Baystate Medical Center/Tufts University Residency Reviews

Discussion in 'Emergency Medicine' started by EM2007Applicant, Dec 16, 2006.

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  1. EM2007Applicant

    EM2007Applicant

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    Baystate; Springfield, MA

    Residents: All I met seemed happy; some indicated they were surprised how much they liked residency and looked forward to coming to work (ED months!)
    Residents are a mix of singles and married with kids. They get together socially and many live in the Northhampton area just outside of Springfield.
    Faculty: Joe Schmidt is the new PD after program founder Steve Playe left last year. Dr. Schmidt was the associate PD under Dr. Playe and seems very committed to keeping the residency focused on providing an excellent EM education while ensuring residents are happy and healthy. The ED director also stepped down last year and currently Dr. Santoro is the Interim Director. He has been with Baystate for many years and seems like a very nice guy. All residents spoke highly of the faculty.
    Facilities: Baystate is bursting at the seams. The ED is very crowded and too small considering they see over 100,000/year. Peds ED is in a separate hallway and they have a general treatment/urgent care area as well. Space is definitely at a premium, but they make it work! There are plans for a new building which will house a new ED, but this will take several years.
    Patient population: Mix of urban/suburban/rural population. Baystate is only Level 1 trauma center for quite a large area - Western Mass between Worchester and Albany with Hartford to the south. Good mix of penetrating and blunt trauma. They do not have an aeromedical service, but get plenty of flights in from surrounding services in CT and MA. Baystate is also the only 24 hr cath lab and stroke center for the area, so lots of high acuity medical patients as well.
    Location: Western Mass is a beautiful area, Springfield is not. If you are looking for the big lights/bright city this is not the place for you. Suburbs are affordable and offer good schools. Northhampton is a fun college town with plenty to do. Skiing is within 1/2 hr, ocean within 1 hr; Boston about 45-1 hr.
    Lots of hiking and biking trails.
    Overall: Seems like a great program. Nice people, not too stressful. Plenty of pathology to go around. Is not a big research center, but there are opportunities. Can't beat the patient volume and acuity....you will work hard when you are there, but the program places an emphasis on helping you stay happy, sane and to relax.
     
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  3. beanbean

    beanbean 1K Member 10+ Year Member

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    I applied to Baystate and ranked it second. I have lived in the Hartford/Springfield most of my life. I had been a volunteer EMT in the area for many years and had brought many patient's to Baystate. So, I certainly can't give you the insight a resident would have, but I'll let you know my thoughts.

    I think Baystate has some real strengths as a program. The ED volume is very high (>100,000/year) which gives you great exposure to pathology. They are the Trauma center for the area between Hartford and Worcester. This means a good mix of blunt trauma (MVCs, etc) and inner-city penetrating trauma. All the serious medical stuff comes your way as well and Baystate is the peds center for the area as well. I was impressed by the teaching staff and residents when I interviewed last year. Residents seemed happy and were a diverse group from around the country. They all seemed to feel they had found a "hidden gem" with Baystate. The program is very family-friendly with a mix of single and married residents with or without kids. The program seems to pride itself on keeping residents happy and sane. The curriculum is very ED focused with no inpatient med or surg floor months. The faculty I met seemed very knowledgable and friendly.

    The cons: The ED is very cramped and small. There is a new ED plan in the works, but i don't know what the time frame is. I think the staff does a great job seeing a ton of people in a limited space, but this must be a stress on everyone. Learning to make it work in less than optimal physical space prepares you well for future chaos, but how much does it detract fromthe educational process? I think doing a rotation in the ED would answer the question for you.

    The other 'negative' people refer to is the area. Springfield is no shining big city, but the suburbs are very nice and Northhamptom is a cool, hip college town about 10 mins away. You are about 2 hrs from NYC, 1 hr from Boston, with in 45 mins of skiing and about 1 hr to CT beaches. Housing prices are pretty good, certainly more than some rural areas, but nothing like Boston or other big cities.

    I think I wrote a review of baystate in the EM Review thread last year which probably says all the same things. I am a PGY1 at UCONN and if you have any questions about UCONN (a very similar program to Baystate in the same area), let me know. Good luck !

