Critical Care Salary

[Bostonredsox]

12 hour shift. You might stay over a bit based on your paperwork, but you see pts for 12 hours. The icu rate is for days yes 7a-7p. My locums rate of 200 is nocturnist work, not fellowship trained

---

Members don't see this ad.

 

[jdh71]

Does it matter if pulm crit fellowship or cc after anesthesia?

It can matter. My group won't take on a locums that won't bronch for instance. And since we see the pulmonary consults in the hospital while covering the units we won't take anyone who won't see or attempt to initially manage those either. Which usually isn't a big deal at night almost any pulmonaty consult can wait until the day, and if they are *that* sick then they should just be in the ICU anyway and it's ICU work, not pulmonary. Two night ago, I did see a middle of the night consult for the surgeon - he admitted a SBO with history of scleroderma with associated ILD and pulmonary hypertension on cellcept, bosentan, and talafil - none of which would be taken orally. Halp! So I did.

So that's maybe a long way of saying that we have a strong strong strong preference to people who are also pulmonary trained or who feel comfortable enough working a bit outside their normal area if needed on occasion.

 

[ORL10]

I would bet that most community pulmonologists are not comfortable managing PH 2/2 ILD on immunosuppressive tx and would transfer that person to a referral center.

 

[jdh71]

I would bet that most community pulmonologists are not comfortable managing PH 2/2 ILD on immunosuppressive tx and would transfer that person to a referral center.

This is what you learn to deal with in fellowship. I didn't think of referring the patient to a university once. None of my partners would either. The only thing that would really need a transfer out would be a lung transplant patient. I can deal with that standing on my head, but my nurses, RT's, and pharmacy folks can't.

 

[Hernandez]

I would bet that most community pulmonologists are not comfortable managing PH 2/2 ILD on immunosuppressive tx and would transfer that person to a referral center.

Wait....did you just say a fellowship trained pulmonologist would be uncomfortable handling an ILD on immunosupressive treatment? The only one I could think of would be if they're on an experimental treatment or research protocol, or lung transplant, and that's due to a) the path where I am at wouldn't likely have much clue about rejection on biopsies, and b) the closest 2 transplant centers are extremely protective of their transplants

 

[tartesos]

I would bet that most community pulmonologists are not comfortable managing PH 2/2 ILD on immunosuppressive tx and would transfer that person to a referral center.

Don't think so little of us...
Besides it's not that complicated after you see it for 3 years straight on and off.

 

[ORL10]

Definitely did not think little of you guys, but plenty of my patients on the west coast are transfers from community pccm docs for patients with PH/ILD and X other diagnosis. Maybe its skewed and I cannot comment on it since I'm not a pulmonologist, but I asked my graduating colleagues and they thought if the patient was being managed for PH 2/2 ILD and working in a local community shop they would transfer that patient to the hospital with the PH/ILD etc specialist.

No offense intended

 

[chudat]

What are the current cc fellows salary offers? Specifically anesthesia cc?

 

[G-Man82]

From places that I've interviewed, I've been offered Anesthesia/CCM salaries of $260-330 in academics and 315-380 in PP places that have anesthesia/Critical care. But that's just what I've seen when applying in or around major cities.

 

[tartesos]

From places that I've interviewed, I've been offered Anesthesia/CCM salaries of $260-330 in academics and 315-380 in PP places that have anesthesia/Critical care. But that's just what I've seen when applying in or around major cities.

That's not bad!
I'm going to the middle of nowhere for what I thought then was a huge salary and it turns out to be just 70ish more than a nice city.
We are in demand! Don't take pennies, go like Cuba gooding jr.....

 

[FattySlug]

Is there any new numbers on the Pul/CCM salaries for this year from MGMA? Thank you.

 

[jdh71]

Is there any new numbers on the Pul/CCM salaries for this year from MGMA? Thank you.

