Hopkins questions

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

DrHeartMD

Senior Member
10+ Year Member
5+ Year Member
15+ Year Member
Joined
Nov 4, 2005
Messages
145
Reaction score
0
Hi guys who interviewed at hopkins,

A few questions...does hopkins have "golden weekends" for their interns...im not sure about the call schedule for second and third years...are they totally off the floor?...who do u call if u do get into trouble with a patient overnight? work hours seem bad, but if its only during intern year then it might be doable...also how is baltimore to live in? I know its pretty cheap but can u find nice apartments in like buildings (not private houses or anything, I mean like doorman elevator type places)...anyway I can use some help in comparing it...

also does anyone have a good comparison with hopkins vs bwh and mgh...any one of these three appear better...can someone compare with penn and columbia too (I know they arent as good, but they still seem to match at awesome places for different fellowships)...


anyway,

can use any advice I can get...thanks

JB
 
Hey...

Don't remember for sure about Golden weekends, but I think that they do happen at Hopkins (anyone please feel free to correct me.). I found that the fellowship match list was very much just as good as MGH and BWH. Still, someone who's going to do well at hopkins would probably get a wonderful fellowship coming out of Penn or Columbia--the average sized fish in a huge pool vs. above average fish in a not as big pool factor.

When I've asked for advice re: MGH, BWH vs. hopkins, the main difference that people seemed to talk about was the fact that the cost of living is so much cheaper in Baltimore, while (from what I saw) residents at the Boston programs were paying the most of any city (about $1600 for a one bedroom, compared with $1300 in San Francisco and $1000 for a nice apartment in Washington Heights). Of course, Baltimore is reportedly not as fun as Boston, Philly or NYC, but again, that depends very much on your scene (and DC is a 45 minute train ride away).

Best of luck!
 
DrJ-Bond said:
can someone compare with penn and columbia too (I know they arent as good, but they still seem to match at awesome places for different fellowships)...
JB

I interviewed at both Hopkins and Penn. I honestly don't think that Penn is inferior to Hopkins, BWH, MGH, UCSF, or Duke. You are talking top 5. There are incredilby more similarities (fellowship placement, mentorship, funding, clinical training) than there are differences. I was really really impressed with both of the programs. I have an interest in GI and was actually more impressed with Penn (for what I want to do). My interviewer at Hopkins told me that their GI program was not all that great. While the firm system was really interesting, I think I am more of a team player (UCSF and Penn are basically identical in terms of call philosophy) so I think I'd be able to be more happy on the job at Penn. The personality of the residents is also something that is really important to me. The best personality of any program I visited was my home institution, but Penn was right up there in terms of really motivated AND down to earth residents that were very well rounded. Hopkins was great too, but I just didnt' click with them as much.

Hopkins obviously carries the name factor, and personally - I think that is kind of a turn off for me b/c I think it tends to self select for people who prioritize prestige higher than I do.. Don't get me wrong, I am all about training at a program that keeps the most doors open, but there were too many residents at Hopkins that, when asked the question of why they liked Hopkins, replied by saying, "Well, it is Hopkins". That self-love kind of thing kind of weirds me out. Having said all this, I was (overall) really impressed with the program at Hopkins and had a great experience interviewing there. What was the most impressive was the passion of the program and the emphasis they put on the history of medicine. I think that makes it a really interesting place to train.

Penn rocked my world. Fantastic clinical training, great residents, awesome GI opportunities, great fellowship placement for GI, lots of passion for medicine BUT also interested in lots of things outside medicine. I just got a better feel for Penn and clicked more with the program. A lot of the decision process comes down to the whole 'gut' thing. I have no doubts that choosing Penn over Hopkins would not limit me with achieving my career goals. On top of that, Philly is a way better place to live than Baltimore (in my opinion). Neither of them are San Francisco, but if I had to choose, I'd choose Philly. What I like most about UCSF is that it is an incredibly motivating place to train AND they don't spend a lot of time talking about themselves.

