RonnieAAJr Posted January 24, 2023 Share Posted January 24, 2023 I recently got into PA school and have always found exploring this form to be very informative along with helpful. I constantly debated doing a fellowship after graduation weighing the pros and cons. I have seen on this form that it is strongly encouraged by more experienced PAs. So, my question is if I had an interest in eventually going into Endocrinology or Oncology/Hematology as a PA. Would it be more beneficial to do an Internal Medicine, Hospital Medicine, or Family Medicine fellowship after graduation? Thank you in advance for reading and replies. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 25, 2023 Moderator Share Posted January 25, 2023 oncology residency at MD Anderson or Peds Endo fellowship at UPMC: https://www.upmcphysicianresources.com/news/032320-app-fellowship-training 1 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted January 25, 2023 Share Posted January 25, 2023 My recommendation would be to follow the same pathway as the physicians in those specialties. The docs probably did an IM residency and then a fellowship in heme/onc or endocrinology. However, before you plan that far ahead, get through your didactic semesters and your general clinical rotations. Then, if your program allows for elective rotations, try to get one of them in those specialties if you still think you want to go in that direction. You may change your direction based on what you learn and do in PA school. 1 1 4 Quote Link to comment Share on other sites More sharing options...
RonnieAAJr Posted January 25, 2023 Author Share Posted January 25, 2023 Thanks so much for both the replies and information. Definitely was helpful, and I have a tendency to plan ahead sometimes it tends to work against me thanks for the response. Quote Link to comment Share on other sites More sharing options...
Farafish260 Posted February 11, 2023 Share Posted February 11, 2023 Hi! I am currently doing an hospital medicine fellowship...i strongly suggest this also...heme/onc is a branch of hospital medicine and we see a lot of these patients through co-management/consults etc...if you want to build a really great career I would go HM to onc/hem fellowship...I would not do FM...regarding endo, we do not see a ton of these patients...however, I would still do HM first to gain a solid understanding of medical conditions which are likely to be present and complicate any type of patient management 1 Quote Link to comment Share on other sites More sharing options...
RonnieAAJr Posted February 11, 2023 Author Share Posted February 11, 2023 Thanks for the reply! Would you recommend doing a hospital medicine fellowship over Hemotology/Oncology first. I have found 2 fellowships in Oncology which would be the Cleveland Clinic & Mayo Clinic. Quote Link to comment Share on other sites More sharing options...
Farafish260 Posted February 12, 2023 Share Posted February 12, 2023 Do a HM residency FIRST...gain a broad understanding of medicine...then if you want to, do a fellowship in Hem/onc. Follow the physician pathway...that's why I'm doing...I'm doing 2 years residency in HM with my electives in ID and Nephrology...I had the option for electives in hem/onc but I declined as I'm not interested...remember every heme/onc specialist is a board certified internal medicine doc first Quote Link to comment Share on other sites More sharing options...
RonnieAAJr Posted February 12, 2023 Author Share Posted February 12, 2023 Ok! Thank you so much you have helped out a ton! Quote Link to comment Share on other sites More sharing options...
RonnieAAJr Posted February 12, 2023 Author Share Posted February 12, 2023 Was it pretty easy to stand out to get accepted into the HM residency? For instance my past work experience in the hospital along with degrees would it help to allow me to standout? Quote Link to comment Share on other sites More sharing options...
Farafish260 Posted February 25, 2023 Share Posted February 25, 2023 On 2/12/2023 at 5:33 PM, RonnieAAJr said: Was it pretty easy to stand out to get accepted into the HM residency? For instance my past work experience in the hospital along with degrees would it help to allow me to standout? All of my electives in PA school were IM, so I was very familiar with what the job entailed...I had 5 months of IM practice by the time I graduated PA school...inpatient 2 months (electives), 1 month "family" med at a prison (which was really IM UC, inpatient) , and 2 months at the VA, so it was easy to demonstrate my commitment to IM...past work experience unless it directly related to IM no one cared about...my biggest motivation that I talked about during my interview was caring for chronically I'll ADULT populations. Another thing about IM is you're going to have a medically, racially, economically diverse population....not to mention you'll take care of a lot of prisoners, IV drug users, homeless so show that you are comfortable interacting with people of all backgrounds etc...my electives really helped especially because I did one at the prison and VA Quote Link to comment Share on other sites More sharing options...
Farafish260 Posted February 25, 2023 Share Posted February 25, 2023 (edited) Keep in mind IM is an umbrella term for heme/onc, hospital med, ID, neph, endo, GI, etc etc...if you're going into one of the sub specialities of IM such as above...focus less on pay for the first 3 years of your career...almost all of your peers will be going for the big bucks UC and surgical assist jobs...if you love IM focus on your education...I have seen new PAs without any background in IM crash and burn during their first months as an IM hospitalist without a residency then quit and move to a different department...depending on the hospital you're at you will work at least 3 diff pt populations obs, acute, progressive (1st step down from ICU) these patients are sick sick. I would do 1-2 years IM residency, 1 year heme/onc fellowship and take the CAQ in IM on my second year once I got my 3000 hours of experience...I plan on taking mine next year once in eligible Edited February 25, 2023 by Farafish260 Quote Link to comment Share on other sites More sharing options...
Farafish260 Posted February 25, 2023 Share Posted February 25, 2023 On 2/12/2023 at 5:33 PM, RonnieAAJr said: Was it pretty easy to stand out to get accepted into the HM residency? For instance my past work experience in the hospital along with degrees would it help to allow me to standout? On 1/24/2023 at 10:27 PM, RonnieAAJr said: Thanks so much for both the replies and information. Definitely was helpful, and I have a tendency to plan ahead sometimes it tends to work against me thanks for the response. You can also do FM residency for 1 year then go inpatient heme/onc....the only reason I'm suggesting residency is because you'll get a higher level of training beyond PA school...that's where you should be focused on building your pathophysiology. Being taught how to think analytically and always asking why, trusting your colleagues but always verifying Quote Link to comment Share on other sites More sharing options...
RonnieAAJr Posted February 25, 2023 Author Share Posted February 25, 2023 Ok thanks so much for the information, you have been incredibly helpful. I have about 10 years previous of inpatient and outpatient care in cardiology, neurology, and life style management. Also some time in the cath lab so definitely have seen diversity in the hospital. For my elective rotations I'm going to be doing surgical oncology for one, and oncology/hemotology for the other. I definitely can understand the benefit in doing internal medicine residency/fellowship. Quote Link to comment Share on other sites More sharing options...
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