How would you quantify better training?Make a spreadsheet.
Compare the rotations for all 12 months, head to head.
Choose the one that gives you better training.
If one is just 6 months at a VA, for instance, pass.
I would disagree that you should avoid the VA. The VA has a ton of NIH and VA funding for substance use treatment programs and clinical research so I wouldn't write it off as they're doing some cutting edge stuff.Better = diversity and depth.
If you are just on a routine detox unit attached to a VA or academic center, you should have already gotten enough exposure in residency.
Basically, years ago I was on verge of applying but when reviewing what the clinical rotations were for the programs - and looking at programs that didn't utilize a VA for a higher potential ranking - it was quite apparent none had depth or diversity beyond what my base Psychiatry training had.
I skipped, got the Addiction Medicine practice pathway.
Absolutely agree in the case of SUD treatment. UCSF's big time addictionologists are associated with the VA they work with as an example.I would disagree that you should avoid the VA. The VA has a ton of NIH and VA funding for substance use treatment programs and clinical research so I wouldn't write it off as they're doing some cutting edge stuff.
Besides, both the programs OP is considering are affiliated with the VA there. Emory for example has a 21 bed SUD residential program at their VA and an IOP so you'll get higher levels of severity. They have high volume from their veteran population so you'd likely get more exposure in treating this patient population.
I would more so gather what kind of patients you'll see, what treatment modalities including medications you'll be using, and the quality of didactics and attending supervision.