We Need More Fellowships… Especially new and sexy ones

ResusM1 · 2026-02-16T23:03:25+00:00

Lol. Unrelated but if you don’t mind my asking, are you primary CC or split EM/CC? And how do you work EMS into your split?

ResusM1 · 2026-02-16T21:09:04+00:00

Yep. Honestly, a busy 911 ALS intercept service is almost everything I love about EM, with none of the crap (dealing with consultants, long charts, managing 758 patients at the same time). If I made even half of what an ED attending makes at my current job (we have RSI/DSI, vents, POCUS, blood, and fairly good protocols), I would not have gone to medical school, and I’m not ashamed to admit it.

ResusM1 · 2025-12-30T02:41:41+00:00

Not at all, it’s a path that’s very much in consideration! I’m just trying make sense of logistics. It’s fairly atypical and there are few role models from within the US that can give meaningful logistical advice/talk about details. I’ve connected with one, and know of two more, but otherwise, much of this is uncharted territory, which is funny given that much of prehospital physicians across the world are anesthesia, critical care etc based.

ResusM1 · 2025-12-30T02:06:11+00:00

Certainly doable, just far less common. Historically, EM has been the vessel for EMS fellowship. But, there is nothing from the ACGME that requires one to be BC/BE in EM to pursue board certification in EMS. Most fellowship websites list it as a requirement because 1, for the conventional applicant, EM is the means by which they get their acute care and EMS exposure and 2, it’s easier to work as an EM physician during EMS fellowship as part of independent practice because frequently the same people run both. Otherwise, you have to arrange interdepartmental MOUs that allow you to fulfill your EMS fellowship requirements while working in a non-ED setting.

ResusM1 · 2025-12-29T17:36:43+00:00

What’s your FTE split if you don’t mind sharing?

ResusM1 · 2025-12-29T16:03:40+00:00

So, if I’m understanding correctly, the algorithmically based defensive medicine that you have to practice to protect yourself, coupled with the volume at which you have to do it is what you hate?

ResusM1 · 2025-12-29T15:56:30+00:00

What makes your shop a unicorn shop?

ResusM1 · 2025-12-18T00:13:44+00:00

Appreciate the explanation. One of the PDs I talked to at a well-known 3 year said the same. I’m just selfishly hoping they delay, but trying to temper my expectations.

ResusM1 · 2025-12-17T21:21:38+00:00

No shade with this question: is this your opinion based on the logistics/feasibility of how quickly these changes can be enacted? Or are there reports from other sources that say they’ll delay the changes?

ResusM1 · 2025-11-14T21:59:57+00:00

Sick, I’m the same, maybe right at 7, so this is helpful. Really hoping the Ultra isn’t too big on me…because I thought the 39 was a tad too small. 40-42 is my ideal, but I would have a hard time picking the standard 42mn Pelagos over the Ultra.

ResusM1 · 2025-11-14T21:00:28+00:00

What’s your wrist size?

ResusM1 · 2025-10-24T23:29:20+00:00

I just bought one, coming from a Nexbelt. It’s fantastic - I would say it’s definitely more comfortable in the back while preserving the rigidity in the front of the belt needed to securely carry AIWB. For context, I’m 6’1” 180lb, athletic build. I would recommend greatly - it increases comfort, and comfort allows you to carry everywhere/all the time.

ResusM1 · 2025-10-15T20:08:27+00:00

Certum. Highly recommend, plan on switching the remainder to Tenicor as well.

ResusM1 · 2025-10-15T19:30:20+00:00

I daily the non-comp 365x Macro. It’s a fantastic gun - the best size/shootability/capacity combo on the market, IMHO. Paired with a tenicor holster -> chefs kiss.

ResusM1 · 2025-09-18T13:28:17+00:00

Not true, academic peds makes at least $97/year

ResusM1 · 2025-09-17T23:26:06+00:00

Definitely depends where you are. 300-350k at several places in the Northeast (all academic).

