Greenwich Ct internal medicine

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Question1991

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So I have been lucky enough to receive a few IM invites over the past few days and I just had a few questions about this one if anyone has any input. So this is what appears to a community hospital that is "affiliated" with Yale. Is this affiliation like say MGH is affiliated with Harvard or is it a more loose affiliation? I guess what I'm saying is if you go here are you going to Yale for residency or a hospital associated with Yale? Also anyone have any input on the program in particular or Greenwich?

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So I have been lucky enough to receive a few IM invites over the past few days and I just had a few questions about this one if anyone has any input. So this is what appears to a community hospital that is "affiliated" with Yale. Is this affiliation like say MGH is affiliated with Harvard or is it a more loose affiliation? I guess what I'm saying is if you go here are you going to Yale for residency or a hospital associated with Yale? Also anyone have any input on the program in particular or Greenwich?

Greenwich is part of the Yale New Haven Health umbrella so it is affiliated.

However, Yale has a large IM program that consists mainly of rotations done at Yale New Haven Hospital, the flagship hospital.

So the analogy here is like MGH and Cambridge Health Alliance. Both HMS affiliated. Both offer IM programs. But if you say you're training in IM at Harvard, people will assume MGH, BWH, or BIDMC before they assume CHA. Either will help you afford guacamole on your Chipotle in a few years.
 
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It's affiliated, but I think it would be disingenuous to say or imply that you trained "at yale" in this scenario. Of course, the people who matter (aka who are hiring you) can make their own decisions after seeing your CV.
 
Thanks for all your help guys and that all makes sense. Did any of you interview there or know anything else about the program?
 
Thank you for the reply! Yes I saw their post graduate pathway. For instance, cardiology, I see that there are a few who went that pathway upon finishing residency.. my dilemma is I guess is Greenwich hospital considered a strong/ good hospital?

That can’t be a complete list? If so the number of residents matching for fellowship per year is quite low. In any event evaluating fellowship placement is not the greatest way to evaluate a program although it is certainly one way to look at things.

Generally speaking Greenwich hospital is a small community hospital with a smallish IM program. The poster above noted pros and cons but understanding whether this is a good fit for you depends on a lot of factors. What are you looking for in a program? What kind of program are you competitive at?
 
I think this is the complete list! They only have 5 categorical positions/year. I liked the program especially with their resident wellness program and away elective opportunities at Yale hospital. However my only concern is for future fellowship opportunity and thus research opportunity (plan is cardiology for now!).
Every program I have been to during the interview mentioned that it’s more difficult coming from a community residency program to pursue fellowship, but personally I like the small family like environment of community programs. However if it is going to be a disadvantage for me to be at smaller community hospitals, I need to think about this during ranking...I thought I liked the Greenwich program but was wondering what their reputation as a program was like!

Are you competitive at academic programs? Yes it will be a huge disadvantage coming from a small community hospital/program
 
Greenwich is best known for being a great place to do prelim year. Whether it's a "good" categorical program depends - to be frank - on the other options you have. Obviously, it's not in the same league as NYU or UCSF, but it may be better for you than a rural program in Oklahoma.
 
I’m an IMG and only received 2 interviews from academic hospitals and couple more from bigger community hospitals with in house fellowships. However I had a good interview day at Greenwich and just wanted to get a better idea of the program by asking around 🙂

Going to a larger well known community program will definitely be better for future career prospects if your interest is in specializing. Your happiness is also important as is your education so IMO this all needs to be weighed. I’m sure with the programs you have on your list there is one whether it be community or academic that fulfills those criteria AND would set you up way better for fellowship. In house fellowships if they have a history of taking IM residents is also very important as you mentioned above
 
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I’m an IMG and only received 2 interviews from academic hospitals and couple more from bigger community hospitals with in house fellowships. However I had a good interview day at Greenwich and just wanted to get a better idea of the program by asking around 🙂

Yeah I think most likely this would be on the mid/low tier of community hospitals in terms of setting you up for fellowship. But there are certainly good community hospitals with in house fellowships and good match record.
 
Thank you for the response! What part of a community program makes it more challenging for one to pursue competitive fellowships like cardiology for example? I would think that one would get more support from the PD /faculty? No?

Research availability, publishability, faculty with name recognition who can write letters and vouch for you
Understand that as an IMG you have to go the extra extra mile for cardiology fellowship and need to be set up for success. You are already at a disadvantage
For cardiology and GI I can tell you that name recognition makes a huge difference. An application coming from JHH or MGH or UCSF automatically gets more consideration no matter how mediocre the application is otherwise.
 
