More than Rochester or Buffalo? Seems hard to believe...
haha, yes, I agree actually. But idk. Snow greater than 3 inches at once is completely outside of my experience. I'm not sure how much I should or shouldn't be concerned about snow.
More than Rochester or Buffalo? Seems hard to believe...
I don't have time to write a full review, but here are my take home thoughts. At U Mass, I was really impressed by the diverse research opportunities, which included forensics research, mindfulness, and psychotherapy research (things I haven't heard about anywhere else). They have a significant mindfulness and meditation program. The facilities are all shiny and new. The state hospital is that most impressive I've seen. All new. It's like it's own little mini-city with a grocery, salon, and other shops within. Another sort of unique thing is that they have a full day of didactics. I'm a fan of full day didactics since it demonstrates a dedication to teaching and a lack of dependence on residents for clinical service. Residents at programs with full day didactics also seem less stressed and more cohesive. The residents generally seemed very happy, probably the second happiest I've seen. They were almost all married though. More than one was pregnant. The one single resident I met seemed a bit bitter about living in Worcester. The program is a little small. 4 categorical, 2 combined child, 1 neuro-psych. The PD is a little intense for my taste. He pimped one of my friends during their interview and he asked me a lot of questions about a pre-clinical grade that no one else has asked about at all. That said he seems to really love what he does, listen to feedback, and is always work to improve the program.
I, too, am having trouble justifying living in Worcester. Worcester reportedly gets the most snow of any city in the US. If you can't get to work due to snow, you have to use your personal days. They're building a new express line between Worcester and Boston so that the trip will take "slightly less than an hour". Some residents supposedly commute to Worcester from Boston, and it's "about 45 minutes" by car. That seems like a lot to me. How early would you need to leave to be sure you get there on time? What about the weather issues? Worcester has great public schools "the best in the country" and a low cost of living. I think this program would be an amazing choice for someone with a family or interested in starting one soon.
haha, yes, I agree actually. But idk. Snow greater than 3 inches at once is completely outside of my experience. I'm not sure how much I should or shouldn't be concerned about snow.
Recent grad. As a psychiatrist, you can always find a job in Charleston, or pretty much anywhere. However, you have virtually no leverage in terms of salary, non-compete agreements, call responsibilities, and unless you can work in research at MUSC, the jobs are pretty lousy. I left the state and wouldn't trade my job for any that my colleagues took in town. The only place there I might want to work is the VA, but unless you work in something like telepsych or consults, you aren't going to get those positions as a new grad. If you want to open a cash practice, there also is still a market in some of the outer, less glamorous outskirts of town (such as Summerville or North Charleston).Not sure if I was being told the full story, but back when I interviewed they said every resident who has wanted to stay in Charleston has been able to. The attending said it was surprising that charleston supports that many psychiatrists but somehow it does. Seemed like the majority of the VA psych department was MUSC grads based on what another interviewer said so that probably contributes. MUSC has a huge psych faculty too. Also sounded like there are a lot of the "cash only" type practices in the affluent suburb.
Program Name: University of Maryland
Program Communication: No problems with scheduling or communication. Program coordinator was very accommodating.
Accommodations: Many hotels in vicinity.
Dinner: Dinner was at a fancy Middle-Eastern restaurant in downtown Baltimore. Plenty of vegetarian dishes.
Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences):
Start at 7:45 am with small breakfast (small assortment of pastries, coffee available). All of the interviews took place in the morning. Approximately three 20-30 minute interviews. Then took bus to Sheppard Pratt and toured the hospital. Sheppard Pratt was a beautiful historic psychiatric hospital with sprawling grounds and beautiful artwork. Many specialized units (including “retreat” for patients who pay out of pocket, eating disorders unit, trauma unit, child, adolescent, etc.), ~300 beds. Situated near GBMC (which is a local general hospital) so it is easy to refer patients out for medical appointments. We had lunch back at the downtown campus. Good resident turnout. In the afternoon, split into groups to either tour downtown hospital first or to have an exit interview with the PD. We also toured the gym extensively, which was random and probably unnecessary for most candidates.
Program and Curriculum Overview- PGY1- mix of psych/neuro/medicine. Medicine months are at Mercy Hospital rather than University of Maryland. PGY2- mix of Sheppard Pratt and University of Maryland, VA. Inpatient and consult. PGY3- outpatient- can choose primary site (some were downtown, others were at Sheppard Pratt)
Program Feel and Culture:
Residents seemed very happy overall. Hard to get a feel for the program itself. Did not have a clear ideology and did not feel dogmatic. Difficult to sense if it is a psychotherapy v. biological heavy program. Though historically Sheppard Pratt was psychoanalytic heavy, they seemed to have moved away from the heavy psychotherapy focus at Sheppard due to financial constraints. There are certainly opportunities to pursue psychotherapy training if interested. Two hospitals catering towards different patient populations with very different cultures. Downtown campus with predominantely underserved patients, more run-down, more general units, and more autonomy for the residents. Sheppard Pratt with mixed-income base, beautiful building, special units, and less resident autonomy.
The call schedule seemed more grueling than at most programs (though the residents said they generally keep within duty-hours). Residents are on call q4 (sometimes q3 if someone is out on maternity leave) during 4 months at Sheppard in PGY2 year. Only one resident for the ~300 bed hospital for 24+ hour call cycle (I believe it is close to 30 hours). Residents insisted that they generally only had to take care of minor complaints such as heart-burn, which were manageable, and that it helped to have GBMC closeby.
