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I'd appreciate any information anyone could offer about which are the top / 2nd / 3rd tier residencies in this specialty. Many thanks.
I do believe you mean the IN-N-Out residency in Vegas at the campus at I-15 and Tropicana.ElZorro said:There is no agreed upon rankings (except In'N'Out in California).
jane2 said:Thanks very much for the replies. This is really helpful.
Highland ROCKS!!new_avatar said:I like University of Washington (Harborview is the only level 1 trauma centre for 5 states).
Highland Hospital / Alameda County Medical Center is great too.
Just my $0.02.
new_avatar said:I like University of Washington (Harborview is the only level 1 trauma centre for 5 states)
UW/Madigan gossip (from an RN at UW, my former employer before med school): Madigan pulled out of the joint program. They used to split the residents, 4 civilian, 6 military. The Army wants to train more EM docs and isn't happy with Harborview (they use non-EM boarded docs to train in the ED). UW is going to miss the residents - they kept the ED running smoothly. UW wants to start its own program, not sure how it will go. Again, this is gossip from a 3AM phone call a few months ago...missdr said:not sure if madigan is up and running but they rarely take civilians anyway... also, there are 2 additional level one trauma centers in portland, oregon about 3 hours south of seattle...just to correct new_avatar
For all of its problems, UW is a great place. Sure, they are in the news every few weeks for some problem, but Seattle has so few newsworthy issues that minor stuff makes big news. The Medic One system is run out of Harborview, UW's sister hospital. I'm sure you could be involved in both.southerndoc said:I would LOVE to live and practice in Seattle. If UW developed a program, I would seriously consider a faculty position there if I was offered one. Perhaps I could be involved with the Medic One system as well. Seattle is an awesome city.
Gregg said:As to trauma centers: Harborview IS the only level one trauma center for 5 states: Washington, Wyoming, Alaska, Montana and Idaho (the WWAMI states). UW is the only medical school in those states, too.
lingonberry said:I If someone is involved in some serious trauma in Alaska, what happens to them? I can't imagine they get sent to Seattle!
BKN said:Well, they die.
edit: bad bkn!
lingonberry said:I understand about UW being the only medical school for those five states, but does the distinction of being the only trauma center for five states actually mean anything? If someone is involved in some serious trauma in Alaska, what happens to them? I can't imagine they get sent to Seattle! Do they just go to the local level two trauma center? Or if they're in southern Wyoming, say, wouldn't it be faster to send them to Denver?
FoughtFyr said:Well, at Mayo we routinely get trauma patients transferred from Eastern Montana. Not a short flight at all considering we are on the eastern edge of Minnesota. If there are no centers then transfers can be quite long...
- H
Honestly, most of it is a political game. Some of the hospitals in the Seattle area want to upgrade trauma levels, but Harborview blocks them from doing so. They use a "we need X# of patients a year to maintain competence" and it always works. The reason there are no other level 1s around is lack of #s of cases. The combined population of the 5 states is about 9 million, with almost 6 million is Washington alone. Greater Seattle has a bigger population than Alaska, Montana and Wyoming combined.lingonberry said:I understand about UW being the only medical school for those five states, but does the distinction of being the only trauma center for five states actually mean anything? If someone is involved in some serious trauma in Alaska, what happens to them? I can't imagine they get sent to Seattle! Do they just go to the local level two trauma center? Or if they're in southern Wyoming, say, wouldn't it be faster to send them to Denver?
BKN said:Well, they die.
edit: bad bkn!
corpsmanUP said:Okay, I will bite. After processing some thousand or more posts on this forum this year, I have come up with my personal list of programs that I believe are likely to be the most sought after, most applied to, favorites for people to talk about, etc.... This may end up being nothing about the actual training but about their "popularity" factor, but I bet if you did a search of the most commonly discussed programs talked about on SDN, it would include the following in no particular order:
Carolinas
Christiana
Cook County
U Chicago
Indiana U
Vanderbilt
Denver
Cincinnati
Hennepin
UC's (not real familiar with Cali but I keep hearing them come up)
Then there are the ones I came across that I feel undoubtedly deserve to be mentioned in the same crowd because of unique features but they are lesser known programs due to location mostly.
