Malignant

[medstudent2468]

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Which programs have the most malignant built in internship year? I've heard that some of the rad onc programs make you do an internship year at their hospital. Is this true and which ones are the most painful?

 

[ZapOnc]

Which programs have the most malignant built in internship year? I’ve heard that some of the rad onc programs make you do an internship year at there hospital. Is this true and which ones are the most painful?

The rad onc residency programs with "built in internship years" are called categorical residency programs. Most categorical programs are pretty rough in terms of their internship year. These are the top four:

1. Penn
2. Michigan
3. Cleveland Clinic
4. Emory

 

[ParticlePower]

Which programs have the most malignant built in internship year? I’ve heard that some of the rad onc programs make you do an internship year at their hospital. Is this true and which ones are the most painful?

I would agree that Penn, Michigan, Cleveland Clinic, and Emory would be in that list of malignancy. I think Wisconsin has a categorical for one of its two spots. Not sure how bad that one is. But I know that Penn has an old school, mega pain internship year.

 

[G'ville Nole]

I would agree that Penn, Michigan, Cleveland Clinic, and Emory would be in that list of malignancy. I think Wisconsin has a categorical for one of its two spots. Not sure how bad that one is. But I know that Penn has an old school, mega pain internship year.

I'm sitting next to the "guinea pig" for Wisconsin's categorical year right now. He says it was pretty good; no real malignancy. It's set up a la Cleveland Clinic, with 3 months surgery (ENT, Uro, and Thoracic), 6 months med wards (including 2 onc and 1 heme), radiology, Palliative care, and elective.

Indiana and Beaumont have similar set-ups; I've heard nothing bad about them, though. Reading about the Emory "transistional" year gave me chills though. Basically a year of straight up wards pain in "da Grady". I avoided this at all costs. Hope things have changed there, but I suspect they haven't.

 

[radonc]

Which programs have the most malignant built in internship year? I’ve heard that some of the rad onc programs make you do an internship year at their hospital. Is this true and which ones are the most painful?

there are so few programs with built-in intern years, that it may be hard to classify one as painful or not. typically, its setup like a transitional year, where you rotate with diff services (med, surg, gyn, peds, pain, etc). probably harder thana transitional, but easier than a med prelim year.

 

[CNphair]

The Michigan and Emory internships were the ones that made me sit back and think "Please God, anything but that." Both of them are bad even by prelim standards.

 

[IndyXRT]

I'm sitting next to the "guinea pig" for Wisconsin's categorical year right now. He says it was pretty good; no real malignancy. It's set up a la Cleveland Clinic, with 3 months surgery (ENT, Uro, and Thoracic), 6 months med wards (including 2 onc and 1 heme), radiology, Palliative care, and elective.

Indiana and Beaumont have similar set-ups; I've heard nothing bad about them, though. Reading about the Emory "transistional" year gave me chills though. Basically a year of straight up wards pain in "da Grady". I avoided this at all costs. Hope things have changed there, but I suspect they haven't.

Indiana's built in year (1/2 positions per year have this) is a straight prelim medicine year. No surgery, OB, peds, etc. It is not malignant, but it certainly isn't cush.

 

[medstudent2468]

The Michigan and Emory internships were the ones that made me sit back and think "Please God, anything but that." Both of them are bad even by prelim standards.

In addition to Michigan and Emory, I've heard Penn and Cleveland Clinic high on people's list of malignancy. What made these programs on interview day sound bad or tip you off that doing a categorical program there would be a not so good idea?

 

[deleted4401]

I'm sure those are tough programs, but you might actually learn some medicine and that might be helpful. I kind of liked my prelim year, but it wasn't as hard core as Michigan. I don't know - if you have a chance to go to a place like Michigan or Penn or CCF for rad-onc, the prelim year shouldn't be a deal-breaker. People actually bust their tail trying to get into Penn for internal medicine. You'd get a year of it, without the reading or continuity clinic. Not that bad a deal.

I guess I'm just forgetting the hell overnight call was. Yeah, a TY at a country club, er, I mean community hospital might better.

-S

 

[medstudent2468]

I got a reply form an IM resident at Penn on the IM forum.

"I'm currently a resident at Penn. 3 people left last year. One left for medical reasons mid first year, one moved to NYC to be closer to their spouse who matched in fellowship there, and one decided to apply during internship and started a Neuro residency. We are busy but I don't think it is a painful internship year at all. 5 weeks vacation, 2 months of ambulatory medicine with no call and the rest is Q4 (Q3 if in the unit). We all get along really well and our program director is incredible. I've gone over 80hrs/week once."

Does that sound about right? And how would that compare to the U Michigan, Cleveland Clinic, or Emory categorical?

 

[ZapOnc]

I got a reply form an IM resident at Penn on the IM forum.

"I'm currently a resident at Penn. 3 people left last year. One left for medical reasons mid first year, one moved to NYC to be closer to their spouse who matched in fellowship there, and one decided to apply during internship and started a Neuro residency. We are busy but I don't think it is a painful internship year at all. 5 weeks vacation, 2 months of ambulatory medicine with no call and the rest is Q4 (Q3 if in the unit). We all get along really well and our program director is incredible. I've gone over 80hrs/week once."

Does that sound about right? And how would that compare to the U Michigan, Cleveland Clinic, or Emory categorical?

That gives the general impression. You have to remember that it's written by a resident defending their program. People leaving a residency always have a "good" reason to leave, but only one leaving is not a good sign. Three leaving is a bad sign.

Penn and Michigan have the most similar. Emory and Cleveland Clinic are then similar to each other.

 

[Mulletfluf]

Does anyone have any additional info on CCF? Program likes, dislikes, resident opinions, etc?