I interviewed at the VA a couple weeks ago for their residency program, and although it was a beautiful facility (brand new computers in all the ICU rooms, the resident types electronic med orders into portable computers while rounding with the medical team, spacious office assigned to each resident), there were enough drawbacks to make it not for me. The residents were under a tremendous amount of pressure (much more than other residency programs it seemed) and when I said to the resident giving me the tour, "well, at least you're learning a lot, right?" she said that she's so stressed and busy trying to meet multiple deadlines for different projects, she doubted that she's retaining much new clinial knowledge. Interviewing at the VA made me reassess my goals for residency. I want to go somewhere where I can LEARN and not just be used as slave labor. When I asked what kind of hours they keep, the resident said she usually spends 14 or 16 hours a day at the hospital, and that it was typical of the residents to spend that kind of time there. 😱 To me, that's crazy. I've got a husband and kids and I want to see them from time to time! Also, staffing is an issue to look into. The VA I interviewed at required staffing every 3rd weekend, which is a lot in comparison to some other programs. Also, how much support is in place for residents? A residency is going to be a busy, stressful year no matter which way you look at it. All the residents I met at the VA were so burnt out, 8 months into the program they were looking pretty sad, desperate to get out and be done with it. I'm sure each hospital is different, but this was my impression of the VA I interviewed at.