Faculty who trained within own program

[flipcyde]

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Just a random thought....

Generally is it a good thing or bad thing when the majority of the faculty at a residency program are graduates of their own institution.

Sorry for the interruption, back to your scheduled celebratory activities!

 

[2ndyear]

Could go either way. The bad is that generally each institution has a certain way of doing things and that's what we learn as residents. This gets passed down and there you go. If nobody does a sciatic block on a knee then nobody does it. If your TIVA for a spinal fusion is propofol and sufentanil then that's what gets used. Who knew you could use Precedex, ketamine, etc? So it is kind of nice to have attendings who have either trained or been somewhere else. The good is that if a place sucks really bad, then nobody wants to stay. If you have a high retention rate then I'd say this bodes failrly well for the department.

 

[coprolalia]

We have a couple of attendings who trained at home. The ones who were wisest went and did a fellowship elsewhere before coming back. I think this serves to do two things. First, it gives them more experience and exposure on how other people do it at a different institution. And, second, it distances them from being perceived as still a "resident" in the program. We do have one or two that just stayed straight on, and they don't seem to get the same level of respect as attending faculty as those who went away for a while. I dunno. Maybe just my own biased perception.

-coprp

 

[B-Bone]

Maybe my program is horribly inbred, but out of 108 faculty anesthesiologists, 89 have done some post-med school training here and 70 did their anesthesia residency here. We still seem to be exposed to a wide variety of styles/techniques/etc. A number have completed additional training elsewhere, so maybe that affects things. Anyways, doesn't seem to be impairing our residents ability to get good jobs and succeed in academia and private practice.

 

[nociceptor]

Just a random thought....

Generally is it a good thing or bad thing when the majority of the faculty at a residency program are graduates of their own institution.

Sorry for the interruption, back to your scheduled celebratory activities!

I vote BAD unless they went away and did a fellowship.

It could mean that nobody else will hire their residents in the area and that nobody wants to come be teaching faculty.

 

[Gator05]

Good or bad? Ask the residents at the program.

For instance, new attendings straight from the program are awesome for residents just starting off; they know the system, are frequently sympathetic to the resident, and are great for beginner cases. They're also great for senior residents seeking to learn more about the job process.

Also, why are the residents staying? If you're a Cleveland Clinic resident and want to do cardiac, you probably didn't learn all there was to know about cards as a resident.

At our program, we've recently had a recent influx of top-notch attendings who don't do things the "traditional" way. Sticking around in these specialties seems to make a lot of sense.

Lots of programs try to keep their fellows, too. It's a time in life where you're looking to settle down. If you and your spouse are happy, should there really be a big push to leave just for the sake of leaving?

 

[flipcyde]

I vote BAD unless they went away and did a fellowship.

It could mean that nobody else will hire their residents in the area and that nobody wants to come be teaching faculty.

Yikes! I'm already settled down in the area but definitely not feeling the "no other option but to work for the department" scenario. I really hope this isn't true.