Pulmonary/Critical Care Fellowship Training
John G. Mastronarde, M.D.Director, OSU P/CC Fellowship
Program
Why do Pulm/CC?
• Decisions• Diversity• Demand• Destiny
Decisions
P/CC FellowshipDecisions
• Pulm/CC docs make decisions• ICU requires attention to detail and ability
to decide on a plan of care• Do not have to be brightest bulb in bin• Pulm also need to make decisions but not as
intense usually as ICU
Diversity
P/CC FellowshipDiversity
• Many career options now opening via P/CC• Traditional path is do both P/CC• Intensivist path is mainly CC• Outpatient/consults do mainly Pulm• Further fellowships/training:
– Sleep– Transplant– IP– PH– CF
P/CC FellowshipDiversity
• Outpatient practice is a mixture of chronic disease management and folks needing procedures
• Consults either acute flares or procedure requests• ICU is ICU• Upshot of diversity is more readily available for
family oriented folks (see McCallister)
Demand
P/CC FellowshipDemand
• Current atmosphere is calling for an intensivist to be involved in all ICU care in the U.S.A. (Leapfrog Group)
• Not enough ICU trained docs• Demand is high• Lifestyle has changed in response• Salaries climbing
– Private Practice: $300,000 - $350,000 to start;– Academics $150,000 – $200,000 to start
P/CC FellowshipDestiny
• If you like the ICU, you like the ICU• Issue centers on what you like in the ICU
– Just procedures?– Management of plan of care?
Discuss
P/CC FellowshipDiscuss
• I am happy to meet and discuss fellowship training
• Pulmonary Interest Group has several Happy Hour outings w faculty/fellows attending
• Email me if you are interested in meeting and coming to the Happy Hours (free beer)
A TRADITION OF EXCELLENCE