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Hi all! I know it’s really early for me to be thinking about this, but I’d like advice now so I don’t struggle with it for the next year and a half.
I got sent out to the boondocks for my third year DO school rotations (town of 15,000 people, largest town for 50+ miles). I feel like they worked us decently hard during my first IM rotation (teaching) and I saw some interesting pathology sent in from outside facilities - interesting and unusual enough that I’m getting two case reports out of my first rotation. I have a ton of previous clinical work experience so I’m not just pulling the working hard/interesting pathology out of thin air.
What I was most impressed with, though, was the way an intern who was literally messing up with every single patient was handled. The attending was visibly irritated during rounds, but never raised his voice and it was overall the most respectful complete reaming I’ve ever seen. I’ve worked in 8+ hospitals where I’ve seen blatant screaming, cursing, and throwing things for the types of mistakes the intern was making, so I couldn’t have been more surprised watching a pissed off attending stay so calm. It makes me want to stay here.
I’m just worried about how it would look when I do start hunting for future jobs/fellowships if I do end up matching here. They don’t have a fellowship in the specialty I’m thinking about, the town is tiny, and I know I don’t want to stay long term... but I’m not going to find this kind of compassion for mistakes everywhere and I’m really tired of getting yelled at. Feel like I’m too old to put up with that attitude crap anymore. This residency program also takes mostly DOs and IMGs with the very rare occasional US MD - the only ones I’ve seen are locals who grew up within 50 miles of the hospital.
If I kill the ABIM boards and do research the whole time I’m there, is matching a fellowship and/or getting an attending job in a large city realistic, or will people take one look at where I did residency and say nah, we’ll pass? I want pulm/crit at this point.
Current stats for reference: top 25% of class, 245-250 step 1, 730-740 level 1, 5+ research experiences (2 pubs), lots of volunteering. I think I’ve checked all the boxes.
I got sent out to the boondocks for my third year DO school rotations (town of 15,000 people, largest town for 50+ miles). I feel like they worked us decently hard during my first IM rotation (teaching) and I saw some interesting pathology sent in from outside facilities - interesting and unusual enough that I’m getting two case reports out of my first rotation. I have a ton of previous clinical work experience so I’m not just pulling the working hard/interesting pathology out of thin air.
What I was most impressed with, though, was the way an intern who was literally messing up with every single patient was handled. The attending was visibly irritated during rounds, but never raised his voice and it was overall the most respectful complete reaming I’ve ever seen. I’ve worked in 8+ hospitals where I’ve seen blatant screaming, cursing, and throwing things for the types of mistakes the intern was making, so I couldn’t have been more surprised watching a pissed off attending stay so calm. It makes me want to stay here.
I’m just worried about how it would look when I do start hunting for future jobs/fellowships if I do end up matching here. They don’t have a fellowship in the specialty I’m thinking about, the town is tiny, and I know I don’t want to stay long term... but I’m not going to find this kind of compassion for mistakes everywhere and I’m really tired of getting yelled at. Feel like I’m too old to put up with that attitude crap anymore. This residency program also takes mostly DOs and IMGs with the very rare occasional US MD - the only ones I’ve seen are locals who grew up within 50 miles of the hospital.
If I kill the ABIM boards and do research the whole time I’m there, is matching a fellowship and/or getting an attending job in a large city realistic, or will people take one look at where I did residency and say nah, we’ll pass? I want pulm/crit at this point.
Current stats for reference: top 25% of class, 245-250 step 1, 730-740 level 1, 5+ research experiences (2 pubs), lots of volunteering. I think I’ve checked all the boxes.