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uh, definitely sarcastic. welcome 2 sdn
I have heard Duke is extremely malignant.
I know someone who went to Duke for med school and didn't like the atmosphere. I think it's definitely one of those intense academic medical centers with a high rank, that pushes the trainees hard. If you don't like that type of atmosphere, you might not like it there. There are multiple other hospitals that fall into this same category, i.e. Mass General, Hopkins, UCSF, Wash U, etc.
It seems that top university program = malignant.
Unfortunately the pressure-cooker education method does nothing for me, I thrive in a supportive team-player environment. Expect me to do well, and leave me be... I'll do just fine. Breathe down my neck, even with good intentions, I'll lose focus.
But I want to get into a university program.... what to do...what to do...
....one of those intense academic medical centers with a high rank, that pushes the trainees hard. If you don't like that type of atmosphere, you might not like it there. There are multiple other hospitals that fall into this same category, i.e. Mass General, Hopkins, UCSF, Wash U, etc.
You have a point.
However, it is just untrue that there aren't any malignant programs.
There are programs that just may have a program director, chief resident or department chair who is hard to get along with and treats other people poorly. I do believe that hospitals/medical centers and sometimes even individual departments have a "culture" and sometimes it is not a positive one. Yes, some trainees don't like to be "pushed" but some programs ARE abusive. I don't think that throwing surgical instruments, yelling at students and/or house staff on the wards (not in a code situation or situation of incompetence/irresponsible behavior), making students do pushups on the wards, swearing at trainees, or a litany of other behaviors are acceptable. I have seen or heard first hand of all these at well reputed academic medical centers.
Some programs have a high rate of dismissing and/or formally disciplining trainees, and/or of having trainees leave the program. In general I would recommend applicants to avoid these programs. It is suggestive of malignancy in the program...not proof, but suggestive.
Also, some places have poor ancillary support and a workload so heavy that trainees have little time for study, etc. (this latter situation doesn't apply to most high rung university programs, but there are certainly programs out there like that, many of which take FMG's who had little or no other choice of where to to IM or fp residency).
You have a point.
However, it is just untrue that there aren't any malignant programs.
There are programs that just may have a program director, chief resident or department chair who is hard to get along with and treats other people poorly. I do believe that hospitals/medical centers and sometimes even individual departments have a "culture" and sometimes it is not a positive one. Yes, some trainees don't like to be "pushed" but some programs ARE abusive. I don't think that throwing surgical instruments, yelling at students and/or house staff on the wards (not in a code situation or situation of incompetence/irresponsible behavior), making students do pushups on the wards, swearing at trainees, or a litany of other behaviors are acceptable. I have seen or heard first hand of all these at well reputed academic medical centers.
Some programs have a high rate of dismissing and/or formally disciplining trainees, and/or of having trainees leave the program. In general I would recommend applicants to avoid these programs. It is suggestive of malignancy in the program...not proof, but suggestive.
Also, some places have poor ancillary support and a workload so heavy that trainees have little time for study, etc. (this latter situation doesn't apply to most high rung university programs, but there are certainly programs out there like that, many of which take FMG's who had little or no other choice of where to to IM or fp residency).
Maricopa Medical Center in Phoenix is a malignant program. Each class is at least 75% IMG and the attendings tend to abuse them knowing they settled on going there. When I was there, they continuously violated the 80 hour rule and the didactics were poor. It's just a run down and depressed program in a bad part of the city with a prison built in the hospital. It was just depressing. They worked long hours. The program director doesn't seem to care about recruiting U.S. grads and just targets anyone with a high board score regardless of their social and clinical skills.
St. Josephs program in Phoenix was malignant in terms of structure and scutwork. They lost their accreditation a few years ago and not much has changed despite the change in program director. The prelims outnumbered the categoricals with regards to the intern class which is sad, and all the categoricals were IMGs except one. The program director acted as if he didn't care about his categoricals and spent most of his time with the prelims because they were all U.S. grads going into competitive fields. The prelims seem like they run that program and the program director seems as if its his intent to recruit the best prelims and settle on IMGs with high board scores and weak social and clinical skills. I couldn't even understand some of the residents because their English was so poor and I spent 3 summers in China. Very disorganized and confusing system and the nurses wouldn't help with anything. They have no fellowships either
Please keep in mind that it is generally regarded as poor taste to post emails without permission and it's even more so to leave the names of all the recipients in the post. I've removed the individual names for their privacy.
