pulmonary

[oslernodes]

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I searched this in the forums but didnt' get much back. Does anyone know much about pulm fellowship and beyond? are pulmonologists tied to academic centers? what kind of hours, inpatient/outpatient mix, income, etc do attendings normally have?

thanks

 

[BigRedBeta]

I'm the intern on a pulm service right now.

Can't answer all your questions, but a few thoughts...

I think Peds Pulm is a little bit less tied to academic centers than some other fields because asthma and CF patients are every where and there's probably sufficient numbers even in medium sized towns that you could support a practice. The one issue is that for CF, you run into the problem of not being a Certified CF center which has been shown to provide better outcomes...but again, asthma is everywhere if that's your first love.

I think the inpatient/outpatient mix is a good one with probably a significant amount of control if you got in the right spot. At both my residency program and my medical school there were attendings who did nothing but outpatient by choice.

 

[Stitch]

At my institution the pulmonologists run the transitional care unit (TCU) which consists of chronic care kids who have trachs and are vent dependent. Generally these are 'well' kids who just await placement in a facility. So if you like minor vent stuff, you can do that too. Of course if they get at all sick they move to the PICU, and not every hospital has a TCU.

 

[bks524]

I think most pulmonologists live in big cities or are tied to academic centers. They do see some asthma, a lot of CF, and some other chronic lung kids. The issue with making a practice out of asthma alone is the competition. Allergists often work with referal asthma as do some ENTs. Furthermore, asthma is a staple of Gen Peds and so many kids do not get referred-just the moderate and severe persistent kids. In Atlanta, where I am originally from, there is a private group, but that is Atlanta. It is the only city in Georgia to my knowledge that has private pulm-Savannah may have 1 person though