Florida hospital radiology residency

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Darwinism

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I'm curious about the new residency program at Florida hospital. I'm not sure if choosing a newly established program is a bad idea in terms of future fellowships and job placement? Does anyone know anything about this matter? Thank you

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Someone told me that they have no nights or weekend call for the entire 4 years. Is that still the case?
 
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Hi could you also give me some information on this site's radiology program as well. I will be applying for residency next year and can't seem to find much information on the place. Thanks!
 
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Could you send me some info about Florida hospital radiology residency, Im going to apply there this year and wanted to know a little more about the program there. Thanks!
 
I heard there was 4 weeks of nights over the entire 4 years. Could be old info or totally wrong because i forgot. This was back in fall of 2011 when I was applying. If I had matched there I would have been the second class. Really nice facilities there.
 
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I've been getting a lot of PM requests so I thought it would make sense to post basic information on the program here, with any specific questions either answered in this thread or by PM. If I get a lot of similar PM questions, I'll probably just post a response here.

Florida Hospital Radiology Residency program basics:
Duration: 4 years (no categorical option)
Residents per year: 4
Fellows: none
Location: Orlando, FL. PACS is centralized and brings in studies from the other 13 or so hospitals we cover plus multiple outpatient centers (all Florida Hospital). As residents, you are only ever stationed at the main Orlando hospital or the outpatient center across the street for mammo and certain body rotations.
Trauma: Level 2
Group dynamic: Large (>100 staff rads) hospital-contracted private practice group. Approx. 30 "core" residency faculty with whom you spend the majority of your time.
Coverage: 24/7 attending in-house
Volume: increasing, getting close to or just over 2 million studies per year
Nights/Call: No formal call/long call/pager call. 3 weeks of nights (11PM-8AM) R2 through R4 years plus 1 month ER evenings (12PM-9PM).
Food/Parking: free food and physician parking. No pork products since it's Adventist but there is free coffee and soda.
Conference time: You get 5 days to attend a conference you don't present at but you foot the bill. If you present at a conference (even just a poster) you get time for that and reimbursed.
Core prep: program pays for one prep course; we all did Huda. You will be ready for the Core.

I am a current R4, in the second graduating class. So far we have 100% Core pass rate. The program is very education-focused so you will get extensive didactics and case conferences; every day has a 45 minute lecture at 7AM (usually physics or case conference) and a 1 hour lecture at noon. I don't feel like the lack of solo call has been particularly limiting, however you need to take initiative to be a little more independent as you advance. I think there is the potential that someone could fly under the radar and never take steps towards autonomy but so far I have not seen that happen. I feel extremely comfortable taking cases, talking to techs, calling critical findings, talking to surgeons/clinicians, and performing all general radiology procedures and biopsies. At this point I try to make decisions and call results as if I am the final read and that has been working out well so far.

The majority of the attendings are great. We have a good mix of more established people with 25+ years experience and young guys who are either just out of fellowship or have been working <10 years. We tend to attract a lot of people from very strong training backgrounds. Everyone is nice, too. There are no stereotypically malignant personalities and certainly nothing to compare to the horror stories I have heard from friends at academic institutions. I would honestly say that the way people act when you interview there is true to how they actually are. This is a place pretty much all of us want to come back to after fellowship.

From a student's perspective, the most attractive thing is certainly the lack of call and weekends off. However, there is more of an expectation that you will engage in some research activity (posters to presentations to peer-reviewed papers) because you have a more protected schedule. Starting in R2, you get a dedicated research week in addition to the normal 20 days vacation. The minimum is one project for the duration of residency but pretty much everyone ends up doing a lot more than that, even if it's just posters. I've managed to get several 1st author pubs and I'm not even close to being the most productive person. It pays off in a big way come fellowship interview time. Everyone has landed great fellowships so far.

Main thing we lack is level 1 trauma, which goes to ORMC nearby. Everything else we have in spades. Personally, I think the lack of this is made up for by the lack of fellows, as you get first crack at every procedure from day 1 and there's no competition for 'good' cases.

Daytime shifts are 7AM-4PM (same schedule as your attending), except for IR, which can be longer but is usually <12 hours especially if you are not going into IR.

