Shattuck TY Boston, H1 STATUS UNKNOWN

Shattuck TY Boston

The most run down hospital I have been in so far (not including India, of course)

The other candidates were all AMGs from really great schools in the Boston area. When I kind of mentioned that this particular TY seemed like a rather tough year, they disagreed with me. They said that this is pretty much what all TYs are like in the Boston area, including the Brockton one. (clarify this with AJ)

The commute to the other hospitals (Lahey will require buying/renting a car) is not that bad because mostly you're going against traffic. The resident that took us around used the T to commute and only rented a car for his Lahey months.

This hospital has in house: women's shelter, homeless shelter, psych floor and prisoner's floor. There are guards EVERYWHERE, just swarming all over the hospital. The resident reported that he never felt 'unsafe'.

SCHEDULE
3m Int Med Shattuck: this is floors+ICU, ICU is 3 bed step down, not real 'ICU'.
2m Int Med Lahey
2m Surg Tufts Medical Center (for anesth, 1m in SICU)
1m ED Tufts (4 to 5 eight hour shifts/week)
1m Clinic Shattuck: 9-5 MtoF, PCP and specialty care
2m electives

usually ~6m at the Shattuck (4m plus 2 electives if done here), 3m Tufts Med Center, 2m at Lahey

Most really acute patients are transferred out of the Shattuck to Tufts or elsewhere. No on site imaging. Imaging is mobile that comes by a certain number of times a week. Attending I interviewed with said, if a patient is acute, we will def NOT admit him here on a fri afternoon/weekend.

TEAM AT SHATTUCK:
single TMC third year,
4 PGY1 residents
Med students

Since this team is headed by ONE senior, avg cap is about 4-5 patients/intern. Admissions: usually 2-3 per long call

CALL
Night float: 6p to 8a weekdays, 8p to 10a weekends

Getting to Lahey: Traffic but apparently not an issue. Team: 2 interns + 1 SR. Long call q4 till 8pm. Short call q4 till 4pm. NO CLINIC RESPONSIBILITIES HERE.

2m electives can be international. Some residents do an 'educational elective' in medical spanish in foreign location.

Lots of emphasis on the underserved: lots of BBP, substance abuse disorders, undiagnosed psych issues. Once a month group meet in a safe environment that allows you to talk about everything you see here in a safe environment.

Correctional facility patients: 35 bed facility.

CONS:
You never get to know your fellow TYs because they are always someplace else. BUT I HAVE ENOUGH FRIENDS IN BOSTON TO BE HAPPY HERE WITHOUT MAKING MORE FRIENDS.

CONCERNS
-H1 B
-Will they be mean to me at Tufts, Lahey?
-Will I get enough procedures? Since my major ICU experience will be at Tufts Medical Center.
-

This place seems really really unique, and appeals to me on a completely new level. I like the idea of being able to provide care to people that are underserved.

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, Advanced, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

1.7 Temple Uni Anes, Philadelphia, H1B, Advanced, requires prelim

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.1 Lemuel Shattuck Boston TY, H1B possible

4.3 Conemaugh Memorial, Johnstown, PA Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

4.8 WHRE, Youngstown OH, Int Med, MAYBE H1

4.9 Howard Uni, DC, Int Med, J1 only

5. UIC MGH Surgery, Chicago, only J

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

8. Hurley Med Ctr, Flint TY. J1 ONLY

9. Bronx-Lebanon, NYC, Surgery H1B possible

Conemaugh Int Med - Johnstown, PA (4 spots)

This is western Pennsylvania, and I fell in love with the beauty here. Even in the winter, it was gorgeous. Not a single level or flat street: everything, the entire city, winds up and down the hills.

The hospital itself consists of 5 connected buildings, they span more than one little hill. So the hospital kind of undulates its way over the mountains, the quaint little buildings don't really match their levels. So floor 2 of one building might connect to floor 5 of the next building because of the hills.

There are beautiful picture windows everywhere, looking out over natural scenic beauty as far as the eye can see. It was so gorgeous in the winter, I wonder if I will be able to take the beauty of spring, summer and fall.

