If osteopaths have the same privileges as allopaths then how come more people...

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Derailing the topic: I hear you're at Bayview, how is it? Is it a respectable major center or a little subhospital of hopkins, akin to how columbia has a few tiny connecticut feeder hospitals (not mocking, seriously curious about it cause I like baltimore and am curious on some of the more famous hospitals taking DOs)

I'm actually at the main Hopkins Hospital (JHH-osler) so no worries about mocking but I interviewed at Bayview (it was my #2 behind JHH) and I have much love for Bayview.

So Hopkins has 3 training programs associated with it. JHH, bayview and sinai. The hierarchy goes JHH, Bayview and then way away is Sinai.

Bayview is very respectable and their fellowship match list shows it ( the match list for medicine). The medicine department is associated with hopkins, all of their medicine attendings are Hopkins attendings and basically all of the primary care training for Hopkins happens at Bayview. The fellows from JHH rotate through Bayview so they would be your fellows as well. Bayview also has a good track record of taking DOs (which JHH medicine does not although Anesthesia and EM does). Each year they take a few DOs (I know a bunch have come from NYCOM).

Bayview would be technically considered a community hospital but it doesn't have the problems associated with being a community program. It is about 700 beds which is a big hospital, has a ton of research (2 NIH buildings are on the Bayview campus and residents can do research at the main hopkins hospital) and their match list is excellent (http://www.hopkinsbayview.org/medicine/residency/lifeafterresidency.html ). The program is also very friendly and nice to their residents. JHH residents rotate through the ICUs as a 2nd year before they run the JHH ICUs and Bayview residents rotate through leukemia at JHH. Overall, I think the training is very good. Unlike pretty much every other satellite program, bayview is a good program.

Sinai on the other hand is only associated with Hopkins only in name like most satellite programs. Almost none of the faculty are associated with Hopkins and the residents are not that strong. They are almost universally IMGs or people looking for a cush prelim year.
 
The only major detractions I can see from Bayview are:

1) More primary care focused- could be a positive for many

2) Some of the JHH residents poo-poo Bayview as being a bit weak for a few reasons or another. Few programs can really stand up to the rigor (?abuse) of JHH and there is a bit of machismo there.

I think a few reasons why JHH residents are hard on bayview is because certain diagnoses go right to the ICU regardless- for instance A-fib with RVR automatically goes to the CCU even if it is stabilized while at JHH it very, very rarely goes to the CCU and usually goes to the floor. Furthermore, the sickest of the sick (death's door) get sent to the JHH ICU. Finally the residents don't make the triage decisions, it is a hospitalist attending which detracts from the training. At JHH the residents triage each possible ICU admission and can deny the admission and send it to the step-down (gen med services) if they chose. So they have to see each unstable floor and ED patient while running the ICU alone at night. That gives you balls of steel... apparently

3) Bayview doesn't get sent cases like some tertiary centers but does see a bunch of the bread and butter.

Overall, as residency programs go, I think bayview is a very, very good one. I think I would even put it above University of Maryland (although it is close) which is another well above average program.
 
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