Buffalo OMFS program closing.

Started by shame
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Same here!
Talked to a dozen of residents both categorical and non cats, definitely wouldn't call this program "great". The way they described their interactions with faculty, residents and staff and the incidents they shared I would at best say this is becoming a malignant program, a lot of their non cats quit after matching.
We should be sharing these experiences and warning incoming residents.
A dozen? Wow! Please share how you talked with no less than 12 residents and are now the local expert on the residency despite never actually going through it yourself? Very reliable.
 
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As a naive dental student scheduled for multiple externships across the south over the next year+, I would be grateful for any kind of PM with concrete information/opinions on the various southern six year programs. It’s difficult to glean much from attendings/residents at my home program or even older students on the rare occasion I can catch up with them.
SDN is not the place for reliable advice. Visit programs for a week each, decide for yourself. The answer is not on a forum.
 
You want a county club program where all you learn is how to take out teeth? Don’t come to LSU. You want to be a bad ass surgeon that can handle any head and neck surgery and deal with the stress of being a real surgeon at any level one trauma center? Come to LSU. Choose your own level of work ethic. Choose your own path. But don’t judge or degrade the programs that are training the excellent Maxillofacial Surgeons in this country. Do not belittle the individuals that choose to work hard and embrace “the grind” to achieve their goals. Absolutely do not judge or pretend to know the programs that train this way unless you’ve been through it. Do not be naive and judgmental to simply make yourself feel better.
lol defensive much? I go to a cancer and trauma heavy program. I’ve “been through it.” My point is that many applicants don’t want that so programs like this are deemed less favorable by some
 
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lol defensive much? I go to a cancer and trauma heavy program. I’ve “been through it.” My point is that many applicants don’t want that so programs like this are deemed less favorable by some
Very defensive. Each person can choose what type of program they want to graduate from. Don’t generalize what “many applicants” want. Its comments like that which poison the minds of people that may do very well at a program like LSU.
 
Nobody is criticizing hard surgical training. Most OMFS applicants actively want heavy trauma, oncology, microvascular exposure, difficult call, and autonomy.

What people are criticizing is the idea that losing multiple noncats/residents, constant turnover, humiliation, and toxic culture should somehow be normalized as “the grind.” A strong program doesn’t need anonymous accounts aggressively insulting applicants, former trainees, and anyone raising concerns. The replies in this thread honestly say more than the original accusations ever did.
Also, calling every other program a “country club” because applicants value basic professionalism and decent leadership is exactly the kind of attitude people are warning others about.

I had heard LSU had a toxic reputation long before this thread, but honestly the responses here confirmed it for me. The entitlement, hostility, and arrogance in some of these replies are pretty telling. Plenty of elite trauma/cancer programs manage to produce excellent surgeons without creating a culture that burns people out or drives trainees away.
And interestingly, nobody defending the program ever addressed the middle-finger email that was posted by a resident. That silence probably said more than any anonymous angry SDN comment could.
 
SDN is not the place for reliable advice. Visit programs for a week each, decide for yourself. The answer is not on a forum.
Hence the humorous adjective. I’m fully aware of how information here is about as reliable as chatter in an Irish pub, but I’ll take anything I get at the least for my own entertainment given the sheer number of programs out there and the fact that I can only extern at 3-4.
 
Nobody is criticizing hard surgical training. Most OMFS applicants actively want heavy trauma, oncology, microvascular exposure, difficult call, and autonomy.

What people are criticizing is the idea that losing multiple noncats/residents, constant turnover, humiliation, and toxic culture should somehow be normalized as “the grind.” A strong program doesn’t need anonymous accounts aggressively insulting applicants, former trainees, and anyone raising concerns. The replies in this thread honestly say more than the original accusations ever did.
Also, calling every other program a “country club” because applicants value basic professionalism and decent leadership is exactly the kind of attitude people are warning others about.