Location & Lifestyle
Most of the residents at Maryland lived within close proximity to eachother in the city, compared to Hopkins where residents seemed more sprawled throughout the city.
Salary & Benefits
Uncertain, these were not listed in the pamphlet they sent us
Program Strengths
-Opportunity to experience working with diverse patient populations through VA, Sheppard Pratt, and downtown campus
-Specialty units available, if interested
-Program did not seem to have an intense slant towards either biological or psychotherapy
-Basic science and clinical research opportunities
Potential Weaknesses
-Faculty/program directors did not seem to have the same level of passion, motivation that I have seen at other institutions, but this could have just been that I shared more interests with faculty at other institutions
-Intense call schedule especially during PGY2 year at Sheppard Pratt (24+ hour call q4)
-Very few opportunities for research outside of basic science/clinical research
Program Name Miami
Program Communication
Timely communication. The PC is the most personable I have met yet on the interview trail. You get a link to a nice “for interviewees only” website in the invitation email.
Accommodations and Food
Stayed at Springfield Marriot, <5 mins away from the behavioral health hospital. Would be walkable, but took the hotel shuttle (leaves every 30 mins). The hotel was fine, but the location is kind of barren besides the medical center. The closest restaurant on Yelp was the hospital cafeteria… If I went again and maybe had a bit more time would have stayed somewhere a little more East towards downtown/Brickell/the water. Sidebar—I ended up leaving my glasses at the hotel and they overnighted them to me (A+!).
Pre-interview dinner was at a nice place on Grove island. Wonderful view at night. Breakfast was pastries and coffee from ABP. Lunch was an assortment of wraps, sandwiches, salad, and cookies.
Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences)
Pretty standard interview day. Tour is on the longer side but it’s nice to see the medical camps as all hospitals are onsite. The group meets with Dr. Nemeroff. I believe all the applicants also meet with the PD who has been at Miami for ~5yrs. I had total 4 interviews, all were quite conversational and about 30 min. The one with the PD was 15 min.
Program and Curriculum Overview
PGY1- call 16-18 wkday calls (4:30-10pm), 16-18 wknd call shifts (12hr day/night, sat or sun)
- 4 months adult inpt psych
- One mon night float
- 1 mo day shifts Psych ER
- 1 mo inpt medicine
- 2 mo inpt neurology
- 1 mo outp medicine
- 1 mo med-psych (this may go away)
- 1 mo MOD (I forget what this is…)
PGY2 – call 16-18 wkday call at VA (4:30-10PM), 10-11 wknd shifts
- 2 mo child psych (inpt and outpt)
- 2 mo CL (very busy!)
- 1 mo inpt detox
- 1 mo inpt geri
- 1 mo forensics
- 2 mo night float
- 2-3mo adult inpt psych
PGY3- call 16-18 wkday call (4:30-10PM), 4 or fewer weekend call
- Year long outpt clinic
PGY4
- Research (not required)
- Electives
- Moonlighting possible
- 2 chief positions
Program Feel and Culture
- definitely a program where you “learn by doing”
- high clinical volume, especially the first two years. Residents affirm you will work hard here.
- some themes were repeatedly emphasized by different individuals during the interview dinner and interview day: that the people who do well “are people who want to be there”, “people who will be responsible for their learning and not get lost in the crowd”, “
- large class size, they are expecting 14-16 residents for incoming class 2016
- most of the residents were nice and stated that they enjoyed their experience in the program
- some residents were not very eloquent in describing things. For example one responded “I don’t know” when asked about what they wanted to do in psychiatry, responded “because I matched here” when asked why they chose Miami.
- Only 3 residents at pre-interview dinner, which is the fewest I’ve seen so far (n<5)
- Interview lunch was fairly well attended
- Interestingly/notably, Dr. Nemeroff relayed that want to hear from you if they are your #1, and that this may/will affect your spot on their rank list. Spoke proudly of only going to number 20 to fill from last year’s match. This seems to match their philosophy that the people who do best there are people who really want to be there.
- So from reading around and various hearsay sources I’ve heard some pretty terrible rumors about the Miami program, specifically the high workload, lack of teaching, and poor administration support of residents. From what I have gathered, it seems that the program has really made some attempts to improve much of this. During the program outline, there were slides comparing the old schedule with the new schedule with the point of how much more organized and logical the new schedule is. The chief residents also emphasized how responsive the PD is and how the larger class size has made it easier on the schedule. I also have a source on the inside. In summary I think you will work hard here but I don’t think it is malignant like the rumors might say.
Faculty Achievements & Involvement
Chair-Dr. Nemeroff: meets with the interview group and goes around the table. Says some interesting comments about the programs where applicants are from. He is charismatic and is certainly quite accomplished, well-published, and can get things done. Was former chair at Emory but left following ethical concerns about pharma involvement. You can find more about this online if you look.
PD:- Dr. Suvano: seems friendly and approachable. Dr. Nemeroff described him as a teddy bear which is surprisingly accurate. Chief residents emphasized how responsive he was. He has been at Miami for about 5 years.
Chief residents state that Dr. Nemeroff and Dr. Suvano have helped turned the program around and are much in part for UM’s increasing training program quality.
Location & Lifestyle
The neighborhood of the actual hospitals is not that great but I think where it is located is great in that it is close to downtown and the water. Most residents seemed to live in the downtown/Brickell area with a few living in the suburbs or Miami Beach. There is a metro line that runs from downtown to the medical center. Overall I think the location and lifestyle of Miami would be fantastic. Some residents say they are really busy, some say they have more free time than in medical school, so somewhat hard to judge on that end. I definitely think that this is program tends towards the workhorse side of the spectrum.
