depends on what you like. In my group there are 2 EM/CC docs. No anesthesia CCM. But if you want to have options like clinic in the future, should consider Pulm/CC
we do not get paid extra to do supervising NP , PA, or APPs.
Now with the new billing that came into place, we can bill for additional time if we did extra besides writing a cosign note with APP's initial encounter. Our hospital is pro-APP
whenever you do additional critical care work. Usually it is the night people who do crosscover who do the extra billing
Some do not and we underbill way too many times. People undervalue their work and time in my group unfortunately
15 shifts per month sounds decent. I average out to be that. You can always moonlight if you want more.
I get on the average one week of ICU a month. The rest is clinic and inpt pulm. But each is compartmentalized. You don't ever do pulm and cc on the same day. But clinic follows you everywhere...
it will give you options if you want to cut back in the future and do just clinic and inpt pulm. no overnight calls when you do just pulm
if you want to do the ccm route, even our APP now do bronchs and chest tubes... so...
If you do CCM only, then you will be just doing Inpt work for a while...
when our locums PCCM work with us, if for pulm, they usually pick up clinic shifts. if for ccm, they pick up icu shifts.
we don't usually ask locums to do our pulmonary procedures. would get bronchs in icu if you sign up for that, just fyi.
we need 10 bronchs every two years to keep credentialing up
always make time for questions . uworld for sure. make note cards of this
nah you don’t understand . make a high yield notes for you to review last minute.
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