I had heard LSU had a toxic reputation long before this thread, but honestly the responses here confirmed it for me. The entitlement, hostility, and arrogance in some of these replies are pretty telling. Plenty of elite trauma/cancer programs manage to produce excellent surgeons without creating a culture that burns people out or drives trainees away.
And interestingly, nobody defending the program ever addressed the middle-finger email that was posted by a resident. That silence probably said more than any anonymous angry SDN comment could.
Toxicity, humiliation, high turnover, etc. are not acceptable or tolerated at most programs in this country including LSU. This is an OLD narrative. Programs are modernizing with their residents and younger faculty. You are mistaken if you think that elite, “hard surgical training”, doesn’t come with long hours, big cases, heavy call, busy clinics, rigorous academics, discipline and high expectations. Do you think that every dentist that joins an OMS residency is equal? Do you think that it may be hard and “feel toxic” to the individuals that are more challenged, or to the extreme, may even be dangerous to patients?? Should everyone get continuous positive feedback to accompany poor performance or failing academics? If upholding and maintaining excellence is “toxic” and “malignant” then our time-honored specialty should go away. Super Dentists can take over, we can get rid of our MD’s, and our residencies will look like perio.

The fact that you THINK these replies are hostile, arrogant and entitled, shows your high level of sensitivity to adversity and criticism, and normal confrontation. Not everything in this world that is uncomfortable should be avoided. Not everything that is uncomfortable is negative or hostile. There are no trophies for participation and avoiding anything that “doesn’t feel good”. Adversity is what shapes people and surgeons and their ability to handle uncomfortable and even life-threatening situations.
 
Hence the humorous adjective. I’m fully aware of how information here is about as reliable as chatter in an Irish pub, but I’ll take anything I get at the least for my own entertainment given the sheer number of programs out there and the fact that I can only extern at 3-4.
I would pick programs that are geographically diverse, diverse in scope, and different in size. Don’t pick ones that seem similar. You want to see what the BIG differences are, not the nuance stuff. This may help you better decide on what TYPE of residencies to which you want to apply.
 
Toxicity, humiliation, high turnover, etc. are not acceptable or tolerated at most programs in this country including LSU. This is an OLD narrative. Programs are modernizing with their residents and younger faculty. You are mistaken if you think that elite, “hard surgical training”, doesn’t come with long hours, big cases, heavy call, busy clinics, rigorous academics, discipline and high expectations. Do you think that every dentist that joins an OMS residency is equal? Do you think that it may be hard and “feel toxic” to the individuals that are more challenged, or to the extreme, may even be dangerous to patients?? Should everyone get continuous positive feedback to accompany poor performance or failing academics? If upholding and maintaining excellence is “toxic” and “malignant” then our time-honored specialty should go away. Super Dentists can take over, we can get rid of our MD’s, and our residencies will look like perio.

The fact that you THINK these replies are hostile, arrogant and entitled, shows your high level of sensitivity to adversity and criticism, and normal confrontation. Not everything in this world that is uncomfortable should be avoided. Not everything that is uncomfortable is negative or hostile. There are no trophies for participation and avoiding anything that “doesn’t feel good”. Adversity is what shapes people and surgeons and their ability to handle uncomfortable and even life-threatening situations.
Is it true LSU is getting rid of the 2027-2028 intern program and replacing them with NPs?
 
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You want a county club program where all you learn is how to take out teeth? Don’t come to LSU. You want to be a bad ass surgeon that can handle any head and neck surgery and deal with the stress of being a real surgeon at any level one trauma center? Come to LSU. Choose your own level of work ethic. Choose your own path. But don’t judge or degrade the programs that are training the excellent Maxillofacial Surgeons in this country. Do not belittle the individuals that choose to work hard and embrace “the grind” to achieve their goals. Absolutely do not judge or pretend to know the programs that train this way unless you’ve been through it. Do not be naive and judgmental to simply make yourself feel better.

Welcome to the forums Dr. Jeffrey James, your subtle edit at 6 am did not go unnoticed. I went ahead and undid what you edited. We all saw the "Come to LSU".

Since you've addressed almost every comment so far, you seem to have chosen to ignore one, the middle finger.

Could you please address why you sent a middle finger emoji to one of your residents? You claim "Toxicity, humiliation, high turnover, etc. are not acceptable or tolerated at most programs in this country including LSU. This is an OLD narrative." yet your actions prove otherwise.