Passport scare happened here.

The every day pace of this place seemed incredibly laid back. Resident camaraderie is good, they seemed happy. Cheap cost of living. I was told that the nurses were eager to help, to 'own' their patients. That they'd go out of their way to discuss their cases with you (which I thought was nice).

SCHEDULE:
6m floor
2m ICU
1m ER
3m Electives (can do Anesthesia)

CALL:
Long call usually once/twice a week
Short call from 4-7pm
Night float: 7 to 7. Total 1m of float, split into 2x2weeks, on floors ONLY. 6d/week. Elective people cover that once day off which is usually sat/sun.
ICU call q3 or 4, depending on number of interns. This is 4p to 7p, usually 2-3 weekend calls/month

VACATION: 3 weeks (4 including the christmas/new year week)

Okay lets be more organized:

PROS:
-H1 possible
-resident camaraderis
-interactive didactics
-beautiful, laid back, nice people/nurses
-cheap rent 400-500/month

CONS:
-Johnstown: hard to get here from India, hard to get out if trying to interview
-no Anesth support if I don't match to anesth
-dead, apart from natural beauty

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, Advanced, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

1.7 Temple Uni Anes, Philadelphia, H1B, Advanced, requires prelim

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.3 Conemaugh Memorial, Johnstown, PA Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

4.8 WHRE, Youngstown OH, Int Med, MAYBE H1

4.9 Howard Uni, DC, Int Med, J1 only

5. UIC MGH Surgery, Chicago, only J

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

8. Hurley Med Ctr, Flint TY. J1 ONLY

9. Bronx-Lebanon, NYC, Surgery H1B possible

WRHE, Youngstown OH

Int Med Prelim, 5 spots, J1 only

Program is in the process of applying for 'not for profit status', once that is done (MAYBE by March 2014) they will start sponsoring H1s. Contact the Designated Institutional Official Ms Kimberly P Howe before ROL deadline!

SCHEDULE: 13 blocks of 4 wks
Floors 5m
MICU 2m
Electives 3m
Primary care 1m
Night float 1m
No clinic

Interviewers:
1. Dr Bailey
2. Dr Brar

VERY pleasant interview experience. Pre interview dinner was awesome. They gave us a lil 'care package' at the end. Program Coordinator was awesome. Very helpful and smiley and kept us entertained the entire time.

PROS
-Possibility of continuing into PGY2 Medicine if nothing else works out.
-Everyone is really nice
-Youngstown so cheap: One bedroom apartment ~500/month. PGY1: 45,000. Less than others but apparently really good for Youngstown cost of living
-On call meal allowance $160/month
-$500 book allowance
-PAID orientation beginning June 24th
-Close to Cleveland, Pittsburgh
-CALL schedule: Night float system in place. Once a week on elective/primary care blocks will have to do overnight shift on either Fri/Sat/Sun night.
-Admitting on floors q4. On ICU q3
-PD offered that Pulm and Cardio rotations are popular for anesthesia. Can do 1m Anesthesia.
- I LOVED THEIR DIDACTICS!!! SO MUCH FUN! Extremely interactive case discussions, 'detective work', the socratic method very much apparent.

CONS
-Middle of nowhere
-Need a car
-H1 uncertainty
-No real Anesthesia support
-Residents seemed happy, but seemed like this was not their first choice. All of them said that they hardly had any interviews.

Soooo probably JUST below Howard. Will have to think about finances when prioritizing between Howard and Youngstown.

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, Advanced, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

1.7 Temple Uni Anes, Philadelphia, H1B, Advanced, requires prelim

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

3.5. Hurley Med Ctr, Flint TY. H1B possible

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

4.8 WHRE, Youngstown OH, Int Med, MAYBE H1

4.9 Howard Uni, DC, Int Med, J1 only

5. UIC MGH Surgery, Chicago, only J

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

9.Bronx-Lebanon, NYC, Surgery H1B possible

Howard DC

Howard, Prelim Med, 13 spots, J1 only

I really liked the feel of the place. In the heart of DC, residents seemed really nice. Everyone I crossed in the hallways told me to have a good day. Man in elevator chatted with me and told me 'he was on room air' when I asked how he was. Then he elaborated: 'On room air is a big deal down in the nursery where I work' He went on to tell me 'I have a nice smile, keep smiling always'

Random person on the floor walked me to the interview room, that was nice. Everyone I spoke to was incredibly nice and helpful. PC is annoying, her demeanor is loud and less than professional. She ordered us around at lunch and made us stand in lines like we were cattle. She would scream across the room when talking, making it impossible to carry out a conversation with the people sitting with me at lunch. Ugh.

