1. Cornell - Got mixed feelings about this one. The facilities were excellent for a NYC program, with an impressive looking dept of medicine and conference room. I went the optional morning rounds, which were below average (might be due to the upcoming holidays w/lots of people out on vacation and the low # of admissions that day???). The morning report was pretty good, with a nice case and solid teaching, but it felt kind of formal. Interviews were cake. The main drawback, which surprised me because it came out the mouth of the chairman, was that caps were not adhered to at the hospital. When a couple of other applicants asked the residents about this, they stated that they tried to keep the # of new admissions to about 6 on call nights, but that transfers counted only partially towards that "cap" (i didnt really fully understand this), and that at times they had to go over. Also, i couldnt really get a good grasp of avg. patient census, service vs. private etc., because there were mainly 3rd years availlable to talk with and not interns. Some residents said the were given enough autonomy, but others stated that they really were not. They apparently just added a nonteaching PA service, and plan to add another one soon becuase of the high volume of patients, which may help with the cap situation. I'm also not too sure that the 80 hour work week is adhered to that strictly here. Another element of concern is that there is very little elective time in the first two years, and that while you are on elective you are on jeopardy and sick call coverage, so you could get pulled frequently. However, the fellowship placement still seemed to be quite good, likely due to the excellent quality of the residents there, who by they were very nice and seemed easy to get along with. The housing is outstanding, with mutiple options, and and ideal locations (they even have underground tunnels to connect the apts to the hospital). I really wanted to like this program, but there were definitely some issues there that give me pause. Basically, the pluses are good facilities (for NYC), great housing, intelligent, friendly residents, and strong fellowship placements. The negatives included: iffy commitment to 80 hour week, nonadherence to pt. caps, a "formal" atmosphere with the chairman and PD, and questionable autonomy.
2. Mt. Sinai - Typical interview day setup. Morning report was more "management based" than at other places, and felt more like work rounds than report. Basically the residents went through all thier admissions quickly and briefly discussed a topic with the PD/Chairman. (They said intern report was more typical of a "morning report" format with 1 case presentation...disc. of pathophys, etc.) Hospital facilities/ancillary services were good. Again, no real elective time as an intern, although you get some early 2nd year. You spend 3 moths a year at either the bronx VA or elmhurst hospital, where you get more autonomy and do more scut than at Mt. Sinai. The residents here were all friendly and appeared laid back. Interns pre-round at 6. occasuionally earlier. They adhere to the regular ACGME caps/80 hour week here. Have a unique visiting docs program where u spend 1 month doing home visits with patients. Good housing across the street, but basically at market rates according to residents. Call system is a little unique, with you taking long call (admissions till 7 pm) every four days, and overnight call every other call. ( ex: Mon. - stay with team, admit till 7..... Friday - admit till 7, then cross cover floors overnight, etc. ). PD.Chairman seemed nice. Solid fellowships in all specialties.
More next week.