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I have no gauge of competitiveness for matching the different fellowships? Which is the most competitive and which are the easiest, almost guaranteed to match?
LolIf you hate all 4 fellowships then go Cardiac to get TEE certified as that will help your job prospects down the line.
I concur. For the latter, I strongly recommend a mixed MICU-SICU program (or one that allows at least a couple of months in the MICU).It is extremely easy to match into a CCM fellowship. A bit more difficult to match into a program that will set you up for an academic career or provide you the training to practice as an intensivist in the community.
what could you possibly learn in an ob fellowship? What kind of academia will you study? HOw many cm to thread the epidural catheter? how to avoid saying the heinous things that are going through your head whilst on the ob ward? The only people who do ob fellowships are.... well you can fill in the blank.What is everyone's opinion on an OB fellowship? I'm considering because of interest and the potential for academic career in the future.
Any time spent on directed education isn't entirely wasted.What is everyone's opinion on an OB fellowship? I'm considering because of interest and the potential for academic career in the future.
what could you possibly learn in an ob fellowship? What kind of academia will you study? HOw many cm to thread the epidural catheter? how to avoid saying the heinous things that are going through your head whilst on the ob ward? The only people who do ob fellowships are.... well you can fill in the blank.
There's a huge difference between "the potential for an academic career in the future" and a genuine interest in both a career in academic medicine and specifically in OB anesthesia.What is everyone's opinion on an OB fellowship? I'm considering because of interest and the potential for academic career in the future.
hatIf you are 30 years old now and you skip the fellowship and take home $200k in year one, and you spend $60k that year and invest the rest in a stock index fund, assuming 8% annual you will have an extra $2 million at age 65.
You assume that the employment opportunities and pay for the fellowship trained you, and the non-fellowship trained you, are identical.If you are 30 years old now and you skip the fellowship and take home $200k in year one, and you spend $60k that year and invest the rest in a stock index fund, assuming 8% annual you will have an extra $2 million at age 65.
Man this is flawed.If you are 30 years old now and you skip the fellowship and take home $200k in year one, and you spend $60k that year and invest the rest in a stock index fund, assuming 8% annual you will have an extra $2 million at age 65.
You assume that the employment opportunities and pay for the fellowship trained you, and the non-fellowship trained you, are identical.
You also assume no taxes paid on that $140K income before it's invested.
8% real return (over inflation) for 34 years is also a stretch.
Realistic numbers might be $110K invested (most of it NOT in a tax advantages account!) at 4-5% above inflation for a total of $500K. If the fellowship is worth a mere $15K extra in pay/opportunity/happiness per year, the fellowship wins.
There is just one problem: those $2 million will buy less than $1 million buy today. There is a lot on inflation in the meantime.If you are 30 years old now and you skip the fellowship and take home $200k in year one, and you spend $60k that year and invest the rest in a stock index fund, assuming 8% annual you will have an extra $2 million at age 65.
where did u get these stats from?2015 match data.
Peds- 169 U.S. Grads applied, 148 matched, 88% match.
Pain- 266 U.S. Grads applied, 196 matched, 74% match.
There is a lot of self selection, but they're not super competitive if you're a solid resident. Obviously the big name programs will be quite a bit more competitive. We get 10-20 applicants per spot.
http://www.nrmp.orgwhere did u get these stats from?
I'm 6 years out of residency, looking ahead to fellowship now. Programs have seemed to be much more interested in what I've done since residency than my Step 1 score from 15 years ago. Maybe my roundabout military pathway just makes for good conversation.How about for no traditional applicants? Do they look at Step 1 scores even if you've taken and passed the actual board exam? If you were in the top percentiles does that give more of an edge, or is it just passed or not? What if you are in PP and not around research? If I were to consider going back it would be to do pain and control my own destiny. Sorry about the syntax errors. My ipad is a POS.
When you have a lot of applicants who are probably nearly all capable of completing the fellowship, you rely on numbers to help determine who to interview. We only interview about 1/3 of the people that apply and even then we don't rank everyone.
Cardiothoracic.What kind of fellowship, if I may ask?
Btw, I got the same legit questions during my interviews. And they were right; it's pretty annoying to have to do stuff that you don't consider best practice, just because "the attending" said so.
My experience as a relatively recent grad in the northeast:
CCM market is extremely tight but grads of the good fellowships in the area all got good academic jobs. Friends that went to the bay area went with the expectation they would not be able to stay as attendings.
Cardiothoracic.
My circumstances are a bit different than most applicants though, and not just because I'm not a CA-2 applying to go straight out of residency. The Navy owns me for a few years yet, so in order for me to disappear for a year to be a fellow, those powers need to both perceive a need for another CT anesthesiologist and decide that I am the specific person they want to go get that training. There's a process for us to apply and make our case.
The last few years the master spreadsheet hasn't perceived a need for more CT anesthesiologists, so no one has been allowed to train in that field. This kind of force shaping is of course totally sane and appropriate - it wouldn't serve the Navy or the nation well if we had 3x as many CT anesthesiologists or radiation oncologists as we need to support military hospitals in the US or abroad. The problem is that the master spreadsheet hasn't match the reality of our need the last few years, so the Navy is short and no one's in the training pipeline. That's changing this year so a window is opening.
I'll get a formal answer from the Navy in December if it's my turn to go. I'm hoping to start in 2016, if not then 2017. I have a position secured for 2017 outside the match, and could possibly start 2016 if certain things work out. I like my odds but nothing is certain.
I mention this in part as idle conversation but also because the interview experiences I related above probably deserve the caveat that I'm a weird applicant applying under weird circumstances outside the match.
I'm really looking forward to it. Not having the distraction of oral board prep will be nice. Being part of a residency program this year now I have time to learn (and colleagues willing to teach me) some more advanced echo ahead of time. The learning curve post-residency is pretty steep, and I'm still climbing now 6 years out, but like everyone who's got some alone time out in the world, I'm better than I was as a new grad. And after a few years of non-clinical duties to the department and other non-anesthesia obligations, the notion of having to do nothing except cases and reading and learning has me giddy with anticipation. It's going to be awesome.@pgg- I went back after 10 years to do a CT fellowship. I know for a fact I would not have gotten as much out of it straight out of residency. Opportunity cost and all, it was the right move for me. Best of luck to you, it's been a unique experience for sure.
Where is it "extremely tight"? Are you talking academics in Boston and NYC?
Where?Where is it "extremely tight"? Are you talking academics in Boston and NYC? I could use another 2-3 CCM trained anesthesiologists.