Just wondering which is the best path for someone interested in CCM, maybe to work in the CCU of an academic institution after completion of training?
Pulm vs. Nephro vs. Cards for CCM
- Thread starter jbz24
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Well, if you want to work in a CCU in an academic setting, you're going to have to be an cardiologist. There isn't much flexibility in that, although in the community you might be able to be trained in Critical Care alone and be able to work in a CCU. Although uncommon, some places let hospitalists work as "icu hospitalists" with critical care/cardiology teams consulting.
Nepro isn't a common pathway to do critical care work, although I must say I have seen people combine a 2 year critical care fellowship with almost anything, including ID.
Nepro isn't a common pathway to do critical care work, although I must say I have seen people combine a 2 year critical care fellowship with almost anything, including ID.
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Why not just do a 2 year critical care only fellowship?
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This is a good question. Alternatively, if you do cards, you can tack on a single CCM year and be boarded in both.
FWIW, our program has a CCM only track and a lot of the fellows finishing up are finding it hard to get jobs in the area, or in other major metro areas (at least on the West Coast). Everybody wants someone who can not only set vents, put in lines and choose pressors but also do bronchs and get difficult airways.
IMHO, if you want to stay in academics, it would be tough to do with CCM only unless you've got a funded research project to make you marketable.
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Academic
I glossed over that first time through. I agree, you'll have to have gone through Cardiology fellowship is you want to run a CCU.
It would be VERY tough to swing a funded research project right out of fellowship in critical care. You could maybe, probably make it work coming out of places like Pitt or UDub . . . but I don't know. Even then, why would they let you into their CCU?
If you want to work in a CCU, do Cards. IMHO.
