Jackson Memorial?

[5twilight5]

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In previous posts, it was said that CRNAs get first pick for cases at Jackson memorial, is that still true? Has anything changed regarding CRNAS vs. residents?

Also what are the average hours residents work? I know you can get amazing clinical experience there, just wondered how the work hours are...

THANKS!

 

[Gern Blansten]

Disappointed! I thought this was going to be a tribute to the King of Pop.🙁

 

[amyl]

there are more experienced people on this forum with regard to miami jackson, maybe they will care to answer. my 2 cents after interviewing and knowing some people who are residents there and rotated there: the call schedule, q4 x4 years seemed a little much for me personally... 70ish hours consistently... i might have a 70h week here and there but then theres usually a light one or light rotation. that said, it did seem like they offered a good clinical experience, no shotcomings. heard rumors about militant crnas there but thats all they were...

 

[Planktonmd]

I am a JMH graduate so I might be a little biased but I finished my residency way before the current leadership took over and in my days it used to be an amazing clinical experience although the program did not perform well academically and it was up to the individual resident to work on their knowledge base.
I passed my written and oral boards on the first attempt and I finished my residency with enough confidence to do any case in any setting.
I am not intimately familiar with the current situation but the fact that they have opened a CRNA school makes me hesitate to recommend them.

 

[Sdp]

Any current residents care to chime in?

 

[Mac4]

.

 

[neostigmine]

I am currently a resident at Jackson.

1) Working hours: I logged in 2921 hours as a CA-1. I worked 48 weeks plus four weeks of vacation. So, I averaged 60.85 hours per week during these 48 weeks.

2) Militant CRNA? getting good cases?: Among all the hospitals/sites we work, Main OR at Jackson is the only place where there are a lot of CRNAs. On any given day, there are only 7-9 residents working in Main OR and there are 30+ OR rooms. Anesthesia attendings assign the rooms and cherry pick good/appropriate cases for residents.

Any questions, feel free to PM.

 

[5twilight5]

I am currently a resident at Jackson.

1) Working hours: I logged in 2921 hours as a CA-1. I worked 48 weeks plus four weeks of vacation. So, I averaged 60.85 hours per week during these 48 weeks.

2) Militant CRNA? getting good cases?: Among all the hospitals/sites we work, Main OR at Jackson is the only place where there are a lot of CRNAs. On any given day, there are only 7-9 residents working in Main OR and there are 30+ OR rooms. Anesthesia attendings assign the rooms and cherry pick good/appropriate cases for residents.

Any questions, feel free to PM.

Thanks for your advice...I am definitely going to take you up on the offer of PM you

 

[bluehighlighter]

I heard a rumor that while call is q4 each year at Jackson, one only takes call 6 months out of the year... True/ False?

 

[amyl]

I heard a rumor that while call is q4 each year at Jackson, one only takes call 6 months out of the year... True/ False?

this is not the way i remember it from my interview two years ago... but things may have changed

 

[sevoflurane]

this is not the way i remember it from my interview two years ago... but things may have changed

I found Dr. lubarsky to be quite entertaining. He could sell ice to an Eskimo. I don't know if he is still there.

 

[neostigmine]

I heard a rumor that while call is q4 each year at Jackson, one only takes call 6 months out of the year... True/ False?

Here is the link to FAQ of our program, which should answer most of your questions: http://www.jhsmiami.org/body.cfm?id=8902

 

[fentanyl patch]

90% of everything previously said is completely false. prior to the new leadership (around 2001) things were very different, it was a malignnat program, not much academics. as a current resident i can answer the previous questions:
we rotate through 7-8 sites. yes there is a crna school, but why would that affect anything? they are annoying as hell, but they share the workload, and give you breaks. there is too high of a surgical volume for residents alone. the majority of rotations, you never work with crnas anyway.
yes, you work hard...for the 60hrs/week that you are there. I've only logged 70hrs 2-3 times. call is q4 only for OB, trauma, ICU, main OR...ends up being ~ 60% of the first two years.

pros: Great experience, average duty hours compared to other programs, great location, program is definitely on the way up
cons: community hospital inefficiency, large number of residents (can get lost in the shuffle), language barriers

 

[Planktonmd]

90% of everything previously said is completely false. prior to the new leadership (around 2001) things were very different, it was a malignnat program...

How do you know that if you were not there at that time?
Is that what THEY told you?

 

[fentanyl patch]

i apologize plank...i dint mean to imply anything you said wasn't true, since you graduated at that time. i just mean't things are seemingly different now; what people have said about the current state of the program is false..

 

[vigocarpathian]

Not to dig up an old thread.... anyone know if it would be worthwhile to do an away rotation at Jackson memorial if the minimum step 1 score is 205 and I made a 204?

 

[gasthrowaway]

Not to dig up an old thread.... anyone know if it would be worthwhile to do an away rotation at Jackson memorial if the minimum step 1 score is 205 and I made a 204?

i would say yes, UM is probably mid-tier as far as competitiveness goes, a 204 isnt going to help you out there. Aways can definitely make up for any sort of shortfall.

 

[sevoflurane]

I did a cardiac anesthesia rotation @ Mt. Sinai as a med student (One of the CT locations for UofM/JM anesthesia residency). Learned a lot and made some good friends there. One of the CT surgeons, Dr. Roger Carillo, is a rock star. Cool guy, great demeanor, soft spoken and loves to teach. He got me to scrub in and hold the heart for his grafts on several cases. Pretty cool for a med student. He also took us out to eat on Ocean Drive and went as far as taking a group of us down to the Keys on his boat.
I will say that one thing that struck me as odd was that I saw 2 residents per CT room from time to time. I also noticed sCRNA's doing their own pump cases. Not too cool. That program does work hard and there is a STRONG emphasis on pasing the boards. I remember the residents being afraid of being put on probation if they didn't do well on their ITE. This was a while back. So I don't know the current situation.

Good luck.

 

[R-35]

Vigocarpathian, I think if your interested in coming down to Miami it would only help.

This thread is pretty old but here's an update of our hours and schedule, addressing previous concerns in this thread.

I'm CA-2 at JMH/UM. MDs make the schedule daily at Jackson and UM hospital, you will get challenging cases, and if there's a specific case you would like to do, requests are usually granted to the resident. On call you will be doing whatever runs through the door even as a CA-1, including major penetrating/blunt trauma, transplants, and vascular cases. UM does have a CRNA training program, but we never compete for cases in my experience.

Duty hours vary widely, but average in the 50/week range for all classes. Closer to 70 and above depending on the week and call arrangement in ICU rotations and cardiac. Less than 45-50 for other rotations including regular OR and preop. Call is a mix of Q4 24hrs, Q4 late start (2pm-5pm), night float week (some ICUs), while some rotations don't have call at all. OB, Trauma, VAICU are Q4 days. Main OR more like Qweek. Little call as a CA-1, increasing as a CA-2, probably less as a CA-3.

Strengths: Trauma experience, exposure to different sites including in subspecialties, availability of fellowships, location, faculty, committed PD, associate PD, and chief residents. Pathology from all Latin america. Teamwork in OB/Trauma teams.
Weaknesses: Slow and inefficient main hospital, large residency classes (has pros as well)

Feel free to PM with questions.