Concerning things about Vanderbilt

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Epimd04

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I was wondering if anyone has heard anything about problems with the Vanderbilt Anesthesia program. I saw a post in another medical forum about this (http://www.cyclingforums.com/t84236.html). Is there anyone who can confirm these allegations: such as 3 CA-1 leaving the program for some reason, residents hiring legal representation, poor respect from the surgery department, etc. Thanks.
 
> 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.]
 
I believe Vanderbilt is a good program and is getting better. I disagree with the opinions here.
The residents get good jobs in both academics and private practice. Nashville is not a very big city and hence it is difficult to find a job in Nashville as there are no available positions and its not that Vandy graduates are not preferred.
CA-1's who leave have been warned, given remedial time to improve, given advice in areas they need to work on etc before they are asked to leave. Well, in any program if one does not make the mark with all the support then one needs to excercise other options. Vandy is a good program and there are standards that need to be upheld.
The surgeons do not dictate the type of Anesthesia. In fact many of them request for Regionals.
The faculty are very friendly and the Chairman is very bright, young and dynamic and is making a lot of changes for the better.
The CRNA's work well with residents. They give up alot of the educational cases for the residents. The surgeons maybe more familiar with the CRNA's than the residents as the CRNA's tend to work on the same service and have been doing that for many years. Residents on the other hand keep changing services every month!
So, at the risk of sounding self serving I can only say that Vandy is a good program and one must judge for themselves rather than base opinions on just one person's perspective. Good Luck wherever you choose to go and remember that no place is perfect after all!
 
Thanks for the update Fiberoptic...

I visitied with Vandy a couple of years ago and was blown away with the friendliness of the staff and the residents. At the time, I felt like Vandy was a definite up-and-comer in the world of elite anesthesiology programs.

You appear to be an insider at the program. ??? for you: Are there now CA-II positions open at Vandy with the departure of residents???
 
I just emailed the program secretary, she said there are no openings for PGY-2 spots?
What gives?
 
HI,

Can you tell me why residents would have to hire lawyers to defend themselves against thier program?
 
any program with multiple number of residents leaving is NOT good. programs make often times excuses like these people are incompetent thats why they were let go. but infact many times it is because these people didnt kiss enough ass or just werent liked by the PD.

General surgery is notorious for firing residents by claiming them as "incompetent". the truth infact often times is that these people dont have the malignant personalities of surgeons and didnt get along with the rest of the crowd.

i would NEVER want to goto a program that routinely fires residents.
 
I am looking for a PGY-2 spot for 2004.
Does anyone know what's going on at Vandy?

Congrats to all those that found out that they matched today!

Can I hear the number of spots open for scramble by region.
Thanks
 
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