Quote from tatarn2007
Hi. I am graduating in May and trying to decide where to work. It seems like every hospital is about the same in pay/sign on bonus. I was wondering if there was a reason someone works for a hospital over another hospital. I feel overwhelmed by the choices out there. Any info is appreciated. Thanks!
Depends on what you want to do...specifically, what kind of ICU.
If you just want adult ICU, you could probably go pretty much anywhere. All of the big hospitals have similary acuity in their general and medical ICU's.
If you want CT-ICU, go to Presbyterian. You will be exhausted and likely overwhelmed for a bit, but after two years (or less), which is usually the payback for any bonus, you will be able to work in any unit in the country and will be able to get into any graduate school. I worked in the unit as a new grad and one evening one of the travelers told me that if you can survive there, you can survive anywhere. Those patients are sick; they will fix just about anyone's aorta, no matter how tore up, transplant a heart into just about anyone (they put a liver in an AIDS patient), and they'll do a 5 vessel CABG+ventricular aneurysm repair+valve repair on a 75 year-old obese man with diabetes and renal disease who has already had a dozen stents and one previous CABG. Try keeping that fellow alive for a 12 hour shift after surg.
Their Trauma/Surg ICU and Surg ICU are equally demanding.
That said, I sent my parent to West Penn for CABG...just a nicer cardiac facility for lower acuity cardiac surgery. Shadyside has a CT-ICU as well, and a friend of mine worked in the neuro ICU at Shadyside.
Children's for PICU or NICU. West Penn or McGee's Womens for NICU. West Penn for Burn ICU, or Mercy for Burn/Trauma ICU.
I imagine things are a bit stodgy at Mercy right now as they become UPMC-Mercy. It will settle no doubt, but I wouldn't want to deal with that as a new grad.
The ICU at St. Margaret is nothing more than a "Technical Dependency" ICU or Geriatric ICU. Not someplace you want to go if you have aspirations to expose yourself to progressive medicine.
I no longer live in Pittsburgh, but if I were to go back, I'd probably go to Children's ICU's or the NICU at McGee or West Penn.