Howelljolly,
I guess that's what I meant ... some people call some programs malignant because it didn't fith their personality/style/whatever and they in turn term those programs as malignant. I have heard of such cases that you described at various institutes but never witnessed them myself ... and I totally agree with your previous post....
coz I am the same way and I don't want to end up at a malignant program either.
i have to say the PD's letter was one of the worst things i've ever read from a PD. What a malignant dick.
I dunno. To me, it seems that the PD is explaining his tough love didactics. While not diplomatic, to me it seemed more firm.
The PD sounds like a prick based on the way he wrote the email. That being said, his actual objective evidence of how the residents performed sounds like there are serious problems with the house staff. Both the residents and the PD make it sound like a bad place to be.
Did you interview there or do you have a friend that is a resident there? How do u know about the program?
I dunno. To me, it seems that the PD is explaining his tough love didactics. While not diplomatic, to me it seemed more firm.
But posting the email is pretty poor judgment.
1. 10 out of 19 PGY1, 8 out of 13 PGY2, and 7 out of 11 PGY3 residents
FAILED the in - training examination. Two PGY 3 residents scored below the
11th percentile. Four PGY 2 residents scored below the 13th percentile. Five
PGY1 residents scored below the 13th percentile. Lay people would do better.
This is how Captain Dickwad starts his email. By humiliating his residents, and showing them that he thinks they are total losers. "lay people would do better?". How is that instructive? It's meant to demean, not instruct. I mean, it is mainly his failure that his residents aren't performing. He picked them, he's in charge of them getting to morning report (mostly), having enough time to learn, etc. If most of the residents are doing well, and a few aren't, then its likely the resident's problem. If most people aren't doing well, then it's likely the program's problem.
woah, somebody kept the names on there? Even with that poor judgment, i have to say the PD's letter was one of the worst things i've ever read from a PD. What a malignant dick.
This is how Captain Dickwad starts his email. By humiliating his residents, and showing them that he thinks they are total losers. "lay people would do better?". How is that instructive? It's meant to demean, not instruct. I mean, it is mainly his failure that his residents aren't performing. He picked them, he's in charge of them getting to morning report (mostly), having enough time to learn, etc. If most of the residents are doing well, and a few aren't, then its likely the resident's problem. If most people aren't doing well, then it's likely the program's problem.
The fact that the PD replied in the manner he did makes him look defensive, petty and antagonistic,
It's meant to demean, not instruct. I mean, it is mainly his failure that his residents aren't performing.
I can tell you that you can count on hearing "Do you care to let me this or that?" at least 10 x a week. Instead of "Can I see the chart?", it's "Do you care to let me see the chart? Four extra words besides the many patients addicted to oxycontin or lortabs to remind you that you are surrounded with Eastern Kentuckians.
You're right there are drug seekers everywhere. In fact there are quite where I am now. I will tell you that my experiences were so intolerable that it colored just about every experience that I had in Lexington. I can't even hear the word Lexington without feeling some of the old sense of being powerless in front of some of the worst examples of a-holes in charge who I would have quickly cut down to size if they hadn't been in a position of power over me. In their minds I was nothing. Not worth teaching. Not worth showing respect to. Nothing. These were dorks. They could not exist in such a capacity outside a highly artificial environment. I am truly happy now. Leaving despite their threats and outright lies was the best decision I ever made. I thank God for getting me out of that mess. I no longer grind my teeth at night.No doubt the patients in inner city Los Angeles or Houston have less incidences of drug abuse.
This sounds like learned helplessness (Seligman). The same principle applies to cases of abuse--especially under the umbrella of domestic abuse/violence.BU wants (needs) people to sort become accustomed to the BU way of doing things, and be weak minded, so that students/residents believe that being treated poorly is part of residency and life, . . .
I know someone who went to Duke for med school and didn't like the atmosphere. I think it's definitely one of those intense academic medical centers with a high rank, that pushes the trainees hard. If you don't like that type of atmosphere, you might not like it there. There are multiple other hospitals that fall into this same category, i.e. Mass General, Hopkins, UCSF, Wash U, etc.
I totally disagree about WashU. It's my home institution, and the medicine program has got to be one of the most benign of all the academic med centers. Good duty hour compliance, super chill and friendly faculty, very laid-back and happy residents, good lunch conference with yummy food... you name it. The intensity level is definitely very low.
I would note the date of the post to which you replied. If you're not looking for a response or just trying to set the record straight, great. Otherwise, probably not a lot of traffic from the original participants around this thread.
like which onesPlenty of laid back Uni programs
like which ones
But that has nothing to do with Internal Medicine.Maimonides Medical Center Surgical program is the worst.
There are so many posts about it.
Here is a good one:
Maimonides Surgery is very abusive and malignant. Avoid it at all costs!