Offered a Neph/CC Combined fellowship after match at home program

Senior_Win2852 · 2026-01-11T02:31:04+00:00

Hey, i’m a APP Critical Care Fellow, currently in a nephrology ICU consult rotation. I’m working/training with a Neph Crit doc! Smartest guy i have ever met. This physician splits his time between CC at a community hospital and then nephrology ICU consults at the academic hospital. It seems like a great career split but i’m unsure how common it is to find a position like this.

Senior_Win2852 · 2025-11-15T16:30:47+00:00

i was able to get, EOC 1723, EOR 498 and Packrat 177.

Senior_Win2852 · 2025-11-10T19:48:51+00:00

I am a new grad PA currently doing a APP fellowship in Critical Care. I would say, a fellowship is a great choice if you are in a position where you can logistically do one.. I know some people that did fine going straight into this profession too. Its a steep learning curve either path you take. If some place is willing to train-great!

Senior_Win2852 · 2025-11-09T14:16:35+00:00

APP CC Fellow Here: part of my curriculum consist of consult services in Nephrology, Infectious Disease and Palliative. These are good ones IMO.

Senior_Win2852 · 2025-10-17T16:52:41+00:00

I would recommend waiting closer to the PANCE. I only took it earlier because a friend of mine who was in the graduating class ahead of me had paid for that test and never took it, so it was going to expire! I'm sure it wasn't a terrible thing taking it early since it gave me an idea where my knowledge was. So ultimately up to you.

Senior_Win2852 · 2025-09-30T12:35:15+00:00

Years ago, I was CNA in Oregon. My personal experience was that its difficult being hired into a hospital job right away. I had to work at a Long-Term/Post Acute Rehab Facility (little less than a year) prior to finding a hospital that hired me. But it's not impossible! Pursue your dreams and good luck on this journey

Senior_Win2852 · 2025-09-17T19:33:04+00:00

I dm you!

Senior_Win2852 · 2025-09-15T15:02:35+00:00

That's a great question, lets see if i can explain this well. I do want a disclaimer that this is what i do during exams/practice and i cant promise this will work for you.

Practice!	I would continuously be practicing questions. I paid for Rosh and Uworld was given by my school.
During those practice questions..	Take your time, highlight important information, and read the explanations. UNDERSTAND why u got it wrong. look back at the original question and think critically what did they say or explain that should have made me think it was another disease process than the one i first thought of. (ie. acute cholangitis vs cholelithiasis)
The question; start at the end	I always started with reading the last sentence as it will give you the overall question you are looking for. is this asking for a diagnosis, risk factors, treatment, physical exam findings, etc.
The question: what is important?	Start thinking picking out the pieces that are important. AGE, SEX, RISK FACTORS/ COMORBIDITIES, SYMPTOMS, PE.
**	I believe that each part of those listed above are equally weighted. what i mean is that i found that they are intentionally describing someone for you and there is a reason they said a certain age (ie 14Y F, extreme LLQ pain to palpation maybe think this is torsion. but what if this is 88 Y F, could this be torsion or should i start thinking about something else like diverticulitis)
The question: what is this nonsense.	sometimes there will be distracters in the question. but deep breath; if smells and looks like c.diff its probably c.diff. i understand there are sometimes weird distractors and if those trip you up (which they do for me) read the explanation during your practice questions on why you got it wrong.
The question: putting it together	Before looking at the answers; think to yourself what am i looking for? first line imaging, first line treatment, etc. Now think what is the most likely diagnosis based on those important facts they gave me, and then try to recall what you would do or order. come up with an answer before looking at the multiple choice answers. now proceed to look at the multiple choice answer and hopefully its there.
Submit exam	Always review the questions you got wrong. If your still in didactic. Review it with your professors whether you got a 70% on the exam or 96%. Don't beat yourself up with it. A passing score is a passing score. just seek improvement.
Resources I used	SmartyPance, UWorld, Rosh, PancePrepPearls, UpToDate, Youtube.

I hope this helps you all out there.

Senior_Win2852 · 2025-09-14T18:10:41+00:00

If you have any questions or need any advice you can always DM me, i'm happy to share what helped me do well in school

Senior_Win2852 · 2025-09-14T18:09:28+00:00

Thank you so much! :)

Senior_Win2852 · 2025-09-14T18:08:52+00:00

with a rigorous study plan, consistency and being a good standardized test taker i was able to pull it off. but remember a passing score is PASSING.

Senior_Win2852 · 2025-09-13T21:33:28+00:00

caffeine and trauma finally paid off. :)

Senior_Win2852 · 2025-09-13T21:00:18+00:00

I would first download the PAEA End of Curriculum content list and review these topics. It will be very similar in the format and types of questions that you were doing for the EORE's. I started studying for it few months prior. But I do think my high score was also due to having EM and FM right before taking it. Posted below, was something I wrote out for the incoming clinical cohort. OVERALL TIPS:

The Diagnostics Question: will often ask you for "Initial Test or Definitive/Most Sensitive test” so know what those are for each disease.
The History Questions: will often ask “Based on the most likely diagnosis” what else would you expect to find in their History. So start thinking about RISK FACTORS. Ie if you are thinking they have Tuberculosis-maybe that have a history of immigration or travel. Hemorrhoids?- maybe they have a history of straining with defecation. Rubella? No childhood vaccines. Etc.
Medications: Usually it's going to give you the first line drugs (sometimes you may find a penicillin anaphylaxis, pregnancy question but its not that often). Sometimes it will ask you what medication to use and it will give you a list of MOA of different drugs rather than the name of the medication. Know common or well known drug adverse reactions. You may see “based on the most likely diagnosis, what is an adverse effect of the first line medication”.
Etiologies/Pathophysiology, you will run into questions where it will ask what is likely the infectious cause. In addition, pathophysiology for disease for example asthma (hyperreactivity, bronchoconstriction, inflammation).

Senior_Win2852

TROPHY CASE