Does anybody have any info on the JMH Gen Surg Residency? The website is pretty illusive & I would much appreciate any advice/ insight on the program.
...You spend a good portion of your day doing B$!T work, ... Nurses are extremely lazy and you basically have to do their work ...All these put together force you to stay in the hospital way more than the 80 hours you are supposed to. Ohhh, and if you don't speak Spanish or at least have an idea of it, you shouldn't train here because it will be impossible to interact with any of the patients...
You never see the OR as a 1st year ; as 2nd year you may close some bellies. Third years do a suboptimal number of operations. PGY-4 and chiefs definitely operate more, but keep in mind, ....the academic activities are mediocre to say the least; does not really seem like a university program.
However, i do recommend this program if you want to do trauma surgery. It is oriented towards this specific goal...
...the number they log are NOT COMPARABLE to programs in the area. ...send us to Mt. Sinai (Miami Beach) to raise our numbers? Remember that the turnover time between cases takes between 1.5-2 hours (if you are lucky) and this plus the social work you have to do slow you down tremendously...
Never been there only know what I have heard from those that have been there and what I am reading now....The Sinai rotations definitely pad our numbers, ...Everything you say about the turnover times is true. 20% of first cases start on time and less than that have a turnover <45 minutes.
...Academics is minimal. You get an hour of basic science conference a week, one hour Grand Rounds, one hour M&M...
I think yes. Prestige gets prestige. I may be wrong, but I don't think Miami is held in the same category as some of the more prestigious programs.... but if I for example wanted to get into a CT fellowship at UCSF, a plastics program at Columbia or whatever do you think I should go for a more prestigious program than Miami?...
JAD, I don't really feel that you are qualified to give your opinion about a program you have no experience with and are only going on what you've read here.
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Surgonco has a very skewed opinion of the program. He was a prelim intern from overseas who was trying to get a spot in the US. Due to his sub-par performance on many rotations, attitude that he knew more than senior residents, and refusal to accept that he had to do "intern" work, he was not offered a second year prelim or categorical spot.
I am doing plenty of cases that are at my "level" such as chole, appy, AVF, vascular bypasses, hernias, thyroids/paras, in addition to more senior cases such as colectomies, lap adrenals, and the such..
Every program has their weaknesses, and I am not claiming that we have none. Nurses could be better, OR turnover time was very bad but is improving, and BIG SHOCKER - intern year sucks! I know of programs that have interns doing 150+ cases, but they have NO IDEA how to take care of a patient because their ARNP/PAs are doing everything. .
I don't know of many places where a resident does 4-6 Whipple's a week like we do during our 4th-year 2 month hepatobiliary rotation, nor where you have the opportunity to crack a few chests in the ED a week.
Wordy bullcrap
Actually, I think I made my reply fairly benign but quite clear I never attened and am basing my comments on my communications with individuals that have attended that program as well as the comments being said here in this thread:JAD, I don't really feel that you are qualified to give your opinion about a program you have no experience with and are only going on what you've read here...
I encourage you to be proud of your accomplishments. Your posts shows your loyaltyNever been there only know what I have heard from those that have been there and what I am reading now.
First, I think if turnover is as bad as noted;I would tend to agree with the poster about low numbers & 80 hrs. You can not get high volume experience if your turnover is that innefficient unless you are staying extra late to get your cases....That is just what the math is.
Second, I have never heard of it being an academic powerhouse. On the contrary, it seems as if you get no real benefits of academia and no benefits of community type programs. Kind of the wrong parts of both systems.....
Third, with few exceptions trauma gets old. You can get good trauma experience at any level one center or even alot of level 2. I wouldn't go to a program if its primary claim is good trauma experience. I would further suggest folks avoid any program in which the primary learning and operating occurs on trauma. ...Trauma situation is not where you should be learning meticulous dissection and oncologic principles.
Fourth, in general, I haven't heard very much good about Florida nursing....If you are doing nurses job, have innefficient turnover, etc.... hard to believe high end operative experience & volume...
Fifth, your going to "academic" program/etc... but padding your numbers by rotating out at community program.
I think all I have read here and between the lines, what others have written, and speaking to colleagues, I would be concerned. Miami is a hard place. Patients are sick, high poverty high hepatitis, high HIV, high indigent.... probably low gratitude. Miami is currently as a state in financial trouble.... who do you think will be the low cost labor?...
However, the comments not really refuted here support the points of concern everyone has raised and/or confirmed.......I am very happy with the program. My case numbers as an intern were not great, ...I did approximately 60 major credit cases and a little less than 90 total. So far as a second year in month 3, I only need 10 more scopes to be done! I am doing plenty of cases that are at my "level" such as chole, appy, AVF, vascular bypasses, hernias, thyroids/paras, in addition to more senior cases such as colectomies, lap adrenals, and the such...
I will say, IMHO a total 60 major credit and 90 total after 15 months does not equate:...The Sinai rotations definitely pad our numbers, ...Everything you say about the turnover times is true. 20% of first cases start on time and less than that have a turnover <45 minutes.
...Academics is minimal...
I would agree, you don't log holding hook or skin closure as primary surgeon. You could log holding hook as FA....If I get called in to close or have minimal involvement, I don't log it (I thought you have to have done like 50% or something?)...
...I don't think we crack chests in the ED every week, but it's not uncommon (or all that effective btw)...
I don't really think it's fair to extrapolate intern year + 3 months (one of which was spent doing scopes) to five years of residency, just as multiplying your chief year x 5 would probably be overstating things a bit. In reality it's probably somewhere in between...
I feel like I've been honest about the problems with the program (language, turnover, etc)...
the Florida Board of Medicine would probably be taking a close look at you if your program was doing that number....where you have the opportunity to crack a few chests in the ED a week.
what about specifically their exposure to trauma. I read that this program is the place to be for trauma. Will a prelim get the exposure mentioned above in the other posts or will they be too busy doing scut?