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M3 trying to choose between several pathways to CCM.
I, as of right now, want to go into academic crit care, and frankly would want as much autonomy over my unit as possible. What I love about crit care is the breadth of knowledge, it being multi-system, the procedures, the intensity and mixture of fast-paced responses as well as deep thinking, and the range of pathology you can see.
I was interested in the anesthesia pathway because I really enjoyed my anesthesia rotation, I love the physio and the ability to do procedures early and get truly good at them but I hear when they go through CC they're typically relegated to the SICU only which sounds dreadful. Don't get me wrong, I love the SICU, but when it comes to autonomy it's hard to go around the surgeon's plan given it was their procedure and their outcomes, and it some places they're the primary.
I was also interested in EM or EM/IM because I really, really enjoy working in the ED. I think this is something I would continue enjoy doing in balance with the ICU. I felt my personality really meshed with the EM folks
Then there's IM only. I actually really enjoyed my IM rotation. I like being able to have training in complete management of a patient, and it's also quite flexible with the plethora of other subspecialties one could enter. I'd do this over EM/IM if I wanted to pursue PulmCC just to lessen the overall training time from 7 to 6 years (EM/IM/PulmCC vs IM/PulmCC that is).
Despite believing I'd enjoy the EM and anesthesia residency over IM (not subject wise perse, just could see the IM dispo stuff becoming exhausting), I feel like you typically see more opportunities, especially for academics, in PulmCC though I've seen an emergence of EM/IM/CC docs popping up.
Any suggestions, pros and cons of each pathway, thanks!
My goodness, you’re a toxic person aren’t you.Do IM or GS first. The two specialties that really get to know the hospital and unit well (and cover the wide breadth of medicine that you have to know for CC) are Internal Medicine and General Surgery. Let's be honest.
How we let so many others into the mix of CC is beyond me. (of course, everyone wants to get in on CC for the money)
Anes? Stay in the PACU and OR please, we need you there (especially to babysit now the plethora of CRNAs). Your work there is 'critical' enough. Don't need you managing vents and complex DKA in the same patient for 5 days.
EM? Same, need you in the ER. Acute stabilization is 'critical'.
Neurologists? Sweet jesus. Don't need you for anything.
My goodness, you’re a toxic person aren’t you.
You mean your ex-gf has a restraining order against you? because that's the only way your post makes sense.Said a crazy x-girlfriend to me once too, as I also pointed out many truths to her about her way of life. Amen for restraining orders.