Salary & Benefits (2015-2016)
PGY1 $51,250
PGY4 $57,201
$1250 annual education stipend
$1375 annual meal card
Health insurance is quite comprehensive
Program Strengths
- large, diverse patient pool
- Public (Jackson), Private University (UM), VA hospitals—and all on the same campus!!
- Miami
- Learn by doing if that is your preference
- Dr. Nemeroff can make magic happen sometimes it seems
Potential Weaknesses
- Seems to be a workhorse program, Residents affirm you will work very hard for, particularly during parts of the first 2 years, lots and lots of call
- Some residents seem to be there for the location rather than the program itself
- Working on improving psychotherapy curriculum
- Working on increasing allotted time for research, they say this will improve as number of residents increase
- Some controversy around Dr. Nemeroff leaving Emory
- few residents at pre-interview dinner?, some residents were not very outspoken about their adoration of the program itself (may or may not mean anything).
Pine Rest/MSU
1. Ease Of Communication:
No Problems
2. Accommodation & Food:
There was a pre-interview dinner which about half of the residents attended. No hotel accommodations, but Grand Rapids is a pretty cheap place to get a hotel or AirBnB.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences):
We did tours of the campus first which was totally amazing! We saw about 4 different inpatient units and the outpatient clinic. Everything was beautiful, spacious, and new. They even had a mother-baby unit and there are only 3 of those in the country. The facilities were literally the most amazing facilities I have seen in my life. Their resident lounge is like a 5 star hotel suite and there is even a swimming pool.
The interviews were with the PD, APD, and two residents. They were conversational and mostly about getting to know your personality. They really emphasize finding a good group of residents to mesh with.
4. Program Overview:
It is a new program with two classes of residents so far. They seem to offer really high quality training and have the best facilities. Everyone is super happy. The PD seems really great and definitely takes resident opinions into consideration. He is dedicated to making this program as awesome as possible. Their child fellowship will start in 2016 and they are trying to start up more fellowships in the future. This program is definitely a hidden gem. They will definitely have no problems with accreditation.
5. Faculty Achievements & Involvement:
The faculty and staff all seemed super nice and enthusiastic. They really love working with residents and teaching.
6. Location & Lifestyle:
Grand Rapids is a pretty cool city. Lost of artsy and nature stuff going on and has the best breweries. Downtown is pretty busy. Cost of living is very affordable. The only thing I don't like is that Grand Rapids gets more snow than Detroit, which makes driving more difficult.
The residents have a great lifestyle. They all seemed super happy and enthusiastic about their programa nd had nothing but good things to say. Their call schedule is pretty light. They say they get treated like celebrities.
7. Salary & Benefits:
Salary for PGY-1 was around 47k. Incoming residents get a free iPad.
8. Program Strengths: Best facilities, great faculty, great work hours, great location for folks into nature and art.
9. Potential Weaknesses: Located in a city with a lot of snow. Not for people who want to live in big cities or warm weather.
Does Pine Rest do any work at Spectrum downtown?
Where's their CL at?They only do one month of neuro at spectrum downtown. Two months of IM at Pine Rest. Three months of FM and peds outpatient.
Where's their CL at?
Very chill program. Their IM is done on their inpatient psych wards, just doing H&Ps on new admits and dealing with any acute conditions (rashes, colds) that may arise. Very different from most other programs where you are essentially an IM intern. Facilities are out of this world, as are psych resources and faculty. Def a hidden gem!St. Mary's
Very chill program. Their IM is done on their inpatient psych wards, just doing H&Ps on new admits and dealing with any acute conditions (rashes, colds) that may arise. Very different from most other programs where you are essentially an IM intern. Facilities are out of this world, as are psych resources and faculty. Def a hidden gem!
According to the ACGME, this wouldn't meet RRC requirements. The medicine RRC requirements state:Very chill program. Their IM is done on their inpatient psych wards, just doing H&Ps on new admits and dealing with any acute conditions (rashes, colds) that may arise. Very different from most other programs where you are essentially an IM intern. Facilities are out of this world, as are psych resources and faculty. Def a hidden gem!
According to the ACGME, this wouldn't meet RRC requirements. The medicine RRC requirements state:
IV.A.6.a).(4).(a) a minimum of four months in a clinical setting that provides comprehensive clinical care; and, (Core)
IV.A.6.a).(4).(a).(i) This requirement should be met in a primary care specialty setting. (Detail)
I interviewed at HSS and was going to wait until I finished all my interviews to do my reviews. But here's the rundown that I have from my notes.
PROS:
- Strong training in PTSD and substance abuse given mostly VA population
- Exposure to many clinical sites (including McLean) gives you experience working in many different hospital systems.
- Good work life balance as per residents
- Very strong fellowship placement, especially if you want to stay within the Harvard system
- Full day didactics on Wednesday, so clearly education over service oriented
- In addition to the already established Leadership and Research track, the PD also mentioned new tracks like psychotherapy
- 8 months elective in PGY4, which you can basically do anything with. You can even go to other institutions as I recall residents having previously done electives at Yale and Stanford
- Very high salary. Starts at just under $63K and reaches $71K by PGY4
- Research resources within both the Harvard and VA system
- Out of all the interviews I've been to, I'd say the residents here were some of the friendliest and most enthusiastic about their program. They seemed to genuinely get along and hang out with one another outside of work. In addition, they seemed very happy and were not overworked.