Median is still in the 380s

 

[FattySlug]

Median is still in the 380s

Thank you very much. Is there separate numbers for private vs academics? Or that is the median of everybody? I recently look at the Public Service Loan Forgiveness and you have to work in a non-profit organizations with IRS code 501c which many academic centers are. Thank you.

 

[jdh71]

Thank you very much. Is there separate numbers for private vs academics? Or that is the median of everybody? I recently look at the Public Service Loan Forgiveness and you have to work in a non-profit organizations with IRS code 501c which many academic centers are. Thank you.

That's median of everyone *reporting*, which will include some academics, though don't expect anything near that in academics. Everyone I know who stayed in academics is making low to mid 200s. Something like 60% of all hospitals are non-profits. You don't have to be in academics to find a non-profit, though you will need to be an *employee*.

 

[W19]

Median salary for CCM is high. I wonder why it is not as competitive as cardio or GI? Does it have a crappy lifestyle?

 

[jdh71]

Median salary for CCM is high. I wonder why it is not as competitive as cardio or GI? Does it have a crappy lifestyle?

It's hard work. You can't turf. Hours can be long. Nights, weekends, holidays. Decisions are often difficult and have to be made with little information. High emotions. There is no way to "scale back".

But most pure intensivists work a week on, and a week off these days, 1/3 of those days will be nights (there will be other models, but this one is floating to the top in most places). Only you can decide if that sounds like a decent "lifestyle".

 

[VentdependenT]

Yeah, most gigs I saw, 15 12 hour shifts of critical care per month 300-350k + productivity.

Was offered this. 325k. 1 on and 1 off. decided not to go hospital employee route, but overall not a bad deal for someone who can grind out 12s and be in the hospital q2 weekends...

 

[VentdependenT]

Median salary for CCM is high. I wonder why it is not as competitive as cardio or GI? Does it have a crappy lifestyle?

It can. Depends on your group, call, icu structure, efficency, night coverage, presence of NPs, responsiveness of ancillary staff, quality of nurses...

 

[jdh71]

Was offered this. 325k. 1 on and 1 off. decided not to go hospital employee route, but overall not a bad deal for someone who can grind out 12s and be in the hospital q2 weekends...

All that training and you're not going to do any pulmonary?!!

 

[jdh71]

Our group just hired an intensivist at 342k base plus rvu production over median. Week on/week off. 1/3 nights. 100% NP/PA coverage. If that helps anyone.

Just remember folks you can't bill critical care time off of your mid-level provider. So plan to write your own notes.

 

[secants]

Has anyone done Tele-icu? I've seen old threads about it but curious if it's gotten more popular. Also how do you get production rvu in icu? Line everyone? See as many consults?

 

[Infexious]

.

 

[jdh71]

I assume you can addend them and bill? Our attendings in the academic world rarely write an actual note themselves.

Not critical care TIME for mid level notes. You can bill critical care TIME on resident notes. EDIT: clarification you can bill YOUR time on the resident notes. You cannot bill for the residents time as your own critical care time. You also need to document what you did that counts as critical care time.

You can bill return visits on a mid level note with enough documentation that you documented the assessment and plan.

The difference in wrvu is 4.5 vs 2.0 for the same critically ill patient. Of course not every single icu patient is appropriate for critical care TIME billing. You can let you NP see them and write the note.

 

[jdh71]

Has anyone done Tele-icu? I've seen old threads about it but curious if it's gotten more popular. Also how do you get production rvu in icu? Line everyone? See as many consults?

Production rvu is the juice that kicks in when you reach a certain threshold of total rvu. Conceivably there are various ways to do this. But the most common is that you will be paid a salary at 25th to 50th%ile nationally based on tables. There will be a corresponding wrvu that goes along with this salary by the tables. Once you pay for yourself you then get to make your own gravy and this is the production bonus for wrvu that you do above the percentile you are being paid.

Don't do anything inappropriate. Just take care of patients and maximize your billing by documenting everything correctly.

