Weirdest Anesthesia Job Ad. Ever

Discussion in 'Anesthesiology' started by Silent Cool, Sep 19, 2014.

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  1. Silent Cool

    Silent Cool Member Banned 10+ Year Member

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  3. bronx43

    bronx43 Word. 10+ Year Member

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    Not sure what's weirder. The fact that there are two anesthesiologists boarded in internal medicine, or that there is a stable group looking for them.
     
  4. FFP

    FFP Grunt/cog/body Gold Donor 7+ Year Member

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    Not weird at all. Perioperative surgical home. The future seems to have arrived.
    I foresee some CCM guys doing the same thing in the future (we have more CCM- than IM-boarded anesthesiologists anyway).
     
    Last edited: Sep 19, 2014
  5. anbuitachi

    anbuitachi ASA Member 7+ Year Member

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    That is pretty rare ... anesthesiologists who are also boarded in IM. I dont think dual IM/Anesthesiology programs graduated their first class yet, so anyone w/ both, did separate residencies..
     
  6. FFP

    FFP Grunt/cog/body Gold Donor 7+ Year Member

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    They are usually IM grads without a fellowship, who switch over to anesthesia. There are more of them than you'd think. The program directors even reserve some out-of-match spots for them.
     
  7. urge

    urge 10+ Year Member

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    IM/Anesthesia is not that rare.
     
  8. IlDestriero

    IlDestriero Ether Man 7+ Year Member

    Nor is it necessary to run a preop clinic.
     
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  9. FFP

    FFP Grunt/cog/body Gold Donor 7+ Year Member

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    I guess they would be hired for preop optimization and post-op follow-up of sick patients, like some periop hospitalists. If true, that position definitely needs more IM knowledge than for the average anesthesiologist.

    https://www.asahq.org/For-Members/Perioperative-Surgical-Home.aspx
    http://www.asahq.org/psh
     
    Last edited: Sep 20, 2014
  10. urge

    urge 10+ Year Member

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    I agree. However, I feel that as a specialty we have been subjugated to IM's shenanigans.

    I always wondered why the cardiologists write the guidelines for peri op work up.

    I instinctively felt as a resident, before knowing of AHA/ACC guidelines, that it should be anesthesiologists writing the guidelines for cardiologists to follow.

    We have all been to CCUs where cardiologists run vasoactive drips for days through peripheral IVs and check BP every hr with a cuff only. That would never fly in anesthesia. And these are the people writing our guidelines.
     
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  11. FFP

    FFP Grunt/cog/body Gold Donor 7+ Year Member

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    I also find it funny that the ACC/AHA are teaching resuscitation to anesthesiologists. This while anesthesiologist-intensivists are considered not competent enough to teach CCM to IM interns, residents and fellows.

    At least the preop ACC/AHA guideline committee is chaired by an anesthesiologist (which is not obvious to the general public). ;)

    By the way, do we have a FASA designation for our older and wiser ASA members, like all other professional organizations seem to have?
     
    Last edited: Sep 20, 2014
  12. partydoc

    partydoc 7+ Year Member

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    west of the mid
    Lee Fleisher is the lead author on this years update, he's an anesthesiologist.
     
  13. Consigliere

    Consigliere 7+ Year Member

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    Neither here nor there
    Oh God that sounds like a special version of hell.
     
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  14. Ipassgas

    Ipassgas ASA Member 5+ Year Member

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    My program had 2 of them when I was in training, though I'm not sure one ever took his boards for IM.
    My memory is foggy, but it was like they didn't match into rad onc, did their IM prelim year, were offered a categorical job, took it, hated IM, re-applied to anesthesia.
    Something like that.
    They're out there in the world.
     
  15. anbuitachi

    anbuitachi ASA Member 7+ Year Member

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    I see. I didn't realize that ppl do that that often. It seems kind of weird that someone with IM board, would spend another 4 years in anesthesiology, when they could be making 200k+ as a hospitalist.. but i guess they have their preferences
     
  16. FFP

    FFP Grunt/cog/body Gold Donor 7+ Year Member

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    Life as a hospitalist can suck even more than life as an anesthesiologist. So a number of smart people, especially IMGs, who would have a hard time getting into cardiology or another truly interesting subspecialty, choose to do 3 years of anesthesia instead. They get a second specialty (where they can apply a lot of their IM knowledge), they can even get into a good fellowship of only one year, and they are highly sought after because they can function very well in both medical and surgical environments. In a clinical environment, that extra BCIM means more than a Ph.D.
     
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  17. anes

    anes ASA Member 2+ Year Member

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    Another 3 years.
     
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  18. SinghDoc

    SinghDoc ASA Member 7+ Year Member

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    I did IM then anesthesia after not matching cardiology. Took my friends 3 years of research to get a cardiology spot after IM residency. After doing IM, anesthesia residency was so chill (cooler attendings/residents, way better hours, and no bull**** paperwork). Was able to moonlight a lot in ICUs and ended up making about 3/4 of my IM attending income as an anesthesia resident. Being a hospitalist is a difficult job where you are under a lot of production pressure. No regrets switching. Not sure what revenue stream this job is going after---most hospitalists I know rely on a subsidy of almost 1/2 their income from the hospital.

    Agree with the sentiment about anesthesiologists not needing IM docs/cardiologists to run periop clinic. Anesthesia residency affords a lot in terms of practical clinical knowledge of resuscitation/ICU care/perioperative medicine.
     

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