Looking forward to your response.
 
Toxicity, humiliation, high turnover, etc. are not acceptable or tolerated at most programs in this country including LSU. This is an OLD narrative. Programs are modernizing with their residents and younger faculty. You are mistaken if you think that elite, “hard surgical training”, doesn’t come with long hours, big cases, heavy call, busy clinics, rigorous academics, discipline and high expectations. Do you think that every dentist that joins an OMS residency is equal? Do you think that it may be hard and “feel toxic” to the individuals that are more challenged, or to the extreme, may even be dangerous to patients?? Should everyone get continuous positive feedback to accompany poor performance or failing academics? If upholding and maintaining excellence is “toxic” and “malignant” then our time-honored specialty should go away. Super Dentists can take over, we can get rid of our MD’s, and our residencies will look like perio.

The fact that you THINK these replies are hostile, arrogant and entitled, shows your high level of sensitivity to adversity and criticism, and normal confrontation. Not everything in this world that is uncomfortable should be avoided. Not everything that is uncomfortable is negative or hostile. There are no trophies for participation and avoiding anything that “doesn’t feel good”. Adversity is what shapes people and surgeons and their ability to handle uncomfortable and even life-threatening situations.
The irony is that nobody here is arguing against hard surgical training except the imaginary “soft applicant” strawman you keep inventing.

People are specifically talking about resident turnover, non-cats leaving(5 out of 6 !!!! LOL), humiliation, toxic culture, and professionalism. Yet every reply somehow turns into “you’re weak,” “you’re sensitive,” “real surgeons suffer,” or “maybe they were dangerous.” That mentality is exactly why certain programs develop the reputations they do.

Also, elite trauma/oncology programs across the country somehow manage to train outstanding surgeons without needing to constantly defend
themselves on SDN by insulting applicants and former trainees. Food for thought.

And honestly, the replies in this thread have done more damage to LSU’s reputation than any anonymous comment ever could. Applicants reading this can clearly see the arrogance, hostility, and superiority complex people have been warning about. If this is how people tied to the program behave publicly when criticized anonymously online, nobody should be shocked that residents burn out behind closed doors.
oh wait I do know what happens behind closed doors, you send middle fingers to your staff and residents.
whoever ranks/matches with your program must be pretty desperate to just be any kind of surgeon , NOLA is the worst southern program. WORST PROGRAM PERIOD.
 
While were on the topic of LSU Nola, I figure it'd be a good time to shed some light onto the program chair, Dr Jeffrey James.

Attached is a screenshot I received from a buddy of mine who's a resident in Nola. Dr Jeffrey James responding to another residents resignation with a middle finger emoji while CC'ing all staff. Unbelievably unprofessional and honestly doesn't surprise me that the program has lost their non-categoricals due to treatment.

View attachment 419052
I don’t care what anyone says, that is FUNNY 😂😂😂😂
 
no reason to delude yourself unless you're the toxic chief they've been mentioning.

Highly doubt you're not connected to the program

ou can go argue with Rush who created the account less than 48 hrs ago to defend your malignant program.
Dentistrays
I believe you found the toxic chief/individual who is connected to lsu. I jokingly expect an apology for accusing me of being associated with such a trash program. Or maybe I should be flattered that you think I’m young enough to be a resident.
You want a county club program where all you learn is how to take out teeth? Don’t come to LSU. You want to be a bad ass surgeon that can handle any head and neck surgery and deal with the stress of being a real surgeon at any level one trauma center? Go to LSU. Choose your own level of work ethic. Choose your own path. But don’t judge or degrade the programs that are training the excellent Maxillofacial Surgeons in this country. Do not belittle the individuals that choose to work hard and embrace “the grind” to achieve their goals. Absolutely do not judge or pretend to know the programs that train this way unless you’ve been through it. Do not be naive and judgmental to simply make yourself feel better.
 