    Deirdre
     
  4. alreadylernd

    alreadylernd Junior Member 7+ Year Member

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    Baystate is an hour from Boston...if you're driving 90-100 mph. Springfield is a good 90 miles from Boston. It's an easy drive, but I'd leave at least an hour and a half if I had to be anywhere on time ;)

    There are also nice towns commutable to Springfield - Amherst, North Hampton come to mind and if I remember correctly, a good number of people in the program live there.

    My opinion of Baystate is that it is a very strong community program. That is NOT meant as a back-handed compliment, but I think if you are interested in an academic career, it might not be as strong for you as other programs in the region. That said, the hospital overall is very well run, the ER is chaotic but gets great pathology (as previously stated), and everyone there has a great attitude (at least when I was there).
     
  5. trkd

    trkd 10+ Year Member

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    Sorry I haven't chimed in sooner but this is my first time back on SDN for some time. I guess I have just neglected my SDN chatting I used to do.

    I am a second year at Baystate. I flat out love the program. The faculty are wonderful. Patient population is diverse as ever and the volume is superhigh (~125K/year which I hear is the highest in the Northeast). The residency itself has a very chill and laidback attitude all around. Nothing but first name basis. The residents and faculty get along and hang out. For example, last month our asst PD had a pub crawl starting with dinner at his house. It was about 50/50 resident/faculty. A few weeks before that our PD had us all over for 4th of July/welcome interns pool party at his house. We seem to get along with most of the other residents in the hospital and there is no real animosity with any service. We do 5 1/2 call months (MICU, trauma, 2 weeks of pedi floor, and cardiac ICU in 1st year, then SICU and PICU in 2nd year ) total throughout the 3 years. As far as call goes, all q4. Conference is completely protected regardless of your rotation. First month of residency is orientation with the aim of teaching the fundamentals and getting to know and bond with the other interns. Also during July there is a retreat where the attendings take over the ED and ALL residents head up to Maine for a couple days of fun by the lake. All paid for with food and the entire camp is ours. That sets the tone for how the residency is as a whole. The ED shifts are 9 hours with 1 hr overlap so you stop taking patients in the last 90 mins of your shift. 4 weeks of vacation. Usual benefits, blah, blah, blah.

    As mentioned above, Northampton is a super cool place to live with tons of restaurants, bars, etc. Very hip and ecclectic. There are other cool places to live such as West Hartford if you are looking for something bigger, Longmeadow and Agawam if you have a family. Tons of places depending on what you are looking for I guess. Springfield is not the most desirably place to live as mentioned before though. It makes for great pathology though. Personally, I just drive about 1/4 mile off I-91 to get to work and get right back on to leave Springfield. Most residents are married or "not single" but there are many who are single. Most are from the Northeast but probably a 1/3 are from other parts of the country (several from San Diego, a couple from the northwest, some from the mid-Atlantic and other places).

    Not sure what else to add. I really could not be happier. I am so glad to be at this program. I originally had just applied to this program because it was the size city I was looking for (medium) with a large & diverse population and somewhere close to other many other interesting cities I could check out on my days/weekends off. The PD and asst PD were the clenchers for me. They are awesome.

    The cons would be if you are interested in being in the inner city itself (NYC, Boston, Chicago). It is a medium sized city with lots of college town type things around (there are a bunch of colleges here, the biggest one being UMass and include a lot of liberal arts colleges like Smith and Amherst colleges) so lots of college students around too. I am not single so I don't really know how the dating scene is but certainly not as good as NYC I imagine. So that is something to consider if it matters to you I guess. Can't really think of more but I guess they are all dependant on what matters to you.

    Well I will try to answer if any questions come up. Good luck to everyone this upcoming interview season. Hope you find the program you are looking for!
     
