- Joined
- Jun 25, 2008
- Messages
- 169
- Reaction score
- 11
Posted anonymously on behalf of a student who interviewed there:
*****
St. John Hospital and Medical Center, Detroit, MI
High Points
120k visits in 2011 makes it among the busiest EDs in the nation, and definitely the busiest in the Detroit area.
Level II trauma center technically, but no trauma is diverted away from them. Residents stated they see plenty of gun-shot wounds and blunt trauma. Have four large and relatively new resuscitation bays.
3rd year residents are more than happy to give away procedures to interns.
Program Director is receptive to resident input and is willing to implement changes to improve curriculum.
Are frequently integrating Ultrasound into patient care, which tells me they are dedicated to keeping up with the curve in terms of advancements in EM.
Hospital has diverse patient population that includes the full range of socioeconomic status. This is thanks to the hospitals location, which draws both the urban population that comes from Detroit and the affluent population that comes from surrounding suburbs.
Great facilities. ED is large (73 beds) and spacious, individual patient rooms with TVs. Ive toured/rotated through 8 different EDs in the Midwest and can easily say this ED had the most impressive facilities.
All rotations are done at the same hospital (St. John) until 3rd year. Dedicated Peds ED is also in the hospital.
Low cost of living compared to other big cities (LA, NYC, CHI). Hospital also has contracts with certain apartments which offer reduced rates on rent for employees.
Meal allowance for residents, iPad provided, free parking, EM residents have their own lounge by the ED.
Other Information
Interns do a 1 month rotation in Nephrology, which is unique to EM programs. This is in curriculum due to high number of ESRD patients in Detroit area. St. John has inpatient and outpatient dialysis centers on-site.
10 hour shifts for interns with 2 hour overlap at the end of the shift.
Paper charting with electronic order-entry.
Associated with Wayne State University in Michigan.
Impression
With such a high volume of patients, there is no doubt that you will be exposed to a variety of pathology, procedures, and high-stress environments. Residents have no complaints about the program, the attendings, or the city. Despite the high-volume, many attendings make a point of doing teaching rounds at some point during their shift. Admittedly there are some shifts where you are overloaded with patients and formal teaching goes by the wayside, but I imagine this is the case in any busy ED. Academics and research were not emphasized during the interview, but the program has all the resources you need to conduct research and crank out publications. The hospital is affiliated with Wayne State University and, as such, the faculty members are consistently working on research projects that residents can partake in. Medical students also rotate through the ED and provide an opportunity for teaching. Overall, I believe this program provides you with excellent training, a nice work environment, and plenty of small benefits that add up to sweeten the deal.
*****
St. John Hospital and Medical Center, Detroit, MI
High Points
120k visits in 2011 makes it among the busiest EDs in the nation, and definitely the busiest in the Detroit area.
Level II trauma center technically, but no trauma is diverted away from them. Residents stated they see plenty of gun-shot wounds and blunt trauma. Have four large and relatively new resuscitation bays.
3rd year residents are more than happy to give away procedures to interns.
Program Director is receptive to resident input and is willing to implement changes to improve curriculum.
Are frequently integrating Ultrasound into patient care, which tells me they are dedicated to keeping up with the curve in terms of advancements in EM.
Hospital has diverse patient population that includes the full range of socioeconomic status. This is thanks to the hospitals location, which draws both the urban population that comes from Detroit and the affluent population that comes from surrounding suburbs.
Great facilities. ED is large (73 beds) and spacious, individual patient rooms with TVs. Ive toured/rotated through 8 different EDs in the Midwest and can easily say this ED had the most impressive facilities.
All rotations are done at the same hospital (St. John) until 3rd year. Dedicated Peds ED is also in the hospital.
Low cost of living compared to other big cities (LA, NYC, CHI). Hospital also has contracts with certain apartments which offer reduced rates on rent for employees.
Meal allowance for residents, iPad provided, free parking, EM residents have their own lounge by the ED.
Other Information
Interns do a 1 month rotation in Nephrology, which is unique to EM programs. This is in curriculum due to high number of ESRD patients in Detroit area. St. John has inpatient and outpatient dialysis centers on-site.
10 hour shifts for interns with 2 hour overlap at the end of the shift.
Paper charting with electronic order-entry.
Associated with Wayne State University in Michigan.
Impression
With such a high volume of patients, there is no doubt that you will be exposed to a variety of pathology, procedures, and high-stress environments. Residents have no complaints about the program, the attendings, or the city. Despite the high-volume, many attendings make a point of doing teaching rounds at some point during their shift. Admittedly there are some shifts where you are overloaded with patients and formal teaching goes by the wayside, but I imagine this is the case in any busy ED. Academics and research were not emphasized during the interview, but the program has all the resources you need to conduct research and crank out publications. The hospital is affiliated with Wayne State University and, as such, the faculty members are consistently working on research projects that residents can partake in. Medical students also rotate through the ED and provide an opportunity for teaching. Overall, I believe this program provides you with excellent training, a nice work environment, and plenty of small benefits that add up to sweeten the deal.