1. Interviews/Questions:
JHU has a very long interview day, and there was a total of 7 individual interviews, plus you may be informally being evaluated by the chief resident and the director of education for the intern year at Bayview who meet with all the interviewees as a group. They only interview upto 3 applicants on each day. I met with 3 residents (PGY-3, PGY-2 x2), the program director Dr. Lipsey, the assistant PD Dr. Swartz, another faculty member with my research interest, and the chair Dr. DePaulo. Everyone was friendly. One resident asked me specific questions about things in my personal statement in a very interested, non-confrontational manner. The other two residents gave me more of a chance to ask questions of them. The PD asked me about my path to psychiatry, where as the assistant PD focused on what I was looking for in a program. The chief wanted to know where I see myself 15 years down the road.
2. Program overview/highlights
The intern year is demanding and takes place at Bayview, a separate hospital once owned by the city, and now staffed by Hopkins faculty, students, etc. Dr. Meg Chisolm is the director of Education at Bayview and comes to speak to the applicants about the Bayview experience. There are 6 months of medicine rotations, 1 of which is in the CCU and 2 weeks of MICU. 2 months of neuro, both inpatient and outpatients,12-14 weeks of inpatient psych and 6-8 weeks of outpatient psych.
Second year is spent rotating through the specialty inpatient psych units at Hopkins, including mood disorders, geriatrics, eating disorders, general inpatient, detox unit, schizophrenia unit, chronic pain. Resident always has his/her own office right on the unit to read and meet with patients and families. Every JHU faculty member, including research bigwigs and the chair are required to attend on the inpatient units, so you will get great teaching
Third year is spent on Outpatient, C/L, and Psych Emergency Services.
Fourth year has 4 months outpatient, 2 months of child/adolescent, and 6 months elective time.
Although there are many research faculty and opportunities, there is no dedicated research track so it seemed more difficult and less flexible than some other programs to pursue research. There is a good deal of protected didactics, grand rounds, etc.
This is a program that is interested in training psychiatrists who are strong in both medicine and psychiatry, and wants people who are attracted to that. They do not hide the fact that you will work harder than many other psych programs, but they also medically manage more of their patients on the inpatient units than other programs. I saw this as a training strength but many might be turned off by it.
3. Call
PGY-1: No call on neuro, q4 call on psych but weekends off, q4 on medicine, and q3 on CCU and MICU
PGY-2: Call is q13
PGY-3: one 12 hr shift per month
PGY-4: one 12 hr shift per month
4. Friendliness of program/faculty/staff
I found everyone to be really friendly, and genuinely enjoyed meeting all the faculty. The residents, too, were friendly and seemed very bright. Hopkins takes 5 extra residents in the PGY-2 year, usually people who have done other residencies, which makes for a diverse group. Staff, including nursing staff, seemed wonderful. It was emphasized that many of the nurses on the inpatient units have been there for 20+ years and really help out the residents.
5. Location plus/minus
Personally, I dont think Baltimore is that great a city, but the surrounding areas are more affordable than Boston, NYC, Philly, DC, etc. I dont think anyone is drawn to the program b/c of Baltimore.
6. Most positive aspects:
JHU is an academic powerhouse, and whatever path you choose academics, private practice, etc. you will be well prepared and have no trouble getting a job. You will be competent in both psychiatry and medicine when you are done. Chair is engaging and both chair and PDs seem dedicated to improving the program. Overall, I thought this was a great program.
7. Negative aspects:
Less flexibility, work harder, less emphasis on psychotherapy training than some other places. There is also a strange, cult-like aspect to JHU based on their adoption of McCues philosophy of practicing perspectives in psychiatry apparently it is a book that everyone follows like it is the Bible that has a different take on psych than most programs. Unclear of what it is all about. More conservative every Monday the men must wear Hopkins ties, and the women must wear Hopkins scarves. I found that strange.