Emory/Denver/NYU

Started by odoreater
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Don't know about NYU yet(I interview soon) but I think the faculty and residents at Emory are great. Although it is a busy and sometimes stressful place, when I did my rotation there I was amazed at how much the faculty really cared about the patients and resident/medical student education. They give you alot of autonomy right from the beginning but the attendings are always around--they also have teaching attendings in the ED on some shifts so I found that I got much more case by case teaching then I would expect from a county hospital. Atlanta is great- you have your nightlife,etc but it is also pretty affordable depending on where you live. Crawford is a very nice community hospital that you also rotate at that is completely opposite of Grady(everything computerized and efficient, mix of more middle class patients) so I think it is a little more balanced then some county programs I've been to. Negatives-traffic sucks, you always stay late over your Grady shifts , no free meals, program is so big that you won't know everyone. However to me, the Grady experience and people make up for it all-I plan to rank it very high.


Anyway if you have more specific q's let me know. I would love to hear others opinion about NYU-I'm looking forward to my trip........
 
Originally posted by limabean
-they also have teaching attendings in the ED on some shifts so I found that I got much more case by case teaching then I would expect from a county hospital.
I'm confused by this statement. The implication is that they don't have "teaching attendings" in the Grady ED all the time, which seems a little strange. My program was double covered with academic attendings during the day and evening, and single covered late at night.
 
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Originally posted by Sessamoid
I'm confused by this statement. The implication is that they don't have "teaching attendings" in the Grady ED all the time, which seems a little strange. My program was double covered with academic attendings during the day and evening, and single covered late at night.

It's probably just semantics. They probably have a couple attendings on at a time, some "moving the meat" and some discussing the pts with the residents.

mike
 
I don't know if you saw my previous post from a couple of weeks ago, but here it is:

As a Denver EM resident, I feel that I can give an honest opinion of my residency program. First, the facts (with some opinions):

Denver is technically a 2-4 program but you are required to do your intern year at the University of Colorado/Denver Health Medical Center. This is new to our program. The PGY-2 class was the first to do this new ?required? intern year and, since that time, sweeping changes have occurred to balance medicine/surgery rotations (and add electives). This required intern year was set up to make our residency more intimate?we see and work with our interns every day. In addition, this improves the relationship between our residents and the other services as they work together for an entire year before permanently moving into the ED. No need to worry about having to ?suffer? here all four years due to the world class mountain biking, skiing (10 major resorts within 90 minutes of the hospital), snowshoeing, CC skiing, kayaking, hiking ,and camping (and the >300 sunny days per year).
We rotate through 4 hospitals: Denver Health Medical Center (the ?famous? knife and gun club), University of Colorado Hospital (large tertiary care hospital?i.e. CP s/p heart-lung transplant and ?Oh yeah, I have lupus?), St. Joe?s Hospital (nice private hospital), and Denver Children?s Hospital (major peds hospital). In the future we will probably rotate through the ?new? Univ. of Colorado Hospital that they are building. As you can see, we get a broad range of experience at different types of hospitals with little hassle (the hospitals are ~15 minutes from each other).
Program is setup in increasing responsibility each year. As a PGY-2, you are a junior resident everywhere (less serious trauma, lots of EM CP, abdominal pain at DHMC and everything at the University). As a PGY-3, you are the senior resident at the University (you run the department) and take the severe trauma, medial arrests, etc. at DHMC and cover the Children?s ED. As a senior, the schedule is very nice?senior resident at DHMC (answer the paramedic phone, run the department, responsible for all of the medical student?s patients, help the junior residents), no University time, electives, toxicology, research, and a bunch of other stuff. Even with all of this responsibility, you have a faculty members in the ED as backup at all times. The highlight of the program is that you have AMAZING autonomy?patients are discharged from the ED by residents regularly (even as a PGY-2). That being said, the attendings are always happy to help, consult, teach, etc whenever they are asked by the residents.
Conferences are Wednesday mornings 8-12. Excellent conferences (I actually want to attend). The number of residents/year has recently been expanded (took a few outside of the match last year
to make up the difference, mostly who have already wholly completed peds, medicine, and OB/Gyn residencies or switched from surgery, etc.). This makes for some interesting phone calls when a medicine ?attending? (one of our residents who has finished an entire medicine residency) calls a junior medicine resident for an admission. Relationships between all of the departments is good to excellent. Nurses/techs are great. You do not have to do your own IVs, transport to rads, EKGs, etc. Schedule is typically 6 eight hour shifts then two days off.

My opinions:

You can probably tell that I think very highly of this program. I can?t believe that you will be better prepared at any other place. You have group of exceptionally bright, responsible, active, hardworking people running EDs with tons of pathology. The key words are ?hardworking? and responsible. We work hard (although our shifts are only 8 hours long). In addition to clinical duties, we have to run the weekly M &M, lecture to med students, teach splint/suture labs, got to ?mock? malpractice trials for practice, give resident lectures at conference, teach at ?your? firehouse, and do weekly homework on relavent topics. This is all accomplished with the ~39 residents we have. I have friends at other EM programs and, by and large, their shifts and extracurriculars are easier (i.e. less patients per hour, less beds they are responsible for, etc) although there are notable exceptions. The responsibility aspect can be overwhelming at first?your patients as early as your PGY-2 are really your patients. You can ask questions, review cases, etc with the attendings whenever you want but those patients are truly yours! I don?t have room to mention other stuff like ultrasound (you will do a couple hundred even as a PGY-2), international electives, alumni opportunities, regional conferences, attendings, etc. When you finish here you will be prepared to work anywhere in the country under any conditions (we say that when you finish at Denver Health you are ?bulletproof?). At Denver we work hard and play very hard. Send me a PM if you have any questions about the program.
 
NYU always impressed me as a program that combined great acadmics with great clinical exposure. By the time you leave there you will have seen everything. The big disadvantage is working in NYC where you will have to deal with overloaded hospitals and poor to nonexistant ancillary services.

The advantages of Denver have already been commented on.

For an insiders perspective on Emory you might try contacting Deb Houry who was a chief at Denver and is now at Emory