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What are considered the elite programs in the country? What programs are considered top 3-5?
MGH, BWH, Hopkins, UCSF, MIR, UPenn and Duke.
NYU and UMich are not in the same League. It doesn't mean you won't get even a better education at these programs but they don't have the brand name of Hopkins, MGH or BWH or the very unique reputation of UCSF.
What do you mean by "unique reputation of UCSF"?
UCSF doesn't have a "medicine name" throughout the whole country either but according to SDN it's unanimous radiologic heaven. I would say top 2 by name only would be MGH and Hopkins if you're looking for guaranteed "ooh and ahhs" from every type of doctor in every state in the country.
The rest of the list above are again amazing in radiology - Duke, MIR, Penn, BWH but oddly may not get you the same "awe factor" as even places with bigger names relative to their "worse" radiology prestige like Yale, Mayo, or Cleveland Clinic if you're asking people outside the specialty. The general public and even other doctors don't know "the top 10 radiology programs" but everyone has heard of Yale, Mayo, and Cleveland Clinic.
The question though is who are you trying to impress? Yourself? Your family? Radiologists? Other doctors? These "name" programs will vary with each audience but really only MGH and Hopkins will impress every subset in every part of the country.
Where the hell does UCSF not have a medicine name?
BWH is an exception to your rule because you can tell the general public that you were trained at "Harvard" and you are not lying. Also disagree that UCSF does not have medicine name. It is considered an excellent training program among physicians.
The name brand of program can be assessed at 3 levels:
1- Among radiologists: MIR, Hopkins, UCSF, MGH and BWH are all very impressive and open a lot of doors if you want to get an academic job. For private practice, local big academic center works the best.
2- Among other physicians: MIR is still Wash U and is considered a top hospital. The same for MGH, BWH, Hopkins or UCSF.
3- Among general public: Harvard and Hopkins and even Yale impress general public more than MIR and Cleaveland Clinic. For example, in California people don't get impressed by Cleaveland Clinic name but everyone knows Yale and Hopkins.
At the end of the day you have to choose what works best for you.
The Midwest.
Definitely true about "Harvard." People know that name. WashU also.
Most people aren't going to top places hoping to get jobs in the midwest.
That's a shame because it's the best living.
The best jobs are in rural midwest. It has been the case always.
You can't call most people stupid. There is a good reason that people do two fellowships to get a job in SF, Boston or LA which is much more work, less secure and still pays half of what they can make in midwest by doing only one fellowship.
The reality it that we make enough to live a comfortable and upper class life anywhere IF we can find a good job. After a few years in practice this will be your priorities:
Location >> Quality of the job >> Money
I have lived in east coast, midwest, intermountain area, south in the past and then moved to California. Coastal California is like a heaven compared to most parts of the country. Honestly, I won't live in midwest even if you pay me twice my current salary. East coast salaries are similar or even less than Cali so no need to argue. YMMV.
I didn't call anyone stupid. I know people have their own opinions.
I prefer seasonal weather, lower taxes, conservative government, friendly culture/people, and my money to go far.
I personally would rather be able to drive to the beach any weekend of the year (or go on a 70 degree hike), then spend many tens of thousands of dollars escaping the winter. The money you are saving by taking the Midwest job will easily be eaten up by such expenses. Life is too short to be bored by where you live.
DO bias!
Subjective grading!
Okay, see you guys next time this topic comes up.
I personally would rather be able to drive to the beach any weekend of the year (or go on a 70 degree hike), then spend many tens of thousands of dollars escaping the winter. The money you are saving by taking the Midwest job will easily be eaten up by such expenses. Life is too short to be bored by where you live.
so people in california don't take vacations? news to me
They take vacation.
I live 10 minutes from the beach. Someone mentioned that he/she hates the beach. People have different tastes, but a lot of vacation destinations in the world are across the beach. I love the beach and water sports.
I can drive 2 hours or even less and get to relatively nice mountains. I can drive 2-3 hours and ski. The ski resort is not world class, but I am also not a professional skier. I can drive 2 hours and get to the desert.
The diversity and quality of food is probably only second to New York here. Night life is very good, not comparable to Manhattan but still very good.
AND the weather is great year round. Last weekend all of my friends in east coast were freezing and I was playing volleyball on the beach.
The dream of having 10 weeks of vacation to travel becomes very important if you live in a place that you dislike or in a place that there are not a lot of things to do.
All this talk about California is making me wonder if I made the right decision to rank a mid-tier program in the South/Southwest over a community program in LA near my hometown last year...
Looking outside at the gloom and crappy weather...
The better training better be worth it.
and @shark2000 please hire me in 6 years lol
Most people aren't going to top places hoping to get jobs in the midwest.
Yeah, I'm so glad I don't want to practice in a highly desirable area.
That means I don't have to be classmates with the incorrigible and arrogant schmucks that frequent those "top" programs. I've met quite a few of them on the interview trail, and didn't like any of them.
This is a very good example of justification.
Wouldn't call it justification. I felt very similarly when interviewing. A lot of obnoxious people non-stop getting off to their top whatever invites/rank lists. Working with some of them would be insufferable.
Like it or not, there are lots of high egos in medicine esp among non radiologists. As a radiologist you have to deal with surgeons, ED doctors, family doctors, IM doctors and etc on a daily basis. Many of these people have high egos and are hard to work with. You can not escape it. You have to accept it and LEARN how to deal with these people.
Escape may work temporarily but is an immature reaction.
Dealing with those people in a consult capacity is an intermittent, temporary nuisance. They call or stop in, ask their question, then leave. They literally take up a few minutes of your time at each interaction, and eve
If you have to deal with them all the time when consulting, why would you want to just lay down and accept dealing with them as co-workers? I can only imagine how trying to trade shifts with one of those guys would go...Anyway, justify it all you want (see what I did there???!!!!!!!???!?!?!?! 🙂), as an applicant, I'm not going to voluntarily go to a program that seems to attract arrogant jerks.
You don't know what you are talking about because you are just a resident and have not had the experience of real world.
The interaction with clinicians is temporary and at times can be very annoying. Almost all practicing radiologists constantly receive emails or messages from referring doctors complaining about their reports or demand something unreasonable. Many of these complains will go to the hospital admins or to other referring physicians.
I can tolerate even the most malignant radiologist in my group 10 times easier than an obnoxious referring physician. Don't forget that in private practice you can not simply tell your referring clinicians "go to hell".
Calling the people who go to top programs arrogant jerks is a good example of your inferiority complex and your pathologic personality. Grow a pair and admit that you could not make it to the so called top programs and move on. One of my former classmates used to say " it is better to tell people that you did not match at MGH than to tell them you chose a crappy program over MGH." There is nothing wrong with not matching at MGH or a top program. But in the latter case, people will think that you are either lying or you are crazy.
I can only imagine how trying to trade shifts with one of those guys would go...Anyway, justify it all you want (see what I did there???!!!!!!!???!?!?!?! 🙂), as an applicant, I'm not going to voluntarily go to a program that seems to attract arrogant jerks.
Ok it's time to name and shame. What programs are so full of "these people"? I'm at an "elite" program and there is perhaps one resident in the 100 residents and fellows I dislike. I know tons of people at other programs and they aren't the way you describe.
Either we interviewed at different programs, or this might be a case of "if everyone is an dingus, perhaps the the dingus is you"
Ok it's time to name and shame. What programs are so full of "these people"? I'm at an "elite" program and there is perhaps one resident in the 100 residents and fellows I dislike. I know tons of people at other programs and they aren't the way you describe.
Either we interviewed at different programs, or this might be a case of "if everyone is an dingus, perhaps the the dingus is you"