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Wilderness Med et al

Discussion in 'Emergency Medicine' started by AmoryBlaine, Mar 1, 2007.

  1. AmoryBlaine

    AmoryBlaine the last tycoon 7+ Year Member

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    May 1, 2006
    I've been hearing more and more people (on SDN and in life) talk about how their career plans are "wilderness medicine" or less commonly "aerospace medicine" or even "tactical medicine."

    Now I know that there are fellowships available out there for these things. My question is does anyone really do this for a living? To me they seem largely like an extracirricular interest magically transformed into a fellowship. It all seems sort of silly to me.

    Does anyone know a doc who is working in the wilderness?

    For the attendings, does having a fellowship in wilderness make a candidate more attractive to hire?
     
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  3. SoCuteMD

    SoCuteMD 10+ Year Member

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    No more rounding!
    There was a thread about this a few months ago - try searching.
     
  4. Cal2Lane

    Cal2Lane Member 7+ Year Member

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    Berkeley, CA
    I think that thread discussed books and programs on wildnerness medicine. Not specifically AB's question on job prospects vs. extracurricular interests. So, I'd like to hear some input to if anyone has any.
     
  5. SoCuteMD

    SoCuteMD 10+ Year Member

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    No more rounding!
    Here's a start:
    http://forums.studentdoctor.net/showthread.php?t=369553&highlight=wilderness
    http://forums.studentdoctor.net/showthread.php?t=364092&highlight=wilderness

    The thread you mentioned:
    http://forums.studentdoctor.net/showthread.php?t=342974&highlight=wilderness

    Normally I put my snarkiness away, but I can't resist here. If you are going to tell someone they are wrong, at least do a search and confirm that he/she is, in fact, wrong. Search function - live it, learn it, love it :).
     
  6. Arctic Char

    Arctic Char 10+ Year Member

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    not fishing . . .
    well, aerospace medicine itself is a branch of preventive medicine with a few civilian fellowships available (PM if you want more info). but the field also focuses on the technical and clinical aspects of aeromedical transport - both removals and tranfers. being an EP requires proficiency or at least familarity in the latter aspect of aerospace medicine . . . but being an "aerospace physician" does not necessarily involve emergency medicine. so if someone says they want to do aerospace medicine, ask them to clarify in what capacity and at what level?

    wilderness med also kind of confuses me . . . and i'm a member of the Wilderness Medicine Society!! i guess we're just a bunch of outdoor junkies who want to integrate work and play so badly we speak the idea into existence . . . man, if only grizzleys and coyotes were insured . . .
     
  7. Cal2Lane

    Cal2Lane Member 7+ Year Member

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    Tell you what, put some of your snarkiness away. The thread you are referencing was like TWO weeks ago. You said a few months back (that's the one I was thinking about). Also, it doesn't really go into the same depth about tactical medicine. Are you only confrontational online? Or confrontational in-person as well? You may want to learn to pick your battles and not be SoSensitive, SoCute.
     
  8. I asked the tactical medicine question a couple weeks ago, and I'll try and sum up what the answer was.
    1) Several EM residencies have tactical medicine opprotunities, where you basically get "deployed" with a SWAT team and act as front line medical control. Some of the docs (I think Cinci) actually participate in the breach with the PD, which others (Hopkins) are all dressed up but are in what ammounts to an armored ambulance.
    What I can't figure out is, the two tactical MDs I know are both Trauma surgeons. You can easily convince me that EM residents (especially after intern year) have time for SWAT training, but when do trauma surgeons do it?
    2) I don't think there are places (besides for the FBI/Secret Service) that have full time, paid, docs. It is my understanding that those docs are more medical control, like a state medical director, for the medics who actually get to "play".
    3) Dallas SWAT has a full time doc on their SWAT team, he's a fellowship trained Trauma Surgeon who works at Parkland. I think he basically carries a beeper and leaves the hospital if he can (if he's not the primary surgeon on call).

    People who actually do this, please correct anything I said that is wrong.
     
  9. psychbender

    psychbender Cynical Member Physician 10+ Year Member

    I think most people interested in Wilderness or Tactical medicine want to work on those areas in their spare time, rather than have them be full-time jobs. Examples would be the various EPs that have come on here mentioning being a member of their municipality's SWAT/ERT/HRT/random TLA, while also working regular hours in the ED. Examples of Wilderness Med would similarly be people working in that area on their off-time. I posted an example in one of the threads SoCute mentioned of an FP I know who is the physician for a mountaineering group, while working primarily in a practice in Wisconsin. Other WM jobs would probably include teaching classes to medics, residents, and students.
     
  10. Cal2Lane

    Cal2Lane Member 7+ Year Member

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    I know Loma Linda has a program where you can be deputized . . their PD may be a good person to ask about how their residents use this training (and if they are trained in tactical medicine). Also, Stanford is conducting some studies on intubation in the battlefield . . I think their EMS guys are doing this. So far, it seems like positions are limited but you can always get involved in academics with these fellowships.
     
  11. lucky_deadman

    lucky_deadman Working Class Hero 5+ Year Member

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    Wow!! My computer screen is still smoking from that smack down.
     
  12. Cal2Lane

    Cal2Lane Member 7+ Year Member

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    Berkeley, CA
    My bad if I was coming off as a *ick; I just wish some of these threads could stay productive and not be policed on forum etiquette. It's not like re-discussing an issue is against the rules of a forum. I mean, things change and as new members join they may not think to immediately search for an old thread . . since it is an old thread.
     
  13. SoCuteMD

    SoCuteMD 10+ Year Member

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    No more rounding!
    FYI - you did come off as a (insert four letter word). A few weeks is not THAT old a thread, and a search can often unearth more valuable information, since people get tired of posting the same thing over and over, so when the same thread comes up for the fourth or fifth time, often the posters with valuable information just don't bother to respond anymore. In addition, there is no need to jump on me because I said "a few months" rather than "a few weeks," especially if you haven't done the search to verify said timeline. As a 2nd year med student, I can rarely tell you what day it is, much less when I last read a thread on Wildnerness Medicine. In short, I remembered a very similar topic and thought it would be helpful to do a search and unearth it rather than re-inventing the wheel.

    And just so you know, I'm rarely confrontational online or in person. Have a GREAT day :D.
     
  14. AmoryBlaine

    AmoryBlaine the last tycoon 7+ Year Member

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    Wow, start a thread then go to clinic for a few hours and people are already apologizing to each other.

    Thanks for linking those threads, but in fairness to me they were hardly exhaustive discussions...
     
  15. SoCuteMD

    SoCuteMD 10+ Year Member

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    No more rounding!
    No, I agree with you there, and I wasn't trying to be snarky with you, m'dear! :D
     

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