Yale, UAB, Duke, Cinci

[medpedsresidencyinterview]

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I'm applying med/peds, but I see myself likely doing a peds fellowship (or possibly combined fellowship, but eventually working primarily within the scope of pediatrics), kind of bouncing between pulm/cc and heme/onc currently. I'm interested in eventually settling down in the southeast working as a clinician educator, though I'm not tied down geographically for training. I've had a ROL set for a while, but I'm having some last minute second thoughts. I'd love to hear any thoughts on these programs in general, but also in particular on the basis of (a) training in clinician education and (b) setting one up for a position in academics as a clinician educator.

Thanks in advance for any insight!

 

[zipps999]

Wha types of second thoughts and about which of those schools? That would help specifiy the type of input we can provide! 🙂

 

[mvenus929]

Completely unrelated to your actual question, but pulm/cc isn't really a combined thing in peds. Pulm does their thing, and sometimes manage TCU (transitional care unit) patients that aren't sick enough for the ICU but have trachs. Our ICUs are generally managed by those who did Critical Care (PICU) or Neonatology (NICU) fellowships, and combining Pulm and Critical Care isn't done terribly often in peds. If you were interested more in the pulm side of things, this probably doesn't make a huge difference, but it will if you're more interested in critical care.

 

[medpedsresidencyinterview]

Wha types of second thoughts and about which of those schools? That would help specifiy the type of input we can provide! 🙂

Diversity and volume of pathology at Yale and Duke, possible lack of peds specific resources at Duke, training in clinician education at Duke, ability to secure a strong fellowship position from uab that's outside uab / southeast. I suppose I just included Cinci as a comparison to see if it provides much more in the way of training / opportunity on the peds side than the other listed programs. My concerns about Cinci aren't on the peds side

Completely unrelated to your actual question, but pulm/cc isn't really a combined thing in peds. Pulm does their thing, and sometimes manage TCU (transitional care unit) patients that aren't sick enough for the ICU but have trachs. Our ICUs are generally managed by those who did Critical Care (PICU) or Neonatology (NICU) fellowships, and combining Pulm and Critical Care isn't done terribly often in peds. If you were interested more in the pulm side of things, this probably doesn't make a huge difference, but it will if you're more interested in critical care.

Thanks for the info, this is just sort of an idea I'm tossing around at this point. I love work in the PICU, but I'm also derive a fair amount of fulfillment from continuity of care, variety in my day-to-day work, etc. I know there are a variety of adult/ped pulm/crit fellowships that have been done, but I don't think I've heard of a PICU + combined adult/ped pulm being done, which is what seems like a good fit for pursuing both work in the PICU and work with CF in the clinic setting. At any rate, this is def a long ways down the line for me.

 

[Step Up]

pediatric intensive care fellowship + pedi pulmonology fellowship + adult critical care fellowship seems like a wee a bit too much fellowshiping, and they have less overlap than you may think. There's only so much information one can fit in their brain and the reality is once you find that job that will miraculously allow you to do all of these clinical duties at once, you won't have any time for your interest in clinical education. You should probably choose one or max two fellowships and develop your own interests/pursuits/niche within or related to that field. Doing a med/peds residency is a surprisingly good segway into PICU fellowship as you will be better trained in response to critical medicine and with central line procedures from your IM residency than your peds residency trained counterparts. just my 2 cents.

There's no reason to be concerned about case volume and diversity at Duke or Yale on the pediatrics side. They are both located within major cities, have high volume and would not transfer out patients. I guess patients with incredible rare surgical problems may head elsewhere e.g. to CHOP or BCH, but these cases are not useful for resident learning.

If you're interested in involving teaching heavily in your career, I would also consider doing a chief year in your chosen field. It's such a great opportunity for building teaching skills and related tools for your future career.