 

[deleted171991]

From places that I've interviewed, I've been offered Anesthesia/CCM salaries of $260-330 in academics and 315-380 in PP places that have anesthesia/Critical care. But that's just what I've seen when applying in or around major cities.

Where did you find those jobs? Cold calling, journals?

 

[G-Man82]

Where did you find those jobs? Cold calling, journals?

Some were essentially through cold calling. One was through gaswork. But in all honesty, my best prospects came through SOCCA. So going to a conference this year would be helpful. I'll PM you with some details on the specific places and regions that I interviewed at later. Currently on duty and rounds start soon.

 

[sluggs]

All of this is hard to sort through, and even the MGMA data is difficult to gauge (not a lot of responders and may be skewed as to who responded). You must think about: value of benefits; what your hourly comes to (You can make $650K per year if you work all the time-- I've seen hospitalists work 29 days per month and get 30+ "touches" per day, and they are miserable millionaires who do nothing for their patients); how bad your day is; and how much you actually enjoy your job!

 

[tartesos]

All of this is hard to sort through, and even the MGMA data is difficult to gauge (not a lot of responders and may be skewed as to who responded). You must think about: value of benefits; what your hourly comes to (You can make $650K per year if you work all the time-- I've seen hospitalists work 29 days per month and get 30+ "touches" per day, and they are miserable millionaires who do nothing for their patients); how bad your day is; and how much you actually enjoy your job!

It's a good starting point to negotiate and hospitals will always offer you the least amount possible and go up from there depending on many factors( big vs small city, how much they want/need you and how many other applicants are there, how long has the position been open for etc. )

You can make a lot of money in anything if you work all the time, but what's the point of working yourself to death?

I would take a lot less $ for a better quality of life.

 

[Lord Humongus]

I would bet that most community pulmonologists are not comfortable managing PH 2/2 ILD on immunosuppressive tx and would transfer that person to a referral center.

Just out of pure curiosity, as I'm trying to orient myself as to what the "difficult" aspects of medicine are. With the quoted example, what are the various decision points/complications that a doc with 4 years of anesthesia residency and 2 years of fellowship would have trouble dealing with and feel the need to refer out? Would it be determining the broad type of treatment? Arriving at the exact dosages of appropriate medications?

As a layman it's kind of easier for me to imagine why a general surgeon may be uncomfortable operating on a rare cancer in a dangerous anatomical location for example, but the intricacies of medical management are completely beyond my realm of experience which is why I ask.

 

[Doctor Bob]

As a layman it's kind of easier for me to imagine why a general surgeon may be uncomfortable operating on a rare cancer in a dangerous anatomical location for example, but the intricacies of medical management are completely beyond my realm of experience which is why I ask.

Some medical therapies have the potential to make someone better; but if you've got the wrong condition, you can very rapidly make them worse.
Some medical problems (like straightforward bacterial pneumonia) are easy to diagnose. Others (like porphyria or arsenic poisoning) are a bit trickier. So you might be able to keep them somewhat stable doing the general critical care things, but you won't be able to make them better.

We get people transferred to us from other ICUs all the time. Usually the doc there has ruled out all the regular things but the person just isn't getting better. So there's some underlying problem and they can't figure out what it is. Or they send someone to us, thinking they need some intervention that they can't provide (I had a request for transfer recently because the doc at the other ICU said they had someone who was a candidate for oscillator therapy). As with intricate surgeries, taking care of a trainwreck rheumatologic problem or a sick liver player is a lot better when done by someone who has done it 5-10 times that week, rather than the doc who has done it once in the last 5 years.

 

[jdh71]

Just out of pure curiosity, as I'm trying to orient myself as to what the "difficult" aspects of medicine are. With the quoted example, what are the various decision points/complications that a doc with 4 years of anesthesia residency and 2 years of fellowship would have trouble dealing with and feel the need to refer out? Would it be determining the broad type of treatment? Arriving at the exact dosages of appropriate medications?

