Big names on the east coast

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ILikePath said:
So what does everybody think of the MGH, BWH, JHU, Yale, Duke, UVA, Emory programs so far?
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I had no idea emory was considered part of the east coast. 😕

And, why don't you tell us what you think of them first? (You named great programs that have many strengths.)
 
dermpathlover said:
Hopefully there isn't a geography quiz during your interviews.
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well...to each their own. My definition of East Coast is New York-centric. Emory seems much more S/SE Coast to me. Ask 100 people what cities first pop into their mind in the East Coast and I can guarantee that it (Atlanta) wouldn't make the family feud. 😛
 
For the record, East Coast = Boston, New York, Philadelphia, Baltimore, and Washington, DC.

Everyplace else is either south, midwest, or west.

Carry on.
 
pathdawg said:
For the record, East Coast = Boston, New York, Philadelphia, Baltimore, and Washington, DC.

Everyplace else is either south, midwest, or west.

Carry on.
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Add New Haven, Providence, places like that. But definitely Duke, Emory and the like are the South or Southeast. Thats the heart of the Confederacy. We cant have mixing of Yankees and Confederates by lumping, we must be splitters here.
 
So is west coast only SD, LA and SF with Seattle and Portland being the Northwest? If that's the case, then fine. But I think most people in Seattle consider themselves Westcoast and Nortwest

For me East coast is Boston all the way down to Miami. I mean is Miami not on the Eastern edge of the continent?

Boston is in New Egland.

NY, Philly and DC are Atlantic.

Atanta and Miami are SE.

But they are all East Coast.

SF, SD, LA, Portland and Seattle are all West Coast.

LA, SD are So CAL

SF is Nor Cal

Portland and Seattle are Northwest.
 
anyone actually have any comments about the programs mentioned above, wherever you want to classify them geographically?
 
mlw03 said:
anyone actually have any comments about the programs mentioned above, wherever you want to classify them geographically?
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Screw that. This is way more interesting.

East Coast: Boston, NY, Philly, DC
West Coast: San Diego, LA, San Francisco

Seattle and Portland are definitely the pacific Northwest.

Miami and Atlanta and the Southeast.

Every other city/locale is either south, midwest, west, or Texas (in a catagory all to them-gun-loving-selves).

LADoc, a couple of points:

1. New Haven is east coast (because its basically a suburb of NY). Providence is also east coast as it is an extension of Boston.
2. The propper pronounciation is CONFEDERA-SAI!!
 
Great post...
What about Baltimore?
 
ILikePath said:
So what does everybody think of the MGH, BWH, JHU, Yale, Duke, UVA, Emory programs so far?
Click to expand...

I interviewed at BWH, JHU, Emory, and UVA (which is where I'm at) and I don't think you could go wrong at any of them. I got a different "vibe" from each program, but I think I would've been happy at all of them (I ranked those four programs along with Michigan). I would certainly recommend checking all of them out for yourself. I love UVA, but it's probably not for everyone. For example, Cville is a small city that may bore some people and basic science research isn't as big as other places, but diagnostics are big with Wick, Mills, and Stoler on faculty. The choice of a residency program really should be a personal decision and not based on the random musings of anonymous internet posters.
 
As for the geography controversy, I find it interesting how much perceptions differ from place to place. If I were forced to classify areas, I would probably call Boston, New York, and Philly the Northeast; Baltimore, DC, and parts of Virginia mid-Atlantic, and the area from Virginia down to Florida Southeast. As for Florida (and especially Miami), I think it's in a completely separate category (like Texas). I don't think anyone who has spent time traveling through the Carolinas and Georgia and also spent time in Miami would ever classify those areas in the same category.

Now if someone asked me to talk about East coast programs, I would probably talk about everything from Maine to Miami.
 
Redding rules.
 
UCSFbound said:
SF is Central CA. Redding is Nor Cal
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SF is straight up Nor Cal. No one in SF considers themselves Central Coast. Monterey Bay is where central coast begins and it ends right down around santa barbara where So Cal begins.

So by LA Docs rules West Coast = SF, LA, East Coast = Boston, NYC, DC.

