Mayo still sends their surgical residents to St. Paul Children's Hospital (one of the Univ of MN pediatric residency program training hospitals) for pediatric surgery experience. However, I don't know whether this is a reflection of a lower number of total pediatric patients or just a lower peds surgery patient population at Mayo.
Thanks for clearing that up MNDOC31, I checked the program's website and it looks like they do 6 weeks in St. Paul. Shows how much I get to talk to Surgical residents about their program and what their requirements are!!!
So I don't want to get into the "medicine vs. surgery debate" but I think the way that "competency" is judged is different for a medical versus a procedural standpoint (ie surgery). I felt "competent" in managing common pediatric pathology (croup, bronchiolitis, dehydration) within a few times of seeing, diagnosing and managing it.
However, I want to make sure that I place as many umbilical lines/chest tubes/do LP's/suture/intubations/place IV's as I can (and have had ample opportunity here because I don't have to fight with fellows for the experience) because I think the n that is needed for "competency" and "confidence" is higher for procedures. I know surgical residencies make a point to say that as a chief you do typically do X number of cases, as a senior resident you typically do Y cases and so on. I think that's an important distinction to make about the training types here At least that is my personal preference. Plus I think that surgery is much more complicated (and much more can go wrong) than intubations and managing croup, and thus likely needs larger n's. That's just my personal feelings on why they may need to go away.
I assure you that we have a good board pass rate and I am definitely seeing enough (too much at times!) general pediatrics to make for an excellent experience. However, I'm a person that feels confident in diagnosis and management with smaller n's that are found at large programs. I knew that coming in, and it was a huge draw for me to come here. I like to see a patient, read about their pathology, discuss with my faculty and I'm able to do that here.
I think it's worth reiterating that no one HAS to go anywhere else than Rochester for Mayo pediatrics (be it, Sioux Falls, Jacksonville, or anywhere else). There are more than enough patients to learn from--we get a nice variety in the ER, clinic and inpatient service. A few residents (I would say less than 2-3/year) do go to Jacksonville or Arizona each year, but mostly in January/February to get some respite from the Minnesota winter...which is totally understandable. Brrrrr!!
To each his own. If you want/need a super busy program with 20-30+ admissions a night then Mayo pediatrics is probably not for you, but if you want a good teaching program with friendly residents who pass the boards easily, get their fellowships, and still manage to have a life and a decent standard of living, then it's definitely worth giving Mayo a look.
People come in different shapes, sizes and strengths, and residencies programs also come in all shapes, sizes and strengths. I think we can all agree on that!