As a layman it's kind of easier for me to imagine why a general surgeon may be uncomfortable operating on a rare cancer in a dangerous anatomical location for example, but the intricacies of medical management are completely beyond my realm of experience which is why I ask.

Medicine is all nuance. Especially when set in the context of other conditions that complicate the picture. You can look things up, you can look at studies, but at the end of the day critical care is all experience, intuition, and contextual medical judgement for the vast majority of critical care (which is largely full of "bad" studies and expert opinions).

There is nothing about doing anesthesia and a fellowship that puts you at a "disadvantage" per se (and the critical car fellowship after gas residency is only one year) but if you never learned to manage certain things . . . you never learn to manage certain things

 

[Lord Humongus]

Thanks for the response guys.

 

[NontradICUdoc]

In the northeast, some of the starting salaries based on a 15 shift month is roughly $275K with benefits. Of course, the more days you work and if you spend more time in the 12hr model, you can make more than 300K. On call nights from home.

 

[zxs]

can anyone share latest MGMA intensivist Data

 

[codeb1ue]

What is the going rate for a per diem position? I will be board certified cc this summer and hoping to pick up some extra shifts. I was offered 150/Hr in CA. Is that a fair compensation?

 

[timbuktu]

Our group just hired an intensivist at 342k base plus rvu production over median. Week on/week off. 1/3 nights. 100% NP/PA coverage. If that helps anyone.

is that for a PulmCC-trained intensivist? or a pure cc-trained one? if s/he's PulmCC, does it include floor consults while staffing the unit?

 

[Hernandez]

What is the going rate for a per diem position? I will be board certified cc this summer and hoping to pick up some extra shifts. I was offered 150/Hr in CA. Is that a fair compensation?

There are several different models ice seen. I've seen ranging $100/HR + 20-30/rvu work, set rates from $150-200/ hour. Sweetest was $3000/12 hour shift + rvu. $150/HR likely is decent but not great rate.

 

[Mad Jack]

OP,

You're getting ripped off man. EM and Critical Care are both red hot right now and $125K for 1 week in an ICU is ridiculous. Take this information and go renegotiate....seriously.

From 2013 MGMA Physician Compensation and Production Survey

Critical Care: Intensivist
Mean $380,279
Std Deviation $122,313

25% percentile $300,504
Median $341,790
75% percentile $437,821
90% percentile $617,570

Emergency Medicine
Mean $318,794
Std Deviation $95,521

25% percentile $255,739
Median $306,682
75% percentile $368,969
90% percentile $447,073

Hospitalist: Internal Medicine
Mean $252,658
Std Deviation $80,106

25% percentile $211,393
Median $240,352
75% percentile $280,518
90% percentile $333,281

Pulmonary Medicine: General

Mean $357,844
Std Deviation $127,577

25% percentile $277,691
Median $359,650
75% percentile $423,615
90% percentile $501,107

Pulmonary Medicine: General and Critical Care

Mean $407,688
Std Deviation $140,728

25% percentile $302,192
Median $386,170
75% percentile $482,937
90% percentile $626,622

Keep in mind that is total comp (salary plus benefits), not just salary.

 

[Captopril]

A friend in Florida is making $165/HR to cover pure ICU as a per diem (no pulm work even though she's Pulm/CC)

 

[jdh71]

is that for a PulmCC-trained intensivist? or a pure cc-trained one? if s/he's PulmCC, does it include floor consults while staffing the unit?

Either or. And yes, floor consults are part of the deal.

