.

  • Thread starter Thread starter deleted1153276
  • Start date Start date
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
D

deleted1153276

.
Members don't see this ad.
 
Last edited by a moderator:
All solid solid programs. I know Emory and MUSC pretty well. Both top notch training- you will get exposure to just about every type of case you can name. MUSC’s culture is just eh. You will take a solid amount of call at both though, and you’ll be working the entire time you’re on call. MUSC is heavy on critical care rotations and they are terrible. Regarding Emory, keep in mind living in ATL can be very expensive. At least in Charleston there are some areas which are cheaper, although even Charleston is getting ridiculously overcrowded and overpriced.
 
Members don't see this ad :)
Georgia and the Carolinas are primarily 4:1 direction or 8:1 supervision practices, not sure why anyone would want to work there
 
GasPasser23 said:
Thanks for the insight! When you say the crit care rotations at MUSC are "terrible", do you mean the quality of training is poor or just long hours? What about the culture makes you say it's "just eh"? Also I thought Charleston would have higher cost of living than Atlanta, but maybe I'm looking in the wrong areas.


It can be hard to judge especially over a zoom call. They all had residents that seemed happy with their respective programs, although the unhappy/tired residents probably aren't the ones coming to the social events. On the plus side, all four of the programs seem to have reasonable duty hours, and I didn't hear any residents complain about being overworked.


Not sure. I have some extended family and friends in the South but none in any of the cities that these programs are in unfortunately. I did undergrad and med school in my home state in the Midwest and kinda just want to leave for at least a few years. Whether I stay or end up coming back will very likely depend on how I enjoy the city I do my residency in. I don't have a SO or kids so that's not a consideration for now. If you've lived in any of these cities and have good or bad things to say I'd be happy to hear about that as well.
Click to expand...
There are too many of them... and they're mandatory. The residents there spend something like 12 months total in the various critical care units. 6 of those months are in internship. There is one unit that is notorious there- the MSICU. I've heard many a horror story come out of there. The culture at least when I passed through seemed to be mixed. 50/50 mix of great attendings and absolute douche bag attendings. This was a while back though so not sure how things have changed.
 
PainInTheAnes said:
In general I think it’s best to avoid crit care heavy programs unless you want to do it eventually as your fellowship or job.

It’s nice and academic, but most of what they do is fairly irrelevant to your day to day. You’re much better served doing a month more of blocks or thoracic or pediatrics than a month of critical care if your goal is to be an OR Anesthesiologist
Click to expand...
How little is appropriate in your mind? I spent 5 months of my entire residency in the ICU. Overall, I feel it made me a better doctor. I think 4 months is a reasonable minimum, though, because the reality is that you are an intensivist in the OR (whether your patient needs intensive care or not).
 
TeslaCoil said:
There are too many of them... and they're mandatory. The residents there spend something like 12 months total in the various critical care units. 6 of those months are in internship. There is one unit that is notorious there- the MSICU. I've heard many a horror story come out of there. The culture at least when I passed through seemed to be mixed. 50/50 mix of great attendings and absolute douche bag attendings. This was a while back though so not sure how things have changed.
Click to expand...
A few years back, the RRC told us that only two months of the intern year could be spent in critical care. Not sure how fully half of the intern year in critical care is approved by the RRC.
 
I think additional ICU time is high yield and good for most anesthesia residents. We have our entire careers to work on anesthesia. I did an elective month in NICU as a CA-3. Even though my practice is exclusively adults and don’t use any of that knowledge now, I learned a ton about premies and super premies during that month. I think extra time in MICU, SICU, CCU, CTICU, neuro ICU, trauma ICU would be valuable to any anesthesia resident.
 
nimbus said:
I think additional ICU time is high yield and good for most anesthesia residents. We have our entire careers to work on anesthesia. I did an elective month in NICU as a CA-3. Even though my practice is exclusively adults and don’t use any of that knowledge now, I learned a ton about premies and super premies during that month. I think extra time in MICU, SICU, CCU, CTICU, neuro ICU, trauma ICU would be valuable to any anesthesia resident.
Click to expand...
Oh and 1 month of trauma night float. That was the last one. Yea Im sorry but I beg to differ. I felt all that ICU time would have been better spent in subspecialty anesthesia. But to each his own I guess.
 
