Katheudontas parateroumen

ASA Member
2+ Year Member
May 19, 2016
91
41
Status
Resident [Any Field]
Hey everyone,
What are off the beaten paths for anesthesiology that you know of? I know the traditional anesthesiology fellowships:
CCM, CT, Peds, Pain, Regional, OB.
What about a list of other specialties? Maybe some lesser known routes you've found. Looking for ACGME or Non-ACGME:
Transfusion medicine (Could be a blood banker instead)
Hospice/palliative (Make my own home hospice center)
Sleep medicine
Hyperbaric medicine
Perioperative medicine (Non)
Ambulatory/Non OR anesthesia
Cancer anesthesia (MD Anderson has one) non
Neuro fellowships (non)
Transplant/Liver
Trauma

Anything else you have found? And what are your thoughts are these?
PS- Can you tell I'm already a burnt out CA-2 looking for a way out and all my options? haha
 

nolagas

Member
15+ Year Member
Aug 13, 2004
1,214
546
Status
Hey everyone,
What are off the beaten paths for anesthesiology that you know of? I know the traditional anesthesiology fellowships:
CCM, CT, Peds, Pain, Regional, OB.
What about a list of other specialties? Maybe some lesser known routes you've found. Looking for ACGME or Non-ACGME:
Transfusion medicine (Could be a blood banker instead)
Hospice/palliative (Make my own home hospice center)
Sleep medicine
Hyperbaric medicine
Perioperative medicine (Non)
Ambulatory/Non OR anesthesia
Cancer anesthesia (MD Anderson has one) non
Neuro fellowships (non)
Transplant/Liver
Trauma

Anything else you have found? And what are your thoughts are these?
PS- Can you tell I'm already a burnt out CA-2 looking for a way out and all my options? haha
I thought MD Anderson was Thoracic, it’s like all the work of Cardiac with 0.5% of the opportunities.
 

AdmiralChz

ASA Member
10+ Year Member
Sep 8, 2008
3,215
2,584
Mid-Atlantic
Status
Attending Physician
Somewhere someone has an “informatics” fellowship

A few places have a simulation fellowship.

If only these can simulate some information about making real money.

Also a NORA fellowship truly sounds like hell on earth - Endo, Bronchs, IR, cardioversions, ICU sedation.... literally places we all draw straws to see who isn’t unlucky enough to have to go do.

More seriously, I am not sure a fellowship would allow you to run a blood bank. I am hardly the authority but I believe that’s Subspecialty out of Heme/Onc and may even have its own board. It’s IM based and they love their exams.
 
  • Like
Reactions: eikenhein

abolt18

I regret nothing. The end.
7+ Year Member
Apr 24, 2012
2,622
1,357
Status
Resident [Any Field]
Somewhere someone has an “informatics” fellowship

A few places have a simulation fellowship.

If only these can simulate some information about making real money.

Also a NORA fellowship truly sounds like hell on earth - Endo, Bronchs, IR, cardioversions, ICU sedation.... literally places we all draw straws to see who isn’t unlucky enough to have to go do.

More seriously, I am not sure a fellowship would allow you to run a blood bank. I am hardly the authority but I believe that’s Subspecialty out of Heme/Onc and may even have its own board. It’s IM based and they love their exams.
Our blood bank is run by pathologists, but I have specifically been told by those pathologists during our blood bank rotation that it is not that uncommon for a blood bank in small hospitals to be run by an anesthesiologist. (I can't give any examples. I can only share what I was told)
 
  • Like
Reactions: nimbus

AdmiralChz

ASA Member
10+ Year Member
Sep 8, 2008
3,215
2,584
Mid-Atlantic
Status
Attending Physician
Our blood bank is run by pathologists, but I have specifically been told by those pathologists during our blood bank rotation that it is not that uncommon for a blood bank in small hospitals to be run by an anesthesiologist. (I can't give any examples. I can only share what I was told)
Yes! That’s right, pathology. My mistake.

here’s an example: Blood Banking and Transfusion Medicine Fellowship

Looks like Anesthesiology grads are actually eligible and it’s ACGME-accredited. Interesting! It’s also 2 years, bleh.
 
