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Applicant Summary:
Board Scores: 230's/240's (USMLE)
EM Rotations: Unsure/Unsure/Unsure/Unsure
AOA: No
Med School Region: Northeast
Anything else that made you more competitive: GMO in the military (independent practice for 4 years and service), tons of leadership experience (see military), hospital committees, volunteer work
Main considerations in making this ROL: Ability for SO to come with was primary reason, along with reputation, perceived overall gut feeling after interview day
1) MD- University of Maryland
Residents: Got along with everyone that I met, everyone was very amicable, Involved, not overworked. They get 8, 10, 12 hour shiftsFelt the most at home here.
Faculty: World-reknown, Mattu, Winters, these are THE people you listen to on podcasts. Dr. Hu was super chill/young, Winters was the old PD and he’s still there. Bond was hilarious. Bond was a GMO in his past life, did the same thing I did. He’s probably doing the thing with his life that I’d want to do. Great interactions with the faculty.
Leadership: Tons of leadership expectation, leadership experience, leading teams as a PGY2 and onward. Oozing with leadership opportunities. They mentioned residents in EMRA.
Education: I don’t even have enough bandwidth to describe everything that is right about this. Academic program development, they make their own curriculum to keep it up to date, Shock Trauma, trauma anesthesia, professors with teaching awards. Hugely diverse population, all of the critical care experience, most of the sites are in the same area as the hospital. They have tons of people w/advanced training in academics. Cadaver labs quarterly. Exposure to EM in rural areas. They have higher expectations for you in terms of research and presentations. Routine sim. Huge EMS experience.
Perks: Affordable, see above. Get hat 1600 course for free w/Butler. *They go to Hopkins instead of DC for Peds trauma. Tons of ultrasounds. Split interns/residents into houses, like harry potter. Moonlighting in EM/IM. Dogtors. For PGH they put you in a hotel! Has all the seasons. Moonlight in EM and IM.
Cons: weak clinic but who gaf. Continuity clinic kind of blows. I have no idea what would be a con about this place. Either 3 years as an EM at a bomb ass place or 5 years as EM/IM at a bomb ass place.
2) MD- University of Maryland
EM, #1 was IM/EM
3) CT- Yale New Haven
Residents: very personable group, diverse, easy to speak with, all relatively happy
Faculty: Multiple military, PD prior Army Col, Bridgeport Director 10 years in Army. Have high expectations for the residents, looking to see how to stimulate/motivate higher and mid-tier performers- first on the interview trail this was discussed.
Leadership- tons, expected research, expected to help, AoC’s, involved at multiple levels throughout the hospital, it sounds like EM will be in charge of
Education: Their primary concern is making you into a superior clinician to be able to use that as a stepping stone into academics- lead from the front mentality. 4 year program makes sense in terms of learning how to research- 40% on a FLP/learning plan, but b/c they fell below the PD’s expectations (required 75-80-85% in service exam score, not percentile)
Perks: Yale name. Awesome sim center, Yale money, GH program that could take you really anywhere, perceived deficiencies in training can be addressed by elective time. Looks like Hogwarts. 2nd highest paid residents, free healthcare. They have the guy who writes books about U/S here. 8 hour shifts. Free gym across street from hospital, COL, >100k, if I decide to stay in reserves, would be able to here.
4) NY- SUNY Health Science Center at Brooklyn
Residents- the residents were all very cool, reported they had a good amount of time off/available for themselves on EM (even w/12’s)
Faculty- all very passionate, very accomplished, many have stuck around after having trained there, peppered all over leadership in EM, really would be standing of shoulders of giants
Leadership opportunities- EM runs the show at SUNY, residents are on a lot of the hospital committees, are on a lot of the EMRA committees, mini-fellowships available for more focused learning
Education- they have a med ed fellow (big), are huge into adult learning theory, have a brand new sim center, it doesn’t sound like there are any paucity of procedures, really learning by doing at this place
Perks: Incredibly underserved population, great alumni network (have ~100 residents in the program), Brookyln, EPIC, sounds like inbound staff b/c of EPIC, poor hospital w/o enough funds, so you’d be making a huge difference, reminds me of the workplace I’m in now (re: yeah, we don’t have any nurses, so we can complain about it, or we can help our patients and then complain about it later), able to live w/in walking distance of the hospital
Cons: The whole pay system sounds screwed up (some get paid by SUNY, others KC). Recently changed to EPIC so it sounds like there are growing pains. New sim center so may not be fully integrated yet, sparse use of cadaver lab
5) CA- UCLA David Geffen/Olive View
Residents- happy, definitely felt like I fit in with them, all happy. Kind of weird interaction with outgoing Chief that was talking up GW (his next job), but also said that his least favorite part about the program was how much he loved it, and the fact that he had to leave. Would be #2/3 if weren't for SO.
