About the ads

Larkin Community Hospital in South Miami AOA Residencies

Discussion in 'Osteopathic' started by ajndersn, Feb 14, 2012.

  1. SDN is a nonprofit organization. Services are made possible through the generous support of SDN members and sponsors. Thank you.
  1. ajndersn

    ajndersn

    Joined:
    Nov 11, 2008
    Messages:
    54
    Status:
    Medical Student
    SDN 5+ Year Member

    SDN Members don't see this ad. (About Ads)
    So after browsing the 2012 AOA match results (http://www.osteopathic.org/inside-aoa/Education/students/match-program/Pages/2012-match-results.aspx), it seems that Larkin Community Hospital has a bunch of programs that have multiple unmatched spots. Many of the programs with spots are really competitive such as rads and ophtho. Does anyone know the quality of these programs and why there are so many unmatched spots (27 unmatched spots for 38 total spots in all programs)?
  2. Phelanpi

    Phelanpi

    Joined:
    Jan 16, 2012
    Messages:
    22
    Status:
    Medical Student
    The Ophtho program is brand new, and was not participating in ERAS, which is why there are open spots. I'm not sure about the others specialties.
  3. emo8018

    emo8018

    Joined:
    Feb 15, 2012
    Messages:
    2
    Status:
    Medical Student
    I spoke to them and read a couple articles on the Internet; I cant remember exactly but I recall it saying that the AOA approved a large number of new residency spots for the state of Florida, and Larkin Hospital has a bunch of new programs that were approved this past January. But I'm not sure how organized everything is, it seems like its one medical director in charge of all the new programs because they have the same name listed for each program.
  4. Doctor4Life1769

    Doctor4Life1769 **tr0llin, ridin dirty**

    Joined:
    Apr 28, 2008
    Messages:
    32,534
    Location:
    Where the grass is always greener
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    dunno anything about this small community hospital...

    but.

    south miami, sounds like fun.
  5. ajndersn

    ajndersn

    Joined:
    Nov 11, 2008
    Messages:
    54
    Status:
    Medical Student
    SDN 5+ Year Member
    Thanks for the replies guys. The location is great and it could be a pretty enticing place to go if the programs have everything in place. But having 1 director for everything seems a little ridiculous. Also, it could be kind of risky to go to a place that has never had to teach residents before. Please post any knowledge you have about the hospital, rotations, or residencies.
  6. Doctor4Life1769

    Doctor4Life1769 **tr0llin, ridin dirty**

    Joined:
    Apr 28, 2008
    Messages:
    32,534
    Location:
    Where the grass is always greener
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    i wouldnt do it. why be the guinea pig when it comes to your future career.
  7. emo8018

    emo8018

    Joined:
    Feb 15, 2012
    Messages:
    2
    Status:
    Medical Student
    you know what i take it back, i was looking at a different name. It is NOT the same PD for each program. Sorry about that.
  8. st2205

    st2205

    Joined:
    Oct 28, 2006
    Messages:
    1,095
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    Because you may not get that opportunity anywhere else, guinea pig or not.
  9. sonofva

    sonofva

    Joined:
    Aug 31, 2009
    Messages:
    560
    Status:
    Medical Student
    SDN 2+ Year Member
    i agree. because going to a mid quality program is better than going to no program at all.

    the deal with larkin is that they have currently a functioning IM and FM programs, and those other ones just opened with more in the works. the PD came and talked to us at NOVA and he's all fired up. theyre really growing and trying to take some initiative.

    since it is a small hospital, you'd have to be a bit more proactive in your learning, but you'd also get more hands on/direct responsibilities from the get-go.

    the area immediately around larkin is kind of seedy, but coconut grove (which is right around the corner and prob where you'd live) is the jam. i'd say take a look.
  10. DrBowtie

    DrBowtie Responsible?!?! PGY3 Moderator Emeritus

    Joined:
    Feb 24, 2005
    Messages:
    14,648
    Location:
    Classyville
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    A new program is mid quality right off the bat?
  11. sonofva

    sonofva

    Joined:
    Aug 31, 2009
    Messages:
    560
    Status:
    Medical Student
    SDN 2+ Year Member
    that's really the message you took from my whole post, man? no a new program is not mid-level right off the bat. i was just saying that if it came down to it, i'd rather go to a mid-level program than no program at all. nothing related to larkin, or the newness of a program.
  12. DrBowtie

