question for current residents

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One question keeps coming up in my mind as I sort programs within the tiers of my ROL. The consensus among most people Ive talked with is that the clinical training from a community setting, on average, is probably a little better than that at in a university setting. Of course, I see the difference from the standpoint of having other services/fellows etc. I realize that this might be a broad generalization, but do those of you in residency/finished with residency think that the direction I choose will make a huge difference in the final product? I can see an argument either way - university would have many different types of specialists who could teach me something, community I might get to do a little more. Does it really matter?

Originally posted by kungfufishing
do those of you in residency/finished with residency think that the direction I choose will make a huge difference in the final product? Does it really matter?

Nope. And Nope.

The RRC in EM is (apparently) pretty strict in its requirements. Your training will not differ too much as long as the program is accredited. One program may have more emphasis on EMS or ultrasound or what not, but in the end, its all good (IMHO). You get out of your education what you put into it. Like at my program, I U/S whatever I can get my hands on. Some of my fellow interns dont' do the same.

*Methinks you're just having ROL jitters. Tis normal*
Q, DO

what, me worry? ROL Jitters? Its just the asterixis 2' to the hepatic issues path your "survive the match with Old English" plan led me down.

Thanks for the opinion, thats about how I have it figured.

I trained at a program that worked at a county hospital, a university hospital, and several community hospitals. My general feeling about each location was as follows.

County -lots of pathology, lots of procedures, generally good teaching, poor ancillary services made work more difficult.

University- lots of exotic pathology, plenty of procedures, generally good teaching, everything moves slow since consults,radiology etc... have to work their way through the academic heirarchy

Community hospital -plenty of bread and butter pathology, teaching highly variable in terms of quantity and quality. Hospital much more efficient.

Concurrance with posts........