Moonlighting is excellent but for now is limited to contrast coverage. R1s can't moonlight. There is a structured percentage-based allotment of hours per class based on seniority (50/30/20).

I'll add more as I think of it or as questions come up. Hope this was helpful.
 
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Looks like a true lifestyle program.
 
This may be jealousy talking, but that's got to be hugely detrimental to have such little call.
 
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Apparently I am going to interview there. Yayyyy!
 
This may be jealousy talking, but that's got to be hugely detrimental to have such little call.

Speaking as someone who takes a lot of call at one of the busiest level 1 trauma centers in the country, it's jealousy talking.
 
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This may be jealousy talking, but that's got to be hugely detrimental to have such little call.

Call is overrated and annoying. Most won't end up working in level 1 trauma centers/major academic referral centers, but rather private practice so all the major GSW and MVC patients gets to be repetitive and not educational. Everyone I know in private practice loves how much easier the cases are and how quick it is to dictate compared to some of the trainwrecks that come in on overnight call in large centers.
 
I am currently an R3 in the Florida Hospital diagnostic radiology program. This was my #1 ranked program and I continue to be thankful every day I walk into work. As posted above, the program offers benefits that go above and beyond those at many other institutions.

Additional information about the program can be found on our site: http://www.floridahospitalradiology.com/residency (including more details on benefits offered)

People often refer to the program as a "community program" when in reality the program functions as a hybrid. The residency program is integrated into a healthcare enterprise that spans a large portion of central and northern Florida, accumulating a volume of more than 2 million studies a year; the volume is mixed. The main hospital also staffs specialized transplant teams and multiple subspecialized surgeons which translates to imaging studies normally seen in academic institutions.

Also, our program director encourages and supports resident involvement in scholarly activities. In a matter of a few years residents and attendings have accumulated a strong list of projects and publications. This can be viewed on our site: http://www.floridahospitalradiology.com/residency/residents/scholarly-activities

If anyone feels that there is pertinent information lacking on the website, please let us know! We would definitely appreciate the input and use it to improve the site.

Thank you
 
Can anyone also comment on some of the other programs, such as University of Florida Gainesville and USF Morsani Tampa? Thanks!
 
Any current folks able to talk about this program? Is it still this great?
 
Call is overrated and annoying. Most won't end up working in level 1 trauma centers/major academic referral centers, but rather private practice so all the major GSW and MVC patients gets to be repetitive and not educational. Everyone I know in private practice loves how much easier the cases are and how quick it is to dictate compared to some of the trainwrecks that come in on overnight call in large centers.

Wrong, wrong, wrong.

Call is not overrated. Call is the how you learn real radiology. Once you see all sorts of trauma cases at a level 1 trauma, you can confidently "run" the radiology department at a community hospital.

Be careful. When you work at a community hospital, at many places the surgeons are very dependent on radiology. You may see serious trauma in a non-level 1 trauma in private practice and surgeons will act on it depending on your report.
 
Any current folks able to talk about this program? Is it still this great?

Appeared to be when I interviewed. Considered a “Cush” residency with about an 7/7:30-4pm daily schedule. Don’t work weekends. Great hands on experience if you like IR. Lots of full time staff that can help you churn out research papers (specifically retrospective stuff). Very nice facility. Orlando is sunny. Emphasis on didactically so you don’t even have to worry about being ready for boards (100% pass rate). Seem to do well in fellowship match. Only downside is a person on the steeet won’t be impressed when you tell them you trained at Florida hospital but that’s a dumb reason to rule a place out
 
Any current folks able to talk about this program? Is it still this great?

Definitely a biased response considering that I am currently a resident at Florida Hospital.

I still believe that Florida Hospital offers one of the best, most well-rounded programs in the country. With that said, I would certainly rank FH #1 should I be undergoing the match process all over again.

Factors such as no scheduled shifts on weekends and only 3 weeks of overnight call per year are considered “life-style” by many, but is that honestly a bad thing? Consider all that you would be able to accomplish, both personally and professionally, with that additional time. Personally, I think that it is a fantastic opportunity, as it allows me to simultaneously study more aggressively, undertake more academic projects, and spend more time with my family.

As for the “name” referenced in a separate post, sure, FH is not a commonly known program outside of Florida (though changing). However, I would invite anyone with reservations to please stop by our website and take a look at where the residents are matching for fellowships; I think you’ll be pleasantly surprised.