    DrBowtie Responsible?!?! PGY3 Moderator Emeritus

    Joined:
    Feb 24, 2005
    Messages:
    14,648
    Location:
    Classyville
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    Obviously everyone would choose a mid tier over unmatched. The problem here is we aren't talking mid tier.
  13. sonofva

    sonofva

    Joined:
    Aug 31, 2009
    Messages:
    560
    Status:
    Medical Student
    SDN 2+ Year Member
    you think larkin is lower than mid or higher?
  14. DrBowtie

    DrBowtie Responsible?!?! PGY3 Moderator Emeritus

    Joined:
    Feb 24, 2005
    Messages:
    14,648
    Location:
    Classyville
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    Lower (IDK about the IM or FM since they seem to be up and running). By no means are they fixed as an X tier (X=low,middle,high), but any new program is going to take time to work out the kinks and settle into their true tier.

    Even using google, I couldn't find any information on # of beds to get the scale of the hospital and I couldn't find any information on the radiology department in terms of volume and # of subspecialty trained people.
  15. Vita1979

    Vita1979

    Joined:
    Feb 8, 2012
    Messages:
    15
    Status:
    Medical Student

    The reason why they have so many slots available is because, most of the programs are just approved, why not to be part of something new?, because is new you have to be afraid?, guys, it will be always about YOU. Larkin is growing, nothing wrong to be part of that.
  16. Vita1979

    Vita1979

    Joined:
    Feb 8, 2012
    Messages:
    15
    Status:
    Medical Student
    Larkin is the only hospital in Miami-Dade County with an Area of Critical Need , also a National Health Services Corps (NHSC) site . The NHSC Loan Repayment Program offers primary care providers the opportunity to have their student loans repaid for serving communities in need. The NHSC Scholarship Program awards scholarships each year to students pursuing careers in primary care. In return, students commit to serving for two to four years, upon graduation and completion of training.
    I found this amazing.
  17. EvryBreathAGft

    EvryBreathAGft D.O yo

    Joined:
    Aug 5, 2008
    Messages:
    57
    Status:
    Medical Student
    SDN 2+ Year Member
    they're brand new programs, as in just got approved for NEXT YEAR so they were not available to this year's graduating class to apply to
  18. Doctor4Life1769

    Doctor4Life1769 **tr0llin, ridin dirty**

    Joined:
    Apr 28, 2008
    Messages:
    32,534
    Location:
    Where the grass is always greener
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    these posts made me lawl.

    It's okay, take the bait. See how much it'll be worth it.
  19. st2205

    st2205

    Joined:
    Oct 28, 2006
    Messages:
    1,095
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    So what about my post being included with those others made you lawl?
  20. ILikeFood

    ILikeFood NSU Class of 2013

    Joined:
    Jul 18, 2008
    Messages:
    2,845
    SDN 5+ Year Member

    Yes, I'd love to work in a poorly run, tiny hospital where 98% of the patients speak Spanish and 50% of the healthcare staff have trouble speaking English and the administration uses promises like "Unopposed FM program" to get candidates to match there and then goes around and creates a hundred programs, most notably an IM program that suddenly gets priority over all patients. I like also how Chief Residents get into fist fights over patients and then one but not both get fired. Or how the residents like to pretend like they're teaching by asking the third year medical student how they'd proceed with management of a patient and then write exactly what the medical student tells them, every single time.

    The hiring of Joel Stein, a money-making machine who does everything from acupuncture to OMM to pain management and when doing trigger point injections injects into each layer when pulling out of the skin so he can bill insurance for each separate layer and has students research and write COMLEX/specialty board questions for him and then submits them as his own is a great addition. I could learn a lot from a man like that.
  21. ILikeFood

    ILikeFood NSU Class of 2013

    Joined:
    Jul 18, 2008
    Messages:
    2,845
    SDN 5+ Year Member
    Your post history doesn't really point toward you being a medical student but rather a recruiter for Larkin. What's your name?
  22. group_theory

    group_theory EX-TER-MIN-ATE!' Administrator SDN Senior Moderator

    Joined:
    Oct 2, 2002
    Messages:
    4,046
    Status:
    Attending Physician
    Physician SDN 10+ Year Member

