fm to cc

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Is there any way I could get into critical care from fm?

 

[G-Man82]

None that I know of. However, to me it seems like family practice and critical care are two completely opposite fields of medicine. One is almost purely outpatient and preventive in nature while the other is obviously only critically ill inpatients and supportive and mostly therapeutic (driven by aggressive procedures and drugs) in nature.

So I don't really see why most FPs would want to do CCM, unless they're considering a change in career overall.

 

[jdh71]

Is there any way I could get into critical care from fm?

No (nothing official anyway - I think there are a few FM "fellowships" you can find in "critical care"). But find an open ICU at the right shop and you could probably do some to a lot of your own critical care. Though in today's legal liability atmosphere, if you had a chance to consult an intensivist and didn't. I don't know. Might be hard to defend.

 

[ILEMres]

I think your best bet is to do 3 yrs anesthesia (CA1-3, as you prob wouldnt need an internship year) + 1yr ccm fellowship. 4 yrs aint bad to be able to be boarded/trained in 2 additional, excellent fields!

 

[europeman]

Everyone.... You are all wrong.

There is a critical care attending at Shock Trauma (university of Maryland) who is family medicine trained.

She did family medicine and then did a critical care fellowship at Shock Trauma.

While she can't get her formal certificate, she has had no trouble getting job offers given her letters and training. She actually was so good she ended up staying as an full time critical care attending at Shock predominantly working in their new Critical Care Receiving Unit.

If you are done with family please don't go do a whole medicine anesthesia or surgery residency just for the purpose of a critical care certificate.

Any place will be happy to give you all critical care privileges with appropriate training and of course you could sell yourself as a unique practitioner.

I'm a surgeon fyi. So I have no bias here. She was just a few years ahead of me in training and was mu attending during my fellowship. She's awesome.

 

[jdh71]

Everyone.... You are all wrong.

There is a critical care attending at Shock Trauma (university of Maryland) who is family medicine trained.

She did family medicine and then did a critical care fellowship at Shock Trauma.

While she can't get her formal certificate, she has had no trouble getting job offers given her letters and training. She actually was so good she ended up staying as an full time critical care attending at Shock predominantly working in their new Critical Care Receiving Unit.

If you are done with family please don't go do a whole medicine anesthesia or surgery residency just for the purpose of a critical care certificate.

Any place will be happy to give you all critical care privileges with appropriate training and of course you could sell yourself as a unique practitioner.

I'm a surgeon fyi. So I have no bias here. She was just a few years ahead of me in training and was mu attending during my fellowship. She's awesome.

You can't work in the unit at my shop unless you are eligible for boards. There may be niche jobs for this kind of arrangement but I think it's giving bad advice to tell someone to do a surgical fellowship "it will all be fine".

 

[Mad Jack]

Around these parts, only Pulm/CCM or IM/CCM folks are allowed to function in the non-surgical ICUs. Anesthesia/CCM and EM/CCM can work in the SICU, but not in the "real" ICUs. Haven't run across an IM/EM/CC trained person yet, so I can't say how they'd be received in my area of the Northeast.

 

[deleted547339]

Around these parts, only Pulm/CCM or IM/CCM folks are allowed to function in the non-surgical ICUs. Anesthesia/CCM and EM/CCM can work in the SICU, but not in the "real" ICUs. Haven't run across an IM/EM/CC trained person yet, so I can't say how they'd be received in my area of the Northeast.

The "real" ICUs....?

 

[Mad Jack]

The "real" ICUs....?

I was firing shots at surgical ICUs 😉

 

[EMIM2011]

"EM/CCM" is not an entity of its own, there are pathways through ABIM, ABA and ACS. Which means that an EM trained physician who does an IM-CCM fellowship can of course work in a non-surgical ICU.

 

[G-Man82]

I've applied to jobs, too, where the majority of patients I would deal with in a combined anesthesia/CCM private practice job would be in medical ICUs or mixed med-surg ICUs. It's PP so no medicine residents or fellows and therefore no rule by the ABIM that requires another ABIM certified Intemsivist. Different flavors, but same deal.

 

[LoudBark]

Is there any way I could get into critical care from fm?

At John Peter Smith Hospital, in Fort Worth,TX, there are 2 Critical Care attendings who are family medicine trained. Neither did any type of CC fellowship.

John Peter Smith has an unopposed residency in FP, so they make it very FP friendly there and let the residents do it all, including 2 of them becoming CC attendings in their ICU after they graduated their program.

Fort Worth is not a rural hospital in the middle of nowhere. It is metro Dallas, where they certainly could find CC doctors if they wanted to. It is a very large and busy ICU and a Level 1 trauma center, but still have 2 FP trained CC doctors.