Oncology or Med/tele?

Congrats on the two job offers! That is awesome!

I think the reason you have so many views and no responses until now is that it's hard to tell from your post what your career goals are. If you're really interested in oncology, even pediatric oncology, then of course it would make sense to take the oncology job. If you want to move into critical care one day then the tele job would give you a better foundation. Just because movement within the organization wasn't discussed doesn't mean it's not possible.

There's also more to consider like the driving distance, which could be a big deal for some people but not others. Personally I wouldn't want to drive more than 30 mins to work but some of my co-workers drive an hour and don't mind.

You also know the feeling you got from the different managers and the different hospitals. This is somewhere you will be spending 40+ hours a week so it might be good to go with your gut.

I find it helpful to make a pros and cons list for each of the two options. Makes it easier to see which way your heart is leaning. Maybe have a family member or friend takes a look at your lists because sometimes it's easier for someone else to see it.

Best of luck!

do you like smaller facilities? how much closer is it to home?

med/tele/pcu would probably make the transition to icu easier, but that alone doesn't mean you should take it

have you had a chance to tour the unit? what are the staffing ratios like? how many beds in the pcu?

for critical care, you will need tele skills - is there tele on the onc/palliative care floor?

how do you feel about oncology/palliative care? very different than cardiac

Based on your last two responses it sounds like the PCU might be more in line with your career goals unless the commute is an issue.

Based on your last two responses it sounds like the PCU might be more in line with your career goals unless the commute is an issue.