Okay…here are reviews for MGH and BWH. These two were tough for me to rank since they’re both top notch programs. Hopefully this can be of help to someone in future years.
This will likely be the only other reviews I get done. They take a surprising amount of time. I encourage other posters to post one or two, though I doubt this will happen at this point. I found these reviews incredibly useful during the application process and I’m sure many others did as well.
Program: MGH
The Hospital and Facilities: The hospital is located in Beacon Hill which is an awesome part of Boston (also very expensive). The hospital is obviously massive and both old and new. The radiology department was on the older end, but the lecture hall and many other areas had been nicely renovated. The MSK section was in a brand new portion of the hospital. One of the coolest things about the hospital is the Ether Dome which they show you on their tour. This hospital has so much history it is part museum. All rotations are contained to the MGH campus and there is also the Eye and Ear Infirmary you can do rotations at if interested. As far as machines go they have it all.
The Interview: If you’re trying to decide where to put this interview on your calendar my advice is put it towards the end. There were 3 faculty interviewers and 1 chief resident. While everyone was enthusiastic about the program and very nice, they ask a lot of the questions that I seemed would have stumbled through early in the interview season. Some radiology interviews feel like they ask “why radiology?” and “what questions do you have?” and then the interview is over. This place actually probed for your interests, motivations, etc. which actually cut back on the awkward question asking time. My advice is just to be well practiced with some other interviews. Once you’ve done a few you’ll have heard all the questions they’re going to ask.
Didactics / Conferences / Other Teaching: Residents had a morning case conference as well as a noon conference. We were given a conference schedule for the noon lectures and it was very impressive. They do minicourses in the various subspecialties. They also do a weekly rad path correlation which we were able to attend. While everything discussed at the conference was well beyond my understanding at this point, I was very impressed with the second year residents presenting the cases. They seem to have a rigorous (in a good way) educational curriculum.
Attendings: Really difficult to judge as I only interacted with them in the interview. The program director has been there forever and was very involved in resident education for the entire nation. We also met with the chief who was very down to earth and emphasized that he trained at the program and wants it to remain the “crown jewel” of the radiology department. The other attendings were on a spectrum from more formal with little chit chat to laid back. I’d heard through the grapevine that BWH had more relaxed attendings while MGH was more formal. I would agree to some extent, but after my very short experience my thought is that this is overstated.
Resident and Their Satisfaction with the Program: This was hands down the longest pre-interview dinner I attended. It started with happy hour and ended with a 4 hour dinner. Needless to say, the residents enjoy hanging out together. No one I talked to could come up with any real weaknesses. Some brought up that traditionally IR was lacking, but that they feel like it’s being revamped. Overall, the residents praised the training they were getting and were very happy to be at MGH.
Call Schedule: MGH and BWH both have great websites that cover details like the call schedule. I’ve included the call outline below. Call seemed pretty average. This is in contrast to BWH which I would put at below average. It was somewhat hard to gauge just how much call there is due to the many call pools.
“July of Year 1 - December of Year 1 | Emergency Room day buddy call: Residents are immediately given the opportunity to learn the basics of the Emergency Department, working with a second-year resident. Shifts are between 8:00 am and 5:30 pm for two weeks.
October of Year 1 - October of Year 2 | Emergency Room evening coverage: Residents are given the opportunity to learn the basics of the Emergency Department, working with a staff radiologist and fellow in the evening to learn the important categories of acute disease, study selection, patient triage, and consultation in the emergency setting. Shifts are between 5:30 and 9:30 pm every 9th or 10th weeknight evening.
December of Year 1 - December of Year 2 | Dodd Saturday: Residents are in-house between 8:00 am and 5:00 pm to cover the inpatient intensive care portable radiographs, emergent and postoperative GI fluoroscopy studies, and abdominal radiographs. This responsibility rotates among the residents in the class.
March of Year 1 - March of Year 2 | CT Weekend N/M Beeper Call: Residents interpret inpatient and outpatient CT scans for the thoracic and abdominal imaging sections, reading out with a staff radiologist. Residents protocol the studies in advance and are on hand to provide consultations to referring physicians. Residents also cover the Nuclear Medicine pager to facilitate urgent nuclear medicine examinations. The shift typically runs between 8 am and 5 pm and includes both days of the weekend. This responsibility rotates among the members of the class.
