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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
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April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
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Ask the Program Director is a new feature that will focus on
providing medical students practical advice to help them navigate
the process of obtaining a residency position in internal medicine.
Issues to be covered include CV development, writing a personal
statement, the Match process, residency program interviews, and
A special thank you to Bernard J. Roth, MD from Roy, Washington
for answering this issue's Ask the Program Director
Answer: An honest answer is the
best answer. What the Program Director (PD) is looking for is that
you sincerely want to do internal medicine. A measure of sincerity
is that you have thought about what you want to do and have decided
to do an internal medicine residency to get there. If you are not
sure where you want to be in 20 years, that is OK, but you still
need to convince the PD that you are truly interested in being an
internist. So if you have a strong idea of where you want to be,
share that with the PD. If you don't, be ready to explain why you
think an internal medicine residency is important for you and why
it may open up options for your future.
Answer: The sub-specialty of
Critical Care is a separate sub-specialty of Internal Medicine and
there are several programs around the country that can train and
internist to become a Critical Care internist. To be a straight
Critical Care internist requires two years of fellowship training.
On the ACGME web site, there are 33 accredited programs listed as
offering training in critical care. Many of those programs are
actually Pulmonary/Critical Care programs that offer spots in
straight critical care. There are 132 training programs in
Pulmonary/Critical Care approved by the ACGME.
The majority of physicians who do Critical Care are
Pulmonary/Critical Care, and the most training slots available are
in Pulmonary/Critical Care. Critical Care can be combined with
several sub-specialties of internal medicine to include Pulmonary,
Cardiology, Nephrology and Gastroenterology although the first is
clearly the most common. These fellowships usually combine one year
of straight critical care with the IM fellowship to be eligible for
both sub-specialty boards (three years for Pulmonary/Critical
Care). The fellowships other than straight Critical Care and
Pulmonary/Critical Care require coordination with the program
directors to set up.
Why do straight Critical Care? If that is all you are
interested in it makes sense to do straight Critical Care. It will
be the fastest route to becoming Critical Care board certified
since it will require just three years of internal medicine
residency and two years of fellowship. This also allows you to
focus more narrowly on issues that pertain only to Critical
Why do Pulmonary/Critical Care? At age 50 and being a
Pulmonary Critical Care internist, I can tell you that I am very
glad to have the sub-specialty of Pulmonary to fall back on. Many
of my friends from training who went into straight Critical Care
are no longer doing it, because it can burn you out. I still love
it and just re-certified for the second time. In my practice, we
take turns being in the ICU. I am ready after my week or two in the
unit to get back to the clinic, although I am always excited to go
back to the ICU. From a practical standpoint, there are a lot more
slots available to train in Pulmonary/Critical Care.
Submit to Ask the Program Director and be featured in an
upcoming issue of IMpact.
Who would you like to have questions answered
by?Please select one or more
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name and e-mail address will not be posted with the answer to your
question. We will do our best to provide responses to every
question submitted, and will contact you if we are unable to find
an appropriate answer for you.
March 2011 Issue of IMpact
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