CONS:
Overall, HSS provides many attractive features as a residency program but comes with obvious negatives as has been pointed out by previous SDN reviews. The administration seems very receptive to resident feedback, however, and many aspects of the curriculum have been modified in recent years to address the weaknesses (adding Women's mental health rotation, new tracks, etc)
- Limited psychopathology given VA population makes up roughly half of all your PGY 1&2 rotations and ALL of your PGY3 outpatient population. Despite the many positive attributes about this program, this was a major red flag for me
- Facilities at the Boston VA are decent, but seem a bit old when compared to newer facilities at other institutions
- Lots of commuting!
- Some of the other fellow applicants and I got a weird vibe from the program director. She seems like a nice lady, but her interactions seemed very forced during my interview with her. Another applicant said the PD was a bit abrasive in response to one of the applicant's answers to a question. However, the residents spoke very highly of her during my interview day.
Send me a PM Rogue Penguin if you want any more information!
I interviewed at HSS and was going to wait until I finished all my interviews to do my reviews. But here's the rundown that I have from my notes.
PROS:
- Strong training in PTSD and substance abuse given mostly VA population
- Exposure to many clinical sites (including McLean) gives you experience working in many different hospital systems.
- Good work life balance as per residents
- Very strong fellowship placement, especially if you want to stay within the Harvard system
- Full day didactics on Wednesday, so clearly education over service oriented
- In addition to the already established Leadership and Research track, the PD also mentioned new tracks like psychotherapy
- 8 months elective in PGY4, which you can basically do anything with. You can even go to other institutions as I recall residents having previously done electives at Yale and Stanford
- Very high salary. Starts at just under $63K and reaches $71K by PGY4
- Research resources within both the Harvard and VA system
- Out of all the interviews I've been to, I'd say the residents here were some of the friendliest and most enthusiastic about their program. They seemed to genuinely get along and hang out with one another outside of work. In addition, they seemed very happy and were not overworked.
CONS:
Overall, HSS provides many attractive features as a residency program but comes with obvious negatives as has been pointed out by previous SDN reviews. The administration seems very receptive to resident feedback, however, and many aspects of the curriculum have been modified in recent years to address the weaknesses (adding Women's mental health rotation, new tracks, etc)
- Limited psychopathology given VA population makes up roughly half of all your PGY 1&2 rotations and ALL of your PGY3 outpatient population. Despite the many positive attributes about this program, this was a major red flag for me
- Facilities at the Boston VA are decent, but seem a bit old when compared to newer facilities at other institutions
- Lots of commuting!
- Some of the other fellow applicants and I got a weird vibe from the program director. She seems like a nice lady, but her interactions seemed very forced during my interview with her. Another applicant said the PD was a bit abrasive in response to one of the applicant's answers to a question. However, the residents spoke very highly of her during my interview day.
Send me a PM Rogue Penguin if you want any more information!
UC Irvine
1. Ease Of Communication: Emails, fast
2. Accommodation & Food: Drove from parents house who live nearby. Continental breakfast, but LOTS of residents came to talk to us during this breakfast and this really stood out to me and I learned quite a bit.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences): After breakfast, presentation by chief resident. Then 4-5 interviews, including PD, APD, chief, and clinical faculty (who just graduated from the program last year, so it felt like talking to another chief). The PD interview is definitely the oddest interview I've had on the trail. Basically he just asks a bunch of ethics/moral questions and writes down your response to them. Maybe a brief discussion 1-2 mins, but usually he'd just ask another question. Maybe 5-10 minutes of "do you have any questions for me" after that. But the rest of the interviews were chill and I liked Dr. McNagny, the APD a lot. Tour of UCI medical center + psych wards.
4. Program Overview: Standard
5. Faculty Achievements & Involvement: Dr. Preda, the PD is really big on research and apparently the UCI has a huge glob of money earmarked for it.
6. Location & Lifestyle: Orange County, Irvine are amazing places to live although expensive and a good amount of traffic. Most of your training is at the UCI med center and the Long Beach VA, but the residents say the commute isn't bad.
7. Salary & Benefits: the usual
8. Program Strengths: Good training, more relaxed call schedule then most programs, apparently strong research potential soon.
9. Potential Weaknesses: Leadership in flux right now, Dr. Preda (current PD) is great despite the weird interview, but we will see where things end up. Residents say this hasn't affected their training.
Overall: Solid program in a great area, good clinical training, research TBD although exciting potential.
Review: University of New Mexico
Excellent review here (http://forums.studentdoctor.net/threads/interview-review-thread-2010-11.775229/#post-10429368), so as above, I'll just hit some highlights
Disclosure: Once again, I was suffering from altitude sickness (fun fact: ABQ is at a higher altitude than even Denver), and it was cold and had snowed (!!!), which put me in a rather bad mood.
1. Interview accommodations/food -- Got put up at a really nice hotel near campus with shuttle service to airport and interview (!) I didn't even need a rental car for the visit. Pre-interview dinner was hors d'oerves at the hotel bar, but it was enough food for a dinner if you're not a big eater like me. Lunch with residents was catered and delicious, featuring local delicacies such as enchiladas and green chile.
2. Interview day -- Interviews were staggered with tours of facilities, which gave us some nice breaks. There were three interviews with faculty as well as a group interview with the PD. There were only four applicants, so we all went around and talked about where we were from, what made us interested in psychiatry, and what brought us to New Mexico. Then we got to ask questions. Personally, I didn't really like this setup -- I couldn't help comparing myself to other applicants and wondering if I stood out enough. Later, we got driven around by the program coordinator and her assistant to the various interview and tour sites, so I got the impression that things were a little scattered. But even so, the driving wasn't bad -- 10 minutes max from location to location -- and probably speaks more to the organization of the interview day than your actual working experience.
