How long after residency could you go back and complete a fellowship in IM?

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KeikoTanaka

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Title says it all. Just curious if you can go and work as a hospitalist or PCP for ~5 years then realize you wanna do Cardiology/Gastro for example and go back. Is this frowned upon? How would you apply later on?

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Title says it all. Just curious if you can go and work as a hospitalist or PCP for ~5 years then realize you wanna do Cardiology/Gastro for example and go back. Is this frowned upon? How would you apply later on?
More competitive fellowship like Gastro/cardio you prolly can’t stay out too long...a yr or 2? Unless I guess you are involved in significant research...this probably goes for pccm and hem/onc
Other less competitive fellowships it probably doesn’t have as much of an effect...one of my co fellows was a pcp for 10 years and then went back.
 
More competitive fellowship like Gastro/cardio you prolly can’t stay out too long...a yr or 2? Unless I guess you are involved in significant research...this probably goes for pccm and hem/onc
Other less competitive fellowships it probably doesn’t have as much of an effect...one of my co fellows was a pcp for 10 years and then went back.
Glad to see this is still possible. Other than research, can you think of anything else that would/could show interest for an extended period of time (Going to certain conferences/CMES/etc?)
 
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Think about it in reverse from the eyes of a PD. Why would they want you the person who has been out for X amount of years over the usual person who is plowing straight thru the educational grind? What makes this candidate superior?
 
People go back and do fellowships in things like palliative or geriatrics after sometimes decades in practice. Just have to have a good explanation of your motivations.

Could also probably do ID or nephrology - they have a derth of good candidates.

Endocrine or rheum is fairly unlikely.

Cards, GI, heme/onc, pulm/crit is basically impossible except if the gap was just 1-2 years and you were reasonably productive during that time.
 
People go back and do fellowships in things like palliative or geriatrics after sometimes decades in practice. Just have to have a good explanation of your motivations.

Could also probably do ID or nephrology - they have a derth of good candidates.

Endocrine or rheum is fairly unlikely.

Cards, GI, heme/onc, pulm/crit is basically impossible except if the gap was just 1-2 years and you were reasonably productive during that time.

I know of one candidate who matched cards after 5 years - they spent it doing research and working as an academic hospitalist. It wasn’t easy.
 
I literally just saw a Linkedin profile of someone who matched cards around 8 years after residency and googled if it was common and came across this post.
He was an Asst. Professor of Medicine during the gap period, so that would have helped and not in Pvt practice.
 
I literally just saw a Linkedin profile of someone who matched cards around 8 years after residency and googled if it was common and came across this post.
He was an Asst. Professor of Medicine during the gap period, so that would have helped and not in Pvt practice.

Remember, a lot of med schools will hand out the title Ass. Prof of Med if they're willing to take students as a preceptor.

That being said, the two I knew that matched some years after residency, were heavily involved in research affiliated with big centers, and worked very closely with cardiologists from that program.
 
What will be the effect of COVID 19 on this year ( 2020-21) application cycle & match? I am interested in particular for infectious disease?
 
Theoretically it is possible, but for competitive specialities like GI, Hem/Onc, Cardiology it is less likely unless you are constantly publishing in good impact journals. You can work as an ICU hospitalist for 2-4 years and still get in PulmCCM or CCM. There are few cardiology hospitalist jobs too which won't look as bad as community hospitalist. Its probably easier to get into geriatrics, nephrology, and ID.
 
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