March of Year 1 - March of Year 2 | Emergency Room Weekend Days: Residents are assigned to cover the Emergency Department between 8 am and 8 pm, working with staff radiologist and fellows to cover all modalities (including plain film, ultrasound, CT and MRI).
Emergency Room nights: A four week block of night float (five nights a week) is scheduled between the middle and end of the second year. This block is an important step in the development of our residents, where they have the opportunity to apply the principles they have learned to deal with acute problems encountered in a very busy ER. The overnight night float rotation is scheduled after a four-week block of ER days. A staff radiologist is also present and reviews all studies dictated by the resident during the night shift. Although challenging, this rotation builds the confidence and skills of our residents. After this rotation is complete, residents help to cover Friday and Saturday overnight shifts with a total of approximately 10 additional shifts during the course of the residency. Of note, there is an ultrasound technologist in-house 24 hours a day, 7 days a week, which enables the radiology resident to focus primarily on the interpretation of studies.”
Moonlighting: They had moonlighting off site doing contrast reactions. Can’t remember the exact hourly rate, but I believe it was somewhere around $75. Having a car would definitely make it easier to actually take advantage of this. Residents said there was plenty of opportunity for this.
Fellowships: Most stay at MGH obviously. Some do leave to pursue things like Peds or find a more comprehensive IR fellowship. They have worked it out where some of their 2 year fellowships are able to be condensed to one year if you complete your mini-fellowship year in the same field.
Special or unusually good aspects: This would be a great place for those that are interested in research. I got the impression that research is not only encouraged, but expected. They’ve also tried to make it easy to produce quality research in a short amount of time by compiling various databases. I also liked that the program had a procedural divide among all specialties and not just IR. Here the neuro department does NIR and spine, MSK does kyphoplasty, etc. I felt this was a big advantage if you don’t want to do IR as you can still get the hands on experience without rotating through IR multiple times.
Red flags: Expectations from attendings are definitely high here. I didn’t find the clinical demands to be as high as some, but the additional research and leadership expectations place the overall work among the top of the residency pile. That being said, their goal is to make you a leader in the field and their training sets you up to do so.
Notes: I’ll do combined notes at the end
Program: BWH
The Hospital and Facilities: The Longwood medical campus includes Brigham, Dana Farber, and Boston Children’s. It is also the home of Harvard Medical School so if you’re interested in teaching the med school is next door. You’re also closer to the Harvard campus where you can apparently use the facilities as either an MGH or BWH resident. The facilities themselves were amazing. I expected an older hospital, but clearly there have been massive renovations. Maybe they hid us from the old parts of the hospital, but I would have sworn it was brand new. I have a personal bias towards the Beacon Hill area, but I would say it would be an easier to live near or commute to BWH.
The Interview: You’ll interview with 4-5 faculty including program director and assistant director. We also interviewed with the department chief which was unique. This interview was not as formal as MGH. The one word of advice I do have is that they like to ask questions about small details on your application. They asked about two activities on my activities list that I hadn’t even talked about on other interviews because they were well overshadowed by activities that took greater involvement. Know your application and what you want to convey about each experience before this one. They also really probe for why you want to come to Boston and specifically BWH. Make sure you can explain what it is about BWH that appeals to you. They seem to emphasize matching residents that will be happy in the area (which is a good idea).
Didactics / Conferences / Other Teaching: We didn’t attend an actual lunch conference here and weren’t provided a conference schedule so I can’t provide much insight. They have your standard lunch conference and then case based conferences that are interdepartmental. I would again direct you to their website for the specifics. Residents raved about the teaching they were getting during their rotations. This was somewhat unique as usually I would hear about the quality of formal lunch lectures and didn’t speak to the on the job type training.
