Best Academic EM programs (is there such a thing?)

[energy_girl]

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I've searched through a bunch of threads on the "best" EM programs, but was wondering if you guys can help provide guidance on seeking out specifically academic EM programs on E/W coasts. By academic EM, I am referring to programs that have strong research, heavy emphasis on administration/policy, good reputation in overall medical field (not just EM), etc, but not necessarily (though of course would be positive to have) strong clinical work and reputation in EM.

Some programs I would imagine to be in this category would be NY Presbyterian, MGH/Brigham, and Hopkins. Anything else? Any thoughts on Stanford, Yale, Brown (solid academic institutions)? Thanks!

 

[pseudoknot]

Your post implies that you would value reputation outside the field of EM more than reputation within it. This makes little sense to me, unless perhaps you're asking for the best program from which to become chief of staff or something like that.

If you want a way to assess research other than asking people here, I'd suggest looking at the Annals of Emergency Medicine issue after the ACEP meeting, where all the abstracts are published.

And honestly, if you read and understood the posts on this topic before, why didn't you name your thread something else???

 

[energy_girl]

Thanks for the suggestion to look at Annals. I'm a little confused about what the rest of your post means. I did read the threads from before, and it seems that most people (rightly) addressed which programs are best for clinical training. That's also important to me, but I also want to know what programs have good reputation for research and administration. Perhaps there might be programs that don't have as stellar clinical reputation but have great academic reputation? If there is a better topic name, I would be happy to change to it.

 

[docB]

It's kinda hard to have a great academic rep and not have a good clinical rep as well.

When you ask about programs with an emphesis on administration are you asking about programs with the best rep for teaching admin or the programs where the admins have the best rep?

Any question about "the best program for X" usually meets with some snarky comments as it doesn't really have a good answer. Your questions about the particular programs will fare better as the users at those programs will chime in.

 

[energy_girl]

I meant more in a general sense. I'd like to go a place with a good reputation for academic medicine, and am curious about places that have good health policy/admin in a general sense (like Stanford, Yale, Brown, Penn, Hopkins, UCSF)-if someone can comment on these EM programs, I would really appreciate it!

 

[cabruen]

I meant more in a general sense. I'd like to go a place with a good reputation for academic medicine, and am curious about places that have good health policy/admin in a general sense (like Stanford, Yale, Brown, Penn, Hopkins, UCSF)-if someone can comment on these EM programs, I would really appreciate it!

May I offer a suggestion. I assume you are getting ready to apply to residency programs as a MS4. The type of question you are asking above is very difficult for anyone to answer. That is why you are getting general answers back.

I will relay some great advice I got when I was at your same point in decision making. You need to sit down and really truly think about what you want. For example, you said East-West coasts. That really doesn't mean anything. You need to decide what type of setting. Downtown LA (USC Keck), downtown NY (Kings County), Loma Linda (suburban), Tacoma Washington, Buffalo, Baltimore Shock Trauma, etc. These are all very different type of living situations and training settings. Which appeals to you. Where do you want to live. Very academic setting (attendings discussing EBM during shifts) vs. attendings that practice differently.

It are the detail questions and answers that will lead to finding the best fit for you and your training.

 

[southerndoc]

I meant more in a general sense. I'd like to go a place with a good reputation for academic medicine, and am curious about places that have good health policy/admin in a general sense (like Stanford, Yale, Brown, Penn, Hopkins, UCSF)-if someone can comment on these EM programs, I would really appreciate it!

Hopkins has good admin from what I've heard (they have an ACS/admin fellowship track available if memory serves me correctly). Yale does a lot of substance abuse research, and there are opportunities for other public health research through the RWJ program. I'm not aware of public health research from Penn, but they do a lot of cardiac research (primarily chest pain center). Can't speak for Brown as I didn't even apply there.

 

[bartleby]

The places but you mentioned all have good reputations in general, but you'll find that that there is a lot of variation within each residency in a hospital system. Just because has a "name" with layperson recognition does not mean that it leaves the field in emergency medicine or say, psychiatry.

You will find that some of the programs that are most talked about in terms of having respected academic faculty are arm not necessarily the places you have mentioned. Cincinnati and Denver are examples of places that are respected with an emergency medicine but aren't going to have a lot of cachet with some dude on the street who asks where you did your residency.

There can be downsides to going to a place which has a "name" in that the medicine and surgery departments can be old and storied, but when it comes to emergency medicine you are the new kid on the block. It is easy for department of emergency medicine to either not be out on its own from underneath one of these departments or for it to be trampled entirely.

You would be much better served by looking at each program individually based on the criteria often thrown around here (location, representation of your specific interests with an emergency medicine) and actually going to interview at a place with the thought that you are trying to find somewhere where you are a good fit. You might wind up in some mecca of emergency medicine where your learning style and personality are complete mismatch and you will be miserable.

Keep your eyes open and do not prejudge based on undergraduate reputation and status, which often have little to do with choosing a good residency.

I meant more in a general sense. I'd like to go a place with a good reputation for academic medicine, and am curious about places that have good health policy/admin in a general sense (like Stanford, Yale, Brown, Penn, Hopkins, UCSF)-if someone can comment on these EM programs, I would really appreciate it!