Em6771,
Hows it going? I'm currently a 2nd year at Christ. I don't know if I interviewed you while you were here, but if in case I didn't, I'll give you my thoughts. First, I came in EM wanting to do academics, so was looking for a program that would give me this opportunity. I wanted a program that could get me into an academic position, but also a program that would give me the best hands on clinical training while I was there. Although not every Christ grad goes into academics, it is definitely a place with an academic atmosphere and plenty of grads that do go on to academic positions. Ultimately, once that was settled in my mind, I decided it was the best place to train amongst the placed I interviewed. I moved here from out of state and interviewed from coast to coast, so I had a wide variety to compare it to. What makes it unique are the 3 years of access to the sickest patients. It was the only program I interviewed at that lacked the graduated responsibility structure of every other place I interviewed at. Combine that with the wickedly sick, and diverse, patient population, and it makes for a truly unique and awesome experience. I am only half way through residency and already have done more than I can imagine. The lack of other consultants in our hospital makes for a department that truly requires you to function at a high level. Already I have done crich's and floated transvenous pacers on real patients. I have been involved in (though not yet held the knife) on more thoracotomies than I can count. Add that to the sepsis, airways, lines, dysrhythmias, etc that I am already comfortable managing, and I can't believe I still have a year and a half left to keep learning! The final thing I want to try to articulate, but could not appreciate as an applicant until I was actually in residency, was how the atmosphere of autonomy as a department (ie. lack of other residents from other services) truly gives you an attitude of complete responsibility for the patients. You have to be confident in obgyne emergencies, slit lamp exams, complex suturing, dificult foley catheter and suprapubic placement, PEG tube replacements, reductions, and all the other small procedures that go into making an excellent and competent ER doc. Combine all this with a family atmosphere where you go out and have a drink with your attendings after a hard shift, and I cant think of a more unique and well rounded place to train. I consider myself lucky to have matched here. In the end, you gotta go where see yourself fitting in the best and being the happiest for the next 3-4 years. If that is here at Christ, than I'm sure we'd be happy to have you. Please feel free to contact me with any further questions and best of luck in your no doubt very difficult decision.
Sincerely,
ACMC PGY2