So to be bicoastal you bascially have to be living in LA, NY or SF, NY. That is such coastal snobbishness. I love it!!!!!!!!!

I can't wait until I'm the bicoastal Dermatopathologist!
 
ILikePath said:
So what does everybody think of the MGH, BWH, JHU, Yale, Duke, UVA, Emory programs so far?
Click to expand...

yes emory isn't the one of the big harvard esq. northeast programs. But i was truly impressed with the way they run their show. Large signout rooms with giant plasmas, and awesome residents, super friendly. Yes, if you have a thing against atlanta, thing you may want to go elsewhere, but i personally thought it was a great city, great weather too actually. I've heard they just got a Hugh Jass grant and are building 2 or 3 new LARGE medical centers...many of which are actually related to us, as pathologists.

yes Amin has left, but sharon (weiss) still runs the show, with the help of andy (folpe). Parslow (the chair, once-UCSF head) is a total resident-oriented chair. I'm aware of an anecdote where the residents were having problems doing presentations b/c of a lack of an easier way to transport data/ppt's from computers/cd's etc. Parslow was made aware of this, and the next few days, every resident was given a USB memory stick [mind you: this was a while back, when they were a bit more expensive and not as predominant as they are now].
it was very high on my list, but b/c of personal situations i had to rank another pair of institutions higher. So yah, it's definetly an up-and-coming place. Two big thumbs up.
 
SLUsagar said:
yes emory isn't the one of the big harvard esq. northeast programs. But i was truly impressed with the way they run their show. Large signout rooms with giant plasmas, and awesome residents, super friendly. Yes, if you have a thing against atlanta, thing you may want to go elsewhere, but i personally thought it was a great city, great weather too actually. I've heard they just got a Hugh Jass grant and are building 2 or 3 new LARGE medical centers...many of which are actually related to us, as pathologists.

yes Amin has left, but sharon (weiss) still runs the show, with the help of andy (folpe). Parslow (the chair, once-UCSF head) is a total resident-oriented chair. I'm aware of an anecdote where the residents were having problems doing presentations b/c of a lack of an easier way to transport data/ppt's from computers/cd's etc. Parslow was made aware of this, and the next few days, every resident was given a USB memory stick [mind you: this was a while back, when they were a bit more expensive and not as predominant as they are now].
it was very high on my list, but b/c of personal situations i had to rank another pair of institutions higher. So yah, it's definetly an up-and-coming place. Two big thumbs up.
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My informants have told me:
1.) Folpe has/will leave very soon.
2.) Sharon Weiss is retiring.

that would leave soft tissue consults squarely in the hands of Fletcher given that Kempson is out of the picture.
 
dermpathlover said:
SF is straight up Nor Cal. No one in SF considers themselves Central Coast.
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Yeah, no one may consider themselves as living in the central coast of CA, but in this little thing I call reality, San Francisco falls nowhere near the northern most aspect of the state. San Francisco is the northernmost, heavily populated area, hence the term "Nor Cal". I lived in San Francisco for 2 yrs and never ONCE said I lived in Nor Cal. My girlfriend is from Berkeley and NEVER says she is from Nor Cal. Dont you have some D-path books to study? After all, in 2 short years you'll be in fellowship!

california-map.jpg
 
Why should he have to study? He's supposedly got the fellowship locked up now so he can give up studying and just let the money roll in. :laugh:
 
LADoc00 said:
My informants have told me:
1.) Folpe has/will leave very soon.
2.) Sharon Weiss is retiring.

that would leave soft tissue consults squarely in the hands of Fletcher given that Kempson is out of the picture.
Click to expand...

i've doubled check with an inside source, and yes, indeed, Folpe is leaving to Mayo. but wow, Sharon leaving? i wonder if she will do what Kempson does and sign out consults only (which he still does by the way several months of the year, so no brady, Fletcher ain't the only dude out there). Stanford also has Hendrickson and Sibley who aren't exactly slackers when it comes to soft tissue...[AFIP ST fascicle].
 
Lets not forget that Andrew Rosenberg (now co-director of surg path at MGH) is no slouch in the soft tissue arena---though granted he is more synonymous with bone pathology.