3. Program overview -- Strengths include psychotherapy including group and family, child and adolescent services, and addictions research (Meth jokes appreciated, but bigger problem-drugs are actually opiods). As others have said before me, this is a great academic program if you're interested in Native American and Latino populations. There are ample opportunities to do rural work and telemedicine, as well as a dedicated rural track. In the city, there's a sizable Vietnamese and Somali immigrant/refugee population. Overall, the catchman area is huge, including some of Colorado and West Texas. The only significant weakness was that there isn't much dedicated forensic exposure apart from the routine competency hearings, but they are instituting a relationship with the county corrections facility starting next year, and a forensics fellowship has been greenlighted.
4. Faculty/people -- Very involved in publishing and medical education. They recognize that you're there to learn and on didactic days will take over ALL your work, including note-writing. One of my interviewers said her goal is to get residents to call her by her first name.
However, I had an interview with the child and adolescent fellowship director, and she struck me as strange. Half the time, she looked at me like she was in pain. It only got less awkward toward the middle of the interview. It might've been my fault, though, idk.
The other slight red flag was that there wasn't much of a resident turnout either at the reception before or the lunch. At the former, there was one resident from each year, and at the lunch, there were three third and fourth years.
Another weakness is that supervision in past years was described as "stretched thin" due to an insufficient number of attendings per resident. A few years back, they lost several faculty due a combination of conflicts with the department chair and personal/family/health issues. However, new attendings are actively being hired, including recent program grads.
As an aside, I found it interesting that the residency has 2 dedicated second year spots for people transferring in from other specialties or re-training. I met some cool folks including an anesthesia convert and a man who had had a whole career in pulmonary critical care before making the switch over. I think this adds some nice diversity to the program.
5. Location, lifestyle, etc. -- ABQ is an interesting city: quite architecturally homogenous with a unique pueblo-inspired style. I'm told there is a Breakin Bad bus tour if anyone is a fan. 🙂 Cost of living is below average nationally, and there are lots of opportunities to enjoy the outdoors, including skiing and hiking. There's a new mall with some nice stores, great Mexican food, Broadway shows that come though, and a local opera in the open air, which is supposed to be breathtaking to watch during sunset. Overall, though, the high-brow stuff is not as in plentiful as some other places.
6. Benefits: $1-2 K lower than most programs, shared cost health and dental (Blue Cross Blue Shield, which I believe pays for everything 80/20 and has a deductible). Parking isn't free, but cheap. Overall, a decent setup given the low cost of living. Some of the residents have even purchased houses.
7. Facilities -- The university outpatient facility made me cry... cinderblocks galore. However, the VA was amazing as far as VA's go: lots of windows, a garden, and custom architecture reflecting Native American and south-of-the-border influences.
Loma Linda
1. Ease Of Communication: Interview invite from program director which was very personal; he and the coordinator were very quick to reply and arrange things.
2. Accommodation & Food: Stayed with family in the area. Continental breakfast (yes they had coffee), Italian lunch with residents which I liked a lot.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences): Interview with PD, APD (30 mins each) Chief, and clinical faculty (1hr each). Only place i had 1 hour interviews, but I got along with the chief really well and the clinical faculty was matched to my clinical and personal interests, so it was easy to fill the hour. Tour of Loma Linda VA, and LLU psych hospital.
4. Program Overview: Standard schedule, although the call schedule seemed the most intense of all programs I interviewed at (covering several different facilities), and the residents agreed that call was a bit overwhelming, especially the 3rd and 4th years although the interns said they decreased the intensity a bit and added support.
5. Faculty Achievements & Involvement: PD and APD are new, but the residents love them. From my interviews with them I felt they really work hard at making this program supportive to resident education and life.
6. Location & Lifestyle: Inland empire isn't exactly the most exciting place, although its fairly cheap and less traffic than the exciting parts of California, and you're only an hour or two from the beach/LA/SD etc. for day trips.
7. Salary & Benefits: The usual
8. Program Strengths: Lots of pathology - the Inland Empire is a huge area with very little medical coverage, so you see some serious pathology here.
9. Potential Weaknesses: While coffee exists at the nurses stations, the religious stuff does permeate through everything to various degrees. While most of the residents I spoke to aren't 7th day Adventists and said it didn't affect their lives too much, they did admit that when you're used to dropping in to the hospital starbucks between patients and stuff like that, it can be a little disconcerting for a while. The resident class is very diverse so you will have people to go to bars with and the like.
Overall: LLU definitely has an obvious "character" which isn't for everyone, but I feel overall this is an excellent training program with average research.
