8 weeks of micu and cicu .... Check these are busy and intense
It's actually 2 to 3 weeks of night float not 4, overnight cap is 5 admits for intern 10 for the team
The Ed rotation is not at the level 1 trauma center and is 15 to 18 shifts of 9 hours each
over a 28 day peroid ( some extra academic days half days though)
3 months of floors ... Check ( other then some of the overnight hospitalist I never had a poor experience with a medicine attending some of them were very cool people ) it's 5.5 to 6 days a week usually carrying 6 to 8 patients per weekday 1 or 2 admits per afternoon
The overall relationships between Ty and medicine interns and upper years was excellent if under the bus throwing occured it is a very rare thing
Great benefits I spent nothing on food at work until I ran out of money the last month, step 3 paid for and extra days off for a conference and lots of vacation 14 days plus holiday week
There are easier places out there but there are many more harder places. Some limited elective choices as they are very by the book in regards to acgme requirements if you
advanced program doesn't explicitly spell things out. The once a week short call on wards is rough 3 admits in 3 hours plus cross cover 60 patients and code blues you hardly ever get out on time. Other days you are usually out the door at 4 or 5. Micu is rough 80 hours but some of the best teachers in the program. The new program director is a good guy used to be a Ty before switching to med then ended up staying. Probably some of the above will change but that was my experience. Glad to be done with intern year.
Biggest complaints is the restricted elective choc
Umm isn't this thread "that are no longer cush"? Things are VERY different this year with the new PD, so your experience last year is irrelevant to how it is NOW.
Only 1-2 people have 2-3 weeks of night float, and they are the exception, not the rule. Everyone else has 4 weeks which is the norm. On night float, your work with a private practice hospitalist group (entire hospital is private practice groups) who have basically 0 incentive to teach, but has a large one to use us for scut and to maximize RVUs. And yes the TEAM is capped at 10 admissions, but that doesn't mean you won't do 8-9 of those per night as the TY intern while the upper year sleeps (I'm not exaggerating this actually happened)
Yes, we
do rotate on ED through cedar crest, and it is a level 1 trauma center. Furthermore, you will work night shifts and then expected to have to come back a few hours later after a night shift for mandatory ED daytime conferences, otherwise they will
fail you (their malignant attitude was even commented medicine residents)
On medicine floors (3 months), most residents come in a 5 am, carry 7-8 patients daily, and have 1 16+ shift per month where they cover sat night float and have to stay the next day to write 10+ notes. When on short call once/wk, interns get stuck until at least 9 pm (which has caused numerous work hour violations).
As far as MICU, I have violated my work hours. My definition of cush isn't working 14-15 hr days getting abused in some ****ty ICU for
2 months with 0 teaching and just scut and bitchy nurses, with work hour violations, but I don't know what your definition is. As soon as they saw I was a TY (which is clearly labelled on our white coats), I got zero teaching or respect.
As far as upper year residents go, its a community program and essentially all DOs and FMGs. Nothing personally against either group, but expect low quality didactics, don't expect strong guidance or help from upper years (hell if any guidance at all). There is also an institutional barrier put up between categoricals and transitionals, with categoricals cohorted with upper years who "take them under their wing". Expect a range of behavior from the categoricals from passive-aggressive to outright hostility and being "thrown under the bus" as a TY.
In a nutshell, if being promised things at the interview to then be reneged upon post-match, work hour violations, passive-aggressive behavior, categoricals that definitely don't have your back, and scutwork with minimal to zero teaching is your idea of cushy, then by all means apply to Lehigh. Knowing what I know now, if I could do the match over again, I wouldn't have even interviewed at or ranked Lehigh.