  6. 2008 EM Reviews

    2008 EM Reviews 2+ Year Member

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    Below are my biased short reviews:

    Maine Med: +good residents, lots of camaraderie, cushy number of shifts, do lots of stuff in the ED (do not consult as much), lots of ED time as opposed to offservice, lots of outdoor opportunities in area
    -not too much pen trauma, fair blunt, cold winters, small program, homogeneous population

    U Mass: +good residents, very nice ED, well respected residents, good research, Hawaii elective, awesome helicopter experience, good reputation in area, great ultrasound
    -hard to switch shifts, some unhappiness with residents, seemed like residents stay 1-3 hours after shifts for cleanup

    Baystate: +work less than allmost anywhere else, good blunt trauma, good patient mix, very little offservice
    -residents did not seem strong, faculty I interviewed with seemed disinterested, cramped department, city sucks and lots of residents live far away in nice town, bad ultrasound

    OHSU: +very nice hospital, good research, cool city, residents were friendly
    -small program, go to lots of different hospitals because primary does not see enough variety, residents did not seem strong

    Carolinas: +great teaching, great research, awesome facilities, strong off service, good ICU experience, great reputation, strong residents
    -lots of off service months, city not exactly what I expected

    ECU:+strong residents, good teaching, nice department, great patient population, good reputation
    -electronic records seem poorly implemented, city is very undesirable for some people

    Wake Forest: +good teaching, good facilities, strong residents, good US
    -Winston-Salem shuts down on Sundays

    Christiana: +good residents, huge department, good records, good patient population, great benefits, nice facility, good teaching, very little off service, great ICU experience, great ultrasound
    -area may not suit some

    U Conn: +nice PD, nice facilities, good relationships with trauma
    -area,

    Duke: +New PD seems awesome, nice hospital, would be a good area to live in,good teaching
    -not enough electives
     
  7. RxnMan

    RxnMan Who, me? A doctor? Moderator Emeritus 7+ Year Member

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    This is a review sent to me by a SDN user who interviewed there and wishes to remain anonymous. I am posting it verbatim as a service for the SDN community.

    Baystate Medical Center (Springfield, MA)

    Pros: Very busy, urban ED. Springfield itself isn’t a cool place but most of the residents live in college towns ~20 mins away. Lots of resources at the hospital. Simulation lab was really nice. The attendings are very focused on resident wellness. Plus all the residents I met were the happier than anywhere else and were all thrilled about the program. Good salary for a place with low cost of living.

    Cons: The ED is cramped, which for some people is a turn-off. They are building a brand new building, of which the entire first floor will be a new 96-bed ED, but it won’t be done for another 2 years.

    Impression: I really liked this program. They are transitioning PDs right now (the old one is taking a higher position in the hospital, the new was has been associate PD for like 20 years), so I’d expect the transition to go smoothly.
     
  8. docB

    docB Chronically painful Moderator Emeritus Lifetime Donor 10+ Year Member

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    Sent to me by a user who wanted to remain anonymous.

     
  9. Braves123

    Braves123

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    gonna have to say that springfield is not nearly as close to boston as some people think it is, having driven it a few times in real life conditions, its closer to 2-2.5 hrs from getting in car to parking at destination An hour and a half pretty much assume your going 60-70 every moment of the trip.
     
  10. Deuce Doc

    Deuce Doc Communityist 5+ Year Member

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    Baystate

    .Residents: They have assembled a really great group of people. This was showcased in an unusual pre-interview get together. Instead of a dinner they rented out a room above a bar and picked up the tab for drinks. This was great from the standpoint of being able to mingle and really showcased what a warm, friendly residency they have. Also unusual was the presence of the PD and a couple of the faculty who were present but unobtrusive. They blended in so well with the residents that I really go the sense that it was just another typical evening out together. The interesting addition to recent classes is 2 residents from Saudi Arabia. The PD sees this as an option though. It helps with the ED staffing, but if he can't find applicants of high enough quality, he will let the spots go unfilled. .

    .Lifestyle/City: The PD took pains to emphasize that they are not in Boston, and it is definitely a bit of a drive, so don't plan on living there. The area itself seemed very cool though. The docs all seem to live in and around Northampton which is a college town with all the culture and fun that brings. The little bit of the town that I saw was a pretty vibrant downtown with lots of shops and bars and restaurants. Springfield itself, is not recommended by anyone I spoke to as a place to live, but a great place to put a trauma center. Shifts are 20, 19, 18 nine hour shifts per block and pay is quite good 53-58K (commensurate with a high-ish cost of living in Northampton)..
    .
    Curriculum: Peds experience is linear and with additional dedicated Peds ED and PICU time. Ultrasound is available as a fellowship with one specialist and one fellow in the dept. I believe that conference time is not protected on some of the off service rotations. The residents were adamant about the great degree to which the PD would go to bat for them over any issues on or off-service. Quizzes are optional. I don't think that this is the sort of place where you have a strict structure that you are forced to comply with. Self-directed study will be required.

