Peds difficult to obtain now

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I am a 3rd year med student. I go to med school outside the 50 states . I took STEP 1 and I barely passed. I wanted to go into Ped pulm/CC . Can I even get into peds now considering my score? what would I need to improve my chances to get into ped then peds pulm/CC? I am suppose to take step 2 ck and cs months from now. My score was less than a 210 so I am at the bottom of the barrel.
 
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No, peds is not likely out of your reach if you apply broadly and without geographic preference. I would think that an audition rotation on a Peds or NICU sub I (PICU if there is a busy unit) would do nothing but help if you really shine and are likeable. Neither peds critical care nor pulmonology are particularly competitive. Do realize that pulmonology and peds CCM are not as intimately tied together as in adult pulm/CCM (i.e. very few pulmonologists are CCM trained and vice versa). Dual-boarded CCM and peds cardiology is probably more common. I would strive to do well on your step 2 and get your face seen at a program in which you might want to train.
 
I am a 3rd year med student. I go to med school outside the 50 states . I took STEP 1 and I barely passed. I wanted to go into Ped pulm/CC . Can I even get into peds now considering my score? what would I need to improve my chances to get into ped then peds pulm/CC? I am suppose to take step 2 ck and cs months from now. My score was less than a 210 so I am at the bottom of the barrel.

1. I think you can still match peds, but you need to apply to every low tier program in the country.

2. Once you match into peds, it will be easy to get into PICU. PICU has many openings even after the match/scramble process every year. As long as you are in good standing in residency without any black marks on your record you can secure a spot.
 
I wanted to do Pediatric Pulmonary medicine then do a fellowship in Pediatric Critical Care or vice versa if possible.

A. Which of the two path is recommended?
B. How much research experience do I need to secure both?
C. I have read books about matching into pediatrics. Based on your personal experience, what do program directors look for form recent graduates ?
 
No, peds is not likely out of your reach if you apply broadly and without geographic preference. I would think that an audition rotation on a Peds or NICU sub I (PICU if there is a busy unit) would do nothing but help if you really shine and are likeable. Neither peds critical care nor pulmonology are particularly competitive. Do realize that pulmonology and peds CCM are not as intimately tied together as in adult pulm/CCM (i.e. very few pulmonologists are CCM trained and vice versa). Dual-boarded CCM and peds cardiology is probably more common. I would strive to do well on your step 2 and get your face seen at a program in which you might want to train.

i noticed that on my PICU rotation when i thought it was weird we were consulting pulmonology....why do you think there is that difference between adult and pediatric pulm/CC?
 
I wanted to do Pediatric Pulmonary medicine then do a fellowship in Pediatric Critical Care or vice versa if possible.

A. Which of the two path is recommended?
B. How much research experience do I need to secure both?
C. I have read books about matching into pediatrics. Based on your personal experience, what do program directors look for form recent graduates ?

It really depends on what you want to do when you're done. I've met one or two dual trained people, but that's it. Neither fellowship is particularly competitive, but doing both will seriously prolong your training (3 years each). The 'advantage' of doing pulm is still seeing asthma and CF patients (mainly) in the outpatient setting. Most intensivists, myself included, would rather be shot. You would gain the ability to do bronchoscopy which would be quite useful, but I don't know if it's worth doing an extra 3 years of training.

As for C, different program directors look for different things. It's better to look at individual programs and see where and how you fit in.
 
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