Octangle94

US based PCCM fellow about to start my job search for when I graduate next year.

My partner (non medical) is moving to a new position that will ultimately require him to live in Europe for a year in 2030.

We could do long distance. But ngl I’m tempted at the thought of moving to another country and experiencing new things for a year.

I know it’s too far down the line. And who knows what the world will come to be then!

But I wanted to ask folks here about their thoughts on taking a year off from ICU work. Do you think there is a chance of skill/knowledge atrophy? Would employers be hesitant to employ me after a 1 year ‘sabbatical?’ Am I better off just staying here for that 1 year?

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When I started as a PCCM fellow, the growth curve was STEEP. I by no means consider myself as someone who’s learnt everything at this time. But the fact is, I can ‘get by’ my workday just fine with whatever I know.

ICU admissions, consults, Pulm clinic for the most part have become bread/butter. I know that’s the point of training. But at the same time, I don’t want to get complacent and stop learning.

Don’t mean to sound like a podcast bro, but I am wondering how have other folks on this sub challenged themselves to raise the bar? How do you push yourself to be and do better?

Would love to hear any tips/anecdotes!

When I started as a PCCM fellow, the growth curve was STEEP. I by no means consider myself as someone who’s learnt everything at this time. But the fact is, I can ‘get by’ my workday just fine with whatever I know.

ICU admissions, consults, Pulm clinic for the most part have become bread/butter. I know that’s the point of training. But at the same time, I don’t want to get complacent and stop learning.

Don’t mean to sound like a podcast bro, but I am wondering how have other folks on this sub (MDs, RNs, RTs, pharmacists etc.) challenged themselves to raise the bar? How do you push yourself to be and do better?

Would love to hear any tips/anecdotes!

Fellow here at an academic program. Recently awarded an intramural seed grant. The whole point of the seed grant was to work on the project and use interim results to further apply for external funding.

I did all the work on writing and applying for the grant. Had great help with edits from my mentor (also the PD). I was hoping to apply for external funding and a travel award. This would be for the exact same project with expectations of the same results, nothing extra. (Even the exact same proposal that needs to be submitted).

But my PD feels I might be spreading myself too thin. Which doesn’t make sense since I’ll be expected to provide the same magnitude of results as I would for the

Fellow here at an academic program. Recently awarded an intramural seed grant. The whole point of the seed grant was to work on the project and use interim results to further apply for external funding.

I did all the work on writing and applying for the grant. Had great help with edits from my mentor (also the PD). I was hoping to apply for external funding and a travel award. This would be for the exact same project with expectations of the same results, nothing extra. (Even the exact same proposal that needs to be submitted).

But my PD feels I might be spreading myself too thin. Which doesn’t make sense since I’ll be expected to provide the same magnitude of results as I would for the

I know variations of this question have been asked on this sub before. But I’m more interested in one’s value systems that guide their decisions.

I’ve always wanted to achieve my goal of financial independence. Just so that I don’t feel tied to a (bad) job, have better hours, support my parents (which has been hard to do with limited time off as a resident/fellow), pursue my hobbies, and like even…just go on a vacation for once. (I have not been on one in a long time).

If I do decide to take a job towards this goal, I would be giving up on my research and academic interests. Not to mention being limited to a smaller city feels restrictive to my personal growth as a single 30 year-old mal

In the past, private practice likely meant limited (or no) research involvement.

But given the clinician educator tracks sprouting up these days, I wonder if the old academic=funded researchers dictum still holds true? Considering academics can commit to purely clinical-educator or clinical-admin tasks.

Curious if there have been folks who have made this transition, and how have their experience been. Do academic programs consider you ‘less desirable’ after you’ve worked in the community?

In the past, private practice folks may have been considered ‘less desirable’ due to their limited research involvement.

But given the clinician educator tracks sprouting up these days, I wonder if the old academic=funded researchers dictum holds true? Since academics can commit to purely clinical-educator or clinical-admin tasks.

Curious if there have been folks who have made this transition, and how have their experience been.

Didn’t get much of a response on the Pulm sub. So asking here.

My program has the usual rotations (ILD/IP/PH). But I’m hoping to get more pleural disease related experience (things like IPCs, pleuroscopies for instance).

I’ve seen centers in the UK with established pleural services. Would appreciate any suggestions from folks at such centers on what such a service/rotation looks like for fellows.

Ultimate aim is to get a pleural disease track for more exposure. And since pleural related conditions are so erratic, it’s hard to maintain a dedicated service like ILD for instance.

I do have buy in from my PD, but want to go with at least a basic overview of what such a service looks like

My program has the usual rotations (ILD/IP/PH). But I’m hoping to get more pleural disease related experience (things like IPCs, pleuroscopies for instance).

I’ve seen centers in the UK with established pleural services. Would appreciate any suggestions from folks at such centers on what such a service/rotation looks like for fellows.

Ultimate aim is to have a pleural disease track at my program. I do have buy in from my PD, but want to go with at least a basic overview of what such a service looks like.

PCCM fellow here.

I’ve been a decent guy. Received shoutouts from ICU nurses & residents who work with me for helping out and having a good attitude (I honestly feel it’s a bit undeserved lol).

Occasionally I’ll have disagreements with some of the hospital staff (ER/Cards/Hospitalists) etc. But always remain cordial and move on easily.

2 weeks ago, the chief of Oncology yelled at me over the phone. Can’t share details but it was completely unprovoked. I even put it on speaker and a cofellow and my attending heard it. He’s apparently known for being a jerk.

I filed a formal complaint with my program chief. Wrote all the details with time stamps and some quotes from our convo. Also rai