Residents: very forthcoming, very happy. They seem happy working here. Lots of IMGs, Indians and African Americans. Ran into people from Ethiopia and Turkey. Culturally very diverse, I would enjoy learning here.

Interview: Single long interview with associate PD. I was the last one in the entire group to interview. We started with 'Tell me about yourself' and I talked for a while. It was nice, he seemed very receptive to everything I had to say. He told me I have excellent scores, excellent letters and good clinical experience. Said I had a good shot of matching into Anesth with 7 interviews. He seemed to like my profile. Said 'Let me be honest' and went on to say how PGY1 prelims can get seamlessly absorbed into categoricals as PGY2 if advanced anesth does not work out. Said, we fully support you to follow what you want to do, but if you can't get it, and you're a good prelim Med intern, then we will keep you.

I really enjoyed my time with the associate PD. He is originally Indian from a long time ago, but born in Guyana (South America). He seemed very laid back, the way he talked. Very approachable. The others told me he is poker faced during the interview, but I felt that he gave me positive responses very clearly.

At some point he asked me about my strengths and weaknesses, and what I am looking for in a residency program.

PROS
DC is awesome
Hospital is nice, people are really nice
Great safety net: can get into the int med categorical program on J1
Can to anesth elective OUTSIDE (not available in house) But they will support the paperwork to make it happen somewhere else
Focused didactics, most residents are able to make it consistently. 75% mandatory attendance
EMR present by June
Great patient population: Inner city hospital
Intern caps are honored.
Schedule: 4m med floors, 2m ICU/CCU, 1m EMed. Rest is onco, neuro, ambulatory care (non internal med ENT/PMR/GYN/adolescent med/uro) and 1m elective
All rotations at Howard Uni
If I attend continuity clinic, then can transition seamlessly to PGY2

CONS
J1 only
DC is expensive, apartments cost $1000-1200 a month at least
Vacation time: must be taken in a single 3 week block
CALL schedule: on floor and ICU is q4.
Night float 9pm to 7am for 4-6 weeks: can be floor or ICU.
Overnight call on fri/sat night cos no night float. Happens about twice a month, 24 hour call

This place will be at the bottom of my primary list, below H1s and Anesth but above all other meaningless J1s.

CURRENT RANKING:

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, Advanced, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

1.7 Temple Uni Anes, Philadelphia, H1B, Advanced, requires prelim

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

4.9 Howard Uni, DC, Int Med, J1 only

5. UIC MGH Surgery, Chicago, only J

5.5. Hurley Med Ctr, Flint TY. H1B possible

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

9.Bronx-Lebanon, NYC, Surgery H1B possible

Temple, Anesth

Temple, Advanced, 8 positions

I love Philadelphia. It is a beautiful, beautiful city. There is a lot of pathology to be seen at Temple.

My interview experience was strange. PD walked into the room and spoke extemporaneously about the program rotation by rotation, took 90 mins. He seemed approachable but did not ask us to introduce ourselves/did not foster a discussion of any sort. He left immediately after the talk and the interviews started after.

Dr B: Seemed friendly, asked me why anesthesia, how electives, where electives.
PD: Before I even sat down, had asked me to describe the qualities that would make me a good anesthesiologist. Talked about my future goals.
Dr F: The nicest, it felt like he really wanted to get to know me, and we talked about his vision for the residency program.

Residents: They were in and out fast. Tour was short and quick. We went inside the OR but only at my insistence. ORs seem good, spacious. No EMR yet, getting it next year

PROS
H1B possible
PHILADELPHIA
Level 1 trauma and burns
Transplants including liver
Most rotations at Temple: 32-33months at Temple
Great patient pop: Underserved, inner city as well as very advanced referral cases
32 full time faculty, 50% trained at Temple, the rest trained outside.
9w orientation starts with CA1. Classroom orientation, sim center, assigned faculty member for structured learning.
CA1: 75% finish a CT rotation
Critical Care month in CA1:staffed by 2 surgery, 1 anesth, 1 E med resident with equal responsibility. Call every 4th day on critcal care month.
Neuro ICU in CA2: Anesth is the only resident working there, day rotation, no call.
Peds at CHOP: fantastic, 8 weeks, all teams start and finish on the same day, didactics for 8 weeks, well structured and the same no matter when you do it during the year.
CA3: 5.5months of selectives: Rank order wishlist and he tries to accommodate everyone's top priorities. Popular: Neuro, Cardiac, Thoracic, Peds at CHOP-peds cardiac anesthesia. St Chris rotation where you can manage OR board.


Didactics: Not great, but getting better. 6:15 to 7am resident conferece on Wed. Followed by grand rounds/m&m/case conf 7-8am.
Tuesdays: CA 1 and CA2/3 have separate lectures, protected time.
Mock orals happen 3-4/year for CA3, and 2-3/year for CA2.

Support of national meetings if presenting. Will only sponsor for ONE DAY that you're presenting at. IF you want to stay longer, pay for it yourself.

Iphones for intra hosp communication

Free parking
$500 book allowance/year

CONS
No Peds here: All peds at CHOP or St Christophers, Mandatory 3m peds rotation there. No other peds at Temple, no peds trauma to temple. Basically don't see any peds cases at all while at Temple.

No transition to private practice rotation

Barely any international elective opportunities: these have to be set up at residents initiative, not easy to get done

Research: weak, not mandatory, no dedicated research time during CA1 CA2. Can take a few elective research months in CA3 (between 3 to 5 m) to finish/publish papers.
Sim Center access only 3 to 4 times/year.

CALL: 24 hours, till 7 am. 6 calls/month throughout residency, no changes. In CA3, you can arrive at 11am. Call team: 2 attendings (1 OB), plus 5 anesth providers (resident/CRNA)

CA3: No 'running the board' rotation. Can maybe work 1 week with schedule runner, thats it.

Realisitically, will only use Sim lab 2-3 times/year

I asked Residents: 'Getting work done vs Resident education' They said, its 50-50.

Surgeons not pleasant to work with, not sure how much the Anesth attendings stand up for the Anesth residents inside the OR.

Didactics are not structured enough in my opinion.

CALL is so frequent. Work hours: Get in at 6am, usually stay till 6pm.

NO EMR yet, but will have by 2015. ?take it for granted?

CURRENT RANKING:

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, Advanced, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

1.7 Temple Uni Anes, Philadelphia, H1B, Advanced, requires prelim

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

5. UIC MGH Surgery, Chicago, only J

5.5. Hurley Med Ctr, Flint TY. H1B possible

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

9.Bronx-Lebanon, NYC, Surgery H1B possible

Abington Memorial, Philly (I LOVE PHILLY!!)

Surgery, 4 prelim positions, J1 only (exceptions MAY be possible)

Interviews:

Dr W: Asked about clinical rotations, asked me to reiterate my interest in Anesth. Asked me why surgery over Int Med/TY. I talked to him about learning to optimize surgical patients, being part of the OR team. Talked about 'what do you do outside of the hospital', I mentioned reading and naturally he didn't seem too happy. He asked about physical pursuits and I told him about running and working out and waterpolo team in college. Said 'I want my residents to be happy outside of the hospital, happy residents are those that have a life'
'You wont get weeks and weeks off to interview next year. Our responsibility extends only over this prelim year, we do not invest our time finding you a job after. You cannot take too much time off, because you are not a child anymore, you need to grow up and step up to the responsibilities as a surgical intern' Ugh...

Dr M (PD): Excellent credentials, he said. Talked about my experience as a visiting student, I emphasized the hands-on nature of the rotations, that I didn't do any more after graduating because it would have only been an 'observership'. I talked about my excellent interview at LSU, he asked if they require a prelim from outside (I said yes. Oh no. Lie). He asked me to rate my clinical skills on a scale of 1 to 10. I laughed, then I said, 'My skills are good, I have no problem communicating with patients, getting a history or doing a physical exam. I have never had any problems with patient interactions' He replied saying, I believe that, I can see that from the way you present yourself. Just from talking to you for five minutes, even though I have never worked with you, I can see that your clinical skills are probably good. I said thank you. (It is hard to market myself this way, I feel like I am objectifying myself, creating a 'brand' and selling it mindlessly. I am still extremely awkward about it when an interviewer compliments me on my self-motivation/grades/communication/whatever) I just say 'thank you, I appreciate it.'
I sold myself pretty hard to him.
I asked about maybe completing some sort of research in my prelim year, he said, 'I will be the last person to stop you from doing that. However with your 80 hour work week and adjustment issues etc, I'd be happier if you would take some time off to just relax and be happy. I want residents to be happy. If however you are motivated to do something I wont stop you.'
Also 'yes you will have time off to interview next year if you need it. We want you to be successful, we will support you'

Dr N: Talked to her about the ICU experience. Talked about why surgery prelim for anesthesia. Talked about living in the area, talked about needing a car. Talked about an elective month in anesth during my prelim year, she says they try their best to be flexible but are not always able to accommodate. Talked about 'surgical experience in India'. I told her about internship year in India. She asked 'do you know how to scrub/have you scrubbed in'. I was amused. 'Yes I have scrubbed, assisted, done a simple case under supervision. Have closed skin several times. Done a lot of procedures: pleural taps/ascitic taps/lumbar punctures etc. Not sure if that is relevant to surgery....she interrupted and said, 'Well procedures are procedures, either you can do them or you can't.'
She rushed me out pretty quick saying 'I'm sorry, I have other people to see'

PC talked to me, separate short interview about visas. Really appreciated this one.
She said J1s only, I showed her the info packet that she gave to us where it said clearly H1 is available. She apologized for the misinformation and said thank you for bringing that to her notice.

I told her I was taking step 3 soon, and she wrote it down, I asked why it mattered, she said 'well it's always good to know'
I asked if there were any exceptions to the J rule, she said 'Yes'
I said 'are you getting my hopes up?'
She said, 'just keep us posted on your scores' Cryptic. But I appreciated that she told me that it MIGHT be negotiable.

Call:
-4w night float: 1 SR+2JR+2 Interns to cover. No transplant/cardiac emergencies, mostly vascular/general/emergency
-No home call
-12 hour calls on both weekend days to maximize availability of golden weekends
-Sometimes Sat overnight call
-Every 5 wks, 3 weekends working, 2 weekends golden




PROS:
-H1 MAYBE
-PHILLY! I love Philadelphia. I really liked Abington too. Safe neighborhood, rich.
-Residents are happy
-Full support for presenting at conferences
-Private practice but lots of autonomy
-Busy ER: 100,000 visits/yr
-Lots of geriatrics
-Lots of faculty are products of Abington Memorial's surgery residency and so they are personally invested in the quality of education here
-Protected didactic time about 1 hour in the mornings twice a week
-Lots of procedures. Interns avg 120 log-able cases/year
-Chief's clinic: resident run clinic, faculty supervised. Lots of autonomy. Underserved patient population.
-Students from Temple, Drexel and PCOM

CONS
-Week long blocks for vacation
-Not sure how much time off I'd get to interview again next year. Chiefs said usually 7 days given for interviews. This does not seem like enough time. Chiefs make the schedule and they seem supportive, but not incredibly supportive.
-No dedicated research time
-Hard hard work
-Level 2 trauma, mostly blunt, nothing penetrating
-No anesth rotation in PGY1
-No dedicated ICU rotation, just enough to get the required experience on the transcript. Interns part of the Trauma service, which includes rounding in the ICU every morning for a month and managing incoming trauma's the rest of the time. Not sure if I'll get enough?
-No electives in PGY1
-No outside rotations possible at bigger hospitals in Philly
-Not much scope to interview/do meaningful research in one year.

CURRENT RANKING:

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.5 Providence Hospital, Southfield, Gen Surgery, H1B possible

4.7 Abington Memorial, Abington, Gen Surg, J only but H possible (?) This is good if I have anes in place already. Rethink other wise.

5. UIC MGH Surgery, Chicago, only J

5.5. Hurley Med Ctr, Flint TY. H1B possible

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

9.Bronx-Lebanon, NYC, Surgery H1B possible

Providence, Southfield MI

SELECTION:
900 apps, 6 selection members, 125 selected for interview.
75-80 are invited to interview.
Each candidate has 3 interviews with faculty.
Graded on spreadsheet= democratic
Then rank order list

Pros:
-H1B possible. Step 3 required at time of Match for H1B. Some Step 3 score better than not having a score at the time of ROL deadline. No cap on number of H1s, ie, every resident that wants to start on H1B will be able to as long as they fulfill requirement.
PC says I should give in a Step 3 score as soon as I can, an 'okay' score won't push me down the list, but a great score my push me up.

-Call: Night float for all interns. Sundays always off, unless on call. If Sunday call then Saturday off and Mon post call day. Usually weekend call = 3/month. Have to come in on Sat morn to round with team on 'off' weekends, gone by 10 am.

- Small class: PGY1= 6 prelims +3 cats

- Protected Didactics: No cases on Wed, only have to take care of floor. about 4-5 hours of didactics. Lectures, skills lab, journal club/M&M etc

-Research: staff gives resident first author status. Residents get 2-3 publications in intern year, if interested. Animal lab, tissue culture lab, PCR. Staff is present: statisticians, research coordinators.

-Vacation: Taken in 2 week block (for international travel) and 1 week + Conference time later in the year. If days off needed to interview, then the Chiefs usually take care of it. Some 'interview' days off are allowed.

-Private

- In OR from Day 1.

-Radio rotation in prelim year.
-No fellows, very good technical and hands on skill development
-All experience is private practice experience
-Unmatched prelims: may or may not be absorbed here.
-Residents seemed happy. Chiefs are approachable, they make the schedule, try to accomodate everything every one needs
-Enough ICU experience to feel confident.

Cons
-Surgery
-Southfield, Detroit
-Not sure about support available for pursuing anesthesia if I dont match
-No elective in prelim year
-No anesthesia month
-Private patients mostly. Lots of experience with private attendings.
-ICU run by pulmonary critical care trained intensivists.
-EMR for labs but hand write notes
-Level 2 trauma (not level1) All trauma here is MVA/blunt trauma/hit on the head cases.
-'What is the worst part?' - we are frustrated working with some attendings who wont give us the autonomy we know we are capable of. Some attendings give us more independance than others.

CURRENT RANKING:

0. Uni of Iowa Anes, Iowa City, H1B, categorical

1. Metrohealth Anes, Cleveland. H1B possible, requires prelim

1.5 LSUHSC Anes, Shreveport, J1 only, categorical

2. Henry Ford Anes, Detroit, H1B possible, categorical

2.5. UF-Jacksonville Anes, Jax, J1 only, Advanced with linked Surgery prelim

3. New York Methodist Anes Brooklyn, out of match, H1b only if already sponsored, req prelim

4. Metrowest TY, Framingham, only J/ Griffin Hosp, Derby Int Med, H1B possible

4.5 Providence Hospital, Flint, Gen Surgery, H1B possible

5. UIC MGH Surgery, Chicago, only J

6. St Agnes, Baltimore Int Med, H1B possible

7. Uni at Buffalo Sisters of Charity, Buffalo Int Med, J1 only

8. Hurley Med Ctr, Flint TY. H1B possible

9.Bronx-Lebanon, NYC, Surgery H1B possible

EDIT: I am considering ranking Hurley higher because I see AP chilling. However, he has connections/family there so he is happier. But seems like a relaxed TY