Recently graduated residents working in P/NICU

[medumacation]

Good Afternoon Everyone!

Just curious if these positions still exist. At my residency hospital the PICU has several recently graduated residents who worked at mid-level providers along with NPs. I interested in applying for these positions during a 1-3 year break I am interested in taking from GME before applying to a critical care fellowship. We called them Acute Care Specialists, is this a common term or does this positions not even exist anymore?

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[SurfingDoctor]

Good Afternoon Everyone!

Just curious if these positions still exist. At my residency hospital the PICU has several recently graduated residents who worked at mid-level providers along with NPs. I interested in applying for these positions during a 1-3 year break I am interested in taking from GME before applying to a critical care fellowship. We called them Acute Care Specialists, is this a common term or does this positions not even exist anymore?

Not common in PICU, but the model does exist. Another name I've heard for those types of positions are PICU hospitalists. I know places like CHOA have them.

I think having NICU hospitalists, especially that cover Level I and II nurseries is far more common and I have seen the model at several children's hospitals.

 

[mvenus929]

I've seen a PICU hospitalist, but it was a single resident that graduated from our program, so I don't see it as very common.

NICU hospitalists seem quite common given the number of e-mails I get about staffing level 2 NICUs. We also have the option for a neonatal hospitalist position in our area, where we cover level 1 and small level 2 NICUs, attend deliveries, etc, and transfer the sick babies our to the level 3 NICU at the children's hospital.

 

[BigRedBeta]

Where I did PICU fellowship (top 10 children's hospital), because wed didn't have enough NP coverage, the hospitalist group helped out. Typically the fresh out of residency grads got sent to the PICU as they lacked seniority to get the cushier newborn nursery or general peds spots. Those that were going on to fellowships (pretty much in any field) generally told me they were thankful for the ICU experience compared to the weeks they got in other spots.

So they do exist, but the circumstances need to be right. It's easier to be at someplace they know you.

 

[michigangirl]

There was a year we had three hospitalists in our PICU-- folks who had decided late on PICU fellowship and needed to do a bridge year during their application year. Interviewing fellowship applicants this year I've come across three already who are hospitalists at awesome children's hospitals. We have had at least one hospitalist every year, so it's a thing. Worth contacting medical directors about potential opportunities.

 

[FlowLimited]

I have seen these positions in the NICU but not in the PICU. At the hospital during my residency there were recent residency grads from our own program who decided on NICU fellowship late and needed something to do during the gap year. They functioned similarly to the NPs, covered a share of the patients, and were overseen by an attending physician. At the hospital I am at now for fellowship there are 1-2 folks in the NICU with similar roles. Here it seems like they are spouses of fellows and will move on or move into a more permanent position when their spouse is done with training.

I agree that it would be worth looking into.

 

[helvetica]

Chiming in to say that there were both PICU and NICU hospitalists at my residency program, mostly recent grads trying to bridge between fellowship and/or just not sure what they wanted to do.