![]() Whatever their career aspirations or personal background, applicants to EM/IM programs should certainly love both EM and IM and be willing to spend five years training in both. ![]() Others are interested in combining work in the ED with work as a hospitalist or in pursuing subspecialty training in fields such as critical care medicine. Many of them express a great interest in academic careers, in international health or research opportunities. EM/IM applicants often have a diverse and distinct personal background with a wide variety of experiences. ApplicantsĪpplicants to combined EM/IM residency training programs, like categorical EM applicants, are often some of the best in their class. The adaptive and innovative skills enhanced by five-years of combined training are particularly useful in the often difficult or make-shift conditions faced in international and disaster medicine. In areas with few resources, the ability to manage both acute and chronic problems is essential. But the integration of internal medicine considerations into the clinical management of these patients is a very demanding task for which dual training offers excellent preparation.ĭually trained physicians are also well suited for work in international medicine. Working with emergency patients in this setting means less exposure to trauma or pediatric cases. These patients often suffer from acute exacerbations of their multiple and chronic medical issues, and the emergency care therefore benefits from the knowledge of both specialties. Collaborating with residents in different programs and learning how to share the knowledge of both specialties are important experiences which help to become a successful educator and mediator.ĮM/IM training also leads to a unique understanding of the particularities of the patient population typically seen at Veterans’ Affairs medical centers. Dual board certification highlights commitment and EM/IM training enhances leadership abilities – both essential elements of a successful career in academic medicine and the key to successful administration. Additionally, EM/IM trained physicians with board certification in both IM and EM are ideal candidates for leadership roles in the growing field of observation medicine where efficiency and continuity of care must be balanced.ĭually trained physicians are uniquely equipped to be systemic problem solvers and leaders in managing administrative issues because they have trained in almost every hospital setting and have worked with nearly every specialty. The high acuity care provided in the ED and in the ICU is complementary and a career working in both settings can provide many challenges and rewards. EM/IM doctors can confidently manage emergency situations in internal medicine settings and are able to take care of the minor surgical problems of their medical patients as they would in an acute setting like the ED.Ĭritical care medicine is a popular field for EM/IM physicians and is the most common IM fellowship pursued by EM/IM residents. Many “combined” residents feel that their internal medicine exposure helps them to better understand the pathophysiology of medical patients seen in the ED. EM/IM residents have the unique opportunity to integrate the knowledge base and skill sets of both specialties into their daily practice. Benefitsĭually trained EM/IM residents are able to confidently face acute illness and injury as well as chronic disease in the ED, the ICU, on the wards and in the clinic. About 10% work in internal medicine or a medical subspecialty only and about one out of four graduates has pursued formal fellowship training after residency. This adds one year to the training (six years total) and board eligibility in Critical Care Medicine on completion.Īlthough about half of dual training graduates are working primarily in an Emergency Department (ED), more than one-third of recent EM/IM graduates practice both in the EM and IM and more than two thirds practice in an academic setting. Additionally, three EM/IM programs offer an optional EM/IM/Critical Care training. Each of these programs has a five-year curriculum, through which residents become eligible for board certification in both EM and IM. Currently, there are eleven allopathic EM/IM programs in the country, with a twelfth one starting in July of 2010. The American Boards of Emergency Medicine and Internal Medicine (ABEM & ABIM respectively) approved the concept of combined EM/IM training in 1989. Have you ever considered applying to combined emergency medicine – internal medicine (EM/IM) residency programs? Ever wondered why anyone would want to spend more time in residency? What are some of the advantages and disadvantages of dual training? What should you know before you apply? Background
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |