Weird fact: They made us try on Lab coats.
Pros
-H1B possible, they need Step3 at the time of match/visa app. The PC said Step 3 scores do not matter when it comes to being ranked.
-Level 1 trauma, Level 2 peds ICU, Level 3 NICU. VERY SICK KIDS HERE.
-No research requirements/Just present one poster or paper
-1 noon conf presentation/year is mandatory.
-Attendings/Residents easy to work with
-Patient pop: mostly uninsured. 'Hurley is the Cook County of Michigan'. Most patients are teaching patients. No heavy involvement in private patients.
-ED rotation: Adult (level 1 trauma) and Peds. Can play around with FAST. First responders. Central lines, several. Intubations.
-Resident autonomy +++. Once they trust you, you can drive the plan.
-Great Lib: nice interiors, great selection, available online, open 24/7 but librarians only around certain hours. Can come in and read anytime. Comfy chairs to take a nap.
-4 blocks electives: Anes, Surg, CCU, Cardio, Nephro, Radio, Pulm Med. MOST SPECIALTIES are run by private attendings who like to teach. But no central referral service. So working with private attendings on Cardio month. High level of autonomy for same reasons.
-ED 19 shifts/month, 10 hour shifts
- Housing on campus: $300/month for upto 9 months. Personal room and bathroom, shared kitchen
-Can do ICU elective: On electives, weekends off and not on call schedule.
-Intern cap in general ~5 patients
-Night float: total of about 4-5 weeks in the year, not all at once
-Cost of living: 1BHK 600-900$/month. 2 bed 2 bath in Burton 1000$/month
-BACKDOOR: They like to take TY's into Int Med residency. HOWEVER TY is not the same as Med PGY1. Hence have to repeat PGY1.
-Dental work: covered once per calender year. Start the year and get it done in Aug. Then get it done again in Jan/Feb
Cons
-Living in Flint: Closest fun place is Ann Arbor/Lansing/Troy. Have to drive. Lonely. Residents live in Grand Blank
-No support after TY, no one here is into Anesthesia. Anesthesia at this hospital is done by a private group of physicians. CRNA training program exists, Anesth elective available in TY but no support if no Anesth residency lined up after
-Didactics based on the specialty you are rotating through in that month. Therefore, no structure. No idea which set of lectures you will have at which rotation.
-1/3 TY class do not match further. Support? On avg, most 'find something eventually'
-No away electives.
-4 blocks electives, vacation must be taken ALL AT ONCE and in an elective block.
-Call can be once every 3 days. Till 10pm.
-'What's missing?' 'No subspecialties like cardio'
-NEED A CAR
-IPD peds and IP ICU can be tough. Cap at 4-6. NO ICU DIDACTICS AT ALL. ICU team= 1 attending/senior resident+2 seniors+2 interns. 12 hours overnight call.
TY Schedule
EM 1 block
CCU 1 block
Int Med 2 blocks
Ped OPD 1 block
Ped IPD 1 block
OBGYN 1 block
Geriatrics 1 block
Electives 4 blocks
INTERVIEWS: They really wanted to feel us out. Very probing, tried to be tough on us.
PD: Case 75 yo male, pre anesthetic check up, Said im a strong candidate, but might have visa issues. 'You have done your homework, you have come well prepared'
Acad Officer: Behavioral. Hardest decision I made. Something weird about america. What makes your personality unique. What would you change about yourself. How would you spend a billion dollars. Said I was 'detailed'.
Chief Res: Asked how I spend free time. Asked won't anesthesia be repetitive. Asked about time management skills.
Dr HG: Why anes, what rotations have you got in mind. questions on geriatrics (highlight this). 'You have done your homework, you have a clear plan, that is good.' SHOWED HIM THE MAG.
IMPRESSION: they liked me more than I liked them. I'm happy not studying at Flint. There's no advantage to coming here, ESPECIALLY if I don't match to anesthesia.
CURRENT RANKING:
1. Metrohealth Anes, Cleveland. H1B possible, requires prelim
2. Henry Ford Anes, Detroit, H1B possible, categorical
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
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
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