EM doc working locums CCM?

[beyond all hope]

I'm an EM doc but I've been considering CCM for a long time. I just quit my FT academic job and I'm working locums while figuring out my next move.

I wonder if there are any jobs out there, especially locums, where I could work part or full time in the ICU. I'd even be a hospitalist if I had to.

I think this would be a better introduction to the actual practice of CCM, where I could make some money, rather than doing a CCM fellowship and taking my chances to see if I like it or not.

Another possibility I considered is doing a PT CCM fellowship, one month on-one month off, and taking the odd months off to locums.

Any advice appreciated.

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[southerndoc]

Most hospitals will not allow this. We do not grant EM physicians inpatient care privileges at my hospital. I guess you could have CCM admit via telephone, and you could manage them upstairs. Some hospitals might be different, but we're pretty stringent when we evaluate physicians for privileges.

 

[Pilot Doc]

Most hospitals will not allow this.

There's a big difference generally between what hospitals officially allow and what they're willing to do to meet staffing goals.

I managed to get CCM privileges at a half dozen hospitals in a big city after two years of GS. I bet a boarded EM doc could find a variety of CCM locums opportunities.

That said, most CCM fellowships don't fill. You could walk into one for July 1 if you wanted, after which you could certainly do CCM.

 

[southerndoc]

Our credentials committee won't allow it.

 

[Tigerz_Fan]

There's a big difference generally between what hospitals officially allow and what they're willing to do to meet staffing goals.

I managed to get CCM privileges at a half dozen hospitals in a big city after two years of GS. I bet a boarded EM doc could find a variety of CCM locums opportunities.

That said, most CCM fellowships don't fill. You could walk into one for July 1 if you wanted, after which you could certainly do CCM.

Agree with southerndoc and that I don't see it happening.

Also, usually the IM CCM programs fill, but I can't speak for the anesthesia, surgery, or ER programs...

There are ER-CCM fellowships out there, but I don't think they are ACGME-accredited. However, it does provide you with and extra year or two of training. At the end of a CCM fellowship, you will be well-prepared to handle any situation that comes your way in the ICU.

 

[Pilot Doc]

I don't see it happening.

Based on what? Cause I can easily come up with two dozen examples of PGY2 surgery residents in a big city getting attending level CCM privileges in the last 5 years.

You just have to know how to play the game. If you call the medical staff office, you'll get the secretary level policy answer of no. If you make a connection with the head of the ICU, and he likes you, and he needs people, the wheels will get greased.

 

[beyond all hope]

perhaps it's more geographical, if you could tell me where you're working maybe I could apply there,

Thanks,
beyond

 

[southerndoc]

Let's just say I have some inside knowledge of the credentials committee.

Surgery is an inpatient specialty -- they have admitting privileges. EM is not, and is one of the concessions we made when we were granted specialty status by ABMS.