Faculty- all female leadership, PD went to school at UIC, husband lived in place I grew up, sounds like they all have work-life balance, everyone was in shape, seemed compassionate about care, TONS of leadership involvement all over the EM world, no military peeps
Leadership- Residents involved all over the hospital, all over EMRA, etc. No paucity of opportunities, no paucity of mentors
Education- frequently evolving, multiple sites to get feels for different environments, (academic, county, community), with increasing frequency of the Antelope Valley site due to resident demand. MedEd princples applied, didactics evolving, use Foundations curriculum, they came up with the NEXUS criteria, so pretty impressive stuff
Perks: UCLA money, tons of fellowship opportunities, 12k in housing, 3k in food, free healthcare, mix of shift hours, which would mean time to go to the gym (huge concern for me), it never gets cold, they’ll support whatever it is you want to do, no paucity of mentorship, residents go wherever, they have a NASA elective which feeds my dream of becoming a doctronaut.
Cons- traffic, but you can plan for it, higher COL but whatever I get the GI bill and they give you 12k/year.
6) DC- George Washington University
Residents: awesome group, hang out regularly, would provide good mentorship, super interesting backgrounds, could definitely see myself fitting in with them,
Faculty: also huge perk, things were mentioned about some having a shorter leash for residents, Faculty interview: “Each residency makes a cookie cutter resident, our product is an academic physician that will work somewhere with consultants”- seemed surprised that so many of the GW grads went to community jobs.
Leadership opportunities- tons, they let you help with research, they fund it, there’s the residents as teachers opportunities, PGY2 start teaching, 3 and 4 you are in charge of mentoring, education, and you are expected to teach MS’s throughout your time here.
Education: Have unique healthcare policy experience, tons of different research and academic pursuits w/9 fellowships, MedEd is present so you know they are up to date on learning theory, feedback after shifts, getting new site in community w/less learners
Perks: Best friend lives here, Christmas room, dogs, Starbucks in hospital
EMR: Cerner + Epic + Dragon
Cons: Maybe being worried that I wouldn’t be a strong clinician coming from the program, kind of a weirdish interaction with the APD “please email me if you would 100% want to go here." Faculty comment from above.
