SimonSaysMD,
As one of the current residents, I would like to address your thoughts and concerns.
The first is regarding a malignant PD. I strongly feel we have one of the strongest program directors in our hospital and I would suspect the country. He frequently “goes to bat” for the residents in the program and we feel he sincerely cares about not only our training, but also our well-being. The PD (Dr. Steve Bird) helped to start an EM Wellness Committee (like us on FaceBook!) and has been chosen to start a hospital-wide peer support network. Dr. Bird has high expectations for us - he wants us to be the best physicians, leaders, and people possible. He is anything but malignant. I strongly suggest you ask the current residents when you come visit Umass.
One thing that has been true over the last several months has been attending staffing issues. Unfortunately, a number of attending have had to take unexpected medical leaves around the same time but the department has increased hiring and coverage to ensure that we are now fully staffed. This is something that is impossible to predict, but we are currently fully staffed. Financially, I have little to add. As a department, we make money for the institution and have consistently done so during my time in residency here. As an institution, when I came on there were many concerns regarding the financial stability, however, these concerns seemed to have been addressed appropriately (the hospital had a $100M turnaround in the last 3 years), and I do not feel like the bean counters have any presence on my practice.
Overall, although I did not grow up or do medical school in the northeast, I feel like Umass has given me the experience and education to leave residency confident I will be able to leave residency ready to be an attending in practice. I would strongly suggest doing a visiting student rotation with us to get a better understanding of our department and residency program. I look forward to meeting you either on rotation or on the interview trail this fall and I hope the best to you in searching for the best EM residency for you.
Feel free to contact me with any questions, concerns, or other rumor and I will do my best to address them with my current experiences.