    Facilities: They have a brand new ED underway which should be up and running by the fall of 2012. It will have an Obs unit (with no resident role), and full time PEDS/EM staffing for their department. Volume is 114K and is projected to increase by 10% with the new ED. The acuity is very high as well--PAs staff the fast track which increases the admission rate from 25% generally to 50% of cases seen by residents (a stat that's tough to discern most places). They also provide manpower to decrease nightshifts for residents! Fellowship training is also available in Sports, Research, Wilderness (brand new), and international. Particularly cool about these opportunities, is that the Baystate residents get first crack at all of them. The residents are involved in teaching to whatever degree they want, but there are many opportunities with med studs. .
    .
    Interview Day: The interviews went incredibly smoothly and were very comfortable. The PD clearly places a high premium on resident wellness and seems to be well liked by the residents as a consequence. All of the other faculty was equally friendly and comfortable in their interviews..

    . Summary: I was completely in love with this place and the people. For me, the East Coast location is probably the only thing I'm not excited about, but the specific region in Western MA seems great..
     
    Last edited: Feb 22, 2012
  11. asokabarr

    asokabarr

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    Do you know what scores they are looking for in this program for steps? How competitive is this program. Im really interested and would love to match here.
     
  12. vg2014

    vg2014 Probationary Status

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    As an EM program, I think Baystate is okay at best. The program has issues with teaching and resident professionalism.
     
  13. BoardingDoc

    BoardingDoc Don't worry. I've got my towel. 7+ Year Member

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    You have 6 posts total, and all of them were made today bashing Baystate. I have no idea if you're right or not as I don't know anything about this program, but you seem a bit more like a jilted lover than an impartial reviewer here.
     
  14. vg2014

    vg2014 Probationary Status

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    Well, I spend three years there and whatever I have said is based on my direct experience and data collection during my time at this place. From a balanced perspective, I would sum it as up as follows, this used to be a well managed place probably but currently has too many issues which impact resident experience and residency education negatively.
     
  15. gutonc

    gutonc No Meat, No Treat SDN Administrator 10+ Year Member

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    But there's no way you spent 3 years there in all the different specialties that you've posted in.

    We get it...you mad bro. So mad that you have to necrobump the same crap all over the place.

    Just stop. You're embarrassing yourself and make us think the program(s) really isn't all that bad.
     
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  16. vg2014

    vg2014 Probationary Status

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    Lol.....I did not spend 3 years in all those specalties, but during my time there, I gathered enough data on how the organization is currently run.
    Some of the issues are out of their control, but their way of managing their problems is something I am able to comment on.
    If you see the same sad story repeated again and again, there has to be something wrong in the way the organization is managed.
    There is no excuse for faking clinical trial data or showing up intoxicated at work or sexually harassing your sub-ordinates. It simply means that it is a dangerous place to work, something everyone should be cognizant of.
     
  17. BoardingDoc

    BoardingDoc Don't worry. I've got my towel. 7+ Year Member

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    I was able to find a source talking about an anesthesiologist who faked data in his trials 7 years ago. Nothing else popped up for me. I couldn't find anything related to the two other topics you mention. Do you have any sources to back up your claims?
     
  18. vg2014

    vg2014 Probationary Status

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    I do, you can look at the following resources:
    1. The Masslive website about the issues at Baystate Medical Center
    2. Board actions by the Board of Massachusetts for doctors at Baystate
    3. Law suits against Baystate medical center currently in court

    It is not to say that this organization does not have good residents or faculty. But, I would have severe reservations for recommending this institution to someone. As I trainee, one has to be cognizant of the leadership issues at an institution.


    I can describe one incident here to help clarify some issues. This happened during my time at Baystate as a resident. The dialysis unit at the hospital was trying to make money by dialyzing more patients than they had capacity for. The equipment was not cleaned properly and there were a lot of staffing issues. Patients often suffered and were exposed to infections. This was common knowledge among the staff who had to keep quiet to avoid a whistle-blower situation. There was severe infighting among the faculty at the Western New England Renal Transplant group. One of the attending's complained to the Massachusetts department of health about the protocol violations, left his job at Baystate and found another job. The department of health paid an immediate visit to Baystate and found out what was going on. Baystate was put under probation. Our department chair Dr. Andrew Artenstein announced this incident at the academic half day.


