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Academic vs Private Pulm-CCM practice

Would love to hear thoughts from the senior folks here on why they chose academic vs. private practice (or some other model), and how their decision and job has worked out for them. Are you happy in...

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Pulmonology-Critical Care and IM/EM-Critical care Fellowship 2020

Hello everyone, I Just wanted to get a thread started for all of us applying for PCC/IM/EM-CC. Feel free to share any info you have on programs and other helpful updates

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Bronchoscopy with biopsy vs. Surgical Wedge resection

Was doing a MKSAP IM board review question: 72-yo F, with every risk factor in the world, 9-mm solid pulmonary nodule in the Left upper lobe, said nodule is very PET avid (no evidence of any other...

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How to make yourself a competitive PCCM job applicant

Just wondering what some features (other than good references) that groups (both hospital-based and non-hospital) are looking for when hiring? Does a sleep fellowship make you a lot more marketable?...

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ICU contract

We are negotiating our ICU contract with the hospital. We are a group of private PCC trained physicians . 14 bed ICU plus 6 bed step down. All pts are admitted under the hospitalists. Hospital wants us...

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Pulm/Crit Chances?

Hi, I applied this year for pulm/crit but wanted to see if anyone has any advice to improve my CV or get interviews. Here’s my creds: IMG - J1 needed USMLEs 220s Chief year 10 articles with Posters in...

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Are there pulm jobs that are only inpatient?

Outpatient pulm is fine but often boring (rising numbers of PCPs too lazy to manage basic asthma/COPD or order follow-up CTs for tiny lung nodules) and dealing with inbasket messages etc is a pain in...

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2 months till AOBIM pulmonary boards!!!!!

Hi guys, I am taking the AOBIM pulmonary boards this August 29th. I was wondering if anyone with experience has any further recommendations that I need to do studying wise. I have read the ats book, an...

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Who is taking the Pulmonary boards this year?

It is a bit of a pain not to have much board review questions other than SEEK.... And the accp board review book is sometimes too... Not to the point. Let's please share what materials we are using and...

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Reading PFT remotely as a part of tele-medicine

Hey guys, I just finished my pulm & crit care fellowship and now i am a sleep fellow. I have been thinking if there is a way i can start reading PFTs online as part of tele medicine. In our...

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Interventional Pulmonology 2019-2020

IPFAS rolled out just about two weeks ago and it sounds like a good time to get this thread going. It's a small world, hopefully we can use this forum to share information about the process, programs,...

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Impending new CCM program

We are (hopefully) starting up a new critical care fellowship this coming July (2020). The application has been submitted to the ACGME and we find out in early October if it's approved. Problem is,...

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Best PCCM Programs?

How do you guys go about deciding which PCCM programs are among the best? How do you decide which programs to apply to? Speaking with faculty at your own institution? Is there any list out there that...

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Academic programs with strong clinical training??

I'm applying to pulm/ccm and, as of now, I have minimal interest in joining the grant-application rat race of a research career and mainly want to be a good clinician. However, I am learning that many...

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Job availability if not board certified

Hi If I plan to not pursue pulmonary boards prior to graduating fellowship, am I still eligible for PCCM jobs?

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PCCM fellowship 2019-2020

Hello everyone, Just wanted to get a thread started for all of us applying for PCCM in 2019. Feel free to share your experiences during application and interview season. Good luck!

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Interview Impressions

I would like to share my interview impressions (so far) in the interest of providing some information about programs that are otherwise not particularly well known. This is something that I did not...

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Critical care boards

Impressions on the boards this year?

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Pulmonary boards

Took them today. I want to just vent about how on a $2400 exam there were an unacceptable amount of typos and scientific inaccuracies. Anyone notice the question with the potassium of 110 and chloride...

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Palliative care to CCM

Has anyone every done hospice/palliative care medicine as a bridge to CCM? Running out of ideas of things to do for this year after this match fail.

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GM-CSF for Pulmonary Alveolar Proteinosis

Anyone here have any experience using GM-CSF (SQ or inhaled) for PAP? In light of the negative trial this fall, it’s still off label and seemingly of questionable benefit. However for patients w GM-CSF...

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How many Navs and Ebus til you're comfortable?

Whats the data show and what is your guys' personal experience?

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Are pulmonologist legally allowed to work in ICU?

Hi everyone, how are you all doing. I am doing 2 yr pulmonary fellowship (without critical care). when I was looking for jobs, most of the job offers are combined with critical care work. I signed a...

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PCCM reading for fellowship

Hey guys, any recommended reading for preparation as an upcoming fellow? Interested in the whole gamut of PCCM including pulm, pulmonary vascular disease, and critical care and hoping to have some...

