DHMC IM interview (question about the program)

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Loanna

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Hi guys,

I have an invitation to interview at Dartmouth, NH. I haven't been able to find any relevant thread. Does anyone of the current residents/people who know the program want to share their thoughts and opinions?

I'm interested in academic cardiology and I have interviewed at other east coast university programs. No family to follow me.

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I can share some opinions about the program as a 4th yr student at Dartmouth.

I really think the medicine program is very strong but I think there are def some factors that hinder people from coming here (including myself). I'll try to break it down as how I see it.

Location: Ok it's the middle of NH. Area is really pretty but obviously isolated. Winters can be quite cold... Really appears to outdoorsy people esp if you love hiking, skiing etc. Great place to raise a family. If you're single and looking for a good time/find a partner: might be a little more difficult since the town is small and population is limited to the hospital/college. But there's every residency/fellowship here, so something to tap into =) If you want the city life, Boston's 2hr drive away and easy trip for a day/weekend. I really enjoyed the 4 yrs spent here, but I'm ready for a change of scenery. Oh no tax in NH!! Big plus.

Education: I really think Dartmouth excels in educating its residents. There's the usual daily morning report/noon conferences which are all pretty good. I think the stand out point (that I love the most) is weekly (yes weekly!) M+M conferences. Great case presentations and ALL faculty come by (young, old, working, retired) and they battle it out right there. Lots of fantastic teaching points thrown around and you really get to listen to how they think through things. Some of the older faculty is just really really incredibly smart (Dr. Korc the Med Chair and Dr. Cimis old GI guy are some of my favorite). I have nothing but amazing things to say about this weekly highlight. Aside from that, I think most of the hospitalists that you work with on the wards are really great too and very dedicated to teaching.

Wards: Your time is split between DHMC and VA. DHMC is a gorgeous hospital and nice/friendly environment to work in. DHMC wards is q4 long call (generally stayed until 10pm). Since we are the referal center around here, you get a lot of sick patients/great cases, so patient turnaround may not be as fast. All the ancillary/support staff are great. I worked in the ICU on surg (it's combined med/surg), close, multi-disciplinary. Some of the surg attendings can be a little mean but still ok. Have not worked in the CCU or ICCU so can't comment. I think people either love or hate the VA (former for me). It's pretty typical VA hospital. There's some standout attendings there that everyone loves too. And the VA was the only O/N call here, so that's gone. Oh yea, DHMC is switching to Epic in April, so everything will be electronic now (orders weren't before).

Patient population: Again the northeast, so wide socioeconomic diversity, not so much for cultural. That's going to be personal preference.

Fellowship: From what I hear DHMC residents do quite well. There's every fellowship in house as well, so certainly a plus if you love the area and want to stay. As for cardiology, I've worked with some attendings on/off but not too closely, but I've heard a lot of great things about the cardiology service overall. You def can get into research here pretty easily. Dr. O'Rourke at the VA is an awesome cardiologist/teacher, would highly recommend at least doing a rotation there with him.

Residents: Everyone I've worked with so far seem really happy and seem to have enough free time to go out to the bars on the weekends, throw house parties, do outdoorsy activities, go away for a weekend. No complaints here.


Again, I'm choosing not to stay because I want to be in the west coast for residency, but I really have no complaints about the med school training/medicine rotations I've done there. Program/people are both really great. Really really benign place.

Hope this helps!
 
Great post!! Very helpful! Thank you so much!!
 
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diatom85's post is pretty similar to what I would have said. I wasn't a student or resident there but did interview for IM there and really loved the place.

It's a really small program and the residents are close. When I went to the dinner, it seemed like everyone who wasn't on call was there. As were their spouses (except for our waitress who was married to the R3 on call in the CCU that night). They outnumbered the interviewees 3:1.

Upsides: Good teaching, referral center, decent autonomy, nice facility
Downsides: Middle of frickin' nowhere, the VA is kind of dumpy and is ~10 miles from DHMC (in VT actually) which can be a hassle in January.

If I was single, I would have likely ranked it #1 or 2. But, and this is a big downside IMHO, there was absolutely nothing for my wife to do there work-wise and she hated just how small the place was (we were in NYC at the time).

If you like the small-town feel of Hanover/Lebanon, like the outdoors and either don't have a spouse/partner or are couples matching (~2/3 of the residents I met were married to other residents) it's a great place.
 
Thank you so much for the input!! How are things as far as fellowship (cardiology) is concerned??
 
Same question re: fellowship matches, except that I'm interested in Hem/Onc. If anyone has interviewed there and has access to their match list, could you please post it here?
Is DHMC considered a top-tier/ mid-tier/ solid program?
Thanks!
 
Same question re: fellowship matches, except that I'm interested in Hem/Onc. If anyone has interviewed there and has access to their match list, could you please post it here?
Is DHMC considered a top-tier/ mid-tier/ solid program?
Thanks!

It's a solid mid-tier program with very happy residents and a well-respected PD.

I don't have access to their match list, but IIRC from a few years ago, they did fine with people mostly staying in the NE but a few moving away (one the year I was there matched to the Hutch for H/O). They do have a good Cancer Center which helps with recruiting faculty.
 
I would agree with what everyone else has been posting here. I think deciding to come to Dartmouth is really going to come down to whether or not you can see yourself living in the area for 3+ years and possibly putting down some roots in the Upper Valley. Like other people have said, if you're an outdoorsy type, there's tons to do here. The Upper Valley is really one of the most beautiful places during summer and fall, and lots of hiking, canoeing, kayaking, biking, running opportunities during these seasons. During the winter and early spring, everyone downhill or cross-country skies, snow shoeing, ice skating on frozen ponds, etc.

As far as Hem/Onc and Cardiology fellowship match goes, I don't know any residents who are/were interested in going into those fellowships who haven't been successful in matching. I've only ever worked with the Hem/Onc attendings over at the VA, so I can't really give any insight into Hem/Onc at DHMC, but the Norris Cotton Cancer Center is relatively well known and respected and does have a lot of big name attendings. Research opportunities are also pretty plentiful, and there definitely is time during residency to work on reasearch (especially as a senior) ... I worked with a couple of residents going into hem/onc who were actively doing research even during wards months.

For cardiology, I know a little bit more about this. I've done cardiac consult and CHF electives at DHMC, and all the faculty I've worked with have been amazing. Some standouts in terms of teaching include Dr. Kono, Dr. James, and Dr. O'Rourke. Again, I worked with quite a few residents who were interested in cardiology, and it didn't seem like any of them had trouble finding faculty mentors and getting into research. I also haven't heard of any residents not matching into cards even though they wanted to.

In general, DHMC is a pretty happy place. As already mentioned above, the hospital is absolutely beautiful, and if physical environment is important to you, this is probably one of the best as far as academic medical centers go. In general, the ancillary services are great at DHMC, and the nurses in general are pretty nice and helpful (although there are grumpy ones just like everywhere else). The IM residents I've worked with are all very solid knowledge-wise and generally pretty chill but still hard-working.

The VA is a personal preference, but I LOVED the VA. Had some of my best, most interesting patients there, loved the attendings I've worked with, and loved the teams I was on. Attendings are very approachable there (not to say they're not at DHMC, just more so at the VA) and absolutely loved to teach. A lof of the medicine and sub-specialty attendings are top notch in terms of knowledge, patient care, and teaching. They are very invested in their patients and excited about their jobs and it makes for a great learning environment. Also, definitely a lot more autonomy at the VA ... overnight, the residents basically run the show there.
 
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