Members don't see this ad :)
TeslaCoil said:
Oh and 1 month of trauma night float. That was the last one. Yea Im sorry but I beg to differ. I felt all that ICU time would have been better spent in subspecialty anesthesia. But to each his own I guess.
Click to expand...


It depends how much time you get for subspecialty anesthesia during residency. ICU time is definitely better than medicine ward time during internship.
 
TeslaCoil said:
Oh and 1 month of trauma night float. That was the last one. Yea Im sorry but I beg to differ. I felt all that ICU time would have been better spent in subspecialty anesthesia. But to each his own I guess.
Click to expand...

I find trauma / trauma ICU for anesthesia residents to be pretty low yield after a couple weeks to 1 month. Too much turn-your-brain-off time taking care of blunt/penetrating injuries in otherwise healthy people and not enough time thinking about the management of a complex patient with multiple comorbidities who's just undergone a complex surgery.
 
nimbus said:
2 months is required by the ABA. So it’s an extra 2 months. They’ve gone Eurostyle.
Click to expand...
We were specifically told in our program report that two months of critical care was the minimum, but it was also the maximum. They forced us to remove one month in the icu to go from three to two for the intern year.
 
Gern Blansten said:
We were specifically told in our program report that two months of critical care was the minimum, but it was also the maximum. They forced us to remove one month in the icu to go from three to two for the intern year.
Click to expand...


I’m not in academics so I defer to your up to date knowledge of this matter
 
nimbus said:
I’m not in academics so I defer to your up to date knowledge of this matter
Click to expand...
I hedge a bit because that was several years ago and I don't know if it has changed or if that was that particular RRC group's interpretation of the rules. As I researched the rule to see if we were really out of compliance, I could not find anything that said that the maximum was 2 months, however, they were adamant in their report to us that it was. I suspect that, as the RRC members rotate on and off, the interpretation of this (seemingly) unwritten rule.
 
Gern Blansten said:
I hedge a bit because that was several years ago and I don't know if it has changed or if that was that particular RRC group's interpretation of the rules. As I researched the rule to see if we were really out of compliance, I could not find anything that said that the maximum was 2 months, however, they were adamant in their report to us that it was. I suspect that, as the RRC members rotate on and off, the interpretation of this (seemingly) unwritten rule.
Click to expand...
I was also in training several years ago so not sure how things have changed
 
I am also applying Southern programs. Are UAB Oschner UF and Miami all ok culture places? All seemed good virtually
 
BTinBama said:
I am also applying Southern programs. Are UAB Oschner UF and Miami all ok culture places? All seemed good virtually
Click to expand...

I know CT anesthesiologists from UF, Ochsner, and UAB and all seemed competent and spoke highly of their training.
 
vector2 said:
I know CT anesthesiologists from UF, Ochsner, and UAB and all seemed competent and spoke highly of their training.
Click to expand...
Thanks vector and TeslaCoil. UAB residents seem to love program that's probably my target.
Does chairman effect residency much? One of these programs I liked suddenly has new chairman I didnt meet and residents I asked seemed like not a good change. But does it even matter if good group of residents and same PD?
 
BTinBama said:
Thanks vector and TeslaCoil. UAB residents seem to love program that's probably my target.
Does chairman effect residency much? One of these programs I liked suddenly has new chairman I didnt meet and residents I asked seemed like not a good change. But does it even matter if good group of residents and same PD?
Click to expand...
The chairman is probably the most hands-off member when it comes to residency. Thats what the program directors are for. As long as the program has been stable and the chairman is leaving on decent terms I wouldnt worry too much.
 
1halfMVsquared said:
I would also look into BCM. BCM and UTSW are the two top anesthesiology programs in Texas. TMC is the largest in the world and the residents there look pretty happy.
Click to expand...
I am thoroughly unimpressed by BCM training. The rule used to be you cannot extubate, even as a CA 3, without the attending present. That makes you less independent than a CA 1 at some other Texas programs.

Most BCM anes attendings I've worked with in residency felt weak clinically. (And this was my judgement as a CA 3)
 
dchz said:
I am thoroughly unimpressed by BCM training. The rule used to be you cannot extubate, even as a CA 3, without the attending present. That makes you less independent than a CA 1 at some other Texas programs.

Most BCM anes attendings I've worked with in residency felt weak clinically. (And this was my judgement as a CA 3)
Click to expand...
From the BCM grads I've spoke with in past years, that doesn't seem to be a rule anymore. They've all been very well trained clinically.
 
You must log in or register to reply here.
Top