Emergency Medicine/Medical Genetics

[tcp03]

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Hey everyone. I just applied for ER on my ERAS and was looking at my options in terms of combined residency, vs ER w/ fellowship etc. I really in my heart love ER and don't want to do FM, IM, or Peds (no offense they are all very cool just not for me). I just spoke to the univ of Miami medical genetics dept and they told me that anyone who completes an ACGME accred residency in any specialty (sooo ER included) is eligible for their 2 yr residency and that the residency is about 1/3 research so time for ER moonlighting. I was thinking instead of doing a two yr er fellowship why not just do a two yr genetics residency...work two shifts in the ED and then do councling and/or genetics clinic a couple times a week (in the residency they run clinic twice a week at UM). My question is...what do you think? is this feasible to do as an ER doc? I love both fields and it would be nice to be able to do both as genetic testing could be run during the week while working in the ED and then I could go over results and tx during clinic days. Thanks in advance.

MS4/ER/Genetics/Chemistry nerd

 

[docB]

I don't see why you couldn't do it. If you really love both of these very different fields that have almost no overlap then you have a good reason. Most people who look at dual fields try to pick them so they support each other. This would not have that going for it.

I think the big thing would be to make sure you can moonlight during the genetics training or this would be much harder. You might also try to find an EM residency where they do more bench research.

 

[deleted65604]

Doing peds would actually involve your love of genetics a lot more than ER would. Relevant, real world knowledge and decision-making would be nice to have going into a fellowship. I would think that you would stick out like a sore thumb coming from an ER residency.

Also consider the difficulty of maintaining a knowledge base in such polar opposite specialties. It is tough to find the time or motivation to stay current in one specialty, let alone two.

Pediatricians out there?

 

[Braves123]

Doesn't quite make sense going through EM considering you do deal with long term care of most genetic disorders. BUt then again, I don't think medical genetics is particularly competitive either. THe more logical route is through med or peds I guess, but if they say you can do it, you can do it, make sure they don't screw ya later

 

[GeneMD2B]

Hi tcp03,

I am currently applying for clinical genetics fellowships with an uncommon ABMS board under my belt, and at least I am getting interviews (so fingers crossed!).

My impression is that EM will pay a lot more than medical genetics so you may find yourself doing way more EM than genetics. On the other hand, I know more than one EM physician that has burned out on the EM thing and wanted to do something different. You would have medical genetics ready to go, if that happened to you. Also, in the future there may well be a need to facilitate the adoption of effective and appropriate genetic testing in an EM enviroment, by the average EM physician, and you would be in a good position to help with that.

And of course they say innovators are often the ones with the whacky backgrounds!😉

Just my two cents worth, but I am sure you can do it if you want.

 

[GeneMD2B]

Hi everyone,

Here is a list of the number of people that are cross-certified with other ABMS specialties and by the ABMG:

American Board of Allergy & Immunology 1

American Board of Anesthesiology 1

American Board of Dermatology 3

American Board of Emergency Medicine 1

American Board of Family Medicine 8

American Board of Internal Medicine 103

American Board of Obstetrics & Gynecology 144

American Board of Ophthalmology 7

American Board of Pathology 50

American Board of Pediatrics 698

American Board of Preventive Medicine 6

American Board of Psychiatry & Neurology 33

American Board of Radiology 1


http://www.abmg.org/pdf/Crosscert_ABMS.pdf


So you see that there is at least one other person that is Board Certified in Emergency Medicine and one of the ABMG board certifications.

I hope this is helpful. 🙂

 

[Changeofmind]

what about dual board certified in Emergency Medicine? besides FP/IM/PEDs

 

[gutonc]

what about dual board certified in Emergency Medicine? besides FP/IM/PEDs

Ummm...can you not read the post directly above yours?

 

[gutonc]

Hi everyone,

Here is a list of the number of people that are cross-certified with other ABMS specialties and by the ABMG:

American Board of Allergy & Immunology 1

American Board of Anesthesiology 1

American Board of Dermatology 3

American Board of Emergency Medicine 1

American Board of Family Medicine 8

American Board of Internal Medicine 103

American Board of Obstetrics & Gynecology 144

American Board of Ophthalmology 7

American Board of Pathology 50

American Board of Pediatrics 698

American Board of Preventive Medicine 6

American Board of Psychiatry & Neurology 33

American Board of Radiology 1


http://www.abmg.org/pdf/Crosscert_ABMS.pdf


So you see that there is at least one other person that is Board Certified in Emergency Medicine and one of the ABMG board certifications.