Northshore-LIJ- Zucker Hillside
1. Ease Of Communication: Good. Program coordinator sent helpful information
2. Accommodation & Food: No Housing provided- I came from the city so didn’t need to stay in the area. Can’t comment on the dinner since I did not attend, but other applicants mentioned that only a few residents showed up.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences): Standard interview day 7:45 am until ~3pm. Started with breakfast and an intro from the program director and associate program director. We were asked to go around the room and introduce ourselves and mention a reason we were interested in the program. 5 interviews total which felt like a lot, but they were broken down into 3 half hour interviews with 2 faculty and 1 chief resident, and then 2 15-min back to back interviews with the PD and the APD. There was a fair amount of break time built in to the interview time to have some food and coffee and chat with other applicants. Interviews were pretty standard, no particularly stressful questions, but they were interested in what I liked about their program/what had lead me to apply. At lunch time we met several residents in the program who all seemed happy. Unfortunately the first two years were not very well represented and since I did not go to the dinner the night before, I did not get a good sense of how the new curriculum/scheduling is affecting the residents- If anything all the changes sound positive, but it would be great to hear a resident perspective, also it would have been nice to get a sense of who the residents are. After lunch we had a tour of the campus, and I was very impressed by their brand new psych hospital building. At a time when many hospitals are shutting down psychiatry floors, LIJ is opening a brand new building with specialty units for college students, women, and treatment resistant schizophrenia to name a few. It is clear that the hospital system is not lacking for money, and they spend a lot of time during the day making sure that we knew they were investing heavily in the psychiatry department. Additionally they pointed out the telepsychiatry room in the ER as another experience that residents get during training. Zucker hillside is also right next to the children’s hospital, and you have the option to do child months if that is an interest. Day finished up with a talk from one of the higher ups in the department talking about their dedication to innovative approaches to psychiatry and hospital finances and then a Q&A with the PD.
4. Program Overview: 12 pgy1 residents. Program has decreased in size from as many as 20 at one point and has subsequently decreased the number of sites the residents are covering for call. Most of the scheduling information is available online so I won’t repeat all of it here, but some highlights of the changes they have made in the past two years include significant elective time in the second year- 12 weeks- plus no call R3 or R4 with those shifts being replaced by internal moonlighting opportunities.
5. Faculty Achievements & Involvement:
The new PD, John Q. Young, is from UCSF and seems very accomplished in the field of public policy, medical education, and physician decision making. Says he had never planned to leave California but the offer was too good to refuse. All of the faculty members I spoke to seemed very happy with the program, the level of institutional support they were getting, and the residents they work with. I was very impressed by these faculty and it was nice to see that several had trained there and chosen to stay.
6. Location & Lifestyle: Location is on the edge of long island and Queens- you can take the Queens express bus to midtown, or the LIRR from great neck. Residents either live nearby in their housing, or commute from queens (and occasionally brooklyn or manhattan.) The APD drives from Brooklyn every day.
7. Salary & Benefits:
Starting at 68K, this is one of the highest starting rates in the NYC area and the cost of living next to LIJ is lower than in the city. Benefits are standard per the residents.
8. Program Strengths: High starting salary, no R3 or 4 call. Elective opportunities R2 year. Moonlighting starting R3. New program director who is bringing in higher profile faculty. Opportunities to train with telepsychiatry. Faculty seem great and well supported. Brand new facilities and lots of fellowship opportunities.
9. Potential Weaknesses:
Not in the city proper. It would be difficult, but not impossible to live/work here and not drive although I was told that it has been done before. Relatively new program director and new residency rotation schedule means that the program hasn’t had the opportunity to build its national reputation. Many people probably still associate the program with its old structure (many residents, lots of call, less support.) Resident pool probably not a broad as that of the city programs. North Shore system is rapidly expanding and rebranding (they Just bought Staten Island university hospital and lenox hill in the past few years and were talking about changing their name to “northwell health”) No clear idea of what his means for the residency program. Potentially nothing, but it does mean that the hospital system will probably look very different in 4 years.
Program Name: Wash U
Program Communication: No problems with scheduling or communication.
Accommodations:
Parkway Hotel is connected to the Hospital. Expedia rate was cheaper than the Wash U discount. Allow approximately 20 minutes to get to the interview from the hotel. Residents will pick you up from the hotel for dinner.
Dinner:
Excellent dinner in Central West End. Great resident turnout. The residents were incredibly friendly and cohesive.
Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences):
Start at 8:15 with coffee, tea, and granola bars available (smallest breakfast of interview season). Eat before interview day if you like breakfast. Dr. Farber, the PD, gives an introduction to the program. Provided overview of program, emphasized biologic approach, and discussed required 4 month research elective in 4th year (flexible in nature). The day consists of ~5 interviews including interviews with Dr. Farber (PD) and Dr. Harbit (APD) as well as a short meeting with Dr. Zarumski (Department Chair). Lunch and tour in the middle of the day. Barnes-Jewish Hospital is enormous. 48 inpatient beds divided into general, acute and gero psychiatry units. No dedicated psych ED. Day ends by 4 pm, possibly earlier depending on your schedule.
Program and Curriculum Overview
~11 residents per year, some fast track into child. Residents rotate at Barnes Jewish, VA, McCallum Place (eating disorders), Bridgeway Behavioral Health (detox/substance abuse). PGY1 is traditional mix of neurology, psych and internal medicine. PGY2 consists of variety of inpatient rotations Inpatient child is not required, but can be done as a selective. PGY3 follow 150-200 outpatients, mostly adult, but also rotate 2 months in outpatient child clinic. Residents have their own offices. PGY4 consists mostly of electives and 4 month research elective. No overnight call as PGY1 but do have nightfloat. PGY2 on call in ED, approximately one overnight call per week.
Program Feel and Culture
Very social, close-knit group of residents. Work hard first 2 years, but call stops by 3rd/4th years. This program has less supervision and more autonomy than most programs. While residents are on the ED shift there is no faculty member present. Faculty members are only available by phone. Only 2 hours of supervision per week during outpatient months as 3rd year. The program believes that residents should have relatively little input from faculty so they develop their own style. Residents like the autonomy and did not feel overwhelmed by it.