Attendings: Again, this is hard to answer as I only interacted with 5-6. The assistant program director and program director are both very welcoming. The interviews were conversational because they are very approachable and legitimately seemed interested in you. The other 2 attendings were about par for the course. The interview with the chief was more formal with mostly questioning about why you want to be in Boston/a radiologist. The BWH residents really spoke to how great the attendings were and listed them as a large reason they chose the program (though I don’t know how they knew this before matching as many of them probably only knew them from the interview).
Resident and Their Satisfaction with the Program: This was another well attended dinner with residents of all years attending. They definitely didn’t hide residents from you at this interview. I honestly felt like I had too much time between the dinner and interview day where residents had to sit with us as we awkwardly tried to come up with more questions. That being said, the thing they emphasized over and over was how well they feel BWH takes care of them. They talked up their assistant program director and how quickly their complaints get addressed as well as the individual mentorship they’re provided. They also bragged about their call schedule and how they got the majority of holidays off. This was definitely one of the happiest groups of residents I encountered on the interview trail.
Call Schedule: Their website breaks it down nicely (I’ve put the highlights below). The big take away for me was that they make the most of having such a large residency class and call is kept to a minimum (like almost no call your final year). They also protect time well before the core exam.
“Night float: One resident covers the emergency department from 10 p.m. to 8 a.m. When the Consult resident leaves at 12:30 a.m., the Night Float resident also assumes the inpatient radiology pager, which is in use until the reading rooms open at 8 a.m. The Emergency Radiology Division is staffed by an attending 24 hours/day. Our Night Float rotation runs 7 days, and each resident will complete a total of 6 weeks of Night Float during the course of his or her training. First year residents do not participate in Night Float coverage. Beginning July, 2011 the Night Float rotation will be changed to a 6 day block.
Consult: One resident covers inpatient CT and MRI, as well as any radiographs on which the housestaff have questions, from 5:45 p.m. until 12:30 a.m. Monday through Friday. Attendings/fellows are available to the Consult resident for back-up from each section. There are no morning/afternoon responsibilities while on Consult. Currently each resident will do a total of 6 weeks of Consult during the course of his or her training. First year residents do not participate in Consult coverage.
2nd-4th year: One resident is scheduled to work Saturday from 8 a.m. to 5 p.m., with time split between the neuro radiology and abdominal radiology reading rooms. The resident works one-on-one with the attending to handle all inpatient studies done during the day. Only third and fourth year residents are included in this call pool. Each resident will do a total of 6 days of Senior Call during the course of his/her training.”
Peds and IR have separate call.
Moonlighting: It didn’t sound like there were many moonlighting opportunities here. The residents said that there was kind of an option to moonlight, but it was sparse. There was also talk of working with MGH to get some more moonlighting since they had plenty.
Fellowships: Like basically all other good programs the residents tend to stay around for an extra year. Like MGH they have a comprehensive list of fellowships (NIR is lacking, PEDS/IR is better). If you’re goal is to stay in Boston for fellowship you’ll have plenty of opportunity.
Special or unusually good aspects: They were very proud of the ultrasound department. They were doing a lot of fetal intervention under ultrasound and other crazy things. They also do all of the OB/GYN imaging which is a rarity. I could see this being a plus or a minus depending on what you want to practice.
The other things that really stood out about BWH was the culture. As I mentioned above the residents really felt that they had some of the best attendings and program administrators out there. It was honestly hard to get any kind of complaint out of them. They would talk up things like their paternity leave and 4th year call schedule which are usually details you don’t hear about.
Red flags: I honestly can’t come up with any big red flags unique to the program. The residents did seem to bring up how MGH will say that they’re the best, but that BWH is a much better place with more reasonable faculty a few times. I don’t know if this was them venting their annoyance that MGH thinks they’re a better program or if they were just trying to give us a heads up.
Combined Notes: All in all, both are amazing programs where you’ll graduate a Harvard trained radiologist. I didn’t feel like any opportunities were exclusive to one program. I would give MGH the slight nod in areas like neuro, but give the same advantage to BWH for IR and PEDS. MGH places a lot of emphasis on research and provides you with all the resources imaginable. BWH will give you more free time to pursue research, teacher, or whatever else. Rank the programs based on training style or location or lifestyle or flip a coin…residents were happy at both places and receiving great training.