D
deleted554740
Who's applying DO urology this cycle!? I want to hear your experiences about rotating at other institutions.
A quick run down of what you should expect from someone who did the rounds 1-2 years ago. These are very roughly in the order of how much they impressed me (and generally everyone agrees on roughly this order)
PCOM/Einstein: They act like their **** don't stink. Except... it doesn't. They really are that good. You need to get past the attitude that some of them have (others are pure golden friendliness) and realize that they probably have the most complete education around and they know it. While they will never be the program that does the "most" of anything (except for maybe penile prosthesis, since they do an absurd 5 a week when I was there), they really have no defecits and they teach very well. Some of the attendings are super hands off (pluses and minuses there) and some are super hands on until you prove your worth. But having a few nationally recognized stars in urology on staff helps.
West Virginia: If ony PCOM didn't have those name brand attendings, this would be #1 without a doubt. It is clearly the single best surgical experience among all of the programs (and that means a lot). On top of that, their urology program won DO surgeon of the year three years running when I was down there. That meant the residents at WV were more impressive than the residents in any DO program in any surgical field in the country.... for three straight years. Probably four, but I haven't followed up on last years winner. Their entire staff of attendings are awesome, but their program director takes the cake for most impressive one you'll ever meet. He is constantly pushing you to know more, and somehow it feels warm and welcoming when he tells you to use a more objective measurement to describe every little thing. Some people might lose their minds in charleston WV. Its a real city, for sure, but a small one. And one that is surrounded by nothing but the hills for probably an hour in every direction. Also of note, as of my rotation there: They'd never taken anyone who had a home urology program (so Rowan, PCOM, MSU, CCOM) and as far as I know they've also never taken anyone from NYCOM or TouroCOM. That second part might just be coincidental, but the former was a underlying feeling they didn't cover up too much. They have ZERO negative feelings towards northern programs or the places with home programs, they just talk a lot about how they always come through for the people from the west and south who have no urology programs anywhere near them and its been reflected in their match list back when I was checking that.
DMC: The tale of two cities right within one program. This is really a program of have and have not. The first ~3 years are mostly spent at the non-"DMC" sites. This used to be a much smaller program consisting of primarily suburban hospitals but (somewhat) recently greatly expanded by adding the presence of the Detroit Medical Center system. They are moving more and more away from these suburban sites, but for now you spend much of your first three years (unless stuff has changed) there. Its not bad, and I dont want to make it sound that way, but they are all individually so-so hospitals for urology (and combine to make a decent but disjointed system). You'll learn plenty from attendings who want to do nothing more than make you the master of whatever specific craft they can teach you, but its very... "uneven" from what Ive seen and been told. But then youe 4th and 5th years.... good god. DMC is an absolute wonder to work in, the attendings are amazing, and it is the Meccah of urologic trauma. Plus you get to work with the big man. Santucci. I hear he rubs some people the wrong way, but to me he was always the most amazingly down to earth and chill surgeon Ive ever met. And he does absurd surgeries.
CCOM: Exceptional experience. Absurd pathology. Excellent education. With as few modern conveniences as possible. A spectacular program with probably the best pathology around (One could argue for DMC's trauma pathology, but this is pathology of all kinds). People come here incredibly sick with strange tumors, comically large stones, and delapidated genitals. The program director is an absolutely captivating man who you will probably fall in love with. The call schedule is a bit more forgiving than at most places. And it is right in the heart of the city. So why so low? It is nice to be at the cutting edge of technology. It is expected to be somewhere in the modern age. They really have to do some amazing things with minimal resources here and even those the residents really make the best out of it (check out where they go post graduation. its good), when they talk a bit more off the cuff they are a touch less thrilled with it. Now they do get to spend a decent amount of time at some private hospitals where they get some up to date (And even cutting edge) experience, but again the residents comment that it is amazing but too limited in the larger scope of how much time they spend at Stroger (the main hospital). There was also some rumbling about service coming before education (e.i. catering to every need of the census and maxing out OR booking being more important than educational experiences), but I have to say that their educational time is raved about, so they do accomplish good education with the time they carve out.
Overall I'd say these four are heads and shoulders above the rest.
UMDNJ: Mixed bag of a program. Definitely some very impressive stuff going on there, but it always struck me as surprisingly low morale and a bit unorganized. The latter two might be related. I was only there very briefly, but I got the feeling that it was once a more active urology service and has been shrinking a bit. Still with that said, it definitely has MORE than enough of all sorts of pathology to keep you very well educated. Just not sure why I keep hearing (and got the feeling myself) that the residents aren't super happy. I'm sure they are regular happy (their urology residents. its awesome), but they just seemed less thrilled than everyone else did at other places.
Olympia fields: Generally a VERY well spoken about program. I never had any experience. But people generally agree it falls into the 5-7 slot if you are ranking them. Has a LOT of DaVinci experience IIRC.
East Lansing: See olympia fields above. Basically the exact same write up. People generally feel its in this second teir, but they love that it has a pretty strong university hospital component with lots of fellowship trained attendings to give you some really diverse specialized surgeries.
The other MI hospitals: All sort of go into the bag of "You're a urology. Hell yea!" while still being sort of acknowledged as second rate. I do not say that in ANY way to put down these programs. I am sure they are quite impressive in their own ways, but they simply do not draw the same competition, positive reviews, or unique memorable characteristics the above programs have so they all end up lumped here at the end. I feel bad not doing them more justice, but I skipped them on my tour after students after student who did "all the MI" programs told me that they would skip every MI program not named DMC or Lansing because those two were simply (for students) better experiences. But its coming from students who probably cant evaluate at all what benefits they reap from actually seeing every single program. I myself took their advice and just stuck to the hospitals that had the name brand appeal when I did the urology tour of the country.
Excellent post! How important is it to turn in your ERAS application early?
Who's applying DO urology this cycle!? I want to hear your experiences about rotating at other institutions.
there is no AUA eras day. They open when all other acgme programs open. but to answer your question, you should be ready to go the second eras opens for any program DO or otherwise.do you mean when AUA ERAS opens or DO ERAS opens?
Is it possible to apply to the allopathic urology match and then if that doesn't work out apply to the osteopathic urology programs? I know the allopathic urology match occurs earlier. Is this an option if you want a fair try for both allopathic and osteopathic spots?
know if he is auditioning at those allopathic spots? or is he just applying to see if he can slip in?yes. I have a friend doing this right now.
I don't know the answer to this because I didn't ask him specifically, however, I know he's a bright kid.was his step1 stacked up real high?
do you know what the average step1 score is for urology? comlex and USMLE?
wow, those numbers are very low
Which ones? I believe both means are ~70-75th percentile. That's not really "low", but it's not like it's outrageously high (although it's close to the top for residency averages).
Connections are more important than anything in both cases, thats how you see some people with bogus step1 scores go to competitive res. and also bogus MCAT scores go to higher level schools. COMLEX is a pretty easy exam, and the averages are wayyyyyy low for some reason, its very possible to score 150-200 points higher than the averages. Now the USMLE is a different story now, that test will put a hurtin on ya if you're not ready.I've heard in the DO world board scores aren't as important as connections. Don't know if it's true but that's what I've heard. Board scores are more important when applying allo.