Favorite Detroit program?

[vacoug]

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I know there is no best program anywhere, so I just wanted people's opinion on their favorite Detroit programs and why.
Go Tigers👎 talk about a huge letdown this year hopefully they can beat Seattle tomorrowand keep some hope alive👍 Thanks in advance.

 

[EM_Rebuilder]

I interviewed at St Johns and was very impressed....except that it was Detroit. The PD there was hiliarious and is known to have 'memorable interviews' with people. The hospital looked really clean and new and it was actually in far north Detroit so crime right nearby was not so bad...but their coverage extended into downtown and they said they get the worse trauma in the area.


It was just too far from home and in too big of a city for me...

 

[BADMD]

I know there is no best program anywhere, so I just wanted people's opinion on their favorite Detroit programs and why.
Go Tigers👎 talk about a huge letdown this year hopefully they can beat Seattle tomorrowand keep some hope alive👍 Thanks in advance.

If you have specific questions about specific programs I think you may get better answers. I've been a resident at one and am staff at another. I'm very partial to the program I was a resident at. While I could give you some ideas about the other place, given my position as staff (and fellow), I have a very different experiance than the residents.

 

[awdc]

My favorite Detroit program is the one I'm at.

 

[chocolateshake]

I interviewed at St Johns and was very impressed....except that it was Detroit. The PD there was hiliarious and is known to have 'memorable interviews' with people. The hospital looked really clean and new and it was actually in far north Detroit so crime right nearby was not so bad...but their coverage extended into downtown and they said they get the worse trauma in the area.


It was just too far from home and in too big of a city for me...

I have an interview at St. Johns coming up.. any tips/advice?

 

[dlung]

I interviewed at 4/5 Detroit programs, and I'll say that it was surprising how distinctive the programs were from each other. I think it's really about where your personality fits in, all of them have quirks that drew the residents there.

 

[BatmanMD]

I'm a 3rd year @ st john's. if ya got any questions, let me know...

as far as the interview, just try to relax. its all about if people like you/can work with you.

Def agree about each program in Detroit has their own "feel" to it. The fact its in Detroit should be a plus though. You may not want to practice in Detroit, but what better place to get trained?

 

[dr. blue]

i have an interview this january at st. john. i've read some positive things on here, but what are some "quirks" that are specific to st. john? everytime i tell someone about an interview in detroit, they wince like they just bit into a lemon. is it really that bad? i expect it to be an ideal environment for learning em. thanks.

 

[awdc]

Detroit is definitely one of those cities that has an ideal environment for training in EM. The huge population with low socioeconomic status leads to greater degrees of pathology. Furthermore, our patients often have multiple uncontrolled co-morbidities sometimes along with (intentional or unintentional) substance abuse. (Makes for some great tox cases here, too.) The multiple co-morbid patients aren't limited to the geriatric population, either. Trauma? You get tons in Detroit... GSW's, high-speed motor vehicle collisions, assaults, stabbings, burns, falls, water-related injuries, etc... many times along with the substance abuse and co-morbidities. One of the challenges I've also noticed here is the number of patients who are such poor historians of their health.

The city of Detroit, along with St. Louis, tops the list of cities with the most violent crime. It's really not that bad. There are plenty of places around the greater Detroit metro area which are very nice and very safe. It's not L.A., NYC, or Chicago but Detroit still offers the usual big city life and entertainment options. I live in a really nice suburb around Detroit and it's only a 15-20 minute drive to Detroit Receiving depending on traffic.

I am partial to Detroit Receiving but you really can't go wrong with any of the four Detroit programs.

 

[ZigZag]

How would you rank Sinai-Grace among the other Detroit programs?

 

[hurricanemd]

I know people who rotated in the ED at both the DMC and Henry Ford and really liked Henry Ford. The amount and acuity of traumas that come into both Sinai Grace and Henry Ford is about the same. I had a rotation in the SICU at HF and can attest to the great teaching and aggressiveness of the attendings there. Dr. Rivers is a triple boarded in EM, IM, and Critical Care and does a lot of research in sepsis and septic shock. He is also a great attending down in the ED and up in the ICU.

I guess what program you want depends on what you're looking for.

If you want good research opportunities and awesome ICU experience, Henry Ford is probably the best bet.
If you want experience in toxicology, DRH has many attendings certified in tox, a great elective, and a fellowship in tox.
If you just want balls-to-the-wall trauma, Sinai Grace gets the most GSW/stabbings of the hospitals in the area.

 

[awdc]

How would you rank Sinai-Grace among the other Detroit programs?

It depends on what you are looking for and how you feel about the program.

I can tell you that at Detroit Receiving (aka Detroit Medical Center), although not 100% sure, it seems that everyone in my class ranked all the other Detroit programs lower than DMC when it came time put together our rank order lists. That's not going to help you because I'm sure the Henry Ford residents ranked their program higher up, the Sinai-Grace residents ranked their program up top, etc.

 

[awdc]

If you want experience in toxicology, DRH has many attendings certified in tox, a great elective, and a fellowship in tox.
QUOTE]

Just want to add that at DRH, all peds experiences (peds ED shifts, PICU, peds floor) are at Children's Hospital of Michigan (largest level 1 peds trauma center in MI) which is on the same campus as DRH. There's a peds EM fellowship as well.

Edit: I should correct myself since I mentioned all peds experience is at Children's. Not entirely correct. We also rotate through a suburban ED which sees both adults and kids.

 

[dr. blue]

thanks for the info on the detroit programs. anyone care to weigh in with some specifics on st. john?

 

[megawhizz]

Just want to add that at DRH, all peds experiences (peds ED shifts, PICU, peds floor) are at Children's Hospital of Michigan (largest level 1 peds trauma center in MI) which is on the same campus as DRH. There's a peds EM fellowship as well.

Same goes for Ford (Peds ED, PICU, and floor at Children's Hospital of MI) though they also send you off to one of their satellite clinics for suburban peds-EM

 

[malingering]

I interviewed in Detroit, and at U of M, and am currently a pgy1 at Sinai Grace/DMC in EM. If you've got questions feel free to message.

Good Luck, it's about to get fun.

 

[suckstobeme]

When I was ranking programs 2yrs ago, I almost made Recieving my #1. It seems like an amazing place to train.

 

[malingering]

Detroit's not for everyone, but I think it's a great city to train in. Pretty much, if you move to any other large city after training here (likely at any of the programs), you likely won't be shocked or overwhelmed by what you see as an attending. At least, that's my hope...I'm only a resident.