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Borealis7

Working As A General Internist After Critical Care Residency?

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I'm an R1 in IM, currently trying to decide whether I want to pursue subspecialty training in Critical Care or GiM. I love the idea of CC, but I know the job market is bleak. I'd be more comfortable pursuing it if I knew I could work as a general internist/hospitalist as backup. Does anyone know of any intensivists doing this? If so, what is the size of the center?

 

Much appreciated!

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I'm an R1 in IM, currently trying to decide whether I want to pursue subspecialty training in Critical Care or GiM. I love the idea of CC, but I know the job market is bleak. I'd be more comfortable pursuing it if I knew I could work as a general internist/hospitalist as backup. Does anyone know of any intensivists doing this? If so, what is the size of the center?

 

Much appreciated!

 

At my institution (large, tertiary, referral centre), a small number of intensivists also cover the wards. 

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I'm an ICU fellow, IM background. I'll be working in a community hospital with a large ICU and also covering internal medicine. There are plenty of similar community jobs available around the country if you're not picky about location. 

Can you say a bit more about jobs for GIM broadly in Canada right now? Do you foresee it being very difficult to secure a position at an urban (not necessarily tertiary) center in the next 5 or so years? It looks like that these days already.

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Can you say a bit more about jobs for GIM broadly in Canada right now? Do you foresee it being very difficult to secure a position at an urban (not necessarily tertiary) center in the next 5 or so years? It looks like that these days already.

I don't have a good sense of that since I already have an ICU/IM job lined up for me. I have heard there are really no GIM jobs in either academic or community hospitals in all of greater vancouver, though there are lots of locum opportunities and they sometimes lead to a permanent position if they like you. I don't know if the same is true for other big cities around the country. There are some GIM people on these boards so I wonder if they can verify what I've heard.

Edited by leviathan

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Humm...I think that GIM jobs in academic hospitals are pretty saturated. You need at least a master and 1-2 years of fellowship in hopes of landing a job as a staff.

In the community, perhaps there are more jobs. As a General Internist, the practice is more diversifying in the community. You see more interesting cases, also less IM specialists, so you take care of all the complex patients. The bad side is no residents to do calls for you in the evening, and you do have to be there for the whole weekend for HypoNa and imbalanced diabetes consults  :P

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