  • Like
Reactions: chocomorsel

chocomorsel

Senior Member
10+ Year Member
May 24, 2006
2,997
1,629
somewhere always warm
Status
Attending Physician
You can do sleep, you can do addiction, palliative and pretty sure even hyperbarics. The first three for sure. I would seriously look into sleep but it may be competitive and hospitals would want you to pair it with CCM. I suppose you could have your own free standing sleep lab.
Palliative is not competitive and addiction just started formal fellowship recently. Can’t imagine it being competitive.
 

Nivens

Cog in the Machine
5+ Year Member
Dec 5, 2012
400
379
Leafcull
Status
Fellow [Any Field]
Consider pain if you’re looking for a way to flex into OP medicine. It’s a legit subspecialty with a lot of options (cancer pain, addiction, palliative) that differ substantially from the day-to-day of OR anesthesia.
 
  • Like
Reactions: TheNolano

Ronin786

7+ Year Member
Mar 27, 2011
1,348
827
Status
Attending Physician
Or just choose another residency. Consider your past 2 years a sunk cost and find something you actually enjoy. Don't double down on your misery.
 

neutro

10+ Year Member
Apr 8, 2009
430
210
Pennsylvania
Status
Attending Physician
Consider pain if you’re looking for a way to flex into OP medicine. It’s a legit subspecialty with a lot of options (cancer pain, addiction, palliative) that differ substantially from the day-to-day of OR anesthesia.
Not for everyone, unless you like being a police officer.
 

rakotomazoto

ASA Member
7+ Year Member
Aug 25, 2009
306
280
Southern California
Status
Attending Physician
You could look into a non-clinical career path. I know a small group of people who used their MD degree to launch a career in business after getting burned out intern year. Not a well-defined path, but the guys I know that were able to figure it out seem quite happy with the change. Although, the ones I know were not doing anesthesiology, not sure if that makes a difference since they jumped ship early. You would have more clinical experience under your belt than they did.
 

rakotomazoto

ASA Member
7+ Year Member
Aug 25, 2009
306
280
Southern California
Status
Attending Physician
The guy that I know best was doing psych, but then bailed for a consulting job that he found out about somehow. He was married, starting to have kids. Just wasn't feeling it after medical school and wanted more time with his family. No regrets on his part.
 

Nivens

Cog in the Machine
5+ Year Member
Dec 5, 2012
400
379
Leafcull
Status
Fellow [Any Field]
Not for everyone, unless you like being a police officer.
100% true. Just something to consider for someone dissatisfied with OR anesthesia.
 
OP
K

Katheudontas parateroumen

ASA Member
2+ Year Member
May 19, 2016
91
41
Status
Resident [Any Field]
I am seriously considering blood banking/transfusion medicine because I have some experience with it while as an intern. I will let you all know how it goes!
 

Modanq

Member
10+ Year Member
Apr 7, 2005
227
162
36
Ann Arbor
Status
I also find the ECHO fellowship at Utah to be quite cool.
UCSF imaging. There is a route to all non invasive cardiac imaging. TTE, TEE, CT, MRI, Stress, and Nucs. Likely you will have to do a CV anesthesia fellowship plus or minus a ICU fellowship plus or minus other cardiac training.

 

FFP

Wiseguy
Gold Donor
10+ Year Member
Oct 17, 2007
7,147
7,169
Status
Attending Physician
UCSF imaging. There is a route to all non invasive cardiac imaging. TTE, TEE, CT, MRI, Stress, and Nucs. Likely you will have to do a CV anesthesia fellowship plus or minus a ICU fellowship plus or minus other cardiac training.

And then make almost as little (per hour) as your academic colleagues with non-ACGME worthless fellowships. That's the dream. :p