Einstein/Montefiore

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gensurgonmymind

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Long time lurker, first time poster. I'm applying to general surgery this upcoming application cycle and was curious about the program at Montefiore. I've heard some not so good things about it but not from people who have experienced it first hand. Could anyone shed some light about this program and some specifics? (scut, hours, teaching, study time). Much appreciated!

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new york in general is not a good place for surgical training. best of luck.
 
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new york in general is not a good place for surgical training. best of luck.

Why not?

Monte is a decent place to train. Decent case breadth and reasonable lifestyle/atmosphere.
 
The Montefiore Surgery Residency Program is done at four hospitals
1.NCB not a great hospital,not a great surgical experience other than one attending-Narula
2.Jacobi great place for trauma/CT Surgery but not much GI surgeries etc,unsafe hospital some attendings have a "malignant " reputation.
3.Montefiore Hospital great surgery/vascular experience
4.Weiler General Hospital-good vascular surgery/Minimal invasive surgery
the down side is they are all over Bronx so would require significant commute;over all average surgery experience below par as compared to other University Surgery Programs.Residents mostly go into Vascular and Trauma Fellowships.
 
The Montefiore Surgery Residency Program is done at four hospitals
1.NCB not a great hospital,not a great surgical experience other than one attending-Narula
2.Jacobi great place for trauma/CT Surgery but not much GI surgeries etc,unsafe hospital some attendings have a "malignant " reputation.
3.Montefiore Hospital great surgery/vascular experience
4.Weiler General Hospital-good vascular surgery/Minimal invasive surgery
the down side is they are all over Bronx so would require significant commute;over all average surgery experience below par as compared to other University Surgery Programs.Residents mostly go into Vascular and Trauma Fellowships.

Thanks for your response malignant2010. Just curious, do you mean that Jacobi is in a bad neighborhood? Could you expand on how the attendings are malignant? What are the hours like?
 
I had an interesting experience interviewing there this season. Historically a solid program (trauma, peds, lots of rich vascular history), they seem to be going through a transition. Acquiring a few Westchester/NYMC area hospitals, it seems like they might be spreading their residents a little thin. More time at new community hospitals = less time at the flagship. Everyone seemed really unsure of how this would play out, what the experiences would be like there etc...

They just brought on a whole slew of new faculty, which could go either way for the program. On one hand, a lot of new energetic faces, and on the other, a whole group of new attendings whose focus might not necessarily revolve around resident education for a few years.

All and all, my impression was that it is still the good program it always was. Something just seemed like I was going to be a guinea pig in a giant experiment that will probably take a few years to play out. Like the next few years will be some sort of transition in the works.

Add on: Not sure how the new 0+5 vascular residency program will affect the gen surg vascular rotations. Probably won't even notice it for the next few years, but just thought I would mention.
 
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Thanks for your response malignant2010. Just curious, do you mean that Jacobi is in a bad neighborhood? Could you expand on how the attendings are malignant? What are the hours like?
Yes Jacobi is in a bad neighbourhood and does look like a typical ghetto hospital.You get a lot of trauma(GSW/MVA etc) as far as malignant attendings are concerned the ones I am talking about work in both NCB and Jacobi.Not only are they bad surgeons but sort of pile on their inadequacies to the residents.I think it would be inappropriate to name them but the bottom line is they are "lousy surgeons".Hope I was helpful.
 
Yes Jacobi is in a bad neighbourhood and does look like a typical ghetto hospital.You get a lot of trauma(GSW/MVA etc) as far as malignant attendings are concerned the ones I am talking about work in both NCB and Jacobi.Not only are they bad surgeons but sort of pile on their inadequacies to the residents.I think it would be inappropriate to name them but the bottom line is they are "lousy surgeons".Hope I was helpful.

Thanks for your response malignant2010 (and the others above). Any other information not covered here (such as hours, etc) would be most helpful. Thanks!
 
Monte GS resident here.

Overall, program is in transition. We just absorbed the Montefiore North (NYMC) GS program and were approved for an additional resident beyond that, so we now have 10 (ten!) categorical positions per year. We are now all affiliated with AECoM.

Since we were recently on probation (no longer!), there is a lot of attention paid to work hours, and the current administration is very receptive to ways to keep our hours down to less than 80/wk. This year, I've only gone over 80 hours/wk when covering trauma (huzzah for 4 am mass casualty incidents). We're hired some PAs with the goal of keeping down hours. We'll see how it goes.

There have recently been many new faculty hires just out of fellowship- some strong, some less strong. Fortunately, there are several old school general surgeons around to teach us how to operate. The malignant dinosaurs are gone, but, as with most other programs, there are still 2-3 insane attendings (in our case with limited political power)

We cover both private, Montefiore-affiliated hospitals (Moses, Weiler, North), as well as a few NYCHHC (city) hospitals (Jacobi, NCB, and now Lincoln). We get the bulk of our transplant, surg onc, peds surg, endo, ct, etc. experience at the Montefiore-affiliated hospitals; trauma experience comes from Jacobi/Lincoln.

Jacobi is actually in a pretty decent neighborhood, Morris Park, with some good restaurants around. Weiler is right around the corner in the same area, with a newly-constructed ambulatory surgery center nearby. Despite the recent bad rap Jacobi has gotten in Consumer Reports, our SICU experience there is excellent, and the attendings (at least in surgery) really do care.

As far as malignant2010's comments are concerned, yes, there is a single "dangerously insane" attending who works both Jacobi/NCB, but he is pretty easy to handle once you've worked with him a few times. The rest of the Jacobi/NCB attendings are fantastically easy to work with.

Moses/NCB are actually on the same block in the Norwood neighborhood (not as nice a neighborhood, but you can still walk on the main road late at night). Moses is our flagship hospital with our children's hospital (CHaM) attached. NCB is essentially a 3rd world country, but worth the torture for the opportunity to operate with Dr. Anil Narula, who embodies a shocking mix of collegiality, interest in resident education, and operative excellence.

As for North/Lincoln, I can't really say much. According to our North colleagues, they see a lot of lower acuity/ambulatory stuff at North. Lincoln probably gets some of our worst trauma, being in a terrible part of the Bronx. However, I hear also that the ED there is very difficult to work with and the attendings, for the most part, are less than fantastic. Again, we'll see how it goes.

Please post any other questions as they come up.
 
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