    This is not a one time occurrence at this institution but one of many. It just happens, such things are not talked about to cover up the issues at the institution.
     
  19. madog1881718

    madog1881718 2+ Year Member

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    Can anyone comment about the moonlighting situation?
     
  20. vg2014

    vg2014 Probationary Status

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    Well, depends on what you are looking for.
    This is based on me talking to hospitalist colleagues and co-residents who were moonlighting, please verify this with others if you need to.
    1. Some days will be worth the money and some days won't be
    2. Lot of administrative issues on shifts
    3. Support from ancillary staff is poor
    4. The Hospital has a high hospitalist turnover rate because of their bad geographic location, high-crime neighborhood, Medicaid patient population in Western Mass, poor financial situation and poor staff support, so you can expect to be part of the drama
    5. Having said that, the administration can never find enough staff to cover their moonlighting shifts, so there is always availability
    6. Lastly, Baystate has been investigated for several cases of Medicare and Medicaid fraud, the dialysis protocol failures being one of them( it was a deliberate act on the part of the Nephrology group). So you will run into this issue when you are at Baystate ( i.e. Practice situations which are misleading does patients). You have one of two options: you can turn a blind eye and pray to god that the right people correct the issue or you have the option to report it to the board which is the right thing to do. You will run the risk of being negligent in the first case in case an investigation is under way and being a whistle blower in the second one where you have reported your employer to the board of Massachusetts. So, you have to tread carefully at all times at while at work
    7. If you are good with all the above you should moonlight at Baystate .
     
    Last edited: Jan 21, 2017
  21. tkim

    tkim 10 cc's cordrazine 10+ Year Member

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    So close to graduation ...
     
  22. vg2014

    vg2014 Probationary Status

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    Well, I would be open to feedback about what happens at other institutions.
    From what I can see, most of the issues at Baystate are related to their geographic location in a high crime neighborhood in Western Mass ( its terrible, Springfield is the armpit of Massachusetts ), poor staff morale, poor financial structure and lack of ethical behaviors on part of the leadership.

    From what I can see, one has to be very careful before signing a contract.
     
  23. togaedere

    togaedere 5+ Year Member

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    Not an EM resident at Baystate, but med-peds, and just wanted to give a bit of a different take on Springfield. I live here in the city, not far from the hospital, one block or so from downtown. Absolutely, Springfield is economically depressed. The fun stuff you do have to search a bit for, but there are restaurants and bars (even within the city limits) and basically anything you wanted in the area. I live here because I think it's weird not to live where you work, and cities aren't going to turn around if no one invests in them. For those of you into this stuff, there's a whole entertainment complex being built downtown - centers on a casino but I'm told the shopping and entertainment stuff you can do without setting foot in the actual casino. I'm iffy at best about casinos but i got a sense of the whole plans and it looks like it'll bring a movie theater, shopping, more restaurants to that area.

    Never felt unsafe here, but I did go to med school in Detroit (another place that i found completely different than advertised). Walk my dog at night, ride my bike to work, etc.

    Anyway, like I said before I can't speak to the EM training but I came for the culture of the place, which I've really enjoyed. Haven't seen "poor staff morale" but definitely it's not going to be all roses at a busy hospital. Not trying to make up anyone's mind but just figured I would chime in with my perspective. Good luck everyone with the match process!

     
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  24. vg2014

    vg2014 Probationary Status

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    Well lets get down to the facts at this point and move past personal experiences.

    These articles should probably help with that.




    Specific issues about residents and faculty at Baystate :

    http://www.gazettenet.com/Archives/2016/01/Hampcops-hg-011116

    Daniel Marotta is a psychiatry resident at Baystate.

