do Cards. He is a little nutty, but solid. A few of us are debating the critical care path vs ED alone. The beauty of EM/IM, you have many options and time to decide your future.
Good luck. I hope there aren't just 2 of you. We need a few more to go around and fill all the programs.
I'm at UIC in EM/IM. We are usually slower to get the invites out, but should be out at the end of October/beginning of November. I hope people are looking to come out to Chicago, and aren't just sticking to the coasts.
However, you really can't go wrong no matter which program you look into. Each one gives a strong education and the grads/residents I have met are all outstanding. The best advice I can give is that you find the program that you feel fits you best (based on location, people, rotations, academic versus community based, etc...).
The residents in my program have gone into ICU, ED alone, IM/EM practices, and presently one of our 4th years wants to do Cards. He is a little nutty, but solid. A few of us are debating the critical care path vs ED alone. The beauty of EM/IM, you have many options and time to decide your future.
Good luck. I hope there aren't just 2 of you. We need a few more to go around and fill all the programs.
Dr. J? said:
I really didn't get fully turned on to critical care until I started working with Manny Rivers in Detroit. I started my residency the year before Dr. Rivers started the Early Goal Directed Therapy in Severe Sepsis and Septic Shock study (NEJM 2001). He is a wonderful mentor and I was very fortunate to have been able to work closely with him on this and other projects. The rest is history.
It is interesting you asked about pure EM-CCM only. One of my partners in the unit is EM-CCM. He works with me in the ER and we both pull a week in the unit. He trained for 2 years in a pulm/ccm program and finished a MPH along the way.
If a motivated EM grad does a 2 yr fellowship in CCM, at a strong program (Pitt, Shock Trauma for example....many others, these two I know well) then I think they will be well prepared to work in the unit. I believe the key is both 2 years AND being in a very strong program that really works the fellows hard.
The only problem now is boarding. Currently, if you complete the 2 years, you have to go to Europe to sit for boards. Some hospitals may be very ignorant to this and will make it a little more difficult to get a faculty position. That's why I recommend 2 years and a strong program that has many connections.
Hopefully we are erasing some of these myths and will get more EM/CCM docs out there and continue the good name. I know there is a very good crop of about 8 or so comming out of fellowship in the next year or two.
Hope this helps, good luck,
Kyle
