Tuesday, January 7, 2014

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


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