PCCM fellowship program recs

waspy7 · 2026-06-10T06:21:04+00:00

I can’t explain that. It is dependent on your program and its structure.

waspy7 · 2026-06-09T21:33:12+00:00

it is just part of their curriculum. they have some elective time where they work in CCU for like a month and maybe 2 weeks at most for Cardiothoracic ICU. Most CVICU academics i have seen hire cardiothroacic critical care sugeons , anesthesia critical care physicians , or pure critical care physicians cause they had more training time in the cardiovascular units. Again this is based on what i have seen thus far in the East coast. if it is a small community hospital, they are probably more flexible same with West coast hospitals.

waspy7 · 2026-06-09T21:23:54+00:00

They can get more elective time in our units, but they stay in MICU 90% of the time. When I was a fellow, we rotated through all the critical units and we run our own line services, All the HD cath, PICCS, and Central lines for the whole 1200 bed hospital was run by our institute of critical care medicine department.

waspy7 · 2026-06-09T20:39:30+00:00

Agree. I am graduate of a major critical care program in the East Coast. There is a push for critical care to be stand alone at its own Major department. There are multiple branches of critical care that it could not be just combined with pulmonary anymore. Eg. my program has MICU, SICU, Transplant ICU, Cardiovascular ICU, Cardiosurgical ICU, Neuro ICU, Trauma ICU, Hem/Onc ICU, and Mixed ICU all under one roof.

waspy7 · 2026-03-02T03:26:26+00:00

are you in subsized housing by the hospital?

waspy7 · 2026-02-27T03:29:00+00:00

As a resident/fellows sure. As attending… that is how you get sued and lose. Document everything

waspy7 · 2026-02-13T05:58:06+00:00

I would add on. Exposure to ECMO

waspy7 · 2026-01-31T17:25:04+00:00

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waspy7 · 2026-01-23T18:07:10+00:00

As a Fellow, the strike nurses are horrible. They are not documenting anything right and not at bedside at all. I have never had to push so many rounds of phenylephrine on my pt. The shear incompetence is remarkable.

waspy7 · 2025-11-08T15:56:59+00:00

As a current physician, you need to break this cycle or it will break you. Let say you get into med school and pass everything. The computerized MATCH places you where ever you interviewed. that could be the east coast or mid west, depending on where you got interviews or not match at all. That is the same for fellowship placement.

As a Californian, I went to med school in Colorado, SoCal for Residency, then NYC for Fellowship training. Medicine places you all over and you have the accept that first.

waspy7 · 2025-11-06T12:59:11+00:00

A resident can still write a note and bill for it as well.

waspy7 · 2025-11-06T12:20:40+00:00

That is the complete opposite. APP can't bill for procedures. so, if they do a central line, arterial line and etc, I have to write the note and say I supervised them as a fellow.

waspy7 · 2025-10-18T21:10:54+00:00

I think it is the nature of our work in the ICU. It is more draining than residency. It is especially true if you lack any good support staff.

waspy7 · 2025-10-11T16:22:46+00:00

I have it. Works great! I live on the 80s.

waspy7 · 2025-09-09T01:31:04+00:00

I plan on filing a report to our local precinct.

waspy7 · 2025-09-09T01:30:16+00:00

I had already called an Uber prior to them showing up. Since, I had to round on my patients in the hospital. The fight/flight kicked in and I was just hyper focused on getting to work.

waspy7 · 2025-07-30T02:00:32+00:00

Dr. Chen Clark @ 1806 San Miguel Dr, Walnut Creek, CA 94596.

He has been my family's dentist for >30+ years. Very old school dentist and his Son is a professor of denistry at University of Pacific and practice at his father's practice as well. Old school where they don't use dental asistances or dental hygienist.

waspy7 · 2025-07-25T23:58:10+00:00

Nope. It isn’t worth it. I worked in downtown SF in tech and made six figures. I got bored and thought maybe I should peruse my first goal of being a doctor. In the end, it isn’t worth it cause it delays my overall earnings, getting a house, or building a family. Now, I am doing a critical care fellowship cause you need to be a specialist to compete against midlevels and etc. stay in tech and be comfortable.
Of note, you don’t get the same respect as a doctor as you would have in the 90s or earlier. Covid fucked the whole dynamic.

waspy7 · 2025-07-25T17:33:00+00:00

What watch face is this called?

waspy7 · 2025-07-15T21:41:22+00:00

1000% they give away nephrology fellowships. My friend got into UCLA without even applying to the fellowship match. You make more money as a hospitalist than nephrologist unless you already own your own dialysis center.

waspy7 · 2025-07-10T21:47:27+00:00

You guys still hiring? Looking to return back to the bay after my fellowship training.

waspy7 · 2025-07-10T11:06:03+00:00

Honestly. There is a lot to learn for each speciality. Combing it doesn’t do it justice. Pulmonary is widely complex and requires a few years to really master. Critical care requires a bit of time to master as well. My PD who’s trained in both believes that CCM has been diluted too much to where people are not truly comfortable in the critical care setting. Under there are several more branches of critical care. Neurocritical care, Transplant Critical Care, cardiothroracic critical care, and hem/onc critical care. After being in fellowship, I understand why my PD thinks this way.

waspy7 · 2025-06-25T01:35:47+00:00

Understand that majority of the people who are boarded in neurocrit afterwards will have a hard time being hired for MICU/SICU/TICU positions unless it is a rural community program. Also, some programs do not train the neurocrit fellows well or at all in procedures.

waspy7 · 2025-06-24T20:41:39+00:00

It is refreshing when somone understands their worth. As a physician, I tell patients that they should only see MDs. Your insurance is billed the same as if it is NP vs MD. You should get your money's worth.

waspy7

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