Question about Sub-I

[agatha721]

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I am going into anesthesia and have to set up my 4th year rotations soon. I am unsure whether I should do a Medicine Sub-I or an Intensive Care Sub-I? (Anesthesiologists do not run any of the ICU's where I am) Both are obviously important but what do people think?
Thank you for the responses in advance!

 

[fakin' the funk]

I am going into anesthesia and have to set up my 4th year rotations soon. I am unsure whether I should do a Medicine Sub-I or an Intensive Care Sub-I? (Anesthesiologists do not run any of the ICU's where I am) Both are obviously important but what do people think?
Thank you for the responses in advance!

A medicine Sub-I may be more useful if you are planning to apply to preliminary-medicine internships.

I think it is irrelevant who runs the ICUs where you are since there is always a new style or new knowledge to be gained from whoever the attending is (medicine, surgery, or anesthesiology).

If you do just a regular medicine floor sub-I, definitely try to get in a couple weeks of an ICU elective.

 

[neuroride]

ICU, you will learn more medicine in the ICU than on the floors. Also more procedures, etc.

A sub-I for ICU will be more intense though if you truly take on more responsibility but I think that it would be worth it. I did one month ICU as a 4th year and learned alot that I still use today.

 

[psychbender]

ICU, definitely.

I did sub-Is in both MICU and SICU this year (neither run by Anesthesiology), and learned a lot more than I believe I would have doing regular floor Medicine months. The procedures were also a nice bonus.

 

[QofQuimica]

I'm a fellow third year, so I can't advise you from the other side. But FWIW, I am planning to do an ICU sub-I rather than a medicine sub-I.

 

[Chrysanthemum]

I concur... ICU. It's a hell of a rotation but you will learn a tremendous amount of medicine...probably more than you'll learn on the floors.

 

[BobBarker]

I'm a 3rd year on ICU right now. We do one month of required IM teaching service, and one IM specialty month and luckily I got ICU as my specialty. Its interesting and fun, but no way the 3 interns will let us get a procedure. One intern has only placed 1 central line until he arrived this month. I have to find a ICU to let me rotate in that does not have any residents next year. This month has made me think about critical care fellowships..

 

[error404]

I've spent a few months on SICU and MICU, as well as the required med months...

I'd recommend an ICU rotation-- its just more relevant to anesthesia. Getting a letter from a critical care doc (even if they're not an anesthesiologist) will be more useful than a letter from a medical subI.

MICU will be a nice crossover of the critical care of anesthesia and the medical knowledge you want to demonstrate for prelim year applications. It can be more time intensive than a medical subI (at least, was Q3 at my school,) but a boon with applications.

 

[McSnappy]

I'm a 3rd year on ICU right now. We do one month of required IM teaching service, and one IM specialty month and luckily I got ICU as my specialty. Its interesting and fun, but no way the 3 interns will let us get a procedure. One intern has only placed 1 central line until he arrived this month. I have to find a ICU to let me rotate in that does not have any residents next year. This month has made me think about critical care fellowships..

Notoriously, but not exclusively, ICU attendings are some of the best teachers in the hospital.

At ours, the MICU is an exceptional experience, run by pulmCC fellows and attendings.