Recent content by mytirf

  1. M

    Genetics/congenital heart disease in PICU vs. NICU?

    It is important to know that about yourself but be very careful about not getting adequate training to actually care for CHD. Just doing a few months as part of your PICU fellowship will really not prepare to care for complex CHD patients. I have seen too many PICU fellows who do a few months in...
  2. M

    Pediatric Cardiology Salary

    bottom line is if you are going to work in private practice versus academic medicine. Big difference in compensation. NICU is probably the only pediatric speciality that is on-par with high earning medical specialities. I wouldn't want to do anything else besides cardiology because at the end of...
  3. M

    Question about JET

    It is D. But the reasoning by royfan is incorrect It is not from an "irritable focus" that would be ectopic atrial tachycardia or EAT. Junctional ectopic tachycardia (JET) is specifically caused by inflammation and swelling in the junction from the AV node into the HIS purkinje system...
  4. M

    pediatric interventional cardiology

    Caths for pressures and anatomies are not as common as in previous years because of improvements in non-invasive imaging. However, ASD and PDA closures are still very common. Aortic and Pulmonary valves are becoming much more common place.
  5. M

    Limits of Pediatrics

    I'm a subspecialty pediatric cardiologist and I see patients "Fetus to Fifty" but usually will not see new patients much beyond 30yo. However, age is not really a good measure of where pediatrics stops and adult medicine begins. Each specialty has their own "Wheel-house" or things that they see...
  6. M

    Planning for Pediatric Cardiology

    I see more and more of our fellows coming through as prior residents. We have been burned a few times for taking outside residents and so it is certainly easier to take on a "known" applicant. That all being said, working hard, during well in your cardiac rotation and getting involved in...
  7. M

    Patient "age limit"

    I practice in a large tertiary care center and many of our patients are young adults and even older adults. Most of the problems that we treat patients with are life-long and because of a number of factors are not really in the skill set of most adult physicians even specialists. I think that...
  8. M

    Pediatric Cardiologist - The real life?

    Honestly that sounds like a perfect lifestyle to me. Fairly typical for a non-academic setting. Frankly a perfect mix of invasive and non-invasive time.
  9. M

    I find general peds boring. Should I forget about applying to peds residency?

    I have to agree with a number of posts here. If you don't like general pediatrics don't do a general pediatric residency or try to pursue a pediatric fellowship. In nearly all of the sub-specialities you will continue to draw upon your knowledge of diagnosing and treating basic pediatric...
  10. M

    Nonclinical volunteering?

    Several schools I applied to, were separate MD and PhD programs. I did not have one minute of volunteering or candy stripping or shadowing of physicians. I had no clue that it was important and it wasn't something that I did naturally. And frankly that is the case...what you actually like doing...
  11. M

    Questions from a prospective MD/PhD applicant.

    You have described an actually very diverse set of goals and desires regarding your career planning. I applaud you on your proactive thoughts regarding your future career, but I would caution you some in a number of areas. 1. As had been said before, don't pigeon-hole yourself into notion...
  12. M

    Weird surgery rotation question

    This is not excatly true. There are a number of small or medium sized residencies that have pediatric surgical rotations where the pedi resident is a vital part of the team and not infrequently scrubs in for procedures. I have known residents to first assist on GTUBEs and appys. Certainly it is...
  13. M

    New ACGME guidelines - any insight?

    I have to confuse, that while on one hand the concept of limiting hours to 16 for interns is a good idea, I do think there will be something lost in the training. I wasn't an intern too long ago, but I do remember that some of my most important (and harrowing) learning experiences, did occur...
  14. M

    Got a 207 on Step 1. Am I still in the running for a competitive peds residency

    To be honest, it actually makes what you have done. Just to have a PhD, MPH, MPP, MBA, MDIV, MDIC, it doesn't really matter. What the committees are looking for are people who have done things and can do things. I have know people who were teachers, engineers, scientists, bouncers and have...
  15. M

    Peds Cardiology Fellowship

    Pediatric cardiology is a great field, but I would have to say it is the most unlike the other pediatric fellowships, NICU, endocrine, CCM, EM etc. This is because ones lifestyle, practice schedule and compensation vary greatly depending on where you work and what aspect of pedi cards you...
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