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I’ve worked in ECC and referral medicine for a long time. What exactly are you wondering about?
Are you a doctor or a tech? There are openings for both in many, probably most, specialty hospitals. As a tech, if you’re in a specialty dept then you would assist that doctor with appointments and procedures and assist the ER with any patients that your dept admits. The specialists and the ER docs/criticalists consult frequently as needed. Switching depts isn’t impossible, but the process is specific to each hospital. Getting along isn’t generally a big issue, we are professionals.
Are you looking for a specific role within a practice, or are you confused about your role in your current practice? It sounds like you might be looking to switch, but it might be worth clarifying with the other doctors at your office -- maybe there's an issue that could be resolved with clear communication?
I have experience with specialty practice in critical care. It was an incredibly rewarding experience, as the level of care required and the complexity of the cases were intense. The job outlook for specialty practice in critical care and internal medicine is very positive, as the demand for highly trained and experienced practitioners is increasing.
Are looking for the difference between critical care and internal medicine? I would say internal medicine more so deals with chronically ill patients and critical care is more for patients that are in a life threatening condition like if they were hit by a car. Hope this helps