Trauma volume remains a “con” of this program. If 4 years of level 1 trauma exposure with associated endless call shifts is something that is important to you, then, perhaps, FH may not be the best choice.

If 4 years of solid work-life balance, warm weather, proven didactics, dedicated medical physicist, imaging volume of 2+ million studies per year, 100% boards pass rate, and excellent fellowship match rate appeals to you, then maybe FH is a choice worth further consideration.
 
Not working in a level 1 trauma during training is a red flag.
Not taking a lot of solo call which happens during weekends and nights is a red flag.
Volume per se means nothing. It is the variety of pathology.

A hospital that is not level 1 trauma is far far from being "well rounded".


Everything is a trade-off. Obviously if you want a good training you have to give up some of the family time. It is your choice. But in my experience, if you don't give up the time during residency, you will pay for it later. I see new graduates who can not handle the work of private practice and are kicked out after a few months of practice.

It may a good training program but it should be far from #1 of rank list for medical students.
 
Agree to disagree, except for, "variety of pathology". Statements like "red flag" and "far from #1 on rank list" are inflammatory and unfounded.

The amount of pathology we see on a daily basis rivals that of any tertiary care hospital. This is secondary to having numerous hospitals/outpatient imaging centers feeding into a common PACS (>15) and active subspecialty surgical services, including neurosurgery and multi-organ transplant.

As far as volume, residents certainly develop the necessary speed and accuracy to be successful following residency training. Follow-up communications with graduated residents and fellowship directors revealed that not only are our residents matching very well, but also excelling as fellows in their respective programs. Additionally, we recently had a senior who decided to forgo fellowship and pursue private practice straight out of residency (personal decision based on family situation). That former resident is also doing very well in a high volume private practice setting working the overnight ED shift.

Having level 1 trauma is definitely beneficial. However, whether or not lack of level 1 trauma is a deal breaker is certainly a personal decision.
 
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Just to offer some additional insight, I am a recently graduated resident of this program and am doing fellowship at a Level 1 trauma center. I have not experienced any difficulties adapting to the work, either within my specialty or when moonlighting as an attending in the ER. I have read many complex cases since beginning my fellowship, none of which have been beyond the complexity of cases I encountered during residency.

Having the time during training to do quite a bit of independent study and research, I have had no trouble succeeding in fellowship. I read fast and accurately having been trained in a high volume environment. Truthfully, some days now can be a little slow compared to FH, which is likely a common difference between academics and community practice.

If program name is a high priority, then FH may not be your cup of tea. However, I would caution people to not lump the program in with the usual anti-community rhetoric. It is a very well rounded and well supported program with great attendings who you develop close relationships with and who care about your success. It is not a sweat shop and you are not there to do the jobs of the attendings.

I understand some are skeptical that it seems too good to be true. I suppose it just depends on the kind of learner you are. Having gone through this program and now working with people from more traditional residencies, there is no substantive difference in our competence. I am proud to have trained at Florida Hospital.


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I personally know nothing about Florida Hospital's radiology residency nor have any connection to that region of the country, but from what I've seen, some of the larger community hospitals in the country can rival or even have superior breadth and depth of pathology compared to smaller academic centers. I wouldn't automatically assume that all community programs have less variety than all academic programs. The size and strength of referral services is more important than whether a program is academic or community. Also important is having subspecialists who read only their specialty (i.e. neurorads reads only neurorad studies, MSK rads reads only MSK, etc.). From what I've heard, Florida Hospital sounds like one of those huge community hospitals that may have plenty of referrers for complex cases.

Lack of level 1 trauma isn't a huge deal, but it is a bit of a limitation. Trauma has certain patterns of findings that you don't find in other types of studies, and you learn to look at specific areas for hemorrhage/fractures/etc that you otherwise wouldn't routinely look at in non-trauma situations. That said, it isn't that difficult once you get exposure to it, but it still is important to get SOME exposure to it, otherwise you don't know what you don't know.
 
Everybody and every group has their own opinion and their own bias.

I am actively involved in hiring process for my group as a senior partner. If I have two applicants with similar training, I choose the one who went to a training program which was level 1 trauma, level 1 stroke. Active subspecialty medicine and surgery services in their training programs comes second.