Greenwich is best known for being a great place to do prelim year. Whether it's a "good" categorical program depends - to be frank - on the other options you have. Obviously, it's not in the same league as NYU or UCSF, but it may be better for you than a rural program in Oklahoma.
Yes i agree. Thank you for the input!🙂
 
Anyone notice Greenwich offers free housing for residents? If you’re not interested in a competitive fellowship after residency, it may be a great, supportive place.
 
as a current resident, I can say a few things about the program. first, the PD is really nice. when you attend interviews, all PD's seem nice because they want to attract you to their program, but he is genuinely a good person and he cares about the residents. second, the program is constantly making changes. This is a sign that the program values resident input and is always willing to improve (even though the program has existed for a few decades). the benefits aren't bad either (annual salary, meal stipend, subsidized housing across the street from the hospital, etc.) they place a lot of value in resident wellness.

with that being said, Greenwich is one of the most expensive towns in the country, so keep that in mind. it's a family-friendly, safe, suburb of NYC. approximately 30-45 mins from NYC by train.

it's a good program to train as a future hospitalist or primary-care doctor.

the only downside I can think of: if you want to specialize in one of the competitive fellowships such as Cardio, GI, or Heme/Onc, it will be somewhat more difficult since this is a community hospital. But we are affiliated with Yale, so you can do electives up there starting in PGY-2 year. this would help your resume a lot, in terms of research and letters of recommendation from an academic powerhouse.

if you want to specialize in ID, Endo, Rheum, or Nephro, it really doesn't matter where you go, as those are "less" competitive. obviously if you want to do a Rheum fellowship at Harvard, then it might be better to go to an academic residency program, but otherwise a community program is just fine enough.

you are free to message me if you have any specific questions. I've been here slightly more than 1 year, after moving from out-of-state.
 
I can’t comment on the residency there but the hospital itself is amazing. My grandpa transferred there from Sloan Kettering for his cancer treatment and my family really thought Greenwich did a better job.
Better treatment, patient centered, holistic approach, we felt more listened to, our appointments were moved when we had already gotten someone to take off work and dragged my grandpa out for treatment the way they were sometimes at Sloan. Overall we thought they were more invested in him. That makes me want to give the hosptial only the best reviews. Great docs there to train you and and a multidisciplinary approach
 
I can’t comment on the residency there but the hospital itself is amazing. My grandpa transferred there from Sloan Kettering for his cancer treatment and my family really thought Greenwich did a better job.
Better treatment, patient centered, holistic approach, we felt more listened to, our appointments were moved when we had already gotten someone to take off work and dragged my grandpa out for treatment the way they were sometimes at Sloan. Overall we thought they were more invested in him. That makes me want to give the hosptial only the best reviews. Great docs there to train you and and a multidisciplinary approach


Dirty little secret of medicine-at many of the big names patients exist to feed the machine. Smaller community hospitals exist to take care of their neighbors.
 
I’m sure. I just wanted to share in case that was something OP wants to consider. One of many reasons I want a rural rather than city position


Dirty little secret of medicine-at many of the big names patients exist to feed the machine. Smaller community hospitals exist to take care of their neighbors.
 
Did my medicine sub-I there (post-interview season, not going into IM so I was a little checked out and don’t really know how this program stands in the IM world). Will say that the residents seemed happy and well supported. Staff all super nice. Beautiful fancy hospital. Patients get lobster for dinner on Wednesdays.
 
the program leadership has been making a lot of changes this year (for the better). they agreed to fund UWorld (yes, the entire cost of it) for Step 3. I don't know too many programs which offer that.

they've also increased the budget for our "wellness" events, which is where we (residents only) hang out and have a good time outside of the hospital.

and they have consolidated the number of attendings that we work with, so our workflow is more efficient.

again, all of this in response to residents' feedback. they listen to us, and (when appropriate), make the changes.

and to reiterate what I said above, if you want to match into a Cardiology fellowship at Johns Hopkins, this is likely not the right program for you (although it can certainly be done based on where previous residents have matched),
 
as an addendum to the above, this year there was a 100% fellowship match rate. all 5 who applied, matched. some of them into very prestigious programs.
 
I interviewed there back in the day. Nice program in a great town, and the housing offered was very generous. The hospital felt very cozy, and it overall felt like a great community program.
 
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