    According to USNews, Larkin has 122 beds

    http://health.usnews.com/best-hospitals/larkin-community-hospital-6390993/details


    According to South Florida Business Journal, "The 146-bed hospital posted net income of $2.8 million on net operating revenue of $52.1 million in 2010, according to state data."

    http://www.bizjournals.com/southflorida/news/2011/12/06/larkin-hospital-opening-12m-gamma.html

    Wikipedia has Larkin as a for-profit hospital that is physician-own

    http://en.wikipedia.org/wiki/Larkin_Community_Hospital
  23. DrBowtie

    DrBowtie Responsible?!?! PGY3 Moderator Emeritus

    Joined:
    Feb 24, 2005
    Messages:
    14,648
    Location:
    Classyville
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    Your google fu is superior to mine. That Wiki article tells me all I need to know.
  24. lotus1777

    lotus1777

    Joined:
    Aug 14, 2011
    Messages:
    11
    Status:
    Resident [Any Field]
    SDN 2+ Year Member
    I interviewed at Larkin, so I can contribute my impression of the hospital only from what I saw that day:

    They started out the interview day at the morning report- I liked the way they incorporated some didactics into the meeting. None of the residents acknowledged me, however- didn't seem like the happiest environment (of course it was 7:30 in the morning).

    They took me on a tour of their main hospital and a new clinic that they are building for family medicine (which is probably done now). They are rapidly acquiring buildings to add to the Larkin Hospital system, and they're also rapidly acquiring residencies and fellowships. They said that along with this rapid growth, they are experiencing the normal growing pains- communication issues between the different departments mainly, and residents will sometimes find themselves in the middle.

    If you are the kind of person who likes to help build a program and make it great, this might be the place for you to make a difference. I personally didn't want to take that chance for residency. New programs always run into hurdles while they're getting going- some don't survive those hurdles and some do. I worry with all of the new residencies that each individual residency will not get the quality time it needs to grow well. Their business mistake might be valuing quantity over quality..... or they may do very well, who knows.

    I also did not think the salary quite reflected the living expenses of the area. Miami is very expensive city and the FM residency salary was one of the lowest on my list.

    Nearly all of the patients are spanish-speaking, which is fine if you know spanish. I unfortunately only have basic spanish skills (which got me lots of nasty looks when I was visiting Miami) :(
  25. lotus1777

    lotus1777

    Joined:
    Aug 14, 2011
    Messages:
    11
    Status:
    Resident [Any Field]
    SDN 2+ Year Member
    One more thing- I vaguely remember them talking about starting up a derm fellowship sometime in the near future, which is an attractive route for some who want to do family medicine. Check with them about this before you assume it is correct- I went on over 10 interviews and they all started to blend together at one point.
  26. Vita1979

    Vita1979

    Joined:
    Feb 8, 2012
    Messages:
    15
    Status:
    Medical Student
    Larkin offer all of this programs through a multi-facility training system, that includes training at the base acute care facility, and numerous affiliated training institutions. I know they have a big GME department with one Director of medical education and each program has a PD, I did a bunch of rotations at Larkin

  27. Calipso

    Calipso

    Joined:
    Feb 23, 2012
    Messages:
    2
    Status:
    Fellow [Any Field]
    I found nothing but good things about Dr Stein,

    HealthGrades Honor Roll
    • Dr. Joel Stein is a HealthGrades Recognized Doctor



    What are HealthGrades Recognized Doctors?


    HealthGrades Recognized Doctors Are:

    1. Board certified in the specialty they practice
    2. Have never had their license restricted/revoked
    3. Free of state or federal disciplinary actions
    4. Free of any malpractice claims
  28. KUSHLASH17

    KUSHLASH17 New Member

    Joined:
    Jul 17, 2006
    Messages:
    5
    Status:
    Medical Student
    SDN 7+ Year Member
    does anyone know how to get in contact with someone from these programs?? ive called and emailed every person whose contact info ive seen and cant get through to anyone for about a week now??
  29. Doctorcohen

    Doctorcohen

    Joined:
    Feb 23, 2012
    Messages:
    2
    Status:
    Medical Student
  30. Vita1979

    Vita1979

    Joined:
    Feb 8, 2012
    Messages:
    15
    Status:
    Medical Student
  31. ILikeFood