Dentistrays
I believe you found the toxic chief/individual who is connected to lsu. I jokingly expect an apology for accusing me of being associated with such a trash program. Or maybe I should be flattered that you think I’m young enough to be a resident.
You're correct, I sincerely apologize, we found our imposter 😂
 
This thread has gone nuts. From a current resident not at LSU I have nothing but good things to say about that place. Is Jeff James’ personality for everyone? No but I personally really liked him and respect what he’s done with that program. At the end of the day you’ll get a much better understanding of the place if you just go Extern and apply for an interview. As far as the 5/6 noncats quitting my guess is as good as anyone’s but likely you have a group of people that didn’t realize what they were getting themselves into with one of the toughest intern years in the country
 
This thread has gone nuts. From a current resident not at LSU I have nothing but good things to say about that place. Is Jeff James’ personality for everyone? No but I personally really liked him and respect what he’s done with that program. At the end of the day you’ll get a much better understanding of the place if you just go Extern and apply for an interview. As far as the 5/6 noncats quitting my guess is as good as anyone’s but likely you have a group of people that didn’t realize what they were getting themselves into with one of the toughest intern years in the country
“Not for everyone” is a pretty wild way to describe middle fingers, verbal abuse, humiliation, residents quitting, and a culture multiple people independently describe as toxic.Nobody is saying OMFS shouldn’t be hard. Every serious program is hard. Trauma is hard. Call is hard. Surgery is hard. That’s not the issue. The issue is when people start normalizing disrespect and abuse under the label of “tough training.” Those are not the same thing.

when multiple applicants, externs, former non-cats, and residents all keep describing the exact same behavior patterns, at some point it stops sounding like “sensitive people who couldn’t handle the grind” " oh maybe they didn't like the psychopath's attending personality" and starts sounding like a program culture problem.

What’s frustrating is watching people constantly try to downplay or hide it instead of just being honest. That’s exactly how naive students end up ranking these programs highly, matching there, and regretting it later when they realize the SDN “rumors” were actually real experiences from real people.

You can produce STRONG SURGEONS without destroying people in the process. Plenty of elite programs already prove that every year.
WELCOME to 2026 dipsh***ts, people WILL NOT tolerate abuse and will speak up, go back to the 1950s if you love getting humiliated up by your attendings so much.

Lastly F*** LSU NOLA , WORST PROGRAM ever, stop normalizing abuse you psychos with god complex.
 
Pretty stupid to advise dental students to waste one of the 3 to 4 places for externships AND their money so that they can extern at a ****ty program just to confirm it's ****ty btw. and if your sicko Jeffery was such a good personality why did his program tell him to stay off SDN??? 😆
I'll tell you why, because he is deterring away applicants way more than any of us exposing him and the toxic culture he's fostering.
and NO way in hell you're a resident at another program, hide your posts dummie, we can all see that you're connected to LSU.

I guess NOLA doesn't produce STRONG intelligent surgeons after all.
 
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Jon Stewart Popcorn GIF
 
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While were on the topic of LSU Nola, I figure it'd be a good time to shed some light onto the program chair, Dr Jeffrey James.

Attached is a screenshot I received from a buddy of mine who's a resident in Nola. Dr Jeffrey James responding to another residents resignation with a middle finger emoji while CC'ing all staff. Unbelievably unprofessional and honestly doesn't surprise me that the program has lost their non-categoricals due to treatment.

View attachment 419052
Honestly, I would take this over someone smiling to your face while giving you the middle finger behind your back and trying to screw you over on a daily basis. I know a few externs who rotated at UF Jax, and I have also interacted with some residents there. The stories I have heard about that place are honestly horrendous.
 
This thread is concerning. I agree a lot of these replies have probably done more damage to the LSU Nola program than anything else in terms of potential applicants. In my experience from being an extern and interviewing is that there are many programs who provide rigorous training and produce excellent surgeons while also creating an environment of respect and civility. The two are not mutually exclusive.
 