Mindy
 
Being a soft tissue expert is not what used to be....

Academic consults are predominantly 4-5 areas:
1. Derm, far and away the highest volume, which for my biz goes to BW
2. GI, which I send almost exclusively to Mich
3. Medical lung, which I send to Mayo Scottsdale
4. Medical kidney, which goes for me to UCSF, though I dont really care because I dont even read the H+E's on these

I have no neuropath(area #5) but would likely send that out to JHU or BW.

If you suck at Heme, it's going out as well.

On rare occasion, difficult breast lesions go out, more of liability concern tho or when they dip into atypical columnar hyperplasia-like areas.

But really that is it. Being a world expert in say pancreas, gyn, liver or soft tissues/bone for example just isnt as useful.

Yes in the pre-immuno days, soft tissue was challenging. Now you have a panel of smooth muscle markers, neural markers and the like. WHO classification scheme is easy to follow. What you are sending out is very very limited, maybe low grade chondrosarcs and odd ball fibromyxoid tumors. You can go 5 years without seeing one.

In terms of bone tumors, most big osteosarcs and their ilk go to academic centers anyway right from the biopsy stage. The time I spent learning bone tumors was truly wasted.Derm, Heme, GI or GU is 1,000x more valuable, literally.
 
There are lots of great soft tissue pathologists out there, to limit it to five or less is kind of silly. The thing about soft tissue pathologists is that they for some reason tend to be the most supremely confident of all pathologists in their diagnostic abilities, thus what they say it is IS what it is, even if they disagree with another. In truth, a lot of times it doesn't matter. MFH, Dedifferentiated liposarcoma, high grade osteosarcoma, fibrosarcoma, leiomyosarcoma, whatever, it's all sarcoma.

I thought Folpe already was at Mayo. I heard him talk last month and I thought he said that was where he was from. Maybe I was hallucinating though.
 
google results for map of the east coast:
usa_char.jpg
 
Hey guys,

I am relatively new to this forum, and was just wondering if you would consider Dartmouth as a big name on the east coast. I havent seen people mention much about this program and would like to know what you guys thought about it

thanks
pathomatic
 
I loved dartmouth's program, came very close to ranking it #1 - eventually decided it was a bit too small, but that's kind of relative and open to interpretation. They had a lot of good faculty who seemed to be into teaching. Not sure - but I had heard a couple of them had left. Anyway, it was a nice interview day and it's a nice hospital. One good thing is that the chairman of the department is also the program director.
 
yaah said:
I loved dartmouth's program, came very close to ranking it #1 - eventually decided it was a bit too small, but that's kind of relative and open to interpretation. They had a lot of good faculty who seemed to be into teaching. Not sure - but I had heard a couple of them had left. Anyway, it was a nice interview day and it's a nice hospital. One good thing is that the chairman of the department is also the program director.
Click to expand...

Dartmouth is cushhhhh. I would train there. I would get all preppied out in J. Crew blazers and sweaters in the winter, even slap on one those brightly colored scarves. I never worn a scarf. Dartmouth makes me think all these pathologists cuddle around a warm fire and sign out surg path while sipping cider. No idea if its true, but I imagine that...
 
LADoc00 said:
Dartmouth is cushhhhh. I would train there. I would get all preppied out in J. Crew blazers and sweaters in the winter, even slap on one those brightly colored scarves. I never worn a scarf. Dartmouth makes me think all these pathologists cuddle around a warm fire and sign out surg path while sipping cider. No idea if its true, but I imagine that...
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cider is for wussies. bring on the beer!
 
AndyMilonakis said:
cider is for wussies. bring on the beer!
Click to expand...

When I think of Dartmouth pathology I get this image of really hot blonds dressed in colorful sweaters that pass around cups of hot toddy while signing out their load of 5 cases/day. Sometime around noon the path lab takes a break outside for snowball fight, then retires to the Dartmouth alum club where cigars and warmed brandy are served at happy hour.
 
