Factors for ROL question

[GatorDoc77]

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Hey guys,

I'm at the home stretch of my EM residency interviews. My last two are this week at SUNY Downstate and Univ. of Maryland. I've been keeping track of the programs I've interviewed by putting some info down on a table based on what I liked and disliked about a program. I'm just having a problem seperating things out and determining where I want to be most. Outside of location, I'm not sure where to place importance on factors. For instance, one program that I interviewed at this week sounded great and I loved the city and it is somewhere I could see myself living for the rest of my career and when I was there the feel was great. But jeeze, it sucks that their interns get only 2 weeks vaca and the other residents get only 3. Most places give you 4. Another factor is that you work 20-22 12's per month as an intern! Most places I have been you start with 18 and have some non-12 hr shifts also. I'm just not sure how much importance I should place on this. I have no idea what its like to work 20-22 12's so I can't really speak on how that would affect me as compared to doing less. Does anyone have any insight? What are some important factors to you guys?

 

[EM_Rebuilder]

Hey guys,

I'm at the home stretch of my EM residency interviews. My last two are this week at SUNY Downstate and Univ. of Maryland. I've been keeping track of the programs I've interviewed by putting some info down on a table based on what I liked and disliked about a program. I'm just having a problem seperating things out and determining where I want to be most. Outside of location, I'm not sure where to place importance on factors. For instance, one program that I interviewed at this week sounded great and I loved the city and it is somewhere I could see myself living for the rest of my career and when I was there the feel was great. But jeeze, it sucks that their interns get only 2 weeks vaca and the other residents get only 3. Most places give you 4. Another factor is that you work 20-22 12's per month as an intern! Most places I have been you start with 18 and have some non-12 hr shifts also. I'm just not sure how much importance I should place on this. I have no idea what its like to work 20-22 12's so I can't really speak on how that would affect me as compared to doing less. Does anyone have any insight? What are some important factors to you guys?

Yikes, 20-22 12s??? Are you 100% positive those were not 8s? How many months of EM is it the first year? More important, how many shifts do you work in later years when you spend more time in the ED anyways? If its just a couple months as an intern, its not hard to suck it up a bit.. but if its 6-8 months...

I would place location as number 1, 2, 3..... after that, its pretty much a crapshoot.

 

[GatorDoc77]

I'm 100% positive that it's 20-22 12's....heard it straight from the PD's mouth and its been mentioned in the residency review thread by another candidate. Granted its only 3 months of ED and 1 month of Peds ED in 1st year. Second years work 19-20 12's and 3rd years 18-19 12's with 5 and 8 ED months respectively.

 

[po' boy]

12's throughout, and 19 12's as a 3rd year??

Run away...

 

[13770]

Look, don't feel guilty that you're looking at hours and number of shifts when it comes to your residency choice.

Any residency is a long haul - 3 years, that goes by fast and even longer if you end up in the 4 year games.

But, come to some shops and you'll end up working 180 hour work months (that's what my program does). You're talking 240 hour work months for the same right to sit the boards - and that over a 3 or 4 year period.

Residency is not enslavement - look at all aspects: the people, the hours, the money, and absolutely the location. And don't assume that a place that works you harder (tons of hours, tons of shifts) for the same outcome will translate to a better outcome - likely the opposite is true.