Honestly, I would take this over someone smiling to your face while giving you the middle finger behind your back and trying to screw you over on a daily basis. I know a few externs who rotated at UF Jax, and I have also interacted with some residents there. The stories I have heard about that place are honestly horrendous.
Well, since LSU NOLA has apparently been properly skinned already, I guess it’s time we hear about this one too. Word is the program has changed drastically over the past three years—and not for the better. The fact that they didn’t match any of their spots this cycle definitely raises eyebrows. Programs usually don’t go from stable to completely unmatched without something going on behind the scenes
 
Pretty stupid to advise dental students to waste one of the 3 to 4 places for externships AND their money so that they can extern at a ****ty program just to confirm it's ****ty btw. and if your sicko Jeffery was such a good personality why did his program tell him to stay off SDN??? 😆
I'll tell you why, because he is deterring away applicants way more than any of us exposing him and the toxic culture he's fostering.
and NO way in hell you're a resident at another program, hide your posts dummie, we can all see that you're connected to LSU.

I guess NOLA doesn't produce STRONG intelligent surgeons after all.
if you’re one of those 5/6 noncats and were offended by my comment I apologize. As far as any past comments I don’t even know how to look back at what I have said previously but I stand by that I think it’s a strong program or at least was when I was interviewing. If you’d like to talk to me directly about my home program I’d be happy to discuss that with you further too. Best of luck
 
Toxicity, humiliation, high turnover, etc. are not acceptable or tolerated at most programs in this country including LSU. This is an OLD narrative. Programs are modernizing with their residents and younger faculty. You are mistaken if you think that elite, “hard surgical training”, doesn’t come with long hours, big cases, heavy call, busy clinics, rigorous academics, discipline and high expectations. Do you think that every dentist that joins an OMS residency is equal? Do you think that it may be hard and “feel toxic” to the individuals that are more challenged, or to the extreme, may even be dangerous to patients?? Should everyone get continuous positive feedback to accompany poor performance or failing academics? If upholding and maintaining excellence is “toxic” and “malignant” then our time-honored specialty should go away. Super Dentists can take over, we can get rid of our MD’s, and our residencies will look like perio.

The fact that you THINK these replies are hostile, arrogant and entitled, shows your high level of sensitivity to adversity and criticism, and normal confrontation. Not everything in this world that is uncomfortable should be avoided. Not everything that is uncomfortable is negative or hostile. There are no trophies for participation and avoiding anything that “doesn’t feel good”. Adversity is what shapes people and surgeons and their ability to handle uncomfortable and even life-threatening situations.
Oh my, no, anything but losing the MD. This was a really weird comment. It’s almost as if that degree is part of a personality.
 
Oh my, no, anything but losing the MD. This was a really weird comment. It’s almost as if that degree is part of a personality.
For goodness sake just get the MD…you know you will be disappointed if you don’t! Calm down, calm down I’m just messing with you…but, you might be disappointed ☹️ it’s just, from that whole post that’s what you locked onto? Just do it! It’s fun!
 
You want a county club program where all you learn is how to take out teeth? Don’t come to LSU. You want to be a bad ass surgeon that can handle any head and neck surgery and deal with the stress of being a real surgeon at any level one trauma center? Go to LSU. Choose your own level of work ethic. Choose your own path. But don’t judge or degrade the programs that are training the excellent Maxillofacial Surgeons in this country. Do not belittle the individuals that choose to work hard and embrace “the grind” to achieve their goals. Absolutely do not judge or pretend to know the programs that train this way unless you’ve been through it. Do not be naive and judgmental to simply make yourself feel better.
Jeff, take a breath before you give yourself an aneurysm. I was under the impression LSU had invested in some anger management for you, but clearly the results are still pending
 
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For goodness sake just get the MD…you know you will be disappointed if you don’t! Calm down, calm down I’m just messing with you…but, you might be disappointed ☹️ it’s just, from that whole post that’s what you locked onto? Just do it! It’s fun!
Yea I locked on to it because it was a strange addition to the post lol
 
Yea I locked on to it because it was a strange addition to the post lol
It's proof how he looks down on literally everyone who's not him, typical god complex symptoms.
Hopefully the program can get rehabilitated and send him to some anger management classes.
 
When did these noncats quit? Immediately after they matched? Or before? I will say there is a trend of noncats quitting once they match, which is really really bad. Not saying that’s the situation here, but I’m curious how many of those noncats quit because they had already matched.