U Pitt
U Illinois Peoria
Christ Advocate (arguably the true best program in Chicago)
Metrohealth/ Case Western
Texas Tech- El Paso (talk about 3rd world pathology being a nine iron shot from the border, and the border being a dried up creek)
Scott and White
U Iowa (new program headed for greatness...anyone who gets in now will be part of something HUGE in the future)
OHSU
Palmetto
Maryland (gets overshadowed by Hopkins..but not sure why)
UVa- Charlotsville is a great town and a huge medical center
Geisinger- truly a great program limited by its geography
Mayo- truly any program at Mayo is top knotch...gets overshadowed by Hennepin and Regions, but anyone who interviewed here knows different!
Maricopa- not my cup of tea, but truly a great program
LSU-BR- somebody said it best...good old Chevy with a few dents in the bumper
All this is just my opinion and I am sure I left out many top programs. I'll reitterate what was told to me a long time ago...get in where you like the people and where you will be happy. You will get good training anywhere because of the accreditation standards.
quideam said:Out of curiosity, where do you guys think U Mass fits in terms of 'competitiveness'? I ask only because it sounds like a really cool program, but being located in Wortchester may hurt it...? Anyway, if anyone has any opinion on the matter, please post!
WilcoWorld said:I'm not trying to jump down the OP's throat here, as most of us wondered the same thing when we were first considering where to apply, but the whole idea of selecting a program on prestige or "competitiveness" is completely back-asswards, and here are a few reasons why.
2) Sites like SDN & Scutwork are dominated (ie, the majority of contributions are) by the younger players in EM, so lists compiled from those sources reflect the opinions of people who have little to no first hand experience in EM. These people thus don't know what is really of importance in their training & are thus in poor standing to actually evaluate programs.
WilcoWorld said:I'm not trying to jump down the OP's throat here, as most of us wondered the same thing when we were first considering where to apply, but the whole idea of selecting a program on prestige or "competitiveness" is completely back-asswards, and here are a few reasons why.
1) Quality of training is what is of the greatest true importance in a residency, and thanks to the RRC QoT is rather uniform in EM. Thus, competitiveness is moot.
2) Sites like SDN & Scutwork are dominated (ie, the majority of contributions are) by the younger players in EM, so lists compiled from those sources reflect the opinions of people who have little to no first hand experience in EM. These people thus don't know what is really of importance in their training & are thus in poor standing to actually evaluate programs.
3) The programs that are prestigious (warranted or not) are often (perhaps usually) not too well known outside the world of EM. Prestige is of little value for anything other than impressing people. One likely knows a lot more people outside of EM than within it, and when one tells Aunt Minnie that he matched at Indy, Carolinas, wherever, she is likely to say something like - "Oh that's too bad. You were always such a good student. I thought for sure you'd go somewhere like Harvard." So presitige in the smaller group that is somewhat in the know will likely meet with mild disdain in the larger group that possibly has a greater impact on your sense of self worth. This year Johns Hopkins didn't fill. What does that mean? When a program doesn't fill, people will label it as weak, or uncompetitive for years to come. However, Hopkins basically invented modern medical education in the US & set the standard for the rest of the world. There is an example of a program that might really impress Aunt Minnie, but that many SDNer's would turn their noses up at -next year anyway - and both parties are probably not quite getting it. In summary, one man's trash is another's treasure, so consensus is not only difficult to acheive - it's not worth a whole lot either.
what I mean to say is, I can piss father than willynilly
Would you be able to elaborate on why they were misearable? Btw, I was only asking about the competitiveness because i really like the program, and would actually prefer for it to be less competitive .A_Dull_Boy said:I don't know about competitiveness, but I do know that I've talked to some seriously miserable residents there. One more confirmation that competitiveness isn't everything. Better to find a program that works for you.
WilcoWorld said:I'm not trying to jump down the OP's throat here, as most of us wondered the same thing when we were first considering where to apply, but the whole idea of selecting a program on prestige or "competitiveness" is completely back-asswards, and here are a few reasons why.
1) Quality of training is what is of the greatest true importance in a residency, and thanks to the RRC QoT is rather uniform in EM. Thus, competitiveness is moot.
