if you are somehow confirmed to get CCM as well you can consider it.
but think to your future. CCM is not a lifelong career. some do it into their older age. but it leads to much burnout. you want that chill pulmonary to fall back onto
while the logic is "ill have chill ID to fall back on" the issue is there really are not abundant jobs out there ID-CCM or renal - CCM.
It's not easy to work critical care for 10-20 years and then go work as a pulmonologist when you tire of the ICU. Your pulm skills and knowledge of evolving therapeutics will be well out of date.
CCM is not a lifelong career for people who started by doing it half-time and then got a job where they have to do it full time. But for people who get into it knowing what it is, it's more sustainable long term. Emergency medicine had the same issue. When the field was young, people worked in the ED doing occasional coverage between their clinic weeks, but then ended up working there permanently, and it was hard to do years down the road. It's easier and more sustainable for people who went into the specialty from med school knowing what they were signing up for.
Need advice, if medical student finishing residency did not get matched to top 3 pulm and crit care programs in his list and the location desired to live the next 3 years.
what are the options if he/she didnot take the fellowship? does that happen a lot?
is it possible to match after two year of work in the same city desired to do fellowship?
Does the university needs more publication to consider you during th working period?
It was a bad idea to rank a place that you had no interest in going to.
At the moment you have a binding contract between you, that program, and NRMP. There would have to be a petition to NRMP to void the contract and release you from the program. If that's what you choose to do, the program will be eager to push it along because they don't want a fellow who has no interest in being there and they can't try to fill their spot until the NRMP waiver is completed.
For you that route is the end of your critical care career.
NRMP might only prevent you from participating for a few years if there's a hardship event... but for something like "I don't want to live in that city", your penalty is likely to be much harsher.
Even if NRMP was kind and only blocked you for a few years, when the interview cycle comes around again in a few years and you have to answer why you withdrew from the match, your answer is going to be a huuuuge red flag to a program and would far overshadow anything you could possibly do to improve your application. If you lie about it and don't mention that you matched and then broke your contract, you run the risk of a program discovering it (and we do occasionally compare application lists to previous years because a name just tickles the back of our brain and we want to see if they applied before), and then your application would at best be thrown in the garbage and at worst I'd call ERAS.
edit: You also risk the program you matched at badmouthing you to other programs. It's not a huge field at the end of the day.
Yep... The APCCMPD (association of pulmonary and critical care medicine program directors) annual conference still fits inside of a small hotel conference room. And we certainly all talk.
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