OHSU
1. Ease Of Communication:
Unremarkable, responsive by email.
2. Accommodation & Food:
Had a super early flight home so stayed at a hotel not on the list way out by the airport. A list was provided of hotels, some of which had OHSU discounts, but on cursory inspection all of these hotels were very expensive. Word was that they were trying to provide names of hotels very close to the hospital itself, which means that options are somewhat limited due to topography.
Pre-dinner jappy hour in a private room at a restaurant near the hill, rather than a full on dinner. One complimentary drink per person, light appetizers, fancy pizzas. I definitely preferred this set-up to a sit-down dinner, having now had the experience of being stuck at the end of the table where you can't hear most of the conversation and only talk to one person all night. Only downside was only three residents in attendance, two of them administrative chiefs. Apparently far more were signed up to come, but this was happening at the beginning of a Great Deluge that came upon the city and would continue for the next day without ceasing.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences):
Fairly standard format, overview with PD/Chair, four twenty-five minute interviews that will either be before lunch or after, with the off-group taking a tour of the facilities. There seemed to be a list of standardized questions that more than one interviewer used and seemed more like what I'd expect in a real job interview (tell me about a time you had an interpersonal conflict with a colleague in medicine and how you resolved it), but at least one question from one interviewer asking me to identify the earliest memory I had of being interested in human behavior. I was lucky enough to interview in the afternoon, so at least one of my interviews allowed me to ask pointed questions about things other people had identified as areas in need of improvement in the program; thankfully this interview was with the new-ish attending that been hired specifically to address these issues!
Lunch was unobjectionable, but a strange choice was made re: beverages, to whit, the program provided beverages sufficient for the # of attendees/2. Funding problems?
4. Program Overview:
Eight in each class, with one slot for a dedicated research track. First year off-service, two months of inpatient medicine (potentially one of these months on pediatrics or endocrine consult service), one month in the ED, one month in a outpatient primary care clinic, two months neurology (generally outpatient unless you ask for it to be inpatient). On psych, short call twice a week and you work every every other Sunday.
I am not going to regurgitate all the scheduling details (they are easily available on the program website), but three things worth mentioning. First, you start with therapy cases in the second year (½ day a week), allowing you to get good continuity. Second, you remain in the call schedule third year, and will still be scheduled as backup and jeopardy in fourth year. Third, night float is the standard 6-7 weeks in second year, but it is done in 3-4 week blocks, which is a bit more than the two weeks at a time I had seen in a lot of other programs.
Alot of the details of scheduling and call are a bit up in the air at the moment, because as of this time-ish next year, the inpatient unit is going to move off the hill to Unity Hospital, a new free-standing psych hospital that is a joint venture with a bunch of other healthcare systems. This will open up all kinds of moonlighting opportunities, but perhaps more importantly, will not be making use of residents for night float or call, relieving residents of the responsibility of covering two inpatient units at night (VA and OHSU).
For 6 months of third year you will spend a day and a half a week doing community psychiatry, and there is an excellent series of very focused didactics on public psychiatry that everyone raves about. Portland is a city of lefty do-gooders, so there are plenty of community options to mix and match for fulfilling that requirement. My personal favorite is the Intercultural Psychiatry Clinic, which has 1300 patients who are all refugees speaking 15 different languages where you act as psychiatrist and someone who speaks their language and from their culture acts as case manager and therapist. They have a grant from the UN to study approaches to treating torture survivors.
The website discusses several tracks you can choose but apart from research, these are in hiatus due to lack of resident interest.
Geri, Forensics, Psychosomatic, CAP and Addictions fellowship available.
A lot has been made of the OHSU acute inpatient unit not being very nice. It is in a basement and was clearly built in the 70s, but then, my home program utilizes a unit in a hospital that was built in the 50s, so it didn't seem like such a big deal to me. Regardless, it will be moving soon to a freshly renovated facility. The new hospital will also have a 50 bed dedicated psych ED, which the program currently lacks.
If true integrated care is your thing, the local VA is moving very heavily towards a model of having a psychiatrist embedded in their outpatient primary care clinics, and so exposure to outpatient C/L work is quite strong.
5. Faculty Achievements & Involvement:
Program in the past has had a bit of a reputation of poor support from faculty, but there have been some new hires to try and address that. For example, previously no direct supervision of therapy sessions was offered due to a complete lack of video recording capability in the outpatient clinic. Now a new-ish attending has been made co-director of therapy training specifically so she can observe therapy sessions to offer more useful feedback.
Over the past decade the university has done a good job recruiting stronger neuroscience and psychology basic science folks, and the founder of Nike is in talks to give yet another ginormous donation for neuroscience, so this is likely to continue.
6. Location & Lifestyle:
Hospital itself is on Marquam Hill, which means driving to the medical campus and parking in the immediate vicinity is very expensive. However, it is well-served by multiple forms of public trans, including an aerial tram that is free for OHSU students/employees and has a bike valet service at the bottom, because of course it does. Most of the clinical sites are clustered on the hill, though the state hospital, where the forensic and gero rotations take place, is in Salem, a goodly schlep away from Portland.
Not going to wax poetic about Portland. My favorite city in North America, at least in terms of places I would actually want to live. I can imagine it would be rather alienating if your politics were at all conservative , you were strongly religious, or if you really can't stand hipsters. If it is your mecca, you know it already.
Residents seem to be a very sociable bunch and frequently hang out together outside of work. The program sponsors two resident retreats a year for bonding purposes.
7. Salary & Benefits:
All on the website. Residents say the health insurance is good provided you stick to OHSU providers. Subsidized gym access at the bottom of the hill by the aerial tram stop. Also, for family-minded, an OHSU-run daycare in the same building, which is apparently reasonably priced.
8. Program Strengths:
- dat hill tho
- close connections to Oregon Psychoanalytic institute if that is your thing
- very strong emphasis on community and public psychiatry
-city is full of moonlighting opportunities
-a PD who seems very invested in the program and is now recruiting to try to address weaknesses
- located in the capital of Lefty Hipsterland
- shiny new hospital that is slated to open soon; interesting opportunity to see a new institution from the get-go
-a VA that by most accounts functions pretty well
-interns honestly seem happy
9. Potential Weaknesses:
-driving all the way to Salem for two months
-didactics historically weak, but by all accounts improving dramatically
-inpatient in the basement until the new hospital opens
-moonlighting strongly discouraged prior to 3rd year
- call schedule is somewhat more intense than at the median psych program; residents reported 50-60 hours was typical for inpatient psych blocks
-supervision patchy for therapy, especially in second year, although this is an area that is rapidly improving
-Californians buying up all the houses and making property super expensive (although still cheaper than the Bay Area or Seattle)
Overall, I went into this interview thinking it was going to be my top choice, and left the interview genuinely excited. My mind has not been changed.