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
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
No comments:
Post a Comment