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Job market for PH specialist?

There's PH fellowships popping up - just wondering what is the general demand for PH specialists? Only at academic centers? Tough time finding a job in some areas if not cards background?

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How competitive is PCCM?

USMD student with a slightly above average step score. I’m just curious how competitive the speciality is say from a solid low-mid tier academic program? thanks in advance!

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How is the first year of PCCM Fellowship?

Good afternoon! So, I am starting my training this July. I know with this whole ordeal of COVID-19 everything has changed, especially for PCCM fellows. I am sure this will splash over the next couple...

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Will COVID make Pulm/CC more competitive?

The specialty has become more competitive in the past few years. Given the current crisis, will we see the a spike in number of people applying in to the specialty or decrease?

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IVC filter and Pulmonary embolism- make it make sense!

Hi all, Would really appreciate someone explaining this one to me. For patients that have an established pulmonary embolism that have a contraindication to anticoagulation how do IVC filters actually...

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Fellowship Advice

I've been very interested in PCCM since my first rotation in the ICU. I was also interested in cardiology. Due to personal reasons and some not so great advice I received early in my residency I...

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Complicated pleural effusion with pleurx

If lady has pleurx placed for recurrent malignant effusion and then found to have complicated parapneumonic effusion based on analysis and culture. Would you just use pleurx to drain and put on abx or...

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A few pulmonary physiology questions...

Hopefully someone can help a rising fellow with a few topics (some basic) that have come up and I haven't been able to get a good explanation for: - How exactly does a CHF exacerbation cause...

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Lifestyle and Job market for PCCM

Hi all! I'm considering applying to PCCM fellowship as critical care was my favorite month during PGY1 (back in early Feb, before all this COVID craziness), also enjoyed my pulmonary elective. Whats...

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Pulmonary and Critical Care fellowship 2020/2021 cycle

Its that time of the year again. As ERAS is now open, i was hoping we could get some helpful discussions going here. My credentials : IMG, No visa needed, average USMLE scores, Posters and Oral...

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CHEST 2020

Hi everyone! For anyone who had an abstract accepted to CHEST virtual congress this year, how are you listing this in ERAS? The original email says it will be "published in a supplement to the CHEST®...

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What is my likelihood for PCCM ?

I graduated from a community (new medical school) program without in-house fellowship in 2018. I am an IMG on H1 visa. I am interested in Pulmonary and critical care fellowship. I only did posters...

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INTERVENTIONAL PULMONOLOGY FELLOWSHIP WEBSITE NOT WORKING

Hello, I am an established pulm/crit physician in my second year of practice; I decided I want to pursue IP training. I have been attempting to apply through their AIPPD/IPFAS website for a week now...

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Average Hours Worked Per Week?

Why do Crit Care and "Pulmonary Diseases" have such high work hours? Shouldn't the shift-work nature of CCM put average hours more in-line with EM? It seems like you get better work life balance doing...

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Procedural certification in different Pulm/ICU procedures

So when I'm done with fellowship, how many of each of these procedures would I need to be able to do them in practice? EBUS, PleurX, Perc Trachs, PEGs in the ICU, Navigations, Cryobiopsies (Or is this...

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Interventional Pulmonology 2020-2021

Hey guys, Lets get this thread started. Where is everyone at in the interview process.

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Use of Vasopressin

For a patient with septic shock having a central line, at what dose of levophed would you consider adding vasopressin if the MAP goal of 65 is not maintained? Would you add if levophed is at 15 mcg/min...

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Interventional pulmonology- program review (Lahey)

Hi all, I trained at the Lahey clinic for IP within the past 5 years, and wanted to give future applicants a brief pro/con. One difference I find between programs is the service time they will have you...

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Back up plans for IMGs?

It's no secret that this season is incredibly competitive for all fellowships but it seems that pulmonary and critical care medicine is even worse. For IMGs who are on visas, has anyone thought about...

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Thinking about sub-fellowship after PCCM - Need Advise

Hey everyone, Its been a longtime since I posted something here. I am a 2nd year PCCM fellow and I have been contemplating what to do after fellowship. There are basically four routes as I can see it :...

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How do you guys look for jobs?

2nd year PCCM fellow here. Won't start applying until next summer but just anxious to start the process of educating myself on the job search so that when the time comes I'm fully prepared. Anyways,...

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upcoming abim cc exam

hi all, First off - If anyone is studying for the upcoming ABIM CC exam this Nov and wants a dedicated daily or weekly study buddy from now until the CC exam, PM me and maybe we can create a study...

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