This is a very biological program. One of Dr. Farber’s slides mentioned that “psychotherapy is not psychoanalysis”. Many faculty/residents believe psychiatrists should handle the “medical” aspect of psychiatry while psychotherapy should be delegated to psychologists and social workers. Residents wore white coats on all inpatient units. As someone with a strong interest in psychotherapy and psychoanalysis, I felt somewhat out of place at the program. Program seemed dismissive of less "evidence based psychotherapies” such as psychanalysis. Program focuses on basic science research, but does not seem to have very many research opportunities in psychotherapy.
Location & Lifestyle
Most residents live close together in the Central West End. Good place for singles as well as families due to the low cost of living and social nature of the program. The Central West End was very nice with many small restaurants. Residents really like going out to restaurants and drinks together. Some residents buy houses whereas others rent apartments. Many different types of apartment buildings (from houses to high rises) available. They are building a Whole Foods and have an Ikea.
Salary & Benefits
Uncertain, these were not listed in the pamphlet they sent us
Program Strengths
-Heavy emphasis on “biological” approach, could be seen as positive or negative. This program pioneered the biologic approach to psychiatry in the 70s and were leaders in creating the DSM III.
-St. Louis (reasonable quality/cost of living in Central West End)
-Close knit, enthusiastic, happy group of residents
-Many opportunities for basic science research, required research elective in 4th year
-Eating disorders, ECT and addiction training are strong
-Heavy focus on resident autonomy could be seen as positive or negative
Potential Weaknesses
-Not for those interested in strong psychotherapy training. Believe in outsourcing psychotherapy to psychologists/social workers.
-Somewhat of a hostile stance towards psychoanalytic therapy in particular.
-Heavy focus on autonomy/resident independence could be seen as positive or negative. No faculty member present in ED with residents. Only 2 hours per week of supervision in 3rd year.
-Unclear if residents truly have an exposure to diversity of perspectives outside of the "biologic model." While PD said that the goal of the program is not to churn out researchers, several interviewers seemed like they were biased towards basic science research over other types of research.
Vanderbilt
9. Potential Weaknesses: Lots of faculty turnover. 4th years say it hasn't affected them much, but who knows. All the faculty except for the APD are from out of state, and have only been with Vandy for <5 years, so I get the feeling people come here, get the Vandy name and then move on.
I interview here as well. Review to come. That said, not entirely true that there is no call R3. Dr. Young brought this up the day of our interview and stated there is call just not overnight.North shore-LIJ Hofstra (now "Northwell")
Accommodation & Food: A great dinner with a bunch of apps/entrees to share and wine. A bunch of residents showed (almost 1 to 1 ratio with applicants). They do give some light breakfast with coffee, bagels, fruits, pastries. Lunch was also very nice- sandwiches, salads, pasta, chips. Afternoon "snack" with a bunch of deletable desserts.
Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences): Mostly faculty interviews with one resident interview. Faculty interviews were chill, just asking few questions about my app. Resident one is little more pointed and intense, but it could've been just one resident. Lunch- a lot of residents showed up including several interns we didn't see at the dinner. For me lunch was useful because for some reason, during the dinner, I didn't get a good vibe with senior residents (either too intense or disengaged with applicants), but when i met with interns, they were a lot better- seemed relaxed, they were having a good time, and seemed very bright.
4. Program Overview: I got a sense that this department has a lot of $$$ and the health system overall as well. Zucker hillside built a whole new psych inpatient building with specialized units including young adult/college student unit, women's unit, geri unit, adult mood disorder unit, adolescent unit, and a variety of other specalized units and clinics. Long Island Jewish Hospital is also right next to the psych hospital (literally over a fench)- also brand new, large. Very light call schedule-- PGY-1: Night float 2 weeks, 1 weekend day call/month, 2 evening short calls/month. PGY-2: 1 month of NF. no PGY-3 or 4 call. PGY-1 mostly inpatient psych with some consult rotations at north shore hospital. 4 months of inpatient medicine with options to substitute with peds which is an eating disorder unit. Neuro is a consult service to the psych hospital. PGY-2: More specialized inpatient units at zucker hillside, 2 months of CL and LIJ, 1 month of ED (including innovative telepsych for community hospital EDs that are referred to the northwell system). Outpatient starts pgy-2 1/2 day a week of protected time for therapy/med management. You get "pathways to expertise" where residents are encouraged to develop their own expertise. You get 3 months off for that PGY-2 and 20% off time during PGY-3 and more time off during PGY-4. so far residents developed med ed and women's health pathway, but you can pretty much create anything you want. You can use that time for research track as well. PGY-3: various specialized clinics including child, addiction, and geri clinics along with continuity therapy clinics that continue into 4th year as well. Another special feature is college track where they have a partnership with over 20+ area universities to refer students when they have a major psychiatric crisis for inptatient (they have a separate unit for them) and then follow up outpatient as well.
I think biggest strength in terms of program is $$ and the new PD Dr. Young from UCSF. He's very chill and he says he specially moved here to be a part of Hofstra which is one of most innovative med school curriculum wise in the country. Older residents who got to experience both old PD and new PD says while old PD was nice as well, new PD is super chill and relaxed and helps out residents a lot. He is actually given power and $$ to make important changes. Dr. Young mentioned he wants this program educationally focused vs service oriented. To back that up, he reduced the residency size from 18 to 12 and then signficantly reduced the call burden (and he says he plans to lower it more next year). He continues to hire faculty members (a day before the interview day, he hired a CBT guy from Columbia because he says he wanted more therapy ppl) and has developed a well thought out curriculum. Interns voluntarily mentioned and gave specific examples how Dr young responded to their feedback and changed things for them immediately.