    The famous case for one of the biggest fraud's in academic medicine.

    http://www.nytimes.com/2009/03/11/health/research/11pain.html?ref=us






    Lawsuits against Baystate:

    https://www.eeoc.gov/eeoc/newsroom/release/6-2-16b.cfm

    http://wwlp.com/2014/02/27/complaint-filed-against-baystate-health/

    http://wwlp.com/2016/04/06/baystate-noble-hospital-now-facing-lawsuits-from-25-patients/

    http://archive.boston.com/business/...baystate_medical_sued_over_billing_practices/

    http://masscases.com/cases/sjc/415/415mass202.html

    http://law.justia.com/cases/federal/district-courts/FSupp/985/211/1569606/




    And more issues about Baystate:


    1. http://www.masslive.com/news/index.ssf/2016/10/baystate_health_in_springfield.html

    2. http://www.masslive.com/business-ne...baystate_health_outlines_layoffs_cuts_ou.html

    3. http://www.masslive.com/politics/index.ssf/2016/04/baystate_health_asks_for_10_mi.html

    4. http://www.masslive.com/news/index.ssf/2016/01/baystate_noble_in_westfield_no.html

    5. http://www.masslive.com/business-news/index.ssf/2016/08/baystate_profitability_report.html

    6. http://www.masslive.com/news/index.ssf/2016/04/baystate_medical_center_notifi.html



    I think someone should pay attention to their surroundings and the organization they work for.
     
  25. tkim

    tkim 10 cc's cordrazine 10+ Year Member

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    Your post says more about you than it does about Baystate. Fer shizzle.
     
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  26. EMincognito

    EMincognito

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    Just wanted to add another n to balance out what appears to be a singular attack on Baystate by one disgruntled person (who wasn't even EM). I did an away rotation in Baystate's ED and had a fantastic experience. The residents were happy and seemed to have an amazing quality of life, the attendings were eager to teach, and the PD was such a kind, warm, and genuine person (I'd put him in my top 3 favorite PD's I met on the interview trail). The APDs were also lovely people, and I thought the didactics/conferences were particularly strong.

    The patient population was a lot more diverse than I was expecting, and more sick than my other away rotation at an inner-city safety net hospital. For example, I could generally manage 4 patients simultaneously at the other hospital, but felt stretched managing 2-3 patients at Baystate just because they were in general more acutely ill. The chair was very accessible -- he encouraged med students to meet with him one-on-one -- and very enthusiastic about supporting the department within the hospital. The new ED is beautiful, and I enjoyed working with the nursing staff.

    Compared to other programs I interviewed at, Baystate seemed one of the most humane and family-friendly, but with the numbers/pathology to make the time spent in the ED a high-yield learning experience. I've ranked it pretty high on my list, and would be excited to match here.

    For me, a month working in the ED tells me much more about what my life as a Baystate EM resident would be like than a bunch of articles about dialysis infections, a psych resident who drank too much at a party, and an unethical anesthesiologist.
     
  27. vg2014

    vg2014 Probationary Status

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    Well, I can describe my experience not of someone else. People do have good and bad experiences depending on their strengths and weaknesses, what they are looking for and what can they live with. Some faculty at Baystate are good people, I wouldn't question that. I would take into consideration the larger picture in front, some might want to ignore it completely.
     
  28. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    Nobody is doubting you had a rough time at Baystate. But you're not an emergency resident. And then you start picking data from 20 years ago, which is likely not relevant to people today or the "culture" at Baystate.
    If you can't keep on topic for emergency medicine, the posts will get deleted.
     
  29. pedstar09

    pedstar09

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    An intern (non ED) here at Baystate. Work culture is wonderful and it can always be better. The nurses are awesome, they actually lookout for interns who look lost (like me..). The ancillary staff is very helpful. The problems you describe for moonlighting, aren't they going to be universal for ANY emergency room?

    The things that we get to see, the things that we get to do are very unique. The educational opportunities are out there for you as a resident- you have to grab it! While I agree that the population is not the best of the lot, but isn't that why you became a doctor? To help those who cannot advocate for themselves? I have learned about so many social constraints and determinants of health as compared to other interns at other institutions. Isn't that making this whole residency experience more humane?

    While I get it that you may not have had the best experience at Baystate, please do not ruin it for others. I live in the area (but not in Springfield itself). We hang out with co-interns almost every week at various restaurants in the area and my family feels totally safe in the place we live in. So, even if this may be the armpit of the state, we have found our comfort zone.

    Everyone is welcome to Baystate! Good luck with the match!
     
    AlgernonMed likes this.

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