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  1. I’ve been having some discussions about doing a CCM residency at my institution after completing my residency. Everyone seems interested in me doing it. A few things would have to be altered such as my current residency would have to be extended 4 months (for a total of 22 months) to coincide with the start of the fellowship, which they also seem interest in doing. In exchange I would also get more elective time. I’d prefer this over doing locums so it would be a simple transition, but isn’t necessary. The CCM residency is a year long and pays about 7-10k more than I make now (which isn’t much lol), so in total I’ll have done just shy of 3 years post grad training. The talks are going that I would eventually split my time between CCM and EM like the docs with 6 shifts per month in the ED and 1 week per month in the unit. It would be more for management of the various ICU patients (rotate through Cvicu, micu, snicu, picu, and other areas) as I’ve already learned the majority of the procedures, though I would learn bronscopy and percutaneous trachs. Pros: I think it would just be cool to be, I think, the first formally dual trained EM-CCM and truly fellowship trained PA. it would be nice to have the variety of working CCM and EM. I have more GI bill to use to supplement my income, which pay about 1900 per month. it would help with my PSLF. The less I’m paid the less I pay them, and finding a non-profit to work for in EM with all the groups is hard. maybe could led to some consultancy work establishing residencies elsewhere? Or maybe speaking/lecturing/podcasts for EMRAP? Con: another year putting off settling down, renting a so so house, thoughts? Should I just go straight to work? Am I overinflating the pros?
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