Less Residents=More Call!!!

[enigma1800]

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Hey, Some of these programs such as Fam. Med have 4-4-4.. Wouldn't that just mean a ton of work even in 3rd year even q3-4 call all 3 years throughout the entire year? What if person calls in sick? I'm sure you might get more individualized attention and more opportunities to do procedures and see patients but would any of you go for this considering the drawbacks?

Or would you rather go for a big program in a huge hospital which is possibly malignant but atleast it will ease up in 2nd and 3rd year (i.e. in fam. med.)

 

[GoPistons]

yes the more residents the better... always... however, you also have to consider how many hospitals your residency covers...

 

[enigma1800]

What do you mean?
You mean if you have to travel between 3 hospitals in different locations?

 

[pruritis_ani]

What do you mean?
You mean if you have to travel between 3 hospitals in different locations?

Assuming that you have 3 hospitals you rotate at, that all require the same coverage....now let's assume a 12 resident program (that is 12 residents per year). If you have 3 hospitals that each require 4 residents present, that basically means that you have the same coverage as a 4 resident program in one hospital.

 

[MM9]

Assuming that you have 3 hospitals you rotate at, that all require the same coverage....now let's assume a 12 resident program (that is 12 residents per year). If you have 3 hospitals that each require 4 residents present, that basically means that you have the same coverage as a 4 resident program in one hospital.

In general more residents = better but it's usually more complicated. The biggest benefit is the flexibility a bigger program provides with respect to maternity leave, illness, losing a resident, etc. The benefit in terms of call depends on things including patient volume, number of sites, number of residents needed overnight at each site, etc. Within a given specialty the amount of call doesn't usually vary THAT much (10-25% maybe), so it is sometimes relative.

That being said, Family Med is one of those specialties that seem (from the outside at least) to be pretty variable from program to program. I would advise looking the call system at each program rather than assuming based on class size.

Good Luck