2) Sites like SDN & Scutwork are dominated (ie, the majority of contributions are) by the younger players in EM, so lists compiled from those sources reflect the opinions of people who have little to no first hand experience in EM. These people thus don't know what is really of importance in their training & are thus in poor standing to actually evaluate programs.
3) The programs that are prestigious (warranted or not) are often (perhaps usually) not too well known outside the world of EM. Prestige is of little value for anything other than impressing people. One likely knows a lot more people outside of EM than within it, and when one tells Aunt Minnie that he matched at Indy, Carolinas, wherever, she is likely to say something like - "Oh that's too bad. You were always such a good student. I thought for sure you'd go somewhere like Harvard." So presitige in the smaller group that is somewhat in the know will likely meet with mild disdain in the larger group that possibly has a greater impact on your sense of self worth. This year Johns Hopkins didn't fill. What does that mean? When a program doesn't fill, people will label it as weak, or uncompetitive for years to come. However, Hopkins basically invented modern medical education in the US & set the standard for the rest of the world. There is an example of a program that might really impress Aunt Minnie, but that many SDNer's would turn their noses up at -next year anyway - and both parties are probably not quite getting it. In summary, one man's trash is another's treasure, so consensus is not only difficult to acheive - it's not worth a whole lot either.
what I mean to say is, I can piss father than willynilly
1) Quality of training is what is of the greatest true importance in a residency, and thanks to the RRC QoT is rather uniform in EM. Thus, competitiveness is moot.
3) The programs that are prestigious (warranted or not) are often (perhaps usually) not too well known outside the world of EM. Prestige is of little value for anything other than impressing people. One likely knows a lot more people outside of EM than within it, and when one tells Aunt Minnie that he matched at Indy, Carolinas, wherever, she is likely to say something like - "Oh that's too bad. You were always such a good student. I thought for sure you'd go somewhere like Harvard." So presitige in the smaller group that is somewhat in the know will likely meet with mild disdain in the larger group that possibly has a greater impact on your sense of self worth. This year Johns Hopkins didn't fill. What does that mean? When a program doesn't fill, people will label it as weak, or uncompetitive for years to come. However, Hopkins basically invented modern medical education in the US & set the standard for the rest of the world. There is an example of a program that might really impress Aunt Minnie, but that many SDNer's would turn their noses up at -next year anyway - and both parties are probably not quite getting it. In summary, one man's trash is another's treasure, so consensus is not only difficult to acheive - it's not worth a whole lot either.
lingonberry said:I understand about UW being the only medical school for those five states, but does the distinction of being the only trauma center for five states actually mean anything? If someone is involved in some serious trauma in Alaska, what happens to them? I can't imagine they get sent to Seattle! Do they just go to the local level two trauma center? Or if they're in southern Wyoming, say, wouldn't it be faster to send them to Denver?
WilcoWorld said:.
what I mean to say is, I can piss farther than willynilly
FoughtFyr said:Well, at Mayo we routinely get trauma patients transferred from Eastern Montana. Not a short flight at all considering we are on the eastern edge of Minnesota. If there are no centers then transfers can be quite long...
- H
UW contracts medical education for 5 states and operates Harborview, the only level 1 in the 5-state region. I'm sure the Dakotas have something worked out w/ Mayo and maybe some others. But, as others have shown very well, the fact that the only level 1 is in Seattle doesn't mean all the level 1 patients go there.lingonberry said:So there's nothing in the Dakotas? Not in Fargo? Then doesn't that make UW the only level one trauma center for at least 7 states?
EctopicFetus said:On Thursday I will know both what the best EM program in the country is as well as the answer to the long lost "which residents are the hottest" thread.
I dont know if I will be able to respond on Thursday but at least I will know!
Gregg said:UW/Madigan gossip (from an RN at UW, my former employer before med school): Madigan pulled out of the joint program. They used to split the residents, 4 civilian, 6 military. The Army wants to train more EM docs and isn't happy with Harborview (they use non-EM boarded docs to train in the ED). UW is going to miss the residents - they kept the ED running smoothly. UW wants to start its own program, not sure how it will go. Again, this is gossip from a 3AM phone call a few months ago...
quideam said:Would you be able to elaborate on why they were misearable? Btw, I was only asking about the competitiveness because i really like the program, and would actually prefer for it to be less competitive .