Question

[12345qwert]

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[Onefellswoop87]

Ran into a similar issue with a co-resident who did a prelim year. Her intern icu rotation didn’t count based on how they classified it (wards on paper/transcript though she said it was managing critical care patients only but the ICU was open)
Anyways, she did an “extra” ICU rotation pgy4 year and it counted as her fourth icu month according to the ABA
Last I read through the specific requirements for rotations a few years ago, your consultant month probably won’t count. And if that’s how your intern year classifies it, well, sorry.
The bottom line is you need four critical care months, with only a max of one counting from intern year, to graduate.

Yes, it’s frustrating, but not a hill to die on. If they won’t classify it as a critical care month after a reasonable and professional discussion (you are in no bargaining position to make demands), then suck it up and get the total of four critical care rotations in CA2-3 years

 

[UscGhost]

Save it to the end and be the laziest and most useless ICU resident possible

 

[chessknt]

Don't become a problem for your PD or throw a fit over it. It sucks (if you hate ICU which it sounds like you do) but residency is full of annoyances. Being able to deal with those annoyances with grace is part of the process and being unable to do can be a huge red flag that you don't want planted on your record.

 

[Beeftenderloin]

Had a co-resident who did 2 years of surgery first, 2 months each year in trauma/SICU. They still made him do 4 months of ICU during CA1-3. It’s just a headache and not worth it for your PD to waste their energy fighting it and hunting down information when the alternative is so simple. Additionally, you doing 1 less month of “typical for your program” ICU time may create a coverage deficiency for the unit. either way, as others have said, this is not the hill to die on. Fighting this will make you stick out as being difficult, and from what you’ve said so far, likely wont result in the change you want. That’s a lose-lose. Just go with it and be happy you're only doing 5 months, in stead 8 like my co-resident.

 

[dannyboy1]

Hated ICU with a passion. Luckily my program had a CTICU rotation on paper, but in reality it was just another month of cardiac anesthesia. There are some perks of going to a community program. Much more informal…

 

[GassYous]

Just do the month and get it over with

 

[deleted875186]

I wouldn’t fight it, just do an ICU month as a CA3. It stinks, but it sounds like the neuroceitical care month wasn’t too bad anyway. If you had done a legit ICU team month and were taking overnight call it would be harder to swallow.

 

[vector2]

You're just gonna have to suck it up. Neurocritcare consults almost certainly doesn't count since you don't participate in "all patient care activities as a fully integrated member"

 

[IMGASMD]

Do you hate icu that much? Do you have electives that you want to do that badly? Or you just want a good fight?

You don’t want to be “that” person. If your PD clears the obstacles and get your extra icu month onto your schedule…. Just do it, move on.

 

[nimbus]

I did a lot of ICU in medical school and during internship but I voluntarily did an extra month of ICU during residency…NICU in my case and thought it was very worthwhile. Got more comfortable with premies and micropremies. Took every NICU baby that needed surgery to the OR that month. Learned to do UACs/UVCs from the NICU NP, learned about neonatal nutrition, common premie problems..NEC, ROP, BPD, IVH, etc. I don’t do any peds now except on mission trips and still feel the experience was worthwhile. I think most anesthesia residents can benefit from additional ICU time, especially as a primary service resident. It’s also an opportunity to develop relationships with residents and attendings from other departments (medicine, surgery, peds). I currently work with a vascular/trauma surgeon who was my senior resident in SICU almost 30 years ago. We still talk about the good/crazy times we had.

Downside was q3 call and 6-7 hr rounds which made for 30 hour shifts q3 days. But overall the benefits far outweighed the downsides. I got way more out of it than yet another month of main OR.

There are usually great teachers in academic ICUs. Try to take advantage of it.

 

[Gern Blansten]

Easy fix. Do the ICU month and graduate residency.

 

[DirtDocMD]

See if you can substitute it for a month of “upper level” OB anesthesia (one you don’t really need, but the program requires so they can squeeze some work out of you). Win/win....

Otherwise, do the month, mail it in, move on...

 

[Angus Avagadro]

Agree, suck it up and finish if that's the only option. My old Chief was very strict. If you were a troublesome resident or didn't live within the boundaries of his kingdom, he claimed he would notify the Board that you didn't fulfill the requirements to sit for the Anesthesia Boards. You would receive a letter indicating you finished the residency but essentially not Board Eligible. He was not a man to make idle threats.

 

[abolt18]

Agree, suck it up and finish if that's the only option. My old Chief was very strict. If you were a troublesome resident or didn't live within the boundaries of his kingdom, he claimed he would notify the Board that you didn't fulfill the requirements to sit for the Anesthesia Boards. You would receive a letter indicating you finished the residency but essentially not Board Eligible. He was not a man to make idle threats.

I don't recall where you trained, but when I read your comments I always think you must have trained at the same residency as me (however I just graduated a year ago). I know the old department chair was exactly like this. He was chair for something like 20 years and was replaced ~6 years ago. Thankfully he retired a year ago and I missed his reign completely.

 

[Angus Avagadro]

I don't recall where you trained, but when I read your comments I always think you must have trained at the same residency as me (however I just graduated a year ago). I know the old department chair was exactly like this. He was chair for something like 20 years and was replaced ~6 years ago. Thankfully he retired a year ago and I missed his reign completely.

Oh, he was a peach! The nicest thing he ever said to me was after I successfully performed an axillary block, was" Avagadro, ( never called me Angus), ....not bad. Maybe we need to reclassify you from,(pardon the language), ret@rded to trainable? " To be fair, if you lived within his narrow guidelines, he was very supportive. Chief of Ortho was mad because there was no one to relieve me to do an ax block in pre op so I was doing it before the case. He ran to the Chief to complain about me wasting his time, who then strode into the holding area to interrogate me. I had seen the patient the night before, called my attending discussed the plan which was an ax block. Once satisfied, he look at Ortho and said, "That is what was discussed, that is what will be done". Spun around and strode away.

 

[abolt18]

Oh, he was a peach! The nicest thing he ever said to me was after I successfully performed an axillary block, was" Avagadro, ( never called me Angus), ....not bad. Maybe we need to reclassify you from,(pardon the language), ret@rded to trainable? " To be fair, if you lived within his narrow guidelines, he was very supportive. Chief of Ortho was mad because there was no one to relieve me to do an ax block in pre op so I was doing it before the case. He ran to the Chief to complain about me wasting his time, who then strode into the holding area to interrogate me. I had seen the patient the night before, called my attending discussed the plan which was an ax block. Once satisfied, he look at Ortho and said, "That is what was discussed, that is what will be done". Spun around and strode away.

Was this guy a big dude, peds anesthesia attending? Always Bowe-flexing to show off his power?

 

[Angus Avagadro]

No, cardiac by training. He was tall.