Duke vs. Penn

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Duke vs. Penn


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CTU Surgeon

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Hey gang, any input you have to go along with your vote is appreciated.

I'm slightly non-traditional, I have a wife and a baby, and the financial aid packages from both schools are about even (+/- $40,000). My wife is a musician and will be staying at home with our kid for the most part. But, she might start working if she misses music after a bit of a break--which I kind of expect.

While this is almost guaranteed to change, the fields I am most interested in are neurosurgery and anything within the field of oncology. I'm not sure if there's a difference between Penn and Duke with regard to neurosurgery, but I know that both Penn and Duke have some groundbreaking stuff happening with regard to cancer--Carl June's T-cell immunotherapy treatment at Penn and the Poliovirus trials at Duke (of course a lowly medical student probably wouldn't be able to get involved in either of these, but it's good to know that the institutions are pushing the limits in one field of my interest).

While this is also subject to change, I'm pretty sure that I would love to do residency at Duke--or a place with a similar community. This is because it seems like the place where I would like my kid to start school and has the community feel that I am looking for when I think about where I want my family to be while I'm absorbed in one of the most consuming parts of my career. Obviously it's easier for me to do residency at Duke if I do medical school at Duke. But, I believe that there's some good in having diversity in the locations where one receives her or his education--thus, in that regard, I lean towards Penn for med school.

Here are some Pros (+) and Cons (-) for each program:

Penn
+ Lots of Team Learning--I've had classes that involve this in undergrad and loved them.
+ Need to get somewhere in Philly? All you need are two legs or, if you're lazy, $5 for an Uber.
+ Philly has a better music scene that my wife could get involved in when she wants to hop back into her career. Plus the professors and teachers from her graduate degree have multiple connections inside the Philly music scene.
+ Philly has better opportunities to work with Latin populations--something I want to continue doing because I love the culture and want to maintain my Spanish as pristine as possible.
+ Students at Penn appear to be very strong academically which, I predict, will help raise me up to their level and give me the drive I need to be a good medical student.
+ In the case that I opt out of surgery, I have had some entrepreneurial and management experience and have a growing interest in an MD/MBA--Thus Wharton's MBA in Healthcare Management trumps Fuqua at Duke.
- Philly gets cold in the winter, which sucks when you have a kid and go crazy if you spend all day in the same 800 sq. ft.
+ or - Philly would be a completely new environment for my family. My hypothesis is that this change could either provide great opportunities for growth (there is no comfort in growth and no growth in comfort) OR it could increase the stress level within my relationships during the tough-ish years of medical school. So, I'm not sure if this is a Pro or a Con, it depends.

Duke
+ Grad Student Basketball Pass--I like college sports more than professional sports. Thus, I like the idea of Duke basketball more than becoming a fan of the professional sports teams in Philly (Since the Quakers suck).
+ There seems to be a higher concentration of people that play and watch sports--some of my favorite things--among the Duke student body. Of course this is found at Penn as well, just not as high of a concentration.
+ I like the weather in Durham better. I can spend way more months of the year outside playing with my family.
+ While I saw more families in Philly during Penn Preview than I assumed would be there, Durham and the triangle area take the cake for highest concentration of families. This would provide more friendship opportunities for my wife and kid so that they have more to do during the times where I am gone constantly (the wards and Step 1 prep).
+ At Duke, you get into the wards even sooner than at Penn.
+ We would have a way more spacious apartment if we went to Duke. And, it would likely have a pool and grill area etc.
+ After attending both second looks, I feel like I would make stronger friendships at Duke because the "fit" seems to be with their student body. While I feel like I fit in better at Duke, it's not a significantly better fit than at Penn.
+ or - Durham is a lot more like the community I am coming from. While this allows us to have accurate assumptions as to what life will be like--and thus lower stress levels, it wouldn't put us in as much of a different environment as would Penn in Philadelphia--thus the potential for growth by being outside of our comfort zone would be mitigated.

Well, after writing all of that, it appears that I don't find many negatives with either program--which makes the decision harder, there's no wrong choice. I know that I'll be happy with either place (Heck! who wouldn't!), but I appreciate any and all feedback from all y'all--I even appreciate criticism towards me, the OP, as that has been shown to happen in some of these threads (that was a reference to MathGirl25's decision thread, poor gal).

Best of luck to everyone else making tough decisions!

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I'm just a lowly premed, and this is semi irrelevant to the question you're asking, but my best friend's dad (who is a neurosurgery attending at Duke) has said multiple times that Duke is a horrible place to do your residency. I've never asked why, but I just thought I'd pass it on. 😛
 
At this point both programs have above average neurosurgery programs (maybe Penn is a little stronger in research and Duke's clinical training is a little stronger, but overall I'd say they are both going to have what you need). Things happen, however, and you can never be sure how things will change in 4-5 years. If you really wanted to go to Duke for residency then going their for medical school is a leg up but by no means a guarantee.

