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You should try a search on this forum. This type of question comes up periodically, and it's like reinventing the wheel. There's no official list of this type, and there shouldn't be. Reputation and big names like JHU are not as important in EM as it is in older residencies like IM.
Originally posted by Izlude_Tingel
Hi,
I was wondering where one could find one where the best EM programs on this side of the country. I'd figure something like John Hopkins and Penn would be up there, but is there a list like USNEWS or online which has this? Thanks.
*sigh* I should have this message saved on a word file so I can cut and paste it.
The RRC for EM is pretty stringent (and puts residencies on probation or revokes their accredidation), so you will get excellent training no matter where you go.
Gimmedog is correct... that the good ol' big name ivory tower hospitals with the great reputations in IM are not the same for EM. Actually I talked to some residents at UMD and they said the JHU residents simply don't get the exposure to a wide variety of pathology as they do (as the UMD ED is much busier). However, I bet the off-service rotations at JHU are top-notch (guessing). BUT! EM is EM and learned best in the ED.
If you are deciding where to apply or do a rotation, I think its best to search yourself and find out what you are looking for in a residency. Community-based? Lots of Trauma? Inner-City? Rural? Brand new hospital? I think that the best EM residency with the best reputation is the one you go to (and can endorse in the future).
Q
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I agree. I'm probably a little to quick to say this, but neither of those two programs are even NEAR the top. Just interview there, or talk to those who have. I try to hold back when it comes to program bashing specifics, but this question comes up often enough, so I'll just say it.
Both provide adequete training, but their reputations in med and surg do not equal EM credentials. You can find this in alot of programs with high powered med / surg. So be careful. Just a few years ago one of those programs had trouble filling its positions.
Its true what they say though. Just about every EM residency is good. Some are better than others for personal reasons, or volume, or diversity, or trauma, or whatever. Pick the environment you want to learn in. If you want gritty, hard-core, look at volume, but be careful that you don't end up as the doctor, the IV starter, and the bedpan changer all at the same time. If you want to publish, 4 years may be for you. If you want balance and diversity it's everywhere. (See Best EM Programs and such below....)
Both provide adequete training, but their reputations in med and surg do not equal EM credentials. You can find this in alot of programs with high powered med / surg. So be careful. Just a few years ago one of those programs had trouble filling its positions.
Its true what they say though. Just about every EM residency is good. Some are better than others for personal reasons, or volume, or diversity, or trauma, or whatever. Pick the environment you want to learn in. If you want gritty, hard-core, look at volume, but be careful that you don't end up as the doctor, the IV starter, and the bedpan changer all at the same time. If you want to publish, 4 years may be for you. If you want balance and diversity it's everywhere. (See Best EM Programs and such below....)
I agree with everything thats been said. Nobody has any idea what the "top ten" programs in emergency medicine are. If you ask ten different "experts" in ten different parts of the country you'll get ten different lists.
Another problem is that reputation is often several years behind the actual state of affairs. Take Penn and JHU for instance. My first year of medical school they had something like 6 unfilled spots between them in the match. Everyone knows that. But they have taken big steps to improve their program. Everyone I know that interviewed at Penn this year loved the place. You always hear that such and such County program sucks because residents are transporting patients all over the hospital and doing blood draws instead of acting as residents...but when you actually visit the place thats simply not the case (although it was 5 years ago).
So to answer your question....no there is no list.
Another problem is that reputation is often several years behind the actual state of affairs. Take Penn and JHU for instance. My first year of medical school they had something like 6 unfilled spots between them in the match. Everyone knows that. But they have taken big steps to improve their program. Everyone I know that interviewed at Penn this year loved the place. You always hear that such and such County program sucks because residents are transporting patients all over the hospital and doing blood draws instead of acting as residents...but when you actually visit the place thats simply not the case (although it was 5 years ago).
So to answer your question....no there is no list.
Ortho-
Interview experiences or straight out which EM residencies on the East Coast did we like? Big difference.
I never had a bad experience on an interview. After a while they all blend together and what not, and the only thing that I really liked was when they paid for dinner the night before. 🙂
Q
Interview experiences or straight out which EM residencies on the East Coast did we like? Big difference.
I never had a bad experience on an interview. After a while they all blend together and what not, and the only thing that I really liked was when they paid for dinner the night before. 🙂
Q
If I had to create rank lists of EM programs on the East Coast, here are a couple lists (not necessarily in the orders below and I'm sure I forgot a few good ones).
List 1: Based on national reputation, procedures, word of mouth and information on this forum (just straight rank based on "big names").
1. Carolinas Medical Center
2. Pittsburgh
3. Indianapolis (although I guess this stretches the East
Coast thing a bit)
4. Cinci (again, stretching the East Coast)
List 2: Based on lifestyle
1. Albany Medical Center
2. Christiana
3. Wake Forest
4. UVA
As my two very different lists demonstrate, it is important to focus on what is important to you because you will receive great training wherever you are in EM.
List 1: Based on national reputation, procedures, word of mouth and information on this forum (just straight rank based on "big names").
1. Carolinas Medical Center
2. Pittsburgh
3. Indianapolis (although I guess this stretches the East
Coast thing a bit)
4. Cinci (again, stretching the East Coast)
List 2: Based on lifestyle
1. Albany Medical Center
2. Christiana
3. Wake Forest
4. UVA
As my two very different lists demonstrate, it is important to focus on what is important to you because you will receive great training wherever you are in EM.
Originally posted by gimmedog
You should try a search on this forum. This type of question comes up periodically,
Periodically? Seems like every month! What type of program/city do you think you are interested in, what type of people, how big, university/community, areas of interest (EMS, U/S, extended care). Ask yourself these things first and then ask us which programs fit your profile, or even ask how to define your own interests. QuinnNSU is correct in that all of the EM programs will give a great education, but a great education for me may suck for you!
Iserson?s book "Getting into a residency" can help you to define your (non-specialty specific) needs in a residency program, and we can help you to know the EM specifics and tell you about those programs. If I like EMS and pre-hospital care, then I may want lots of time on a ground or air ambulance and medical responsibility while I am there. This would be a good EMS program for me. If I was not interested in EMS, then 1 ride-along every year and the option for an EMS elective would be a good program for me.
Also check out the website scutwork.com for "take-em with a grain of salt" reviews of programs from students, residents and residents.
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