 

[icuanesthesiology]

I am anesthesia trained CCM. I have been out of fellowship for two years. Currently I am working in a private practice MICU. Our group is a mix of medical trained and anesthesia trained intensivists. Everyone is pretty much 100% ICU, including me. A couple of the pulmonary docs at the hospital cover the ICU a week here and there. We are a 300-350 bed hospital in what most would consider the middle of no where. We have a 7 on 7 off model, 7a-7p or 7p-7a. 2 weeks of paid time off. 3 intensivists on during the day, and 2 on at night. I usually see between 10 and 18 patients per day, do procedures and notes, answer pages, talk to families etc. We do have an NP who helps out with procedures and sees patients transferring out of the unit. At night each intensivist usually admits between 3-5 patients and does procedures as needed. (tonight for example, I have admitted 3 patients, done 3 central lines, one a line, and 3 intubations...and answered a bunch of bs pages)
The base pay is 460K (222/hr for 168 hours per month which is 14 twelve hour shifts), they are paying my student loans over ten years. This adds about 45K per year. It doesn't have to be paid back if I leave before ten years. We get paid 1.5x our hourly rate for hours worked above 168 hours per month, or 333/hr. I usually work 1-4 extra per month on a voluntary basis (average an extra 2/month). We also get 9K matching for retirement and have a 403b and 457 plan.
I expect to make about 600-650 this year. the work is hard but I have a good amount of time off. Its a pretty good gig. I live in a city about 2.5 hours away so I travel back and forth and stay for the week when I'm working. When I am at home, though, there are no pages, no phone calls, no meetings, just time with the wife and kids.

 

[CCM-MD]

I am anesthesia trained CCM. I have been out of fellowship for two years. Currently I am working in a private practice MICU. Our group is a mix of medical trained and anesthesia trained intensivists. Everyone is pretty much 100% ICU, including me. A couple of the pulmonary docs at the hospital cover the ICU a week here and there. We are a 300-350 bed hospital in what most would consider the middle of no where. We have a 7 on 7 off model, 7a-7p or 7p-7a. 2 weeks of paid time off. 3 intensivists on during the day, and 2 on at night. I usually see between 10 and 18 patients per day, do procedures and notes, answer pages, talk to families etc. We do have an NP who helps out with procedures and sees patients transferring out of the unit. At night each intensivist usually admits between 3-5 patients and does procedures as needed. (tonight for example, I have admitted 3 patients, done 3 central lines, one a line, and 3 intubations...and answered a bunch of bs pages)
The base pay is 460K (222/hr for 168 hours per month which is 14 twelve hour shifts), they are paying my student loans over ten years. This adds about 45K per year. It doesn't have to be paid back if I leave before ten years. We get paid 1.5x our hourly rate for hours worked above 168 hours per month, or 333/hr. I usually work 1-4 extra per month on a voluntary basis (average an extra 2/month). We also get 9K matching for retirement and have a 403b and 457 plan.
I expect to make about 600-650 this year. the work is hard but I have a good amount of time off. Its a pretty good gig. I live in a city about 2.5 hours away so I travel back and forth and stay for the week when I'm working. When I am at home, though, there are no pages, no phone calls, no meetings, just time with the wife and kids.

This is similar to some of the offers fellows at my hospital have been getting. Those wanting to go to major cities are getting less.

Your nights sound significantly less busy than days!

 

[secants]

adempsey22, did you feel comfortable being in the MICU right out of Anesthesia CC fellowship? Did the group or hospital care that you were anesthesia trained when you were looking for jobs?

 

[icuanesthesiology]

adempsey22, did you feel comfortable being in the MICU right out of Anesthesia CC fellowship? Did the group or hospital care that you were anesthesia trained when you were looking for jobs?