Moving to SSD.
 
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Duke because, um, we could be slightly-nontraditional student friends. Also, that research year would be a pretty great CV strengthener for your neurosurgery interviews...
 
I'm in the same boat, but we have slightly different situations. What did you think of Penn Preview?

It totally sold me on Penn, and with a little more financial incentive I'll be 100% sold 🙂.
 
I'm in the same boat, but we have slightly different situations. What did you think of Penn Preview?

It totally sold me on Penn, and with a little more financial incentive I'll be 100% sold 🙂.
Penn Preview was great. I really liked what I heard about the curriculum from current students and enjoyed meeting the students. However, I enjoyed myself at Duke more. Penn Preview definitely raised Penn's stock in my books but didn't sell me completely.
 
I don't have the same selection of schools as you but I do have a family (partner and child) and will be starting next year, and, for me, I want to attend a school and live in a city that I can remain in after med school. If I had to choose between two almost equal schools, I am choosing the one that I would hopefully also want to do residency and practice in, even knowing there is a chance of moving due to the match.

Personally, I like Duke's year of research. This is a time that you can devote to research and not have to try to fit family, research, and school in where you will at another school.

Per your description, duke seems like the place that you feel more comfortable in. Durham also seems like a city that could be more attractive for families than the urban environment of Phili.

I am not familiar with either cities and cannot address which will be better for your family, but I would base the decision on just that. Where would you rather your child attend school? Do you want to have to move to do residency and then move again for a job? You said you had a baby, so maybe school for him/her is four years away anyways. Mine is five (not a baby), and if I can help it I do not want to have to move twice and make her have to do the same.
 
I'm on the WL at Penn. (rejected post interview at Duke)

I am also from the Carolinas region and can say that durham/chapel hill is a wonderful place for a family and definitely going to be a slower pace than philly. Academics are awesome at both so its a wash there. I think the biggest thing to consider is whether or not you and your family are ready for a new city/environment right now. If philly seems exciting I would say go Penn, if it seems daunting go Duke. If you're literally 50/50 on them I say go with the cheaper option even if it is marginal.

Two fantastic options though! Kudos to you for putting in the work to be in this enviable position!
 
I think the research year at Duke is something to strongly consider given your specialty interests. Who knows - maybe you *could* get involved with that PI you're talking about.
 
Penn Preview was great. I really liked what I heard about the curriculum from current students and enjoyed meeting the students. However, I enjoyed myself at Duke more. Penn Preview definitely raised Penn's stock in my books but didn't sell me completely.

I think based on this quote you answered your own question. You like Duke more and it is much easier raising a family in Durham as opposed to a big city. Not to mention you do not have to move again for residency since you would want to stay at Duke. Do not over think this decision. Congrats on your offers!
 
Part of me thinks that you don't think of Philly as being that family friendly, whereas I'm not sure the Duke area would be that much different in terms of family friendliness. You seem pretty pro-Philly, but I'm curious whether or not you've talked to people who have families at Penn and what they think of it and how they like it. Best of luck choosing!
 
Completely agree with @TheRhymenocerous...Philly, as a whole, is actually very family-friendly! I know of many Penn-affiliated people who are raising families in West Philly and they seem very satisfied with it. In addition to the elementary school, there's also a pretty nice park (Clark Park) that has a playground and hosts many family-friendly events. There are also many family-friendly neighborhoods in Graduate Hospital and Center City as well. What I love about Philly is that even though it is a pretty big city, it does not feel super overwhelming/hectic as many other big cities do. But on the other hand, you do get all the perks of a major city like a pretty good public transit system, shopping, amazing food/restaurants, etc. In addition, I agree that Philly housing is actually very affordable, especially in West Philly (Center city is a bit more pricey but still within reason). I'm not very familiar with Durham so I can't make a good comparison but just wanted to share what I know about Philly. Good luck with your decision!
 
Congrats, @CTU Surgeon!

Two wonderful options that you're excited about, and you know you can't go wrong. It seems you'll feel more at home at Duke. For you, this is both a plus and a minus, which I respect. I personally think that you will find enough room for discomfort, and therefore growth, in your medical education, and it might be best for you to move to Philadelphia only if you want to be there. Your interest in the local community and your wife's career are good reasons to move there, though.

I don't know which way I would tell you to go, so I didn't vote. Both sound like wonderful places for you. In fact, unless there's another father married to a musician deciding between these two schools, I think I said the same thing to you in person on Friday in Philadelphia.
 
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