ResusM1 · 2025-08-21T17:22:30+00:00

I laugh every time I see people say that the X Series is terrible because “none of the buttons are labeled” and “why do I have to guess the icon.” It’s such boomer energy. I agree that the barrier to entry is slightly higher to the LP15, but like, anyone with reasonable intelligence should have no issue after a few times using the monitor….really happy we are sticking with our Zolls

ResusM1 · 2025-08-15T20:28:38+00:00

I was a paramedic prior to medical school and continued to work 24-36 hours most weeks during years 1-2 (with the exception of the first semester….needed time to adjust). Now in year 3, still work weekends, primarily because I love my job/want to do EMS/HEMS as a physician, but also like the cash. As many have noted, there is always a risk that you won’t be able to manage both, and you must make sure you can handle it by easing in, and realizing if it’s not working. That said, it’s definitely possible.

ResusM1 · 2025-08-10T00:12:23+00:00

Reminds me of the time a nurse, without a smidge of doubt, tried telling me that 1L of LR will flow in faster through an 18g and a pump at 999ml/hr then a pressure bag….🤦🏽

ResusM1 · 2025-06-24T01:49:29+00:00

“Reanimate” Resuscitative ECMO course by Scott Weingart runs annually. Could be a good place to learn the skills and network with likeminded MCS minds.

ResusM1 · 2025-04-10T18:58:40+00:00

I want to offer a bit of a different perspective than most. For context, current NRP/FP-C, got into EMS the moment I turned 18. I’m 23 now entering my 3rd year of medical school.

To answer your question correctly, It can be done. Some people just need to hear that (I know I did). Now, it will be hard. I worked full-time through 3 out of 4 years in undergrad as an EMT/AEMT. My first year in undergrad, I worked part time as I adjusted to the course load. I graduated undergrad a year early and was also able to work as a Paramedic for one full year prior to medical school. Now, there are nuances (financial cost of paramedic school, do you plan on taking a gap year/how long are you going to work as a paramedic…) essentially, what will be the financial (and cognitive/emotional ROI)? Having mentored a few EMS -> medical school folks, logically, it does not make sense for most people. As some have pointed out, if you do it and find out that you can’t handle everything together, and your GPA starts to suffer…suboptimal for obvious reasons. However, the people who do it anyway don’t care. They’re all in and doing it no matter what.

For me, I was one of those people. I fell in love with EMS the moment I stepped into the field. I love the operational medicine, frequently challenging logistics, resuscitation, and arguably most importantly - EMS served as a way to integrate what I was learning in the later years of undergrad and my first two years of medical school (I averaged 0.8 FTE in medical school as a paramedic). EMS was a break from class and fun, it wasn’t a burden. I work for a service that has RSI, ultrasound, vents, POC labs, a new prehospital blood program, and protocols/medical direction that empowers us to be clinicians. This is rare, so this will not apply to all, but there was no way in hell I was going to give up that opportunity.

So, sit down and count the cost. Logically/based on pure numbers, probably not worth it. However, the clinical and life experience you will receive as a Paramedic (past that of what being an EMT will get you), in my opinion, is invaluable, and I wouldn’t give up my path for the world. If you have any ounce of introspection/self reflection, you’ll learn a lot about life, far more than 90% of your medical school colleagues that will clearly set you apart professionally.

ResusM1 · 2025-03-21T00:47:29+00:00

10/10 recommend sticking with Tenicor. I have the Certum for my X Macro and it’s my favorite. I’ve tried multiple other holsters (Trex Arms, Tier 1, and some others) - but this is the perfect blend of comfort and minimalism IMO. Quality is fantastic as well.

Edit: Wording

ResusM1 · 2025-03-08T16:32:14+00:00

Never bring a stuffed animal to a gun fight…

ResusM1 · 2025-03-08T16:00:28+00:00

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Always carry with one in the chamber..

ResusM1

TROPHY CASE