SDN Members don't see this ad. (About Ads) The day started out at 7:45. Give yourself enough time to arrive with traffic. I took 93N in and I hit considerable rush hour at 7AM. It took 40 minutes to travel 15 miles from exit 7 to exit 18. The hospital is right off of the highway though. If you pay close attention to the directions, you should really make a left at the third traffic light instead of the second. Follow the "H". I parked in the valet because it ends up being $5 cheaper than the validated lot. The ED office is in the Dowling building so ask for directions. They had coffee and bagels, about 8 interviewees were present. Then the PD introduced himself and the program. Then they did a "Round Robbin" with us, first the chiefs, then US guru, then the EMS fellow, the research Ph.D., and then the slide show on living in Boston. It was a lot though, too many people to meet that early in the morning. Afterwards we went to an "old school amphitheater" and sat for one of their lectures. Went back for lunch with residents "good 'ol chicken parm", split the group in two...tour and then interviews. A resident stayed and spoke with us at all times. Four interviews, expect a tag team with the PD and another attending, someone from the Lahey clinic, another attending, and a joint EM-3/EM-1 session. +++ Probably the most well rounded program seen thus far! It seems like they have everything there: +++ On the forefront of community Emergency Practice with strong social research and programs. The chair is married to an epidemiologist (the Bernsteins) in the Boston University School of Public Health (which is directly across the street), so they have many interesting EM projects with a public health perspective. Many attendings had an MPH, and many of the residents either had it already or were interested in getting one. A few of their fellowships incorporated the MPH into the program. +++ One of the few places I've seen with a social work office integrated into the ED. It is called Project Assert and relieves the burden on the ED to find shelter for the homeless, PCP's for those without one, and Detox programs for the drug users. It was started ten years ago and serves as a model for many institutions. +++ Well established program, been around for 25 years so many of the ED/Surgery/IM battles have been fought. Acc. to the PD they are the strongest department in the hospital. +++ They truly run traumas! They call surgery down when they feel it is necessary. They had 1800 traumas last year, the most of any Boston program. Huge catchment area. They compared themselves the most to Jacobi in NY in this aspect and many others. ++ Solid EMS experience! As EM-2's you are expected to run EMS command, an important skill to have especially if you go to a rural program. You answer the EMS box and direct EMT's and medics in transit. BMC is the command center for the city EMS. ++ Great fellowships, the EMS fellow who spoke said that they allow her to work part time in the ED as an attending while she studies for the MPH fulfills her EMS fellow requirements. They are also developing an international fellowship also to offer an MPH and an US fellowship is in the works. ++ Inner city experience...good diversity. Large population of Haitian Creole, Spanish and lastly Cape Verdean (Portuguese). I know it's Boston but it's in the very mixed and diverse neighborhood. They have a reputation for treating the indigent. ++ Resident run service at BMC. As an EM-1 you have to present to the second or third years. The focus of the senior level residents is to manage the ED and carry a pt load, very important in my opinion on being fully competent. EM-3's completely run the ED with an attending serving as backup. + Good mix of experience with affiliate hospitals. Residents rotate through the Lahey clinic. Acc. to PD Boston's version of the Mayo clinic. Very affluent, very educated (expect to treat MIT professors who want to know how pacemakers work) tertiary care center. They also rotate through the Quincey clinic a blue collar with Irish Catholic population. You get one on one teaching with the attendings. + Great ancillary staff, by the time the resident sees a pt they already have blood drawn, urine tested.... + During their lecture, everyone was laughing! Great comraderie, everyone seemed pretty genuine and interested in us. +/- 2,3,4 program....so you have to do an intern year in medicine, transitional or surgery. I hear the intern year at BMC is tough. - I question the PEDS exposure, they rotate through Boston children's (one of the top in the country) but they complained that so does everyone else. They have their own Peds ED but mostly the bread and butter stuff, everything else gets transferred to BC. - Very front loaded! The EM-1's are EXPECTED to do ALL procedures, an EM-1 said this could at times be very fustrating becuase she cannot see too many pts and always being called away. Procedures include reductions, lacs, LP's, abscesses, EVERYTHING! My other concern is, if the EM-1's are doing the procedures then will the seniors lose the skills? Also do they miss out on the decision making to do the procedures? EM-1's also work 21 12 hour shifts! Then EM-2's and 3's do 8 hours. -- Parking can be a problem, residents pay $60 a month before taxes for a lot owned by another company about two blocks away. Boston is not a car friendly town. -- Area is pricey, if you live in the area expect to pay $1200 for a small place. Lots of cars especially in that area, but don't sell yours because you have to commute to the affiliates with traffic can be nasty. One resident said he paid $1300 for a two bedroom some distance away but in a nice area. Overall....I think a GREAT Program. Only question is "Do you want to live in Boston?" Winters are hard and long, some have complained that the greater city is not diverse enough. Limitless opportunities, and I think you will come out well trained. I didn't realize it was such a great program...because it isn't talked about much, I'm glad I interviewed there.