What is Anesthesiology Call like?....ICU and Pain?

[Stillwater45]

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During your typical call night or weekend what is your routine? Do you hang out until an emergency surgery from the floor or ER is called up? How much downtime is typical? How much interaction with the ER do you have? Do you go down to the ER with the surgeon to start your write up or do you wait for the patient to be brought to the OR?

Also....
Does an Anesthesiologist in a general practice generally work in critical care, and or pain management? I noticed that these were fellowships of Gas but im curious how anesthesiologist from general practices are incorporated into these fields.

I know I've been asking a lot of questions recently, I have recently become very intersted in the field and you all have been very helpful - It's very much appreciated. Thanks

 

[powermd]

Typical call? Restful. Well, so far. I'm in my second month as a CA-1, and have either been sent home early, or slept through the night on the few calls I've had. Generally you finish up long cases from the day shift, and do any add on, or emergency cases that come in. That usually keeps you busy until 10-11pm or so. After that we get called for emergency cases, or floor intubations. Usually it's pretty quiet, since Columbia is not a trauma center. Second and third years have it a bit tougher, because they can be called for livers and AAA's, which first year's don't do. That's on general OR rotations. OB, pediatrics, and pain are different, and I don't know anything about that yet. On the issue of call scheduling, my September schedule just came out, and I only have two overnight calls the entire month! I have four "short" calls which usually end anywhere from 5-10pm, depending on your spot on the list.

There were some very negative posts about Columbia a few months ago regarding patients backing up from the floors to the PACU to the ORs. So far that hasn't been an issue, and we're all very happy with the residency. We'll see what happens when volume picks up in September.

During your typical call night or weekend what is your routine? Do you hang out until an emergency surgery from the floor or ER is called up? How much downtime is typical? How much interaction with the ER do you have? Do you go down to the ER with the surgeon to start your write up or do you wait for the patient to be brought to the OR?

Also....
Does an Anesthesiologist in a general practice generally work in critical care, and or pain management? I noticed that these were fellowships of Gas but im curious how anesthesiologist from general practices are incorporated into these fields.

I know I've been asking a lot of questions recently, I have recently become very intersted in the field and you all have been very helpful - It's very much appreciated. Thanks

 

[Intheair]

I am in a gen surg (categorical) spont now. I'm thinking of switching to gas. How do I find out open gas possitions? Any ideas? I really dont want to sit out one year. I would like to start a CA-1 some where.

 

[bubalus]

Send a CV and a letter to the PDs at a bunch of programs. Paper, envelopes, postage for 100 letters won't cost you more than $45, and if you get a spot outside the match, you're golden. Lots of programs have spots they keep open for folks that switch.