We’re a small community and word will get around in the end
 
When did these noncats quit? Immediately after they matched? Or before? I will say there is a trend of noncats quitting once they match, which is really really bad. Not saying that’s the situation here, but I’m curious how many of those noncats quit because they had already matched.

We’re a small community and word will get around in the end
I mean we are in May, so definitely after match! I think it is alarming to program if the non-cat decided to abandon ship, but I highly doubt they will do anything about it.
 
When did these noncats quit? Immediately after they matched? Or before? I will say there is a trend of noncats quitting once they match, which is really really bad. Not saying that’s the situation here, but I’m curious how many of those noncats quit because they had already matched.

We’re a small community and word will get around in the end
All of them quite after from what I heard
 
Well, since LSU NOLA has apparently been properly skinned already, I guess it’s time we hear about this one, too. Word is the program has changed drastically over the past three years—and not for the better. The fact that they didn’t match any of their spots this cycle definitely raises eyebrows. Programs usually don’t go from stable to completely unmatched without something going on behind the scenes
From what I’m hearing, Jacksonville’s biggest problem is the total lack of autonomy and real training. Residents are basically there to make attendings’ lives easier. Cosmetic is a joke. One junior attending is hyper-focused on cranking cases and dipping early—self-centered, focused on RVUs and moonlighting, and, on top of all of that, a gaslighter. Seniors and chiefs still aren’t allowed to do Botox because of “private/cash patients.” Friends who just graduated never injected a single unit. All that cosmetic marketing is straight BS. The whole department feels the same: leadership cares way more about optics and reputation than about actually teaching. Looks great on the outside, trash education on the inside. Head & Neck is the worst. Flap numbers have tanked, chiefs are mostly just closing donor sites while fellows retract for hours. One fellow spent 10 hours retracting, then closed the neck. Residents get zero say in VSP planning — “you won’t do this after graduation anyway.” Even in trauma cases, the chief is not alone. According to a very recent extern, these attending have an issue with giving cautery away. The current chair barely operates, encourages gossip and leaks confidential conversations, and creates no safe space to talk to anyone. The previous PD, who left 2 years ago, was the only one who was resident-oriented. They mostly hire their own grads, so anyone who speaks up gets iced out. When they didn’t match, they blamed the residents instead of fixing their shiit. Bottom line: super attending-centered, fake toxic culture, almost no real autonomy. Reputation is dropping fast, and nobody there seems happy. Stay the F away, regardless of whether you are a future resident or fellow.
 
The recent AAOMS Today issue had some apropos articles dr Dr. Hupp and Eichner. I appreciate the fact they have acknowledged and heard some of the concerns mentioned and brought up here and elsewhere and are attempting to address them. However, the call to unite as one specialty regardless of demographic followed by a distinctly demographic segregating article “for what it’s worth” and the plead to not ignore the problem or burry heads in sand regarding unfilled positions, despite overabundance of applicants, with the solution being to “start recruiting residents from dental schools not-associated with programs” were tough to get enthusiastic about.
 
I think AAOMS, in their upcoming PD meeting in August, should address programs that went completely out of match and examine the current disconnect among PDs, current residents, and applicants. In the grand scheme of things, if residents are unhappy, applicants will either feel it or be told not to come there. Anyway, it is a feast of crap that everyone is sharing, especially those programs mentioned above, and no, the solution is not to shut down the program. If the Chair/PD head is too big, that doesn't mean the program exists with him and won't by the time he leaves. ROAAOMS should also get involved in this, rather than going to the capital and taking pictures with Congress. You guys are there for a reason to promote residents' well-being, training environment, not to be posted about on Instagram. Get over yourself.
 
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And what's up with those programs that get written about on these forms, once they hear about the news, act all victim, smearing campaigns, and all the fake news BS. The whole residency now has a target on its back, rather than investing time to actually figure things out regarding how to make things better; no, they try to figure out who wrote the post. LMFAO, like dude, WHAT. The whole point of these forms is for people to vent, because if there were a safe room to vent in any department, people would not utilize this to speak about what's actually bothering them or what's currently happening in these programs.