types of ICU doctors: anesthesia, surgery, internal medicine, emergency medicine, neurology

What do anesthesiologists, surgeons, internists, neurologists and emergency room doctors all have in common? They can all become intensivists [ICU doctors]! In this video, I go over the years of training, a couple of similarities and differences between the different pathways. Let me know what your thoughts are on the different pathways to becoming an ICU doctor in the comments below!
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[@SFROutdoors]

Excellent video! I am a first year medical student who is interested in Critical Care but did not know of all the ways one could get there, looks like IM is the quickest way (unless EM to CC is also 5yrs) thank you for sharing your perspective!

[@SoloJedi_]

YES!!! The video I’ve been waiting on. THANK YOU, I received a full tuition @ my school to pursue primary care & am interested in IM & then ICU, Heme/Onc or GI & this video is sooooo helpful

[@AmandaSXiMD]

Congratulations on your full-tuition scholarship! Glad this was helpful.

[@udenilsonjunior]

your videos are amazing, thank you!

[@brosam2643]

Another consideration is jobs. It seems to me that it's hard to find a job doing both anesthesiology and critical care in private practice. Most places seem to prefer pulm/critical care. Most the anesthesia/critical care jobs I've seen are in academia but not everyone wants to end up in academia. Maybe it's best to get a critical care job and do anesthesiology on a locums basis.

[@AmandaSXiMD]

This is an excellent point! I think with the anesthesia critical care route it's much easier just to do 100% one or the other (so if you approached a medical group to staff their ICU, it'd have to 100%) but to do both, most of us have to be at some sort of academic medical center.

[@spiritmediumclaytonsilva649]

Great video

[@dann_2016]

Thanks for the video. I'm a respiratory therapist intern this video was helpful. What type of physians usually are in the team in the same time? My team usually have 4 physians and one consultant. But I don't really know their specialities yet as I have just started my intrrn year

[@veereinsheorayan247]

So with the split practice between services could that also mean that e.g. an anesthesia critical care doc caring for a patient in the icu would then become their anesthesiologist if that patient required urgent surgery?

[@AmandaSXiMD]

That's an excellent question! Typically as a critical care anesthesiologist, when we are on service as the intensivist (in the ICU), we are not actively providing care in the operating room. This being said, I personally have had very complex patients I've provided the anesthetic for, then dropped off the patient in the ICU and cared for the patient as their ICU doctor a day or two later. I've also had patients that I've cared for in the ICU that I take care of during my operating room day. But typically, when we are in the ICU, we stay there for the entire day rather than move with the patient into the OR. Hope this explains things!

[@torreypoon4833]

Quick question: Can a critical care anesthesiologist (like yourself) work a 7 on, 7 off schedule?

[@AmandaSXiMD]

Yes, this is an option for just about any intensivist, but you'll find that this type of schedule is dependent on the practice. This type of schedule is more common in community practices.

[@marccalidonio2260]

How much do you think research plays a role in landing a fellowship? Can you give any advice to a M2 heading into rotations this coming summer? Im interested in IM --> P/CCM so any advice on building a beefy resume?

[@AmandaSXiMD]

At this stage if your career, I suggest that you primarily focus on doing an excellent job on your rotations, making connections, and asking questions that help you decide if a particular specialty is the correct path for you. If you read some of my older blog entries (blog.amandaxi.com), I actually thought I was going to pursue OB/gyn, but the clinical experience helped me see that it wasn't a good fit for me.
It's good to get some research experience so you understand how to read, critique and apply literature to your practice. Unless you want to be at an academic center and build a research career, I wouldn't stress on doing some sort of major project; just do something that you can produce output from like a poster presentation. Start there then build from it.
Hope this helps!

[@marccalidonio2260]

@@AmandaSXiMD Wow thanks for this !

[@funnymoments1733]

Hey Amanda
I'm a med student. I'm looking for research opportunities in the field of anesthesiology.
Can you please guide me

[@AmandaSXiMD]

There are a number of research opportunities that exist locally (check with residents at your institution and see if they need a medical student to help them on a project) and nationally (FAER summer research program: www.asahq.org/faer/programs/medicalstudentfellowships/summerfellowships). Make sure to ask around so you can find a good fit for you!

[@edvardso]

i think it's peculiar that you're talking about very niche things like possible fellowships out of residency meanwhile you use terminology that is meant for the general population - breathing tube, machine that helps your lungs work etc.

[@a_n_a_s5793]

In my country and all other countries that follow the french system . All anesthesiologist are ICU doctors and no other specialists can become an ICU doctor.

[@MEKMSC]

I am an internal medicine specialist. and I love performing procedures in intensive care. After all these explanations, I started to question my fellowship choice. Should we leave this job to anesthesiologists?