7) NY- Icahn School of Medicine at Mount Sinai/St. Luke's Roosevelt
Residents: very friendly, community reinforced by living together w/subsidized housing, focus on resident’s well-being, resident casual use of profanity, residents were in shape
Faculty: awesome interview w/faculty “I hope to work with you next year,” APD and assistant PD engaged in FOAM (FeminEM, EMC, EMRAP, REBELEM), faculty have teaching awards, residents said that Dr. He will go to bat for them, helped them go through their contracts
Leadership opp: resident director position allows for early leadership, huge focus on making leaders in EM; promise the program can deliver on, PGY3 supervises intern on red teams, would definitely leave a strong doctor and would likely be well established or at least on the right track into a leadership role
Education: education is in the 21st century and engaged sim, PODCAST, textbooks, modern lecture/didactic, 1:1 attending ratio, minimal superfluous rotations, Admission Consult team as PGY3, graduated responsibility, Global Health track available if interested, a lot of resources through Sinai,
Perks
iversity of sites (with shuttle between them), option for more trauma, EMS exposure and leadership w/disaster medicine mentors, full EM ICU teams, acknowledge social mission/social EM, moonlighting in 2nd year, subsidized housing offsets cost of living in Manhattan, near Columbia, good LGBTQ exposure from Hell’s Kitchen, have sim centers at both sites
Con:low trauma exposure, NYC COL, graduated responsibility (I don’t know if I’d like to go all in as an intern, but it makes sense considering pre-established roles of a trauma team
8) NY- SUNY Health Science Center at Brooklyn
EM, above mentioned was IM/EM
9) IL- University of Illinois College of Medicine at Chicago
Residents: good fit feeling, residents very happy, residents were in shape, PGY2s were cool, residents casual use of profanity
Faculty: Dr. Ross was awesome/can tell she cares and she made me excited about EM, very enthusiastic, established PD, Eigbert was hilarious., Dr. Neisely was hilarious,
Leadership opportunities: emphasis on wanting to create leaders in EM expressed by APD, EM/IM PD will be sticking around after moving to APD role, she started observation unit at the hospital, would definitely cultivate leadership if you looked for it,
Education: Huge amount of resources in UIC, would be able to choose my own adventure here in terms of finding my niche, residents happy with amount of trauma they see, happy with amount of diversity, even w/multiple sites LGH would be by my parents' house, good at treating sickle patients, unique LGBTQ patients from Masonic, ; no graduated responsibility
Perks: brand new sim center that’s also a building in itself (top line w/standardized patients), strong social EM focus with very enthusiastic faculty (Suki), would be close to home, diversity of sites, would definitely leave a strong doctor, moonlighting during 3d year, could probably find LA fitness around each of the sites, 10 hour shifts,
Con: New sim center-hasn’t been around long enough (3-4 mo) for it to be fully integrated to its full potential, Had negative-ish interaction w/LGH attending that asked where I applied geographically, the other attending from LGH seemed surprised I was in the military and only picked up on it from my photo despite it being all over my application, recent grad said PD is checked out, not as involved it seems w/EMRA/ACEP, had odd interaction w/Bunney at ACEP, 4 sites that are very spread out, EM/IM mostly went into CC (one going into GI)
-would have been MUCH higher if weren't for SO opportunities
10) IL- Advocate Health Care (Oak Lawn, Chicago)
Residents: tight knit group that I could see myself wanting to hang out with; the best social by far on the interview trail w/karaoke. Had warm/fuzzies, great fit sensation, looked like the program was giving them support i.e. resident engaged w/social EM, sounds like they are strongly supported. Chief resident was relatable, strong presence, had great things to say about the program, had a tox escape room
Faculty: personable, 1:1 ratio, PD featured in FeminEM, as an intern provided w/faculty mentorship that aligns you early w/career goals, provided faculty member for residency directorship. Engaged in community outreach (seems less developed v UIC)
Leadership: resident director- chance to make your niche in EM for fellowship, have tones of leadership experience (some in EMRA/ACEP/AAEM), 2 residents just received research grant, evidence that PD will back endeavors. Will be able to build off other’s successes vice starting brand new
Education: No graduated responsibility, moved away from 1 hour lecture, sim rotates every 6 weeks, tox escape room, bit of a “choose your own adventure feel, separate intern curriculum, board prep qother week, teach EMS, trauma procedure lab w/shared responsibility rotating roles. Have EM/CC in the ICU, get EM teaching in ICU setting. Social EM incorporated into weekly didactics
Perks: self-reported strong leadership w/other services, huge focus on well-being
Cons: not a strong Social EM presence, might not matter at the end of the day, no official meded track.