I have to admit, I was a little nervous, but once I started I realized that critical care is critical care and I was trained to perform it. Did I (do I still) have certain clinical weaknesses and gaps in knowledge? Of course!! But I think no matter what job we take, the first couple of years out of training is a constant lesson in how complicated patients really are and how we will never know everything. The best advice I have about fellowship is forget about the name and prestige of a program. It is one year...find a clinical heavy program which is well rounded. My fellowship had rotations in trauma, MICU, CCU, ID, ultrasound and renal. (I picked ID and renal). Make sure you get a well rounded ICU experience. Do not pick a program that sticks you in the CTICU or a SICU for 9 or 10 months. I wanted to be an intensivist, not an anesthesiologist who does ICU. And just like in residency and fellowship, in practice, when I have a complicated patient, a patient with a weird diagnosis or even a patient with a common diagnosis which I need to brush up on...I read.
As for hospitals and groups, some care some do not care about an anesthesia vs medicine background. I think as CCM has become more and more of a 24 hour in house staffing model, the pulm/CCM model is decreasing in frequency. Hospitals desperately NEED intensivists and you may be surprised how many private practice jobs would be happy to hire you...even if they themselves do not always realize it.
Admittedly, you may need to educate them that you can do ICU outside of the OR. If you see a job in an area that you want to practice, but it is advertised as pulm/CCM, pick up the phone and tell them what you can offer and how you will make their ICU/OR/hospital better. If there is a hospital in your city/town where you want to practice, and there is no job opening...pick up the phone and make a job opening. You will get many job offers and those offers will not be limited to just academics.

 

[tartesos]

I am anesthesia trained CCM. I have been out of fellowship for two years. Currently I am working in a private practice MICU. Our group is a mix of medical trained and anesthesia trained intensivists. Everyone is pretty much 100% ICU, including me. A couple of the pulmonary docs at the hospital cover the ICU a week here and there. We are a 300-350 bed hospital in what most would consider the middle of no where. We have a 7 on 7 off model, 7a-7p or 7p-7a. 2 weeks of paid time off. 3 intensivists on during the day, and 2 on at night. I usually see between 10 and 18 patients per day, do procedures and notes, answer pages, talk to families etc. We do have an NP who helps out with procedures and sees patients transferring out of the unit. At night each intensivist usually admits between 3-5 patients and does procedures as needed. (tonight for example, I have admitted 3 patients, done 3 central lines, one a line, and 3 intubations...and answered a bunch of bs pages)
The base pay is 460K (222/hr for 168 hours per month which is 14 twelve hour shifts), they are paying my student loans over ten years. This adds about 45K per year. It doesn't have to be paid back if I leave before ten years. We get paid 1.5x our hourly rate for hours worked above 168 hours per month, or 333/hr. I usually work 1-4 extra per month on a voluntary basis (average an extra 2/month). We also get 9K matching for retirement and have a 403b and 457 plan.
I expect to make about 600-650 this year. the work is hard but I have a good amount of time off. Its a pretty good gig. I live in a city about 2.5 hours away so I travel back and forth and stay for the week when I'm working. When I am at home, though, there are no pages, no phone calls, no meetings, just time with the wife and kids.

That's a swee gig! Let me know when they hire again,


Sent from my iPad using SDN mobile

 

[Femtochemistry]

I am anesthesia trained CCM. I have been out of fellowship for two years. Currently I am working in a private practice MICU. Our group is a mix of medical trained and anesthesia trained intensivists. Everyone is pretty much 100% ICU, including me. A couple of the pulmonary docs at the hospital cover the ICU a week here and there. We are a 300-350 bed hospital in what most would consider the middle of no where. We have a 7 on 7 off model, 7a-7p or 7p-7a. 2 weeks of paid time off. 3 intensivists on during the day, and 2 on at night. I usually see between 10 and 18 patients per day, do procedures and notes, answer pages, talk to families etc. We do have an NP who helps out with procedures and sees patients transferring out of the unit. At night each intensivist usually admits between 3-5 patients and does procedures as needed. (tonight for example, I have admitted 3 patients, done 3 central lines, one a line, and 3 intubations...and answered a bunch of bs pages)
The base pay is 460K (222/hr for 168 hours per month which is 14 twelve hour shifts), they are paying my student loans over ten years. This adds about 45K per year. It doesn't have to be paid back if I leave before ten years. We get paid 1.5x our hourly rate for hours worked above 168 hours per month, or 333/hr. I usually work 1-4 extra per month on a voluntary basis (average an extra 2/month). We also get 9K matching for retirement and have a 403b and 457 plan.
I expect to make about 600-650 this year. the work is hard but I have a good amount of time off. Its a pretty good gig. I live in a city about 2.5 hours away so I travel back and forth and stay for the week when I'm working. When I am at home, though, there are no pages, no phone calls, no meetings, just time with the wife and kids.