In our group everyone participates in call and we prefer someone who was trained in a program with busy and high end ER. Being level 1 trauma and level 1 stroke is extremely important.

Let me give you an example. Let's say I want to hire a mammographer. Still she/he has to take call. So I probably won't care a lot about her/his IR training or even high end MSK training in residency. But his/her fellowship training in mammo and his general radiology training is residency is very important to me. Some indicators of good training are a big hospital system versus small community program, Level 1 trauma, level 1 stroke, having different medical and surgical services and off course name brand. I may not care if she/he was trained very well for high end MSK MRI because they are not going to read it. But trauma and stroke are extremely important.

Now I don't say that other programs don't have good or better training. It is like choosing a resident. Some of the best residents are not the ones with high exam scores But when programs want to choose a resident, test score is an important criteria. Similarly, the hospital you mentioned may have a better training than some bigger university programs. But if I want to choose, I choose the latter.

Name brand is not that much important to me but some of my partners like it because we can market to the patients and to our referring physicians that our new IR guy, our new MSK guy or our new mammographer were trained at Harvard or Stanford. I don't think they are better trained, but like it or now many referring physicians and MANY patients like it better.

I didn't mean to offend anybody but rank 1 to me are the well known hospitals, though they don't have better training for the reasons that I mentioned above.
 
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I have heard from the mouth of a FH attending that they would not hire any of their residents. Was told that not only is their call experience limited, but they are allowed to cherry pick the list at night and not read complicated cases if they don't want to.
 
I have heard from the mouth of a FH attending that they would not hire any of their residents. Was told that not only is their call experience limited, but they are allowed to cherry pick the list at night and not read complicated cases if they don't want to.

Your information is false and misleading. RSF (the radiology group under which the residency program functions) has already hired one former resident (he is currently completing fellowship). Two other former residents have also interviewed in the past couple of months.
 
Your information is false and misleading. RSF (the radiology group under which the residency program functions) has already hired one former resident (he is currently completing fellowship). Two other former residents have also interviewed in the past couple of months.
It was anecdotal for sure.
 
Do they have to read whatever comes over at night? Or can they cherry pick?
 
Residents read oldest to newest on all rotations, including overnight call. With that said, it is impossible for residents to "kill the list" given the non-stop volume created by the numerous hospitals/EDs feeding into the PACS.
 
For what it's worth, I recently interviewed here after a string of 'academic' places and loved this program. My initial impressions with regard to strengths were as follows:

1) great volume (2 million + annually)
2) great didactics (as evidenced by 100% board pass rate)
3) good location
4) cohesive, nice group of residents
5) great fellowship match
6) flexible schedule

Finally, I will say what stood out to me the most about this program was how invested the administration (PD, assistant-PD, radiology faculty) seemed in helping the residents achieve not only the goals of the program but resident-specific goals as well. This was particularly important to me going in given it's 'hybrid' status. Naturally, there is concern the private model (aka bottom line) may interfere with your education, but I have no doubt were I to match there that I would be fully supported moving forward.

I know it's pre-match and commenting on specific programs is viewed as ill-advised, but I had a very positive experience here and so I wanted to show Florida Hospital some love. It's definitely deserved.
 
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For what it's worth, I recently interviewed here after a string of 'academic' places and loved this program. My initial impressions with regard to strengths were as follows:

1) great volume (2 million + annually)
2) great didactics (as evidenced by 100% board pass rate)
3) good location
4) cohesive, nice group of residents
5) great fellowship match
6) flexible schedule

Finally, I will say what stood out to me the most about this program was how invested the administration (PD, assistant-PD, radiology faculty) seemed in helping the residents achieve not only the goals of the program but resident-specific goals as well. This was particularly important to me going in given it's 'hybrid' status. Naturally, there is concern the private model (aka bottom line) may interfere with your education, but I have no doubt were I to match there that I would be fully supported moving forward.

I know it's pre-match and commenting on specific programs is viewed as ill-advised, but I had a very positive experience here and so I wanted to show Florida Hospital some love. It's definitely deserved.


Glad you enjoyed the interview and the program! Please let me know if you have any additional questions.
 