Leads me to Columbia. I went to grad school at NY Presbyterian and got to interact with a lot of the medicine faculty, residents, students, etc. While it carries a great name, most of the poeple I met were not happy. Maybe things have changed, but it seemed like a place that relied on its name as a recruiting factor, rather than a well-balanced program that comes with superior clinical training. I felt like an anthropologist while I was there, and definitely left there thinking that it wouldn't be a good environment for me to train. I applied there for residency just to see if things had changed, but I was rejected by them for some reason. I'm sure things have gotten better since the 80hr work week, but most of my classmates that went to visit Columbia were more impressed Penn. It is weird, people at UCSF always really really like the Brigham the most. They generally like Penn a lot as well, but most people who are from CA don't really want to move to Philly. Boston has a bigger draw with location than Philly or Baltimore. I think UCSF folks like those programs more b/c they are more similar to UCSF than MGH, Hopkins, Duke, Columbia, UTSW, etc.
I personally think they are all fantastic and to split hairs between any of these programs is to realize how fortunate you are.

Best of luck with your decision. I didn't visit Boston so I can't comment, but I'll be ranking Penn over Hopkins.
 
As an applicant who is considering MGH, BWH, and JHU for his top 3 I am also interested in this discussion. I don't know all about their call schedule (PickyBicky help us out here) but I do know that they seem to be less concerned over the 80 hours than most. The PD isn't going to rush anyone out of the door post call, or monitor the 80/week thing as closely as other places. In fact my tour guide on interview day was post call (30+ hours in and still wanted to give us the tour in the afternoon)
That said, JHU is committed to teaching medicine, more so than any other place it seems, and if I wanted to be the best doctor in the shortest amount of time I would pick JHU. But over 3 years of residency I think MGH,BWH, and JHU are pretty much even in the caliber of resident they produce.
Fellowship placement is outstanding at all three. No difference there. The only thing I picked up on is the difference in attitude. JHU is >>>> than MGH which is only > BWH in intensity. I was actually surprised at how laid back the MGH residents were and I definitely felt comfortable there. JHU causes a self selection for intense people so I would consider that I choose where you think you fit best. I thought it was a little too much.
Don't know much about housing in Baltimore, but would probably say the kind of place you are looking for may be more prevalent in Boston. I actually like the idea of the row houses in the inner harbor of B-more.

Good luck with your choice. I am also still contemplating a few changes to the ROL, but I think my top 2 are set.
 
wow responses have been great and will most definitely be helpful in organizing my list...I really wish someone could comment on the golden weekend idea though as all the other programs I am cosnidering have them, and having them would be at least somethign to consider...at this point, I dont even know how to start ranking them all, so splitting hairs is an unfortunate but necessary task. thanks again, please add as many comments as we can get into this discussion...thanks
 
DrJ-Bond said:
wow responses have been great and will most definitely be helpful in organizing my list...I really wish someone could comment on the golden weekend idea though as all the other programs I am cosnidering have them, and having them would be at least somethign to consider...at this point, I dont even know how to start ranking them all, so splitting hairs is an unfortunate but necessary task. thanks again, please add as many comments as we can get into this discussion...thanks


I dunno if I'd consider Golden weekends an advantage...I really think I'd prefer to have one day off a week, rather than the 12 straight days of work that you'd have over the black weekend cycle (especially in January).
 
ordinarily I would agree with you whole heartedly, but having the golden weekend means having two days together where one could putatively travel or get back to home or see my wife or something...anyway let me know...
 
hey all!
i've been totally agonizing over the same programs over the last few days.
MGH vs. BWH vs. Hopkins vs. PENN...

Absolutely have to second souljah1 as far as PENN. This was one place that I totally got that gut feeling. PENN has amazing, brilliant residents who are down-to-earth and not the least bit pretentious. We can't deny that Philly is an awesome city. Fellowship placement is great, but it seems that with BWH, MGH, and Hopkins, you can pretty much stroll into any fellowship (at least as far as cards and GI in comparison to PENN). While I love PENN, I can't say enough about Hopkins. My #1 and #2 debate is basically between PENN and Hopkins. So, in order to move ahead as far as decision making...

Are there any Hopkins interns/residents out their who can tell us what drove them to choose Hopkins? Are you happy? Any regrets? Your input would be greatly appreciated!
 
sweetie_puff said:
hey all!
i've been totally agonizing over the same programs over the last few days.
MGH vs. BWH vs. Hopkins vs. PENN...

Absolutely have to second souljah1 as far as PENN. This was one place that I totally got that gut feeling. PENN has amazing, brilliant residents who are down-to-earth and not the least bit pretentious. We can't deny that Philly is an awesome city. Fellowship placement is great, but it seems that with BWH, MGH, and Hopkins, you can pretty much stroll into any fellowship (at least as far as cards and GI in comparison to PENN). While I love PENN, I can't say enough about Hopkins. My #1 and #2 debate is basically between PENN and Hopkins. So, in order to move ahead as far as decision making...

