Is Scutwork accurate?

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ozarka

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Just curious. As I'm narrowing down the list of residencies to apply to, I'm trying to get the "real story" on residency schedules, etc. Some of the websites don't even give you a fair assessment of schedule/call/stipend...I've spent about 4 hours going through about 5 programs' sites. As I'm on a ICU sub-I this month, I don't think I have that much time to research the 30 or so programs I'm interested in this intensely before I submit my app in September. So I'm kind of going based on the reviews on scutwork. I know there are only a few reviews at most, but they sort of seem to be along the lines of what I've heard. Is there a more efficient way?

Any help is much appreciated. Thanks!
 
Some are, some aren't.

The ones written by medical students tend to be less helpful, because as close as you are to the action, you never really know the full story until you're a resident.

Secondly, some here have claimed that they have been asked or coerced by PDs to write a positive review.

Note the date on the reviews...many are years old. In academics, changes can occur rapidly...what was written 3 years ago may no longer be true.

Finally, as with all survey type of things, often its the most disgruntled and the happiest who reply...the great unwashed in the middle don't bother.

If your "word on the street" agrees with the Scutwork reviews, that's as good a reflection of their validity as any.
 
I'd lend more credibility to word-of-mouth via other residents/fellows/attendings.
 
thanks guys. I guess I had a feeling about that; it's just very tempting when you have no idea about a program to go by the review-survey-type website...guess it's (semi) back to the drawing board... 🙂
 
Whatever field you're applying to, ask your home med school's alumni; ask residents during your rotations; ask attendings. A lot of them will have experience at a number of places, either because they (1) were a med student there, or (2) were a resident there, or (3) rotated there, or (4) interviewed there.
 
I have come across many reviews that say they welcome questions, but clicking the link to e-mail them doesn't seem to work. Has anyone else run into this problem?
 
Some are, some aren't.

The ones written by medical students tend to be less helpful, because as close as you are to the action, you never really know the full story until you're a resident.

Secondly, some here have claimed that they have been asked or coerced by PDs to write a positive review.

Note the date on the reviews...many are years old. In academics, changes can occur rapidly...what was written 3 years ago may no longer be true.

Finally, as with all survey type of things, often its the most disgruntled and the happiest who reply...the great unwashed in the middle don't bother.

If your "word on the street" agrees with the Scutwork reviews, that's as good a reflection of their validity as any.

KC,
It goes a bit deeper than PD coercing residents to write positive reviews. I had a conversation with one of the principles of Scutwork. He told me that he has been personally threatened by institutional lawyers. Programs have punished, severely, residents who have written honest but less than stellar reviews on scutwork, as they have those who have written about their experiences here on SDN.

I think this is a big problem. FRIEDA information can be misleading and malignant programs have been known to outright lie about conditions. I think we need a place like Scutwork to help "out" the bad programs.

Otherwise, things will remain status quo, rather than improve. An alternative, of course, is to make it possible for residents to change programs easily and without the present program director's permission. Programs that have high turnover would be forced to mend their ways or suffer a high turnover. One way to accomplish this is to have the ACGME/RRCs be the "custodians of the records," rather than the institutions. That way, an unhappy resident (or disgruntled if you prefer), has a validated set of documents that cannot easily be "doctored" by a mischievious program. Every resident's file/evaluations/case logs etc could be sent to the document custodian periodically, similar to the ACGME's case logging system.

I agree with the idea that you should talk to your dean/counselor to find out what they know about area programs you are interested in.

It might be possible to look at what med schools nearby your candidate program send med students to them. Ask the dean/curriculum directors of that med school, not the program you are considering what they know about the program. Pay very close attention to the program completion rate and if it's not 100% year after year, make sure you find out why.

Lastly, be aware of "plant/selected" residents when you interview. Make sure you talk to a number of residents that are not signed up as tour guides or whatever to make sure that you are getting a balanced view of what really goes on in the program.
 
In the end, you should be able to pick up on malignant programs during the interview process, no? I mean, you're supposed to narrow down your choices based on the interview trail anyway.

Expensive, yes, but more reliable (i.e. using your own observations) than a supposedly "unbiased" source.
 
KC,
It goes a bit deeper than PD coercing residents to write positive reviews. I had a conversation with one of the principles of Scutwork. He told me that he has been personally threatened by institutional lawyers. Programs have punished, severely, residents who have written honest but less than stellar reviews on scutwork, as they have those who have written about their experiences here on SDN.

We get the same threats here at SDN fairly frequently and our lawyers assure us that publication of opinion about programs is well within constitutional rights and is protected speech. The same would be true for Scutwork.

It is unfortunate however that programs choose to punish residents and I have heard enough of these stories to believe that it does happen. Residents therefore must be careful when the post to not reveal any details which would identify them, perhaps even to the point of not allowing people to contact them to discuss the review.

Reviews such as these are important; as you note, FREIDA is self-report, often unreliable and at best, often not updated. Your advice about how to evaluate a program is some good stuff.
 
I've only ever seen maybe three or four programs specifically busted on here, so I'm amazed that lawyers are getting involved. In general, nobody wants to say bad things about a program, but only because: 1) if it sucks and you're there, then that implies (true or not) that you must suck; 2) most people have a misplaced loyalty to their programs; 3) everyone gets the "aw, be a team player" line beat into them; and 4) people are sheep. Even if you get a bad review of a place from someone, chances are you'll mark it up to them being "disgruntled" because everyone loves their program except "disgruntled" residents.
 
I think you'll find the culture of "just suck it up and be a tea player" more in surgical fields, unfortunately.
 
looking for transparency in slave labor camps. good luck with that.
 
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