I can’t speak to the HCA residency or work experience, but I went to an established 3yr program in the West and basically had to teach my EM as a new attending. Go figure, but half my residency attendings were relatively new grads who were intent on bossing around residents in an effort to avoid learning how to efficiently practice EM.
I never once in residency put in a shoulder without propofol. We talked about it, injected some lido , made the pt scream and then decided that this really tough case required sedation. Every, single , one. We scanned everything, but only after chin scratching for 20 minutes about the dangers of radiation. Hematoma blocks were the purview of ortho. 2 hr repairs of man with 20 lacs, definitely mine. We didn’t have a video laryngoscope until I was a 3rd year and somehow took pride in it. That was 2011.
My last job (CEP) got a ton of students through the local DO school. I couldn’t help but feel jealous of their rotation experience compared to mine through Highland and NYU. They got lines as students while I got a rotation in the liver transplant unit as a student. They had one on one teaching with attendings for weeks without a resident or fellow to contend with.
Perhaps I’m jaded, but I can’t say I much trust the name brand training either. Honestly, county general has just as much motivation to exploit their trainees, maybe more. Consider this: who’s going to get stuck with more discharge summaries for trauma pts that have languished in a hospital for months, the resident at Denver or the HCA resident who’s hospital doesn’t do trauma.
