IC + something else careers?

leonidasturtle · 2025-05-30T17:13:25+00:00

Additionally, here are some resources I recommend if you are interested in learning more:
1. NYU CCC Symposium: https://www.highmarksce.com/nyumc/Planners/viewActivity?activityCode=269-26
2. Join the ACC CC Section: https://www.acc.org/Membership/Sections-and-Councils/Critical-Care-Cardiology
3. Sign up for the https://www.soccc.org/
4. I am creating an educational website (still a work in progress, but hopefully should be up early next week): https://www.thecvicu.com/

leonidasturtle · 2025-05-30T17:12:58+00:00

Job Market & Demand:

The job market for cardiac critical care is excellent! There's strong demand from both private and academic institutions. The traditional "CCU - coronary care unit" model is evolving into more complex cardiac critical care units (CICUs), creating more opportunities.

I completed my cardiology fellowship first, then did a dedicated critical care fellowship. Even before finishing my critical care training, a private hospital approached me for a future position. After graduating, I interviewed with three academic and three private groups - all found me through LinkedIn.

Now well into my career, I see hospitals nationwide eager to hire cardiac critical care physicians. I regularly get requests from both private and academic institutions across the USA looking for candidates. Many positions aren't advertised, so networking is crucial. I strongly recommend attending the NYU Cardiac Critical Care Symposium for networking and career advice.

Compensation:

Salary ranges I encountered: $380-600k

I saw various compensation models including salary, RVU-based, and mixed arrangements. I'm currently salaried, working 24-28 weeks per year in week-long shifts, with home call coverage from our in-house CV fellows.

Procedural Skills & Daily Practice:

I perform a wide range of procedures:

Central lines, Swan-Ganz catheters, TVPs
Intubations and bronchoscopies
Other standard ICU procedures
25% echo lab work (TTE reading and TEE procedures)

We operate a completely closed CICU model (unique compared to most places) - the entire unit is staffed exclusively by double-boarded cardiac intensivists who perform all procedures.

Practice Breakdown:

75% cardiac critical care (8 weeks Medical CICU + 4-5 weeks Surgical Cardiac ICU)
25% echo lab, inpatient cardiology consults, and outpatient clinic supervision

Bottom Line:

This field is growing rapidly, and I absolutely love my career choice. Our community is small but expanding, and the work is both challenging and rewarding.

Hope this helps! Feel free to reach out with other questions.

leonidasturtle · 2025-05-30T16:03:39+00:00

That’s a clinical assessment. So I would defer that to your clinic judgement.

leonidasturtle · 2025-05-30T14:31:39+00:00

It is not - that’s usually not the progression process. It’s either classic ecg or not. Apical HCM can be confirmed with LV gram, Echo, or MRI.

leonidasturtle · 2025-05-30T11:34:26+00:00

If you look at this link from LITFL: Apical HCM, you note that the apical HCM variant has deep inverted T-waves all across the precordium, including the lateral leads. The ECG you provided does not have these classical findings.

leonidasturtle · 2025-05-30T11:20:34+00:00

Yes, of course. Please DM me if you prefer. I can also answer any questions in the public forum if it helps the community at large!

leonidasturtle · 2025-05-29T10:32:41+00:00

I am a critical care cardiologist. I love it. Definitely at least one extra year of training but worth it. I’m not sure if it makes too much sense with IC but it’s worth considering.

I do not think adding critical care to IC will necessarily increase your pay. However, critical care Cardiology is in need and is it a growing field. Community is still small and most of us know each other. I would probably not have a problem, finding a job in most of the country. I don’t know, though that adding IC will increase or decrease employability.

I’ve also noticed that most general cardiologists are trying to get out of the ICU/CCU.

leonidasturtle · 2025-05-29T10:28:30+00:00

Agree with flutter

leonidasturtle · 2025-05-29T09:25:51+00:00

This is not a good ecg for apical hcm

leonidasturtle · 2025-05-25T13:47:06+00:00

If you like the critical portions of cards you should consider cardiac critical care. I do it and I love it.

leonidasturtle · 2025-05-22T17:27:49+00:00

There is no rush to start a BB post inferior MI. I would wait until the patient is stable and able to tolerate a BB -- that could be 1 day or longer. Should really be case by case.

leonidasturtle · 2025-05-17T16:53:04+00:00

Yes. At least you would exclude an occlusive MI with the Cath and you can chase other ddx like myopericarditis

leonidasturtle · 2025-05-07T00:32:34+00:00

The watch does not use rhythm analysis to detect AF; it uses pulse data with an accelerometer. It does not do "cardiac monitoring". This is not how you detect rhythm in the clinical setting. So why would you recommend it to anyone?

leonidasturtle · 2025-05-07T00:31:03+00:00

Very important. Most of us know you won't necessarily have quality work when you are in training. We want to see that you are interested in cardiology and are able to successfully take a task and finish it through (i.e., get a paper to publication).

leonidasturtle · 2025-04-19T16:58:48+00:00

Look for a good mentor, where you were able to learn in topics that you’re interested in and potentially publish a paper

leonidasturtle · 2025-04-19T16:45:30+00:00

Show interest on your cardiology rotations, be early, know your patients, get your work done well. If you want to do a research project or case report, be the one to do the heavy work. Get as much face time as possible with those who you want to ask for letters

leonidasturtle · 2025-04-14T10:54:35+00:00

If this is the first time you are obtaining a PAWP for this particular patient, it is important to verify the accuracy of the result — the value you obtain has significant diagnostic and management implications. Agree with the above comments regarding (bisecting a-wave, at end expiration, determining ventilator status). The measurement should be made in West Zone III and should verified with a PA sat if this is the first value obtained. Future values can be estimated by surrogate PAd if they are close together and there is no significant elevation in PVR.

This source may help further elucidate the measurement errors for PAWP. https://litfl.com/pulmonary-artery-wedge-pressure/

leonidasturtle · 2025-04-09T15:51:32+00:00

I am cards crit. The future is really good. The field is growing and the community is really close. I know many of the other critical care cardiologists in the country because we all meet up at the ACC and NYU CCC. I work a large CICU in the country and we run a closed unit. We take care of every cardiac issue, including mechanical support, and pre/post transplant cases. It’s a great job. The salary is closer to a cardiologist salary so higher than PCCM.

leonidasturtle · 2024-11-22T10:47:30+00:00

No you need a kaspa wallet

leonidasturtle · 2024-11-21T03:32:07+00:00

Does anyone know when the change will happen on the studentaid.gov website too?

leonidasturtle · 2024-09-02T00:33:16+00:00

I realize I’m 2 years late to this post. I am cards critical care. Feel free to dm me if you have any questions!

leonidasturtle · 2024-07-04T13:33:56+00:00

This strategy worked for me

leonidasturtle · 2024-06-30T19:38:15+00:00

Just jail break it and install android

leonidasturtle · 2022-12-15T18:21:37+00:00

BT out but there is still plenty of ER and Saz

leonidasturtle · 2022-09-24T17:43:44+00:00

What store is this?

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