I also got to meet with Dr. John Kane who is the chair- a very well known schizophrenia researcher who's the PI for the RAISE study. I think when i was interviewing, the NY Times article regarding his study came out.
http://www.nytimes.com/2015/10/20/health/talk-therapy-found-to-ease-schizophrenia.html?_r=0
He says department is well resourced and the health system wants the department to expand into more primary care integration/consult study. A decent research portfolio- a bunch of researchers doing genetics, health services, imaging related to schizophrenia, some research areas in use of tech in medication adherance, detaching early signs of psychosis using social media, addictions, some mood disorder. Residents say it's easily get involved in research and get into research track even without previous research experience. They also offer classes in research methods, epi, stat, etc.
7. Salary & Benefits: really high salary (68k to 75K) with subsidized housing literally right next to the hospital (700-1000 for 1-2 bedroom everything included)
8. Program Strengths:
Probably most innovative curriculum i have seen so far- the whole department seems very innovative
Good research support
Pathways to expertise
Really nice facilities
High salary, subsidized housing
Truly diverse patient population (even compared to socal)
College mental health
Great PD and Dr. Kane, one of leaders in schizophrenia research
Great child fellowship placements in NYC and northeast- NYU, Brown, Columbia, etc
9. Potential Weaknesses:
Residents: as acyl chloride said, based on my limited interaction during lunch and dinner, interns seemed a lot brighter/personable compared to senior residents. Maybe the program has improved a lot past couple years so they are recruiting higher quality residents now vs 2 years ago
Reputation: obviously not as well known esp compared to big name new york programs, but i anticipate this will change next few years
Research: innovative research esp in schizophrenia, but not as broad as larger academic departments
Location: on the border of queens and long island, but i guess a negative for ppl who really want to live in Manhattan
Welcome to the solid Mid-range, where "valuing diversity" means that we give interviews to a lot of really good DO and IMG candidates who get shut out of the name-brand 'Top-tier' programs. They rank us, we rank them, and they fill in the 42.8% of psychiatry positions not taken by US allopathic seniors. (Point being that really, we have very little control over what kind of "mix" we'll end up in the Match.) So Tufts? Good, solid program. Overshadowed by its neighbors. Don't judge programs automatically on their proportion of DOs and IMGs.Hey guys, does anybody have any feedback on Tufts psych residency? I went to interview there and really liked the program--seemed solid. For some reason, people don't seem to know a lot about the program? Do the Tufts residents get good job/fellowship placements after the residency? One thing that was interesting was that it was a small class size (5-6 people) and every class had a few IMG's and DO's. Not sure if that's because they have trouble recruiting american allopathic or because they really do value diversity. Thoughts?
Welcome to the solid Mid-range, where "valuing diversity" means that we give interviews to a lot of really good DO and IMG candidates who get shut out of the name-brand 'Top-tier' programs. They rank us, we rank them, and they fill in the 42.8% of psychiatry positions not taken by US allopathic seniors. (Point being that really, we have very little control over what kind of "mix" we'll end up in the Match.) So Tufts? Good, solid program. Overshadowed by its neighbors. Don't judge programs automatically on their proportion of DOs and IMGs.
Not much. Psych Fellowships are typically there for the taking (except Forensics) if you've trained at any decent program.Thanks for this. I think sometimes we forget how much of Psychiatry positions go untaken by US MD's. In your experience, does it matter much at all in terms of fellowship placement/job recruitment whether you went to a "solid mid-range" program like Tufts vs. a program like Cornell or MGH?
Man...One thing that was interesting was that it was a small class size (5-6 people) and every class had a few IMG's and DO's. Not sure if that's because they have trouble recruiting american allopathic or because they really do value diversity. Thoughts?
Plus not everyone can be from the Great Lakes region where DOs are running around everywhere.Forgive them Dharma, for they know not how they sound. Most allopathic medical students have an awareness of IMGs being out there, but it isn’t uncommon to know nothing about the DO world out there as an allopathic medical student. It is more ignorance than Xenophobia.
You aren't.I know that freudianslipp probably wasn't trying to say that DOs and IMGs are inferior. I, too, am sometimes unsure how I'm supposed to interpret a program's residents' backgrounds. ...
You can't.That said... Idk how an applicant can tell if a program is getting the residents they want or being forced to take whoever they can get.
I'd say that's a pretty big red flag, even if it is just limited to the ED. I wouldn't want to be trying to find beds for patients (on my own) in Boston.-In the ED, residents said they have a lack of social work support and have to find all their own beds for patients
I've heard rumors from classmates that this has traditionally been a "malignant" program but no one could name any specific reasons. I didn't sense any major red flags on interview day and cannot get a grasp on whether the program is, in fact, malignant. The faculty and residents I met seemed kind and happy, it but my interactions were limited to interview day only, when there weren't many residents around to talk to besides in my interviews themselves.
I'd say that's a pretty big red flag, even if it is just limited to the ED. I wouldn't want to be trying to find beds for patients (on my own) in Boston.
From what I hear, they have really brutal work hours, lots of changes, essentially the worst program in California. I haven't interviewed there, but I'm curious if things have changed (or will change hopefully for the better) with their new PD.Does anyone have any thoughts or insight into the program at Kaweah Delta?
Yeah, I know. Still makes me cringe a bit. But that's my problem...Forgive them Dharma, for they know not how they sound. Most allopathic medical students have an awareness of IMGs being out there, but it isn’t uncommon to know nothing about the DO world out there as an allopathic medical student. It is more ignorance than Xenophobia.