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Posted anonymously on behalf of a med student rotator at Beaumont.
*****
I have used this forum a lot, so thought I would fill in a gap and provide some more information about Beaumont in Royal Oak, MI.
I rotated there as a student, so have a little more of the "inside scoop" than just one day as an interviewee.
They take 14 residents per year, and utilize two hospitals - the main campus is in Royal Oak (very trendy town, closer to Detroit), and Troy (more suburban, Level II trauma center). They say on the interview day that their third hospital is in Grosse Pointe, but I think the max amount of time you can spend there is two months. Similarly with the Troy hospital, you spend a max of one month there each year. So basically, the majority of the training is focused on the Royal Oak campus. The hospital is split into areas A, B, C/D (one unit), an observation area, and pediatrics/prompt care. You are typically assigned to work in one of these four areas (minus obs), and then you will have one shift every few months in obs. Obs is mainly run by PA's and an attending that rounds each morning. They pride themselves on having one of the largest observation units in the country, meaning they keep many of the medium-risk people for tests the next morning. The "A" unit is for the most high acuity patients and includes the trauma bay. Since they recently got a helicopter (the Beaumont One), the trauma bay has become busier, with at least a few traumas per 10 hour shift (and many more on weekends). The "B" unit is supposed to be lower acuity, but often times there are very sick people, just like there are in "A." The C/D unit is lower acuity than B, and then the prompt care area is where most of the lacs/fractures are managed. The pediatric shift has now been merged with the prompt care shift, so while working in peds, you could also be seeing lacs, fractures or basic eye complaints. All pediatric traumas are initially managed in the adult trauma bay, and then move over to the peds unit.
Off-service rotations:
They pride themselves on being ICU heavy (4 ICU months during the second year, etc), but when speaking with one of the residents at my interview who was on ICU, he said the attending "doesn't let me do anything," so I'm not sure how much autonomy there is.
EMR: They use Epic, and this seems to run smoothly. They have time to get many of their charts done during the shift, and typically stay after their shift one-two hours to complete charts.
Shifts: Shifts are typically 10 hours, and you're seeing patients for 8/10, and then charting for the last two. They work 22 shifts in the first year, 20 in the second year, and 18 in the third year (chief resident works 17).
Life: The hospital is in suburbia, so there is not the penetrating trauma and grit that you see downtown Detroit. That being said, I appreciated not having as many primary care complaints - rather people came to the ED as referred by their PCP, or when they were actually sick. The resdients get iPads, and have $1200 on a card for food at the hospital (and the food is amazing). Most live in the Royal Oak area, some within biking distance from the hospital. The residents seem to be mostly married/attached, and many have children. Very family friendly.
PD: The PD is awesome - he came to the program is 2007, and is very dynamic and idealistic. He has big ideas for the program, and is very outspoken in his support for the residents.
New changes: Next year, (July 2013), will be the first class of medical students from the Oakland University William Beaumont Hospital to begin third year, so they are working to set up those rotations now. The PD thinks the hospital is going to be moving in a more academic direction because of this change, and noted to me that all the attendings recently hired have been fellowship trained. This will also open the doors for working with medical students as residents.
There was also an announcement of a merger with Henry Ford Hospital, in Detroit, but they promised this would not change the residency program at all at least until 2020.
*****
I have used this forum a lot, so thought I would fill in a gap and provide some more information about Beaumont in Royal Oak, MI.
I rotated there as a student, so have a little more of the "inside scoop" than just one day as an interviewee.
They take 14 residents per year, and utilize two hospitals - the main campus is in Royal Oak (very trendy town, closer to Detroit), and Troy (more suburban, Level II trauma center). They say on the interview day that their third hospital is in Grosse Pointe, but I think the max amount of time you can spend there is two months. Similarly with the Troy hospital, you spend a max of one month there each year. So basically, the majority of the training is focused on the Royal Oak campus. The hospital is split into areas A, B, C/D (one unit), an observation area, and pediatrics/prompt care. You are typically assigned to work in one of these four areas (minus obs), and then you will have one shift every few months in obs. Obs is mainly run by PA's and an attending that rounds each morning. They pride themselves on having one of the largest observation units in the country, meaning they keep many of the medium-risk people for tests the next morning. The "A" unit is for the most high acuity patients and includes the trauma bay. Since they recently got a helicopter (the Beaumont One), the trauma bay has become busier, with at least a few traumas per 10 hour shift (and many more on weekends). The "B" unit is supposed to be lower acuity, but often times there are very sick people, just like there are in "A." The C/D unit is lower acuity than B, and then the prompt care area is where most of the lacs/fractures are managed. The pediatric shift has now been merged with the prompt care shift, so while working in peds, you could also be seeing lacs, fractures or basic eye complaints. All pediatric traumas are initially managed in the adult trauma bay, and then move over to the peds unit.
Off-service rotations:
They pride themselves on being ICU heavy (4 ICU months during the second year, etc), but when speaking with one of the residents at my interview who was on ICU, he said the attending "doesn't let me do anything," so I'm not sure how much autonomy there is.
EMR: They use Epic, and this seems to run smoothly. They have time to get many of their charts done during the shift, and typically stay after their shift one-two hours to complete charts.
Shifts: Shifts are typically 10 hours, and you're seeing patients for 8/10, and then charting for the last two. They work 22 shifts in the first year, 20 in the second year, and 18 in the third year (chief resident works 17).
Life: The hospital is in suburbia, so there is not the penetrating trauma and grit that you see downtown Detroit. That being said, I appreciated not having as many primary care complaints - rather people came to the ED as referred by their PCP, or when they were actually sick. The resdients get iPads, and have $1200 on a card for food at the hospital (and the food is amazing). Most live in the Royal Oak area, some within biking distance from the hospital. The residents seem to be mostly married/attached, and many have children. Very family friendly.
PD: The PD is awesome - he came to the program is 2007, and is very dynamic and idealistic. He has big ideas for the program, and is very outspoken in his support for the residents.
New changes: Next year, (July 2013), will be the first class of medical students from the Oakland University William Beaumont Hospital to begin third year, so they are working to set up those rotations now. The PD thinks the hospital is going to be moving in a more academic direction because of this change, and noted to me that all the attendings recently hired have been fellowship trained. This will also open the doors for working with medical students as residents.
There was also an announcement of a merger with Henry Ford Hospital, in Detroit, but they promised this would not change the residency program at all at least until 2020.
