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Basically my question is whether it is better to do residency at a mid-tier community program or a low-tier urban academic center in terms of future fellowship opportunities. Also in terms of specimen / case exposure. I know there are a LOT of variables, but hypothetically and plainly speaking, which is better?
Low tier academic (if there is such a thing) is more well regarded that the highest tier private( if there is such a thing), so that answers your question.
Wrong. Programs vary. Poor blanket statement.Low tier academic (if there is such a thing) is more well regarded that the highest tier private( if there is such a thing), so that answers your question.
That's what I thought. But what about ACGME standards. I might be wrong, but there's not one Path residency program not accredited by ACGME. I know there are differences in scope between programs (especially those between academic and community), but shouldn't all path programs should be "good enough" for one to be successful in Pathology? I mean, what are the differences, other than name or prestige. Is it true that big-name attendings from top programs are too busy to teach? So why even go to these programs just because someone famous works there?
I think pathstudent is somewhere laughing at all the serious responses to what I thought was a facetious remark. To answer your question, you should strive to go to a residency program with a strong reputation for turning out good fellows/attendings. Famous people often happen to be in those places. You won't necessarily be any better than someone who did residency at BFE Medical University, but you'll appreciate that reputation when applying for fellowships/jobs. And letters of rec from said famous people can help too.
Basically my question is whether it is better to do residency at a mid-tier community program or a low-tier urban academic center in terms of future fellowship opportunities. Also in terms of specimen / case exposure. I know there are a LOT of variables, but hypothetically and plainly speaking, which is better?
There are too many variables to provide any sort of reasonable and accurate answer to your question. People could give you an answer, but any such answer would be an invalid and meaningless response. It's like asking which is a better pet, a dog or a cat. Anyone can give a response but none of those responses are going to have any validity for anyone else.
. It's like asking which is a better pet, a dog or a cat.
Poor analogy. Everyone knows dogs make much better pets than cats.
Categorical statements such as the above are generally false, and this is no exception.
By this standard, it would be better to do a pathology residency at Howard University in D.C. than at Henry Ford Hospital in Detroit. All jokes about Detroit aside, Henry Ford, while a private hospital, has a phenomenal program with extremely high volume, multiple fellowships, and impressive research output.
I would rather train at Kaiser than Howard (and I hate Kaiser). Hell, I would rather apprentice myself to the local pathology guild for 7 years than train at Howard, and there are many other "academic" programs that are of commensurate caliber.
Evaluate programs individually. The only way to truly do this is to interview at each program in which you have a serious interest. If you select a less regarded program that you are uncomfortable with merely because it is a university program, I guarantee you will be unhappy throughout residency, your training will suffer, and your job prospects will not improve.