- Joined
- Sep 17, 2017
- Messages
- 3
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Hello, I am sorry for bombarding this board with yet another "versus" question. This dilemma is driving me crazy. I have spoken with a few seniors in my field who have given me different answers.
Background: I am an Intensive Care Trainee in Australia. The system here is slightly different to most countries. It is considered a primary speciality training program i.e when I finish my training program, I will have no other qualification other than being an intensivist.
I have loved intensive care since I was a medical student, I have come pretty far into the training program as a trainee and I have cleared my primary ICU board exams.
I don't mind the family discussions, breaking bad news, palliating patients who need to be palliated, long ward rounds, shift work etc etc.
My issues:
a) I only got exposed to interventional radiology as an ICU trainee. I am always in awe how technically challenging the procedures are, and how quickly incredibly unwell patients become stable.
b) I'm a work horse. I'm happy to change specialties and do all the studying/work required.
c) I am becoming a bit disenchanted of my ICU aspirations:
i) Our training is disorganised.
ii) We have a surplus of trainees relative to attending/consultant vacancies. Fully trained fellows continue to gain extra skills and negotiate one year contracts in their late 30s early 40s
iii) ICU private work is a soul crusher. I have picked up shifts in a few private ICUs now, and I feel like the consultants are the ward surgical registrar for the surgical attending/consultant.
iv) Older ICU consultants look exhausted all the time. Older radiology bosses seem to love what they do.
With this context in mind I have a few questions:
a) For those who were in a similar predicament as me i.e intensive care vs. another procedural speciality -- which field did you choose and why?
b) For those who are current intensivists -- does the job continue to challenge/satisfy you despite all the politics?
Background: I am an Intensive Care Trainee in Australia. The system here is slightly different to most countries. It is considered a primary speciality training program i.e when I finish my training program, I will have no other qualification other than being an intensivist.
I have loved intensive care since I was a medical student, I have come pretty far into the training program as a trainee and I have cleared my primary ICU board exams.
I don't mind the family discussions, breaking bad news, palliating patients who need to be palliated, long ward rounds, shift work etc etc.
My issues:
a) I only got exposed to interventional radiology as an ICU trainee. I am always in awe how technically challenging the procedures are, and how quickly incredibly unwell patients become stable.
b) I'm a work horse. I'm happy to change specialties and do all the studying/work required.
c) I am becoming a bit disenchanted of my ICU aspirations:
i) Our training is disorganised.
ii) We have a surplus of trainees relative to attending/consultant vacancies. Fully trained fellows continue to gain extra skills and negotiate one year contracts in their late 30s early 40s
iii) ICU private work is a soul crusher. I have picked up shifts in a few private ICUs now, and I feel like the consultants are the ward surgical registrar for the surgical attending/consultant.
iv) Older ICU consultants look exhausted all the time. Older radiology bosses seem to love what they do.
With this context in mind I have a few questions:
a) For those who were in a similar predicament as me i.e intensive care vs. another procedural speciality -- which field did you choose and why?
b) For those who are current intensivists -- does the job continue to challenge/satisfy you despite all the politics?