    ILikeFood NSU Class of 2013

    Joined:
    Jul 18, 2008
    Messages:
    2,845
    SDN 5+ Year Member
    That sure tells me more about him than somebody who's rotated through his office and interacted with the man.
  32. ILikeFood

    ILikeFood NSU Class of 2013

    Joined:
    Jul 18, 2008
    Messages:
    2,845
    SDN 5+ Year Member
    How is this setup any different from other programs. It still doesn't make up for the fact that different specialties are fighting over patients at the home site.
  33. Vita1979

    Vita1979

    Joined:
    Feb 8, 2012
    Messages:
    15
    Status:
    Medical Student
    I'm absolutely agree with you, but then, why should I go with the opinion of one guy that interact with "the man"?, anyways, we can all have different impressions from the same subject.
  34. jumpmanv15

    jumpmanv15

    Joined:
    Apr 13, 2012
    Messages:
    611
    Status:
    Resident [Any Field]
    SDN 2+ Year Member
    can any residents or 3rd/4th years who have rotations elaborate on the new programs offered there?
  35. Thinkfree

    Thinkfree

    Joined:
    May 24, 2012
    Messages:
    7
    Status:
    Medical Student
    Interviewed their for rads and was really impressed by that aspect of the hospital. It has comparable volume to most of the other DO programs that I saw because they read from other clinics in the area. The actual program director is Dr. Rossi and MD trained at University of MIami with a MRI fellowship at Cambridge. He is very ambitious about the program. The other attendings I met all had been from other residency programs and taught very well.

    I will admit the the GME office is poorly run but if you are comparing it to other DO hospitals I would say it is a little above average.
  36. JGimpel

    JGimpel You're in my seat

    Joined:
    Oct 11, 2012
    Messages:
    635
    Location:
    Pasadena, CA
    Status:
    Resident [Any Field]
    I'm not sure what's going on with this thread.
    There is a disturbance in the force.
  37. CrappyDO

    CrappyDO Ninja Assassin

    Joined:
    Oct 11, 2012
    Messages:
    4
    Guess where their on-call room is? Nowhere. They don't have one. The residents on nights get to doze off sitting in a chair at one of the computer stations. If they don't bring food then they're ****ed for the night shift because nothing else is open. Also people who speak up here get silenced very quickly. I'm hearing varying versions of the same story, but one of the chiefs here isn't a chief anymore because they kept pushing for improvements, like being able to round with attendings instead of just admitting their patients without supervision and writing their notes and the GME wouldn't have any of that and now they're not chief anymore. I do agree that the radiology residents are one of the smarter groups in the bunch. Probably one of the only programs that would be worth doing here. Psych too if you are okay with not having a decent medicine background. Many psych residents here can't read imaging, can't tell the difference between basic abx, are very poor with basic management. On the other hand there are a lot of crazies that come through here and they have a whole floor dedicated to psych pts.
  38. dozitgetchahi

    dozitgetchahi

    Joined:
    Oct 20, 2008
    Messages:
    1,086
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    Sounds like osteopathic GME! A 'new' program opened near my school that also had the same issue - no call rooms (actually they had call rooms for attendings, but residents were left to sleep on the tables in various conference rooms).
  39. zoner

    zoner

    Joined:
    Apr 8, 2009
    Messages:
    1,958
    Location:
    Cloud 9
    SDN 5+ Year Member
    If they don't wanna loose agcme accreditation after the merger I an sure they and the state will do everything they can to improve the site. I am just glad as a future nsu student that larkin with it's huge diverse residency affiliation is connected to nsu.

    Sent from my SAMSUNG-SGH-I997 using SDN Mobile
  40. CrappyDO

    CrappyDO Ninja Assassin

    Joined:
    Oct 11, 2012
    Messages:
    4
    We'll see what happens in 5-10 years when Larkin has its own osteopathic medical school.

    From what I understand, the acgme accreditation is automatic in 2015. They have nothing to worry about for at least 2-3 years, until the acgme realizes that not all programs are up to par, particularly the primary medicine programs where residents are there to write notes and fill orders with minimal teaching--with the exception of the DME, who I think is an upstanding guy/workhorse with no support around him and does round with the residents. The IM program is particularly atrocious. On most days they carry a single digit census and most residents are responsible for 1-2 patients a piece. Its amusing when I hear them bitch about their list blowing up...I mean god forbid they have to carry more. I can't say it's all their fault though, there's a limit to learning from the books in residency without having the patient volume or the guidance.

