Houston Cardiology Fellowship Programs

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docard

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Can anyone shed light on recent fellowship experience between Houston programs: Baylor vs. Texas Heart vs. UT Houston? So much changes in these programs in recent times, no clue how to think about one over another. Thanks in advance.

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There was a lot of changes in these programs recently especially with the move of heart failure group to UT Houston from THI few year ago and a lot of improvement made at UT Houston transforming it into a premier league cardiology fellowship that is now competing with top tier programs,Personally I will rank them as

UT Houston > Baylor > THI
 
it all depends on your goals. I'm planning on interviewing at all 4 Houston programs. From my sense from talking with mentors/applicants, this is how I'm breaking it down, outside looking in.

private practice? THI > UTH = Methodist > Baylor (although you seemingly get great training at Baylor)

academics? Baylor > THI = UTH > Methodist. Cards fellows that interviewed at my program didn't like THI because it was too focused on the private practice model. Mentors are seemingly harder to find for a research career. Not as much protected research time.

Not sure what you want to do? THI > UTH = Baylor > Methodist.

This is all hearsay and my own impressions, take it for FWIW.

The biggest thing is to be honest with yourself and what you want out of a career. We are all used to playing the game where academics/research is what programs want to hear and by being in a prestigious program. Once you get to fellowship, the game is up and it's time to pick a side. Either you commit balls-deep into academics by fingering BWH's program director so that he can give you a spot in their 5-year cards program so you can graduate COCATS 1 in everything or go to that "mid-tier" (which isn't a fancy program on SDN) program that gets you level 2 in everything by the end of your second year. I've personally turned down some interviews at "top" places because I have zero interest in staying in academics (eg UChicago, Mayo). In retrospect, I shouldn't have even applied to those places. I have no desire to do an additional year doing a bunch of dumb retrospective database crunching for the sole purpose of justifying my research time in the hopes some idiot bureaucrat who hasn't touched a patient in 20 years graces me with a K1 award or w/e it's called nowadays. I don't give a **** in the slightest. I'd rather be in the lab doing TEEs or cathing people. So my list of top programs is going to different than some academic kid who wants to be the world leader in posterior mitral valve disease. Just be honest with yourself.
 
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Agree with throwaway1939. That's based on my impressions based on interviewing, talking to fellows from those programs or residents from that area. Anyone who considers UTH>THI is a homer. Sure some THI attendings/alumni are at UTH and thus are giving UTH that THI feel which is good for them, a hospital can only grow so much, but claiming that it all of sudden makes them superior to THI is bit over the top. The fact is that Methodist, THI and Hermann are major cardiac hospitals that will rival most hospitals in the country, you will probably see/do a lot of things that many won't see/do elsewhere. You'll probably come with similar training in the end, it mostly depends on the individual anyway, fellowship is just a tool. THI is PP-oriented, fellow-centric, with a strong pedigree all-around and ability to train in anything you want. Methodist is young but seems to have potential and is solid in imaging. UTH has boosted its HF and interventional(influenced by THI folks) but otherwise nothing notable, large class with lots of IMGs, hospital seems to lean heavily on fellows (hence large class size). Baylor doesn't have their own hospital, rotating thru VA, Ben taub and St Lukes, clinically ok but more traditional research/academic oriented.
 
There was a lot of changes in these programs recently especially with the move of heart failure group to UT Houston from THI few year ago and a lot of improvement made at UT Houston transforming it into a premier league cardiology fellowship that is now competing with top tier programs,Personally I will rank them as

UT Houston > Baylor > THI
You sir, are crazy
 
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