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Things are rapidly changing in this residency for the worse. The “cushiness” is disappearing. I would go to an established residency (preferably with a big name) that doesn’t let the whole program get transformed in the space of a year. Tiger100 is probably right.
 
...waiting for less disgruntled residents to reply. This should be interesting.
 
I mean, did you really think no overnight call would last forever for a hybrid program? Those private docs know what they’re doing.
 
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Now that the hospital is owned by Advent Health, how has the radiology program changed if at all? I have heard that this has had a detrimental impact on the department.

I am a current MS3 looking to do an MS4 away rotation here.
 
I've been getting a lot of PM requests so I thought it would make sense to post basic information on the program here, with any specific questions either answered in this thread or by PM. If I get a lot of similar PM questions, I'll probably just post a response here.

Florida Hospital Radiology Residency program basics:
Duration: 4 years (no categorical option)
Residents per year: 4
Fellows: none
Location: Orlando, FL. PACS is centralized and brings in studies from the other 13 or so hospitals we cover plus multiple outpatient centers (all Florida Hospital). As residents, you are only ever stationed at the main Orlando hospital or the outpatient center across the street for mammo and certain body rotations.
Trauma: Level 2
Group dynamic: Large (>100 staff rads) hospital-contracted private practice group. Approx. 30 "core" residency faculty with whom you spend the majority of your time.
Coverage: 24/7 attending in-house
Volume: increasing, getting close to or just over 2 million studies per year
Nights/Call: No formal call/long call/pager call. 3 weeks of nights (11PM-8AM) R2 through R4 years plus 1 month ER evenings (12PM-9PM).
Food/Parking: free food and physician parking. No pork products since it's Adventist but there is free coffee and soda.
Conference time: You get 5 days to attend a conference you don't present at but you foot the bill. If you present at a conference (even just a poster) you get time for that and reimbursed.
Core prep: program pays for one prep course; we all did Huda. You will be ready for the Core.

I am a current R4, in the second graduating class. So far we have 100% Core pass rate. The program is very education-focused so you will get extensive didactics and case conferences; every day has a 45 minute lecture at 7AM (usually physics or case conference) and a 1 hour lecture at noon. I don't feel like the lack of solo call has been particularly limiting, however you need to take initiative to be a little more independent as you advance. I think there is the potential that someone could fly under the radar and never take steps towards autonomy but so far I have not seen that happen. I feel extremely comfortable taking cases, talking to techs, calling critical findings, talking to surgeons/clinicians, and performing all general radiology procedures and biopsies. At this point I try to make decisions and call results as if I am the final read and that has been working out well so far.

The majority of the attendings are great. We have a good mix of more established people with 25+ years experience and young guys who are either just out of fellowship or have been working <10 years. We tend to attract a lot of people from very strong training backgrounds. Everyone is nice, too. There are no stereotypically malignant personalities and certainly nothing to compare to the horror stories I have heard from friends at academic institutions. I would honestly say that the way people act when you interview there is true to how they actually are. This is a place pretty much all of us want to come back to after fellowship.

From a student's perspective, the most attractive thing is certainly the lack of call and weekends off. However, there is more of an expectation that you will engage in some research activity (posters to presentations to peer-reviewed papers) because you have a more protected schedule. Starting in R2, you get a dedicated research week in addition to the normal 20 days vacation. The minimum is one project for the duration of residency but pretty much everyone ends up doing a lot more than that, even if it's just posters. I've managed to get several 1st author pubs and I'm not even close to being the most productive person. It pays off in a big way come fellowship interview time. Everyone has landed great fellowships so far.

Main thing we lack is level 1 trauma, which goes to ORMC nearby. Everything else we have in spades. Personally, I think the lack of this is made up for by the lack of fellows, as you get first crack at every procedure from day 1 and there's no competition for 'good' cases.

Daytime shifts are 7AM-4PM (same schedule as your attending), except for IR, which can be longer but is usually <12 hours especially if you are not going into IR.

Moonlighting is excellent but for now is limited to contrast coverage. R1s can't moonlight. There is a structured percentage-based allotment of hours per class based on seniority (50/30/20).

I'll add more as I think of it or as questions come up. Hope this was helpful.

how competitive is it to match at this program? Can you give a range for step scores? Also is there a regional preference?
 
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