Oh, I dunno how much that stuff really matters in the end. I work with a bunch of new grads that graduated from a residency that is fairly new-ish. I come from a traditional level 1 trauma center, big academic institution that was 100% resident driven. I'd call it a very traditional EM residency experience. Kind of surgery culture, very military and strict, no nonsense. These guys/gals come from a very different residency than what I'm used to... Very millennial friendly, "attending is your friend" mentality, plenty of safe places. Rotations are in a hodgepodge of institutions nearby. Most of the EM rotations are in community and tertiary care centers that are not trauma designated in our state. They have limited rotations at our local trauma center. Some isolated Peds rotations at our comprehensive peds center. They are kind of farmed all over the place. None of the EM environments are 100% residency driven. So, when they are on shift they are picking up pt's and co-managing with the attendings or simply watching us manage our own patients. It's really bizarre to what I experienced and when I first started working here I was honestly kind of skeptical that this type of environment could produce quality EM docs. However, as more and more have graduated and joined us, I've come to the realization that much of what makes a person a quality EP probably has more to do with the person and less about where they trained. These docs are some of the strongest EM docs I've ever worked with and it's got to be the individual. Either that or maybe people can thrive more than we think in non traditional EM educational environments. Who knows.
That's not a defense of the HCA residency issues and/or CMG sponsored residencies. I still don't support this push to glut the market with EPs using non traditional/community EM sites. But....maybe if you're a person that found yourself matched into one of these residency programs. Maybe, just maybe... you're not so screwed after all.