I'm happy to send you my CV if you guys are looking! That's a sweet gig.

 

[so4u2004so]

How much your salary will end up after adding the RVUs to your base salary in Critical care and how would that be compared to Pul/CC, or Interventional pulmonology

 

[CCM-MD]

How much your salary will end up after adding the RVUs to your base salary in Critical care and how would that be compared to Pul/CC, or Interventional pulmonology

$10,000,000. But you should become an interventional gastroenterologist/CC instead. I heard they make more.

 

[TrailRun]

I am anesthesia trained CCM. I have been out of fellowship for two years. Currently I am working in a private practice MICU. Our group is a mix of medical trained and anesthesia trained intensivists. Everyone is pretty much 100% ICU, including me. A couple of the pulmonary docs at the hospital cover the ICU a week here and there. We are a 300-350 bed hospital in what most would consider the middle of no where. We have a 7 on 7 off model, 7a-7p or 7p-7a. 2 weeks of paid time off. 3 intensivists on during the day, and 2 on at night. I usually see between 10 and 18 patients per day, do procedures and notes, answer pages, talk to families etc. We do have an NP who helps out with procedures and sees patients transferring out of the unit. At night each intensivist usually admits between 3-5 patients and does procedures as needed. (tonight for example, I have admitted 3 patients, done 3 central lines, one a line, and 3 intubations...and answered a bunch of bs pages)
The base pay is 460K (222/hr for 168 hours per month which is 14 twelve hour shifts), they are paying my student loans over ten years. This adds about 45K per year. It doesn't have to be paid back if I leave before ten years. We get paid 1.5x our hourly rate for hours worked above 168 hours per month, or 333/hr. I usually work 1-4 extra per month on a voluntary basis (average an extra 2/month). We also get 9K matching for retirement and have a 403b and 457 plan.
I expect to make about 600-650 this year. the work is hard but I have a good amount of time off. Its a pretty good gig. I live in a city about 2.5 hours away so I travel back and forth and stay for the week when I'm working. When I am at home, though, there are no pages, no phone calls, no meetings, just time with the wife and kids.

To me this sounds incredible! I'm matching into general surgery but really wish I explored this further before applying... Would it be possible to do a critical care fellowship (1 year from gen surg) and then work exclusively in critical care (1 wk on, 1 off)? I'm not motivated by money, just motivated by missing my family and wanting to take my future kids to Disney.

I think I made a mistake in picking surg (thought it was a good way to get to do procedural and medical things everyday). I did several sub-Is but how can you really know until you're the one actually doing it.

 

[Hamhock]

To me this sounds incredible! I'm matching into general surgery but really wish I explored this further before applying... Would it be possible to do a critical care fellowship (1 year from gen surg) and then work exclusively in critical care (1 wk on, 1 off)? I'm not motivated by money, just motivated by missing my family and wanting to take my future kids to Disney.

I think I made a mistake in picking surg (thought it was a good way to get to do procedural and medical things everyday). I did several sub-Is but how can you really know until you're the one actually doing it.

Easy.
Well, after a "trauma" fellowship...or whatever the current ACS BS ACS/trauma/CCM bu!!**** fellowship (friends: please understand I think surgical CCM training is most excellent; just not a fan of extended alphabet soup nonsense), you can most easily land a 1on1off job.

Any trouble? message me

(of course, I am biased: surgical training is more than sufficient to be an excellent intensivist)

HH