Hospitals/Facilities:
Tarrant County Hospital is where all your rotations take place but for Peds. Very clean, looks new. Level 1 hospital, only one besides Parkland in DFW area. Divided into Pods, mixture of rooms and curtains, no overcrowding, no hallway beds. One Pod devoted soley to Trauma. A fast track run by MLP picks up the BS during the day, trauma pod picks up the urgent care cases at night. (not necessarily true. the fast track is open 24 hours a day with mlp. there is also 12-16 hours of attending coverage there daily. No resident shifts there first two years, some monthly as a 3 to get a handle on dealing with low acuity complaints in the real world) if there were some in trauma, it was either that busy or the attending was bored on a slower day and chose to see some of those patients. Volume substantially over 100,000. Told at interviews there's an external urgent care nearby that siphons off even more BS, running to the healthy five digits of volume .
When I was there, only one ultrasound for the department. Never saw it get used once. Since then they've hired an US director and picked up another three. Questionable how many faculty are going will use 'em (younger faculty more comfortable with it and use it often. we have 7 now).
Free parking. Food provided in Caf which I never saw, McDonalds in building. Excellent nursing. NO SCUT (AMEN. our nurses and techs are awesome). Never had any trouble admitting patients.
Epic is the EMR, currently the most used EMR in country and a personal favorite. Able to accsss outside records from any other hospital that also uses EPIC. Super easy documentation templates, ordering, lab look up (Epic goes live May 5 2012).
Current schedule for residents is 18, 17, 16 10 hour shifts over a full months time (the shifts are actually 20, 18, 16 as you progress, all 10s (8+2 overlap). Works out to the lightest schedules for any other place I looked at (there are many with lighter schedules. i think we're in the middle of the road as far as monthly hours, 200 monthly, some offservice are higher). Get 20 days off a year plus days off for conferences (17 as an intern, 20 as a 2 or 3). Faculty work 8 hour shifts (faculty work 8 or 12 in the main ED. sometimes 10 in the above mentioned fast track area).
Curriculum: It is currently a 3 year program with a very heavy emphasis on EM. A concern of new programs is how much you'll be scutted out to other departments, but Robinson has made from the start all rotations geared to EM. OB, you work up ob complaints in ED and get called up for babies (there is actually a seperate entire area for OB triage/ED located next to L & D. You work in the ED/triage and manage acute pregger complaints, and deliver babies a few footsteps away). No knee surgeries for ortho, you're there for reductions and other EM procedures (yes, no surgery). No floor months (there is a little bit of floor duty, during your trauma month, you do have to deal with the admitted trauma surgery patients. No medicine wards though). Two electives (yes, 2 electives and one ICU selective). Don't think you fly but I could be mistaken (we are working on flight options currently, but will not be mandatory). I'll also add, 6 months ICU in 3 years, makes you crit care fellowship eligible ( year 1 - MICU, NICU. year 2- SICU, ICU selective. year 3 - PICU, ICU selective)
Residents: Several residents were almost overlyenthusiastic about their program, but all in all seemed a solid regular group of folk. I rotated through the ED before their first class so I didn't really get a chance to see them well. One kinda weird thing about the interview day was a resident's urge to take us through a picture of each guy and tell their life story in painful long detail with bunch of awkard jokes (i dont know who this was but i appreciate the feedback and will make sure we dont repeat this).
Faculty and Administration:
+ Robinson, the PD, is just about one of the nicest and soft spoken guys around. Really seemed caring about his residents, extremely motivated to set up a good program. Kirk the assitant PD is cool as hell, way into MMA. Delaney the research director has been around forevere, published up and down every med journal, former Parkland Faculty. (pick up rivers review, two faculty wrote chapters in it (Delaney and Coppola).
- PD not well known in the ED community, nobody else I interviewed with had heard of him, not sure if that'll matter for job placement after . (Dr. Robinson is the TCEP treasurer. Also the TCEP president Dr. Zenarosa is affiliated with our program through EMcare and we regularly speak with him. Dr. DeMoor is also on TCEP board of directors. Dr. Coppola is the ACEP Council Speaker. Dr. Delaney is well known through her extensive research).
Didactics:
My biggest concern for the program. The three lectures I saw while there were kinda really substandard. They've hired a bunch of new faculty though and maybe it'll improve now that residents have come in (Didactics have improved tremendously in our first year, IMO).
Pediatrics: Two months of Peds EM at hospital 50 (42) miles away in Dallas, 1 month PICU (you also do integrated Peds EM shifts 2-3 a month during your senior year. Hospital reimburses you .55 per mile each way, max of 500 for the month). There's a train that runs direct from downtown FW to location .
Location:
Nickname for place is "Cow Town" and I really got that feel from the downtown. Didn't see any bars I liked or people to hang with. Got the feeling that interesting folk moved to Dallas. Learning later that the real social heart for young people is Magnolia Street (Magnolia and also 7th st (by the med school - 3 miles away) are more young and social), right near the hospital. One of the residents, kinda a hipster, said he's super stoked on the area and people and bicycled to work each day (he is quite the character).
Conclusion: I liked this program. Not having winter would be nice. Got the feel that moonlighting could be lucrative in outside small towns (It is, speaking from nearby residents). Would have really enjoyed training here, peaceful happy three years. Kinda concerned about name recognition afterwards but the field for EM's supposed to be wide open and a foot in the door of Texas would be useful (only time can tell, but i feel extremely confident ill get the job i want when i graduate).