Choosing your Pathway from EM to Critical Care: 2025 Update-Choosing your Pathway from EM to Critical Care: 2025 Update

Video Transcription

Video Summary

This webcast, moderated by Dr. Natalie Tet, presents a comprehensive overview of pathways for emergency medicine (EM) physicians to subspecialize in critical care, featuring expert panelists from various subspecialties. Beginning with the history of EM critical care, the discussion highlights key milestones, certification boards, and workforce growth. The panel details four main pathways: Internal Medicine Critical Care (IMCCM), Anesthesia Critical Care, Surgical Critical Care, and Neurocritical Care, outlining application processes, fellowship structures, clinical experiences, and board certifications.<br /><br />IMCCM fellowships focus on multidisciplinary ICU exposure with elective time to hone subspecialty skills. Mount Sinai’s innovative combined 5-year EM-CCM residency integrates emergency and critical care training longitudinally. Anesthesia critical care emphasizes surgical ICU exposure with flexible electives and uses the San Francisco match. Surgical critical care fellowships involve significant surgical service rotations to prepare for complex surgical patients. Neurocritical care requires early application through the SF match, with training in neuro ICU, EEG, imaging, and multidisciplinary critical care rotations.<br /><br />The panel addresses practical concerns, such as deciding on a critical care path by exploring ICU electives, balancing emergency and ICU work post-fellowship, job market considerations, board exams, and fellowship competitiveness. They emphasize the importance of mentorship, program culture, personal fit, and flexibility in career trajectory. Overall, the session empowers EM physicians to navigate diverse and evolving critical care training pathways tailored to their interests and goals.

Keywords

Emergency Medicine

Critical Care

Subspecialty Pathways

IMCCM Fellowship

Anesthesia Critical Care

Surgical Critical Care

Neurocritical Care

Fellowship Application

Board Certification

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