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Main Considerations in Creating this ROL: geography > prestige/opportunities > leadership (chair/PD) > residents > work/life. 230s/230s. low-tier medical school. H/H/HP.
1) NYU - amazing location. i really liked the PD and the associate PDs. the residents were really cool, social. the department is established, well respected, the bellevue/tisch combo (and the fact that they are right next to each other) was awesome. moonlighting opportunities abound. housing is pretty decent. great pathology. reputation helps residents get any fellowship/job. goldfrank is an extraordinary doctor.
2) Northwestern - possibly the best program in the country. it just doesn't get more well-rounded than this. incredible ICU experience, great trauma experience (trauma junior and senior at cook county) plus the fair amount of trauma that comes through the main hospital. the most energetic leadership I've ever encountered. the chair/PD have clear and ambitious vision which is articulated immaculately. academics are top notch. facilities/benefits/bourgeois perks are unbeatable. chair of EM is also CMO of the entire hospital system, so EM has big clout. chicago is an amazing city. oh well about the weather, NYC and boston have ****ty weather as well.
3) UCSF/SFGH - didn't like the program very much as it is still new and disorganized. residents and faculty were not very enthusiastic I think. EM shares airway with anesthesia, limited role in trauma. SFGH has some crazy pathology though. the reputation and location are stellar.
4) Johns Hopkins - great pathology, great trauma, great facilities, AMAZING research/fellowship opportunities. thoughtful curriculum. baltimore is not the best. and EM is not highly respected at this institution.
5) Boston Medical Center - very well respected. best program in the city. lots of trauma. EM runs the ED. highly competent, intelligent, and social residents. can't go wrong here. not my favorite city, but a good city.
The Rest: Denver, UPitt, UPenn, GW, Georgetown, Mt. Sinai. Declined: Hennepin, Cook County, UMD, Duke.
Regarding Denver: honestly an amazing program. They know it, and everybody knows it. The quality of life in denver is really great. The residents are very happy. They work hard, but still have a good time and have a lot of fun. EM as a job is just much funner/more rewarding here, I suspect, than at most other programs because of how much responsibility the residents get. I loved it here, but Denver is just not that cool as a city. If it were in a cool city, it would have been higher, possibly even #1.
The commuting at Mt. Sinai was a horrifying prospect. Plus the recent notoriety was offputting (though I am seriously doubtful). UES is not the coolest part of the city. But the housing is amazing. Still couldn't go wrong here. Smart residents doing smart things undoubtedly facilitated by Jagoda's influence.
I didn't get the impression that Penn had a strong EM program, but rather throws the weight of its name as far as it can go.