Again, felt like I should contribute as I learned a lot from the previous years lists like my friend Ponce de Leon
1. Maine Medical Center
(+) Did a month here and made instant friends with residents/faculty--of all the people I've encountered, I fit in here better than any place and thought it was a group of normal, cool, accomplished people who were brilliant, but didn't act like they were better than anyone else because of it. Few other residencies at MMC, so EM gets to do pretty much all the ortho/ent/optho/etc, a surprisingly high amount of sick pts with ICU acuity the 2nd highest in NE based on APACHE scores, really strong leadership with big-time connections and a substantially high % of ACEP presenters with multiple speaker/teaching awards, integrated peds on every shift, brand new beautiful ED with 6 critical care bays, ocean nearby and a postcard view anywhere along the coast, great winters for cross country skiing/snowshoeing, scheduled cycling rides for residency along the coast during summer when not working, low cost of living for NE, best program coordinator out there (Jane Kane), brand new sim center opening this summer, moonlighting starting 2nd year in the ICU
(-) not as much pt diversity in Maine, farther away from home for me, didn't like a lot of student-specific things during the clerkship (i.e. able to do a lot of procedures, but felt like we had our hands tied with regard to some other things), U/S not as strong as other programs I've seen, not a lot of penetrating trauma
2. Mayo
(+) Great vibes during dinner and interview day, one of best names in medicine, money to spare, can go to Jacksonville or Scottsdale for core or off-service rotations at your discretion, great flexibility, ICU heavy, loved the curriculum, low cost of living, really nice residents/faculty, ability to see some real zebra pathology from all over the world, best gym I've ever seen in my life, best sim center I've seen
(-) Rochester kinda sucks, worried that other services were so strong that EM was like the kid down the street, highly regimented hospital hierarchy that's resistant to change at upper levels, will do anything to protect Mayo brandname and worried about loyalty if something ever went wrong
3. Indiana
(+) Baller program, pretty much just does everything right and have curriculum so well tuned up it's like an Indy car team, very ICU heavy, circadian rhythm, grads go anywhere and are prepared to be leaders, low cost of living, great resident camaraderie, two amazing hospitals for adults and one for peds, high acuity of pts, colts games
(-) Found one of the PDs to be the most abrasive person I've met on the interview trail and this has been repeated by many other interviewees. I debated not even ranking this program because of this. Seriously I'm not the type to get rattled, but he started off the interview trying to pick a fight about how my generation was lazy and entitled. Worried that there might be too much responsibility for an intern in the ICU (i.e. 70-140 pts to cross cover on call), Indy as a city compares to toast without anything on it
4. Christiana
(+) Incredible hospital with lots of $$$ and everything pretty much brand new, amazing benefits, ICU heavy curriculum, few other residencies so EM does pretty much everything in the ED, top notch u/s program and fellowship, light schedule as an intern, program director was one of the best I've met
(-) Would never willingly move to Delaware, had some weird faculty interactions, not many residents at dinner night before (it was very late in the season though)
5. U of Pittsburgh
(+) big-time name in EM with grads all over the place, PD was super nice and is huge leader nationally, the "jeep" gets the award for coolest concept for an EM residency and seems like a great experience, tons of pathology at 4 different sites, great interview interactions, residents were a blast to hang out with, ~25 residents showed up for dinner despite only 3 total applicants, Pittsburgh was a surprisingly cool city
(-) curriculum seemed a bit disorganized to me, weak u/s, peds in 2 week blocks through year, anesthesia has trauma airways at night, UPMC seemed way too academic with seemingly more fellows than pts
6. BIDMC
(+) tough to argue with Harvard name, leaders (Carlo & Peter Rosen, Richard Wolfe) are huge in EM community, both Peter Rosen and Richard Wolf spent extensive time with applicants (one of highlights of interview season), dashboard computer system, strong international opportunities
(-) Thought 7 sites with 2 being an hour away was way too many for residency, Boston is way too expensive
7. William Beaumont
(+) very underrated program and would have been near the top of my list if not on the edge of Detroit, great ICU heavy curriculum, nice people, sold pathology, good u/s program, strong sim, big grad network
(-) Royal Oak is still Detroit to me (biggest factor bringing it down), didn't like the ED
8. Medical College of WI
(+) home program, excellent attendings who are great teachers, super nice PD, trauma run as well as you'll see it anywhere, improving u/s curriculum, obvious resident growth over 3 years of training, pretty good pathology, established program, gorgeous ED
(-) wanted to go somewhere else for the sake of going somewhere else, sim program could be stronger, have both floor medicine and peds floor, want to move from Milwaukee
9. Hennepin
(+) Big time name in emergency medicine for good reason, these guys are total rock stars when it comes to running an ED, 3rd year pit boss role is great prep for attendinghood, awesome u/s program, lots of autonomy since it's a county program, strongest residency in hospital so get to do everything
(-) these guys get totally worked over during residency, obvious fatigue on faces at night before dinner and didn't fit with the culture there, historically have "hennepin" attitude of acting like they know they're the best, very regimented surgical culture with most opportunities going to 2nd and 3rd years. Seemed like you had to wait your time to see the sick pts/do procedures
10. UW Madison
(+) newer program that has the potential to be great, Madison's awesome, gorgeous new ED, young energetic PD who's going to take this program to real heights, black personalized scrubs, pretty good curriculum, strong international opportunities
(-) newer program, very low acuity of pts, spent some time here and it felt like being a an urgent care (however, this was during the day, so I'm sure things were a little bit better at night), city loses a lot of population when college kids go home during summer, lots of fellows coming down to ED
11. Regions
(+) only game in the hospital, ICU heavy curriculum, very nice facilities/benefits, nice residents who seemed well rested compared to the Hennepin folk
(-) instead of PD talking to us in the morning, they put on a DVD of him talking to us about the program (seriously . . . it was kinda weird, almost as if they were trying to be tech savvy, but I took it to mean a lack of interest), seemed like the little brother to Hennepin after interviewing there the day before, didn't like St. Paul that much
12. Grand Rapids
(+) 1st interview, so I don't remember much, really nice people, but way too married for me, nice hospital, decent curriculum, low cost of living, lots of outdoor opportunities, established grad network
(-) didn't really fit with residents or leadership, didn't want to live in grand rapids
13. Brown
(+) fantastic training (thought maybe the best at all the places I looked at), big time u/s program, lots of sick pts, high resident responsibility, nice facilities, strong curriculum, jobs anywhere you want, good benefits, Providence seemed like an ok town
(-) didn't get along with the residents or fellow applicants, didn't really want to do 4 years if possible, would avoid Providence if I could, expensive to live there (for a midwesterner), didn't get great vibes
14. Iowa
(+) Iowa city was really cool with some gorgeous coeds around town, moonlighting opportunities starting 2nd year at $150-175/hr. Ability to stack shifts and take lots of time off, brand new ED
(-) Got into an argument about Brett Favre at the dinner the night before with a resident (I like Favre but pull for the Pack FWIW, but this guy didn't think that was possible), anyway I didn't really think anything of this typical guy sports banter, but this resident sought me out the next day at lunch to restart the fight--I was not impressed, needless to say, overall residents seemed noticeably softer compared to every other place and spent the dinner bragging about how they work less than almost every other gig in the hospital