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