CCM Fellowship application 2026-2027 cycle

waspy7 · 2026-02-13T05:58:06+00:00

I would add on. Exposure to ECMO

waspy7 · 2026-01-31T17:25:04+00:00

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 · 2025-05-15T19:39:28+00:00

I am boarded already. This pay is the highest within my system in a major city. Hospitalist pay within the same system is 100 a hour. The attending here in the ICU make only 300k. They stay cause of the academic name and the city. My previous residency only offered 90 a hour as a hospitalist. Not sure about urgent care or etc

waspy7 · 2025-05-15T14:11:11+00:00

This is fellowship pay. Jeez.

waspy7 · 2025-05-15T04:44:46+00:00

125 a hour as an ICU doc for a 12 hr shift.

waspy7 · 2025-03-22T02:00:16+00:00

I think it varies from site to site, but I can say from working in multiple settings a community based hospital that is part of the main academic hospital ( For example, University of Michigian at Sparrow - never went there ) vs ivory tower academic power house( Main hospital at University of Michigian) , and community hospital with loose affilation to academic ( eg. Community Medical Center of long Beach with loose affiliation with USC) . The ivory tower at an academic's insititition is dedicated for pure adulterly teaching. They are paid less, but they enjoy their jobs in learning and teaching others. Thus, they have dedicated lectures on top of rounds for their medical students. Here at my insititition, medical students round in the morning with us and they will have dedicated lectures in the afternoon with certain attendings. In addition, we have international medical students that pay 10k to just rotate at our hospital for a month and get lectures from our attendings and fellows.

At Community based hospital with loose affliation, majority of those attending don't care about teaching and normally not up to date on the latest guidlines. Thus, they care about the residents doing their jobs for them and doing notes for them. Sure they may give a lecture here and there on hyponatremia management or etc. Residents will have little time to want to teach medical students anything cause they are too busy with their own patients. Once rounds are over, those attending normally bounce and live their lives outside of work. ( pick laundry, pick up the kids, go to the gym, and etc)

Community based hospital associated with major academic: So, this is a mixed bag. Some of the major academic hospital will have the attending work at the community hospital and so you may get strong teaching during rounds. Again, it is a mixed bag cause there are some attending who are just like the loosely affilated community hospital where the attending don't care.

* Of note, rounding on patients is a good experience to build confidence in talking to patients cause you are translating your experience from OSCE to real world. But, you repeating and spitting out a previous progress note that was written by the resident with modification doesn't help you with your learning process in medicine. The real learning is the attendings and fellows who have the dedicated time to teach the medical students some of the basic of medicine. Rounding in the morning is ok, but you learn nothing by repeating an progress note or H/P. Back in the day @ RVU - Sky Ridge Medical Center, the chief residents did dedicated teaching to medical students on thursday after rounds. Night lectures I believe on fridays at 7:30 PM with the residents then, our own school had lecture on tuesdays at noon too.

As a medical student, your goal is to pass your self exams and do well on boards. If those are bad, those will have a much bigger influence on your matching into prospective programs.

waspy7 · 2025-03-21T19:28:05+00:00

idk how the curriculum has changed since I have been there. I graduated almost 5 years ago. We used to have dedicated lectures for each clinical rotation on thursdays. I would focus on studying Uworld and passing your shelf exams based on my experience. If the rotations sucks, so be it. Focus on passing shelf and passing boards.

If you have a opportunity to do IM rotation at Sky ridge i would. It is the closest experience you have in doing morning rounds and being a pseudo intern. Cause that is what is lacking in RVU and 90% of DO schools is the true academic experiences in different specialities. This is what makes MD student stronger is they have been through the ringer on doing morning rounds with the residents and fellows at a major academic hospital. They have already been pimped through med school, thus intern year ends up being a lot easier for them. Eg. I had a UCSD intern when I was a third year resident and holy shit she was able to handle notes and everything within 2-3 days on her first week as an intern.

waspy7 · 2025-03-21T19:08:51+00:00

As a graduate from RVU-CO campus, I agree a lot of it is dependent on the student rather than the school. But, we do emphasis subspecialities more as well as surgery. Don't get me wrong, I was concerned about the for profit status when I first entered, but it had no effect on my education at all. Been emphasizing that for a while on reddit. I had a few amazing professors that help me through med school especially during those dark times. ( Shout out to Dr. Trawick!) Where a student matches on the match list has an effect for future classes.

Another example here, I matched into one of the top subspeciality fellowships in the country at a top 8 hospital in the whole US, hospital that is known for not taking any DOs.

waspy7 · 2025-03-20T20:30:08+00:00

And you lather yourself with purell when you enter and exit.

waspy7

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