    You also need to understand that there is an incongruous relationship between what administration says and what is actually happening. I can't even begin to tell you how many times the gme has promised to improve things while keeping everything the same. It's lip service.
    Last edited: Feb 28, 2013
  41. JGimpel

    JGimpel You're in my seat

    Joined:
    Oct 11, 2012
    Messages:
    635
    Location:
    Pasadena, CA
    Status:
    Resident [Any Field]
    I hope that the Larkin programs stay off this list, but I'd be watchful for any strange stuff happening in the next few years:

    http://www.fsmb.org/pdf/fcvs_crps/fcvs_crp_full.pdf

    Please note that they can close individual programs at an institution without shutting the whole place down. I don't want to sound like a wimpy doc, but this would definitely be on my "wait and see" list if I was shopping for a program.

    A place that has all that money to invest in new equipment and buildings should be able to come up with better ways to take care of its residents, but one can't go completely off of these posts. There are a lot of new accounts with all kinds of posts and people have already gotten banned so let's take a step back.

    Profits of 2-3 million dollars on a revenue of 52 million seems like they may also need to look into some fiscal issues too. Looks like this hospital may have bought a few Bentlys but can't afford the floor mats or oil changes for a while.

    AOA or COCA approval means absolutely zero in the real world.
  42. rc4ch

    rc4ch

    Joined:
    Oct 18, 2005
    Messages:
    324
    Status:
    Resident [Any Field]
    SDN 7+ Year Member
    Your list is ACGME only I believe.
  43. JGimpel

    JGimpel You're in my seat

    Joined:
    Oct 11, 2012
    Messages:
    635
    Location:
    Pasadena, CA
    Status:
    Resident [Any Field]
    True today; it should hold both in the future as the ACGME takes over the AOA side of the GME world. I can't wait for that to happen, but some of Larkin's programs may get warnings soon after and I'd hate to be in that environment. AOA residencies get some sort of automatic accreditation in a few years, but that doesn't mean glaring red flags won't get noticed right away.
  44. LesBois88

    LesBois88

    Joined:
    Feb 6, 2011
    Messages:
    183
    Status:
    Medical Student
    SDN 2+ Year Member
    Anyone have some recent feedback on this place?

    Not sure if an interview is even worth it, but if I'm in the area I may do it anyway.
  45. drdre4

    drdre4

    Joined:
    Jan 30, 2013
    Messages:
    30
    Status:
    Medical Student
    current NSU student. we have the option of choosing from about 15 hospitals to do our 3rd year rotations. every student is given a 'random' lottery number and matched to your top choice if its still available. The only people I know at Larkin had lottery numbers over 200 if that gives you any idea of what people think of it around here.
  46. Silent Cool

    Silent Cool Member

    Joined:
    Jan 30, 2005
    Messages:
    2,228
    SDN 7+ Year Member
    LOL, welcome to the future of Osteopathic medicine. "It's about the whole person."
  47. LesBois88

    LesBois88

    Joined:
    Feb 6, 2011
    Messages:
    183
    Status:
    Medical Student
    SDN 2+ Year Member
  48. LesBois88

    LesBois88

    Joined:
    Feb 6, 2011
    Messages:
    183
    Status:
    Medical Student
    SDN 2+ Year Member
    Hey, thanks for the reply.

    That is sort of what I figured. Any comments on why that is? I know there are some issues with low volume.
  49. drdre4

    drdre4

    Joined:
    Jan 30, 2013
    Messages:
    30
    Status:
    Medical Student
    to be totally honest with you, I didn't do a ton of research into choosing my rotation site. we were offered tours of each hospital but I didnt go. I did most of my 'research' just talking to m3/4s and through finding out what my other classmates were ranking high. So i don't have many specific first hand stories for you. But everything that I heard about my hospital from older students has been true so theres some validity to it.
  50. SMC123

    SMC123

    Joined:
    Jun 30, 2009
    Messages:
    263
    Status:
    Medical Student
    SDN 5+ Year Member
    I know this is an old thread.. but can someone tell me about how Larkin's IM, Psych, PM&R, and Neuro is? I have yet to see any information on their Neuro aspect.

Share This Page


About the ads