-would have been higher if weren't for SO low opportunities in Chicago
11) IL- University of Illinois College of Medicine at Chicago
EM, IM/EM was above mentioned
12) NY- New York- Presbyterian/Queens
Residents: Bro residents, would definitely fit in with the culture here, residents were in shape, all very happy with the program, one resident lovingly called another resident a lazy piece of ****, smaller residency so more attention for mentorship
Faculty: very supportive PD/felt like I related to his style of getting things done (bulldoze for your people), PEM faculty member noted that everything has improved significantly since Dr. Parekh came on
Education: early tracks in medical education, pivoting towards global health, huge focus on the adult learner, have done away with the traditional lecturers, have med ed fellows that would likely cause improved training/knowledge retention, actively discussed adult learning theory, 1 site would make it easy to get familiar and focus on sick people, hospital is academic/county/community mix, very robust feedback, feels like they’ve been pulling in tons of folks with fellowships and avoiding generalists, off service rotations don’t require scut work
Perks: huge focus on wellness, probably would have to rely heavily on translator phone service, but medical student even said it was super easy, medical students that were rotating really seemed to enjoy it and said everyone was super great, NYC, reported good job placement, have a house just for EM, , would get to live in luxury/affordable housing in NYC, acuity, , don’t work with EM doctors that have been grandfathered in, , wellness Wednesdays, would definitely be happy here, , a lot of supportive ancillary services, looked like a very busy ED/chaotic, they gave us things to do while we waited that showed the program had some personality,
Con: no EMS, no social EM, new sim center wont open until 2020 and the one they have looked relatively small, switching to EPIC in one year/after internship will have to learn new EMR, flushing NYC/further away from Columbia/Manhattan sites, but could live in Astoria, one site so possible lack of diversity regarding different ED flows, don’t know how well I clicked with med ed fellow/don’t know how I liked his approach when asked how he provides feedback
13) NY- Montefiore Medical Center/Albert Einstein College of Medicine (Jacob/Montefiore) (Bronx)
Residents: Outside of that one particular chief, everyone seemed nice. Interests supported by program (Chief doing Int’l EM, tapping into medical school resources), they had mentorship program for community outreach
Faculty: seemed engaging.
Education- nothing formalized, PGY3 hosts Friday rounds, sounds like didactics are evolving but interns sounded like they weren’t too enthusiastic about them, sounds like you wont need much in the way of formal didactics bc you’ll probably see it all in the ED anyways, frequently referenced needing to be a self-starter, huge/diverse patient population, can read the google reviews for Jacobi- great place for EM
Leadership opportunities- didn’t really seem like there were any formalized leadership opportunities; kind of a “make your own way”
Perks: large class size, large alumni network, $900 rent w/3366 BAH, 10k bonus, Epic
Con: just did not feel right here, maybe it was bc that guy is kind of a dick head. Seemed like they were resting on their laurels a bit in terms of trying to sell the program- nothing really updated on the website, frequently kept saying that there was a lot going on that they didn’t sell, but that just sounded lazy. I couldn’t see myself wanting to hang out with that one chief resident. Of the 84 residents, only a handful showed up to rounds/pre-interview dinner, granted it is late in the season
14) IL- Loyola University (Maywood)
Residents: didn’t quite click with them/see myself hanging out with them in some capacity. Reported there were things that they had been unhappy about, but that it quickly changed. 1 person w/a prelim backgroundish. They all said they enjoyed the program.
Faculty: awesome PD/APD/awesome chair. Almost wish they were the ones I would be going to residency with. Very supportive and engaged faculty, huge # of backgrounds. 1:1 ratio, seems like there isn’t a culture to push back at the residents. Frequent feedback, responsive to change
Leadership: could probably be in charge of whatever, first one to start building Loyola EM programs from the ground up; STEME- early involvement in EMS/MedED/whatever I wanted w/curriculum, residents already looking to be a part of EMRA/ACEP committees
Education: Loyola resources tones of money to finance whatever I was interested in, multiple STEME tracks, a lot of sim, a little U/S (only one in ED) trauma airway as a PGY2 ( still graduated responsibility), other residents have sense of ownership over EM residents, huge plans for EMS
Cons: residents complained of # of procedures, airway (but tall residents did get 15/6 mo), not set in stone regarding jobs/fellowships s/p residency, it sounds like chair has a plan, a lot of planning going on, nothing concrete, no senior residents, would stop being a 1 hospital program (looking to gain MacNeal- may be pro/con); only 1 site w/48k visits so may have limited diversity (may not matter in situation where you have 6 residents), not entirely sure what PGY3 would look like 1: 1faculty v in charge of team
Perks: gym in hospital, shifts accomoate rosch review, weekly quizzes for in service exam
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