Are there any Hopkins interns/residents out their who can tell us what drove them to choose Hopkins? Are you happy? Any regrets? Your input would be greatly appreciated!

Hey all. This is a good discussion, and not surprisingly, one that seems to come up often (no?).

Hopkins interns do get goldens. Also, the program has re-doubled its efforts to get interns out in 30h post-call, so this is not an issue. Most of the interns I spoke with seemed very comfortable taking call "alone." I say alone in quotations because there is back up (no ****, your colleagues, the unit residents, you can always phone your PGY3 at home). Some interns (but not all) said they have a phone date at ~12am or 1 with their PGY3, after they stop taking new patients, to run a quick list and address any issues. No one I've spoken with said they felt uncomfortable on call after 2 months (which is when the interns start taking call alone). Also, some comparisons: on some of the subspecialty services at Duke (eg. pulmonary/oncology (that may change)) the interns take call alone...those patients are *sick* as stink too! When I interviewed at Duke, most of the interns felt they could manage those calls well....my point is, people can and do rise to the occasion and do seek help when they need it, regardless of where they're at. The thought is, admittedly, a little intimidating at this time...but like many of you, I have had a slack year since my unit month in October.

I also agree with the above post that mentioned that Hopkins interns self-select in terms of personality. Intense may be a misnomer; but there is a reason why they call themselves "the Osler Marines."

Hopkins residents have attitude? I disagree (but I am biased....Hopkins is my #1). The combination of an exceedingly diverse patient population (including a large indigent care population), tremendous referral base, outstanding faculty, and a tremendous research output (all in the same hospital complex, mind you), in a setting focused on teaching makes Hopkins a very special place indeed (I won't say unique...but pretty close to it). To me, this is why people say things like, "Hopkins is Hopkins." DukeBlue and I attend a school with a large county hospital, so we both have a special fondness for working with urban/immigrant populations.

I skipped out on Penn, but I had heard from others that they have a night float team run by NPs who cross-cover the ward teams. Is this true?

-PB
 
During my interview, the PD at Hopkins said that someday he would like to expand to the 88 hour work week like Neurosurgery did!!!!!! However, he said he needs let things chill out from their previous work hour probation. I think this statement says volumes about the program. Compare that w/ BWH who did the initial groundwork to create the 80 work week in the first place!

However, I do believe you will be more solid coming from JHU than BWH...but medicine is a lifelong marathon, not a 100 yard dash...and you can catch up later, even if the JHU residents are in better shape right out of residency.
 
interns at JHH follow the same format as most programs, 4 days off a month on call months (which is 10.5 months for the first-year) that includes a golden weekend. However, there are no golden weekends during the first 2-months (July and August) for any of the housestaff because this is when they are working to get the newbys settled in and comfortable with their role. You still get 4 days off during these months - they are just random rather than falling on a weekend.

i also think all of the banter on the mgh vs. bwh vs. jhh vs. penn is all correct. jhh is definitely more intense (especially during the first-year) than any of the other progams, but this is also due to their philosophy of wanting to train leaders in addition to fabulous clinicians. however, i think we definitely are talking about top 5 programs here which means that you will all get excellent training at any of these places and will have no problems with fellowship matching. seriously, i think we are starting to split hairs when we start to say that jhh has a more impressive fellowship list than penn. all of their residents are going to excellent programs. as for the GI issue, jhh does seem to lack a lot of residents going into GI in the previous years. however, this is not to say that another program has better match potentials. it's probably just because there is not as much emphasis on GI at JHH like at some of the other programs among the residents. keep in mind this is an advantage!! better to be 1 or 2 residents from hopkins looking for a gi match then 1 of 10 residents from penn! just my opinion on the matter!

ucla2usc said:
During my interview, the PD at Hopkins said that someday he would like to expand to the 88 hour work week like Neurosurgery did!!!!!! However, he said he needs let things chill out from their previous work hour probation. I think this statement says volumes about the program. Compare that w/ BWH who did the initial groundwork to create the 80 work week in the first place!

However, I do believe you will be more solid coming from JHU than BWH...but medicine is a lifelong marathon, not a 100 yard dash...and you can catch up later, even if the JHU residents are in better shape right out of residency.
 
Top