Possible scenario: just curious how this works?

[J ROD]

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How would this work as far as residency goes?

Say one completes an IM residency and works as a Hospitalist for several years and then wants to go back and do an Anes residency....

Would one have to do the Intern yr over or can one just skip over that at programs that are not 1-4 yrs....?


Just curious how this sort of thing works.....thanks!!

 

[dragonfly99]

You would not need to repeat intern year. Doing 2nd residencies after being out for 5 years is relatively unusual, though.

 

[J ROD]

You would not need to repeat intern year. Doing 2nd residencies after being out for 5 years is relatively unusual, though.

years from now I may be in that situation....depending on how some things work out.....

thanks!

 

[HIJay]

i do know of a FM attending who was boarded in FM but decided to switch to ob/gyn and had to do all 4 yrs of ob/gyn including intern yr

 

[Winged Scapula]

i do know of a FM attending who was boarded in FM but decided to switch to ob/gyn and had to do all 4 yrs of ob/gyn including intern yr

I think that's a different situation than for the OP.

FM doesn't meet the requirements for internship year for OB; IM *does* however, meet the requirements for an intern year for Anesthesia (perhaps save for any required Anesthesia electives).

 

[gluon999]

How would this work as far as residency goes?

Say one completes an IM residency and works as a Hospitalist for several years and then wants to go back and do an Anes residency....

Would one have to do the Intern yr over or can one just skip over that at programs that are not 1-4 yrs....?


Just curious how this sort of thing works.....thanks!!

To answer your question, you can do Anesthesia in 3 years if you have already done one or more years of IM. But...

MD + Pharm D + Medicine residency + Hospitalist + Anesthesia residency?

Dude, just pick a field and stick to. You will not have as many headaches!

 

[lipomas]

People would do themselves a lot of good if they actually thought about what field they wanted to go into before they jump headfirst into residency. I know things change, but you have to work hard in med school to figure it out, and not just be hoping that things work out in the end.

 

[J ROD]

I have good reasons.....more than I have no clue what the hell I am doing...🙂

I actually planned to get a MD and PharmD....and really plan on doing one residency but I was just curious how that worked.

there is a scenario where I might have to do one before the other for personal reasons...

 

[notinkansas]

Anesthesia is a program that generally requires a transitional year prior to starting the anesthesia training. You do PGY 1 then go to Categorical Anesthesia 1 (CA1) which is PGY2.

OB, however, does not include a transitional year. The interns in OB do a lot of the non-complicated deliveries so you can't skip intern year in that program.

Good luck finding a job as hospitalist after just one year of training. Most require board certification in IM.

If you want to do anesthesia, why not just do that now?

 

[J ROD]

Anesthesia is a program that generally requires a transitional year prior to starting the anesthesia training. You do PGY 1 then go to Categorical Anesthesia 1 (CA1) which is PGY2.

OB, however, does not include a transitional year. The interns in OB do a lot of the non-complicated deliveries so you can't skip intern year in that program.

Good luck finding a job as hospitalist after just one year of training. Most require board certification in IM.

If you want to do anesthesia, why not just do that now?

I am interested in EM and Anes the most going in....I have many yrs in retirement with my state and cant continue with it with Anes....except at one place in my state....EM and Hospitalists are my best shots...

So, if I have to be a hospitalist, I would eventually like to return and was considering a subspec or Anes.....

I can retire in my early 40's and then do what I want......in terms of more training or working less hrs, etc....

 

[SinghDoc]

I actually did the same thing, finished IM and passed boards in Summer 2009, doing 1 year as a hospitalist, starting CA-1 (PGY-II) Anesthesia in Summer 2010. It was not exactly easy though--the Medicare funding becomes an issue depending on the institution (no funding for second residency).

Wish you luck.

 

[J ROD]

I actually did the same thing, finished IM and passed boards in Summer 2009, doing 1 year as a hospitalist, starting CA-1 (PGY-II) Anesthesia in Summer 2010. It was not exactly easy though--the Medicare funding becomes an issue depending on the institution (no funding for second residency).

Wish you luck.

I hope it will never come to that but if I like Anes the best then I will have to see what happens....right now, from everything I have seen and worked in, I like EM the best....

I have seen Surgery (Gen, Plastics) - cool but not my cup of tea...

Anes, EM, Psy, FM, IM, Peds, Crit Care, Rads, Derm.....

Although nothing is like working it 80hrs/wk.....

 

[Eta Carinae]

Anesthesia is a program that generally requires a transitional year prior to starting the anesthesia training. You do PGY 1 then go to Categorical Anesthesia 1 (CA1) which is PGY2.

OB, however, does not include a transitional year. The interns in OB do a lot of the non-complicated deliveries so you can't skip intern year in that program.

Good luck finding a job as hospitalist after just one year of training. Most require board certification in IM.

If you want to do anesthesia, why not just do that now?

I think by "transitional" you really mean "preliminary". could be point of confusion.

Anesthesia: 4 years residency length.

Training programs in two possible tracks:

a) 1 + 3 (1= PGY1; 3= CA1-3 aka PGY2-4)
b) 4 years straight through/categorical programs

a) can complete one year (PGY1) of
i. prelim medicine (preferred)
ii. prelim surgery (acceptable)
iii. transitional year (meh)

as long as you have the following ACGME requirement:

At least six months of the Clinical Base Year rotations
must include experience in caring for inpatients in
internal medicine, pediatrics, surgery, or any of the
surgical specialties, obstetrics and gynecology,
neurology, family medicine, or any combination of
these. In addition, there should be rotations in critical
care and emergency medicine, with at least one
month, but no more than two months, devoted to
each. Up to one month may be taken in
anesthesiology. Rotations should ensure continuity of
teaching and clinical experience. Each month of
training may be counted only once. For example, a
rotation in a pediatric intensive care unit may count as
either a month in pediatrics or a month in critical care
medicine.

Then apply to advanced three-year training CA1-3

OR

b) can apply to categorical tracks and start at PGY1 and
complete all four years congruently.
(doesn't sound like you're inclined to do so)

If your PGY-1 training does not meet ACGME floor/ICU/EM
requirements, the CA1-3 program may ask you to meet these
requirements as electives.

While I doubt you will be forced to repeat the PGY-1 year
either as a categorical applicant or in a preliminary program,
the individual programs make that determination.

Best,

 

[Ashers]

I think by "transitional" you really mean "preliminary". could be point of confusion.

...

a) can complete one year (PGY1) of
i. prelim medicine (preferred)
ii. prelim surgery (acceptable)
iii. transitional year (meh)

as long as you have the following ACGME requirement:

At least six months of the Clinical Base Year rotations
must include experience in caring for inpatients in
internal medicine, pediatrics, surgery, or any of the
surgical specialties, obstetrics and gynecology,
neurology, family medicine, or any combination of
these. In addition, there should be rotations in critical
care and emergency medicine, with at least one
month, but no more than two months, devoted to
each. Up to one month may be taken in
anesthesiology. Rotations should ensure continuity of
teaching and clinical experience. Each month of
training may be counted only once. For example, a
rotation in a pediatric intensive care unit may count as
either a month in pediatrics or a month in critical care
medicine.



If your PGY-1 training does not meet ACGME floor/ICU/EM
requirements, the CA1-3 program may ask you to meet these
requirements as electives.

While I doubt you will be forced to repeat the PGY-1 year
either as a categorical applicant or in a preliminary program,
the individual programs make that determination.

Best,

You can do any clinical year you like as long as you get those basic requirements you listed.

I'm starting anesthesia next year, but I'm in a pediatrics prelim now. I miss seeing adults as patients.