residency program suggestions?

logistic · Sep 9, 2008

I will be applying to all of the obvious (i.e. big name) programs in the Northeast. After finding out one of the attendings went to U of Rochester for residency, I checked out their website, and was impressed enough to apply. Any other solid programs I am missing out on in this region?
thanks

JayDoc06 · Sep 10, 2008

Good luck with all your obviously solidly awesome Northeastern programs, you will obviously be a solid surgeon and will more than likely become your own big name. I'm thrilled about your solid prospects...thank God your not considering medium name programs in Kentucky.

SLUser11 · Sep 10, 2008

logistic said:
I will be applying to all of the obvious (i.e. big name) programs in the Northeast. After finding out one of the attendings went to U of Rochester for residency, I checked out their website, and was impressed enough to apply. Any other solid programs I am missing out on in this region?
thanks

I typed out a really pissy and sarcastic response to your post, but then I decided that I'd just sit back and let you go through the match and hate yourself later on......

logistic · Sep 11, 2008

don't let me make this mistake! Suggestions, therefore, are in order. I limit myself to the Northeast only because I want to be close to home.

dragonfly99 · Sep 11, 2008

I don't know about surgical specialties per se,
but as you mention U of Rochester is a nice place...I liked the medicine dept though didn't end up going there. Also, Dartmouth is a nice, sound hospital and seemed friendly when I was there...however, it's a small town and most of the people seem to be married. It would be a good place if you were married w/kids, etc.

logistic · Sep 11, 2008

So their website stresses the small nature of their program, but it does seem to provide ample experience is provided at the main hospital center, at a community center, and at a VA.
I did like that surgical endoscopy is a separate elective in the PGY-3 year and that chief residents "virtually manage all trauma and urgent problems in the hospital."
So I'm guessing the hospital center is not located near the university?
All in all, looks like it's worth checking out during interview season.

Winged Scapula · Sep 11, 2008

logistic said:
I did like that surgical endoscopy is a separate elective in the PGY-3 year and that chief residents "virtually manage all trauma and urgent problems in the hospital."

What does that mean?

Does it mean that you are not actually in the hospital, but are managing all the problems "virtually", ie, from home?

Or does it mean that you are managing all the problems in house? If its the latter, so what? How is that different from any other program? And if they are requiring the Chief resident (rather than the 4th year) to be in house managing all the problems, doesn't sound so great to me.

logistic · Sep 12, 2008

"Or does it mean that you are managing all the problems in house? If its the latter, so what? How is that different from any other program? And if they are requiring the Chief resident (rather than the 4th year) to be in house managing all the problems, doesn't sound so great to me."

I suppose I took it to mean that you are given a lot of autonomy with these problems. But currently requirements are for direct faculty supervision at least for the 'most crucial parts of the procedure', and this applies to everyone including chiefs, correct?

JackADeli · Sep 12, 2008

logistic said:
....currently requirements are for direct faculty supervision at least for the 'most crucial parts of the procedure', and this applies to everyone including chiefs, correct?

Correct

I think the exceptions are usually the most dire situations i.e. Trauma thorocotomy does not wait for an attending, AAA exlap and crossclamp does not wait for an attending.... these are the exceptions that now prove the rule in most institutions.

The CEOs and upper management (usually not surgeons) of most hospitals are not appreciative of anything less nor is the malpractice carrier appreciative of any less. The most recent renditions of consent forms are even requiring some sort of explanation as to what and how much a resident will do during a procedure.

Just another perspective as many out there chomping at the bit to brag how "independent" their program lets them be.... There was a recent publication about how attendings are being dropped from lawsuits in favor of suing just the resident... because they were functioning "independently".

Winged Scapula · Sep 12, 2008

logistic said:
"Or does it mean that you are managing all the problems in house? If its the latter, so what? How is that different from any other program? And if they are requiring the Chief resident (rather than the 4th year) to be in house managing all the problems, doesn't sound so great to me."

I suppose I took it to mean that you are given a lot of autonomy with these problems. But currently requirements are for direct faculty supervision at least for the 'most crucial parts of the procedure', and this applies to everyone including chiefs, correct?

My question wasn't really directed to the issue of autonomy, but rather the emphasis on "trauma and urgent care". This implies to me a lot of in house call as you aren't generally "virtually managing" those things from home.

Autonomy is a double edged sword. As noted above, something goes wrong and hospitals have been known to hang the resident out to dry. Too little of it (like I had) means you don't develop the confidence and perhaps the skills you need for an independent practice.

JackADeli · Sep 12, 2008

Winged Scapula said:
...As noted above, something goes wrong and hospitals have been known to hang the resident out to dry....

Yep, think of it this way:
It is a quicker process and easier to simply say the trainee was doing something without supervision and/or informing the attending. If the attending concurs with this assessment (many will if they are dropped from the suit), then the case is done very, very fast!!! no long litigation and most residents have upwards of a million dollars of coverage.

residency program suggestions?

logistic

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JayDoc06

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SLUser11

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logistic

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dragonfly99

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logistic

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Winged Scapula

Cougariffic!

logistic

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JackADeli

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Winged Scapula

Cougariffic!

JackADeli

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