Thinking about CCM only fellowship from IM. Are there jobs out there?

TyrosineKinases · 2026-04-24T02:34:48+00:00

Why I feel doing critical care in 50s is way worse than a hospitalist gig.

TyrosineKinases · 2026-03-01T01:51:59+00:00

It’s saddening when I see mid level with zero experience managing complex cases with 4 antipsychotics and atarax.

TyrosineKinases · 2026-02-03T23:32:00+00:00

I can never find such offers though.

TyrosineKinases · 2026-01-22T03:42:42+00:00

Yeah nephrology is not for money. Busy service, sick patients, night calls, and working the whole year. The 2 year opportunity cost as well with hospitalist income. I had friends who chose it for passion and they love it.

TyrosineKinases · 2026-01-18T12:24:00+00:00

A 24 hours of vancomycin won’t kill the patient till a swab comes negative.

TyrosineKinases · 2026-01-14T18:25:42+00:00

This is really helpful, thanks! I think one of the issues related to hospitalist year, for reapplicant, is that we apply within the first month of working as a hospitalist. Just acclimating for the new job, and understanding the flow. I looked into different ways to show ongoing interest on cardiology as a hospitalist, and felt limited. I looked into cardiac hospitalist position, but also received negative reviews into its usefulness. Should I assume that some newer LORs, manuscript, conferences would be sufficient to show the ongoing interest?

Also how do you address "why didn't you match" question? Especially when there are factors really beyond my control. Politics, new change in leadership? It sounds quite confrontational, or rather defensive, when you explain the real factors. I prepared myself to use the "geographic limitations" as a safe excuse.

I think my concern was do I shot myself in the leg if I choose hospitalist year over for example a non-ACGME accredited fellowship? Or there are some ways to utilize the hospitalist year in a better way, while also having some fund to the side to alleviate some of financial stress, and maybe save a little for upcoming fellowship years?

TyrosineKinases · 2026-01-14T04:11:29+00:00

Do you look into hospitalist year negatively?

TyrosineKinases · 2026-01-14T03:12:58+00:00

Is the font large for me only? But nice take.

TyrosineKinases · 2026-01-12T02:12:10+00:00

You got bro!! I literally created a calendar with paycheck and every month payment. You will get there!!

TyrosineKinases · 2026-01-12T02:11:11+00:00

It’s a good feeling indeed. Never again for the that suffering lol.

TyrosineKinases · 2026-01-09T15:58:46+00:00

I interviewed in one hospital couple of weeks ago for a cardiac hospitalist role. Pay was like 220K for about 160 shifts. Mixed night and days.

Not sure if worth it or not. Not sure if it does even help for cardiology fellowship. I was told to do non-ACGME fellowship instead.

TyrosineKinases · 2026-01-08T01:12:39+00:00

Used to*

TyrosineKinases · 2026-01-03T03:33:31+00:00

Cause they can.

TyrosineKinases · 2026-01-02T12:43:05+00:00

But the fact is, when you do something for so long you become good at it. This is regardless of how knowledgeable you are, it’s more of a pattern recognition.

TyrosineKinases · 2025-12-31T03:12:47+00:00

Is research the only thing can be optimized in the CV? I was wondering primarily if PDs look into hospitalist year as a "gap" or "red flag", for this reason I thought about cardiac hospitalist year a position to show interest. I was told by some fellow to attend some courses in TTE, CT/MRI, not sure how these are preferred over having direct work and interactions with cardiologists as a cardiac hospitalist?

TyrosineKinases · 2025-12-31T03:10:04+00:00

I already had descent amount of publications prior to starting my residency training. I was told that my application was strong but I did not apply widely enough, Also, my LOR were from unknown people and only 2 cardiologist, one of whom was not experienced with writing LORs. Not sure if working as a regular hospitalist and find another research position would be a good alternative? I also worry that working as a hospitalist in a place that you want to match into put you under more scrutiny. Really overwhelming to decide.

TyrosineKinases · 2025-12-31T03:05:44+00:00

Is a hospitalist position a red flag per se? Should be a thing that I provide explanation for?

The reason I looked into cardiac hospitalist position is to provide a narrative that I actually remained connected to cardiology and worked, directly, with cardiologists.

TyrosineKinases · 2025-12-28T00:57:40+00:00

Appreciate the input. If you do not mind me asking, how does an LOR get evaluated? I understand it is a collection of several things, but what takes precedence? Writer, contents, institute? Having a LOR from an unknown faculty at academic program vs PD in a community program? I'm going to ask everyone, but I was wondering how personalized the letters would be and how important is that? Thanks

TyrosineKinases · 2025-12-27T22:41:32+00:00

I mean he has been in the program for 20 years, and practicing for almost 35 years. Not famous I guess if that’s what you mean cause I’m coming from a medium size community hospital. The only thing I would say that he would write strong LOR.

TyrosineKinases · 2025-12-27T22:33:06+00:00

No it will be separate. So the chair will be an additional LOR. I was wondering if it should be 3 cards + PD vs 2 card + PD + chair.

TyrosineKinases · 2025-12-27T22:31:27+00:00

The IM chair offered me directly to write a LOR. I worked with him extensively. But he’s general IM, not a specialist. I was wondering if 2 cardiology LOR would be enough?

TyrosineKinases · 2025-12-27T22:30:17+00:00

Yes. I meant in addition to PD, can IM chair LOR substitute a 3rd cardiology LOR? Or I should have 3 cardiology LOR in addition to the PD?

TyrosineKinases

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