EM trained Critical Care attendings

[waterski232002]

Do any of you guys know any EM trained Critical Care attendings (not boarded in IM or anesth)? If so, can you tell me what hospitals they are practiciing at? I am interested in doing a critical care fellowship after my EM residency.

Also, does anyone know which CCM fellowships are EM friendly?

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[waterski232002]

On an additional note...

Right now I am a first year EM resident, and have always had a desire to do CCM. Doing MICU and PICU this year so far has only solidified it. I like the acuity, the vent management, the sedation, and the pressors/drips. Similarly, I like the idea of short term patient contact (2 wks max in the ICU, and when they leave, they never bother you again).

I am still undecided between whether Anes or IM would be the better route to CCM, or if just doing a straight CCM fellowship after EM would be best. Honestly, it's hard to think about putting in 5 extra years of training (~750,000 in salary loss) just to work in an ICU a little bit. If I can get by with just doing a CCM fellowship after EM, that might be best. Anyone with any advice on this?

 

[docrjay]

KGunner1 is IM/EM/CCM trained, look out for his previous post (do a search in this subforum). He also mentioned he has partners that are EM/CCM trained but they are European boarded.

 

[Eidolon6]

Currently EM/CCM is not certification eligible. You need to go through IM, gen surg, or anesthesiology to get domestic CCM certification for adult critical care. There is an ongoing petition by some in EM to get CCM added as an additional certification they can qualify for (following training in a CCM fellowship). The current argument is that the demand for CCM trained physicians is increasing, outstripping supply. Although this is true, the "shift-work" model of critical care is not really in full scale employement in private practice and most private practice critical care practitioners are internists/IM subspecialists with critical care certification (or no certification at all) and the job market 'currently' favors those who are not solely critical care, but have other skill subsets (i.e pulmonologists, anesthesiologists, surgeons). EM given its degree of cross-training, may be suited to critical care, but that remains to be seen in the large scale and EM typically does not have an inpatient presence in most hospitals and ICUs can be territorial places. Kgunner has specific insight into these issues as he comes from a unique (and well respected training program)