I hope this is helpful. 🙂

So <0.1% of boarded medical geneticists in the US are also BC EPs.

If you want to do EM, do EM. If you want to do Med Gen, do Peds, OB or IM.

 

[Changeofmind]

Sorry i guess i should be more specific. I wasn't asking about dual board with medical genetics. I was asking if anyone one knows of physicians with a dual board cert. in Emergency Medicine and something else (besides IM/FP/PEDs)

 

[gutonc]

Sorry i guess i should be more specific. I wasn't asking about dual board with medical genetics. I was asking if anyone one knows of physicians with a dual board cert. in Emergency Medicine and something else (besides IM/FP/PEDs)

I know of an EM/Neuro who practices EM and in the neuro ICU and an EM/Ortho who just does EM now.

 

[GeneMD2B]

<snip>
If you want to do EM, do EM. If you want to do Med Gen, do Peds, OB or IM.

This is a reasonable perspective but there is another way of looking at it as well.

If you speak with practing acedemic clinical geneticists, they will tell you (most often) that they only do clinical genetics, not mixtures of clinical genetics and their other specialty (if there are any acedmic geneticists reading please tell me if I am wrong! My N is only 4 😉). Many if not most, see a mixture of adult and pediatric patients.

Pediatrics, IM, and OB/Gyn all leave you unprepared for a significant part of your practice prior to medical genetics training. Pediatrics typically involves minimal adult patient care, IM conversly involves minimal pediatric patient care. And OB/Gyn has little exposure to male patients (outside the womb anyway 😉).

With this in mind, FP might be a particularly good preparation, and EM, if it involves pediatric exposure might be an excellent choice as well in terms of preparation.

That said, gutonc's perspective may be particularly valid if one considers physician cliquishness and intolerance of differences. Many Clinical Genetics residencies, only take specifically prepared residents. A few only take pediatrics or ob/gyn while several profess to only accept pediatrics residents. This is reflected in job postings as well. And, in EM you may not have exposure to medical genetics attendings to write you letters for your fellowship bid.

To sum up, there might be some great reasons to do Clinical Genetics from EM but it is likely to not make one the ideal candidate for some fellowships, or for some jobs.

 

[EM_Rebuilder]

Sorry i guess i should be more specific. I wasn't asking about dual board with medical genetics. I was asking if anyone one knows of physicians with a dual board cert. in Emergency Medicine and something else (besides IM/FP/PEDs)

My old PD was boarded in Anes, Pain Management, and Emergency Medicine (residency trained, not grandfathered). He is now doing a CC fellowship under his Anes stuff so he will have that as well.

He also was colonel in the military.

He also jogs to work (approx 15 miles) plus ran an ultramarathon for his 50th birthday in June in Texas...

Frankly, we do not think this guy is human.

 

[Changeofmind]

That PD definitely does not sound human!

I am asking because I am currently doing Physical Medicine and Rehab and was planning on doing an EM residency after I finish. So I guess There are a lot out there. Thanks or your inputs.

 

[Changeofmind]

To the original poster, I think you should do what you want to do. If you think you can do both then go for it. Good luck!

 

[GeneMD2B]

Hi everyone,

I came across some information at the ACGME website that may tend to make this discussion obsolete. As you all may already know, Clinical Genetics is a primary medical specialty, not a subspecialty. Despite this, it has often been grouped with other subspecialties because it has required a minimum of two years of training in another ACGME certified specialty.

This may be about to change however. There is a proposal, currently open for comment, to make it a two year residency, after a single year of internship or residency training. You can find the proposal at:

http://www.acgme.org/acWebsite/reviewComment/130_medical_genetics_PRs_RC.pdf

I hope this is helpful

 

[ALFI]

my partner loves kids and loved his EM rotation that hes doing a peds/EM fellowship .....to bad i cant have kids

 

[deleted65604]

my partner loves kids and loved his EM rotation that hes doing a peds/EM fellowship .....to bad i cant have kids

Neither can I, I lost both my testicles in a hunting accident. You?