> Below are some of the key questions (and some answers for my program in Anesthesiology at
> Vanderbilt University in Nasvhille) that I wish I had asked when I was a 4th year medical student:
>
> Have any residents ever left your program? [this year alone, three CA-1s left Vanderbilt.]
>
> Have any residents had to employ lawyers to defend their rights against the departments? [To my
> knowledge, at least two have in the last calendar year.]
>
> How did administration handle the ACGME-mandated 80-hour workweek? [Kicking, screaming, and
> yelling that we're all a bunch of coddled babies, that's how.]
>
> Are your graduates able to find jobs the program's same city? [for at least eight years running,
> not a single Vanderbilt graduate has secured a private practice job in Nashville, though many have
> tried. Those that were absolutely destined to stay in Nashville had to stay at Vanderbilt and earn
> a fraction of what they'd make in private practice.]
>
> Do you think the role of the anesthesiologist is to be an outspoken patient advocate, or is it
> just to stay out of the way of the surgeon? [At Vanderbilt, if you do not stay out of the
> surgeon's way, you will find yourself meeting with the Clinical Competency Committee for charges
> of being difficult to work with.]
>
> Do your surgeons respect the role of the physician-anesthetist, or do they view anesthesia as a
> service provided by nameless nurses or lesser-physicians? [At Vanderbilt, surgeons ROUTINELY
> dictate the choice of anesthesia, including having veto power over regional and neuraxial
> techniques.]
>
> If your department employs nurse anesthesists, how do you protect the role of the physician-in-
> training versus the CRNA? [At Vanderbilt, every resident knows that he or she is lower on the
> totem pole than the CRNAs. Surgeons know this as well, as they are able to request not to have
> residents in their room, preferring nurses.]