LADoc00 said:
When I think of Dartmouth pathology I get this image of really hot blonds dressed in colorful sweaters that pass around cups of hot toddy while signing out their load of 5 cases/day. Sometime around noon the path lab takes a break outside for snowball fight, then retires to the Dartmouth alum club where cigars and warmed brandy are served at happy hour.
Click to expand...

This, of course, is all true. Except the hot blonds part. They're in the Derm department.
 
SLUsagar said:
but wow, Sharon leaving? i wonder if she will do what Kempson does and sign out consults only (which he still does by the way several months of the year, so no brady, Fletcher ain't the only dude out there).
Click to expand...

I just interviewed at Emory, and although I didn't speak with Dr Weiss, the people I talked to were confident she isn't going anywhere. The impression I got was, "Why would she leave, she's on track to be the next dean?" Of course, it's much more fun to spread rumors on anonymous message boards.

She stopped doing general signout with residents 2-3 years ago and now just does soft tissue and consults. Residents at Emory can still do a ST elective with her.
 
LADoc00 said:
Being a soft tissue expert is not what used to be....

Academic consults are predominantly 4-5 areas:
1. Derm, far and away the highest volume, which for my biz goes to BW
2. GI, which I send almost exclusively to Mich
3. Medical lung, which I send to Mayo Scottsdale
4. Medical kidney, which goes for me to UCSF, though I dont really care because I dont even read the H+E's on these

I have no neuropath(area #5) but would likely send that out to JHU or BW.

If you suck at Heme, it's going out as well.

On rare occasion, difficult breast lesions go out, more of liability concern tho or when they dip into atypical columnar hyperplasia-like areas.

But really that is it. Being a world expert in say pancreas, gyn, liver or soft tissues/bone for example just isnt as useful.

Yes in the pre-immuno days, soft tissue was challenging. Now you have a panel of smooth muscle markers, neural markers and the like. WHO classification scheme is easy to follow. What you are sending out is very very limited, maybe low grade chondrosarcs and odd ball fibromyxoid tumors. You can go 5 years without seeing one.

In terms of bone tumors, most big osteosarcs and their ilk go to academic centers anyway right from the biopsy stage. The time I spent learning bone tumors was truly wasted.Derm, Heme, GI or GU is 1,000x more valuable, literally.
Click to expand...

Yea, soft tissue gets a lot of exposure, but it's really a handful of people that has a lock on the consults market - if you're one of them, fine. If not, life is tough. Bone would almost invariably end up in one of the comprehensive cancer centers. My feeling is that the percentage of GI and GU going out for consults is rather small, but due to high volume, it's still a pretty nice business.
If $$$ is the main consideration, Derm obviously takes first prize, as it is far and away the stuff that has the highest consult ratio, and volume continues to increase. However, Heme is one of the few fields where molecular diagnostics have actually made some headway, so if you know your moleculars, that'll probably be a growing business in the future.
 
LADoc00 said:
My informants have told me:
1.) Folpe has/will leave very soon.
2.) Sharon Weiss is retiring.

that would leave soft tissue consults squarely in the hands of Fletcher given that Kempson is out of the picture.
Click to expand...

Or you could go to the Cleveland Clinic and do the consults either Goldblum or Rubin bring in.
 
Fletcher is the source for soft tissue. I attended one of his signouts last week and he's unreal. There was standing room only in his tiny signout area.

Since I was the new face in the room, he asked me questions and seemed interested in what I had to say. I was floored the someone of his caliber even noticed me crowded around his scope, frantically trying to keep up with the cases.
 
Trenchcoat said:
Fletcher is the source for soft tissue. I attended one of his signouts last week and he's unreal. There was standing room only in his tiny signout area.

Since I was the new face in the room, he asked me questions and seemed interested in what I had to say. I was floored the someone of his caliber even noticed me crowded around his scope, frantically trying to keep up with the cases.
Click to expand...

he still do SOs in the evening? I always thought that was crazy.
 
Adrian Cocot said:
Or you could go to the Cleveland Clinic and do the consults either Goldblum or Rubin bring in.
Click to expand...


my understanding is that the clinic will have a bone and soft tissue fellowship position starting July 2008.
 
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