Community Hospitals for Residency?

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msdoc01

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I applied to Levine's Childrens Hospital for a pediatric residency because I've heard nice things about the new hospital and about Charlotte. Recently I was told that community hospitals aren't ideal for residency due to the lack of 'ownership' that residents get to take over their patients. Basically, attendings do all the decision making and residents don't have much autonomy. Also heard it's not as grueling as residency at an academic center. Does anyone know about Levine's specifically? I am interested in a career in primary care/private practice and don't mind to be at a less academic center. Any insight would be great! Thanks.
 
I applied to Levine's Childrens Hospital for a pediatric residency because I've heard nice things about the new hospital and about Charlotte. Recently I was told that community hospitals aren't ideal for residency due to the lack of 'ownership' that residents get to take over their patients. Basically, attendings do all the decision making and residents don't have much autonomy. Also heard it's not as grueling as residency at an academic center. Does anyone know about Levine's specifically? I am interested in a career in primary care/private practice and don't mind to be at a less academic center...
All community hospital-based residency programs are not the same, just as all "academic medical center"-based programs are not the same. I have heard similar "lack of autonomy" comments made about a few of the major academic children's hospitals that seem to be high on many lists of "ideal programs". My suggestion would be to apply to a few non-University programs and take a look, talk with the residents, and form your own opinion based on whatever evidence you can muster. You may find that one of the community-based programs appeals to you, or may find that you would be better suited at a University-based program. The good news in Peds is that there are many excellent programs in a variety of geographic settings that will provide you with good training and prepare you for a number of career paths within Pediatrics.
 
All community hospital-based residency programs are not the same, just as all "academic medical center"-based programs are not the same. I have heard similar "lack of autonomy" comments made about a few of the major academic children's hospitals that seem to be high on many lists of "ideal programs". My suggestion would be to apply to a few non-University programs and take a look, talk with the residents, and form your own opinion based on whatever evidence you can muster. You may find that one of the community-based programs appeals to you, or may find that you would be better suited at a University-based program. The good news in Peds is that there are many excellent programs in a variety of geographic settings that will provide you with good training and prepare you for a number of career paths within Pediatrics.

Agreed, it will depend on the program. The only way to find out is to ask the residents directly about it and see what they say.
 
I applied to Levine's Childrens Hospital for a pediatric residency because I've heard nice things about the new hospital and about Charlotte. Recently I was told that community hospitals aren't ideal for residency due to the lack of 'ownership' that residents get to take over their patients. Basically, attendings do all the decision making and residents don't have much autonomy. Also heard it's not as grueling as residency at an academic center. Does anyone know about Levine's specifically? I am interested in a career in primary care/private practice and don't mind to be at a less academic center. Any insight would be great! Thanks.


I agree with what others have said in this thread- interview there and see if it fits what you want. I will add a little personal knowledge about Levine specifically.

First, while they are community, they are associated with UNC and there will be UNC students rotating there.

Second, from the program director at my institution, CMC has a reputation for turning out some really great, well-trained physicians. They tend to get as many grads into fellowships as other highly respected academic programs.

That's what I know from a professional standpoint. On a personal note, I have heard the quality of life is nice- it is possible to learn and become a great physician without killing yourself.

(I am set to do a rotation there as a visiting student, so I still reserve my right to completely change my mind after I've worked there!)
 
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