Mayo Rochester

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E Yorrick Davis

negocio del medico
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I was wondering if you guys had any comments about Mayo Rochester. I've really been flipping this list over in my head multiple times.

Here are malignments I've heard. I would love to hear the responses of people here who are at Mayo currently or who have had more direct experience with the program.

- Based on the track you do, you can have little to no procedural training (ie. if you're not in their 'imaging track' TEE is almost taboo and they won't sign you off on caths)

- There is very strong pressure from the program faculty as far as subspecializing--EP vs interventional vs whatever. I'm still having problems wrapping my head around this one.

- CT and MRI training, which is probably where I see myself ending up, is at the behest of radiology faculty, not cardiologists.

- Specific subspecialty training is not gauranteed during fellowship because spots may be backlogged from people taking time off for research, then coming back and occupying clinic time--ie. you can be waiting in a queue for most of your training.

- There is limited peripheral training, and the interventional fellows have restricted exposure. When I was there at the end of March, the interventional fellow had only done ~200 interventions, whereas in other 'top tier' programs fellows I spoke with were doing ~400-500. What bothered me most was that one of the fellows implied the basic end-point at Mayo was to get enough procedures to satisfy ACGME guidelines, not to be technically proficient at the procedures themselves.

This is my basic rub: Mayo is prestigious and seems stable at a time where Cleveland and Johns have lost some of their biggest names. And we had our little shake up here with Rockman and Douglas. But when I look at the actual reality of the equation, it's not as nice as it seemed on paper. It's late in the game and I'm still mulling over this damned list. The people who told me these tidbits had little to no vested interest in where I ended up, they just were giving me their thoughts. Has anyone heard anything similar?

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If CT/MRI is your thing, why do you care about TEEs/caths? Certainly all cardiologists should be familiar with TEE and the images on at least a rudimentary level. While you need to undestand the basics of cath, I'd love to have gone to a program where I could have satisfied the bare minimum. Because to boil it down, if you're not going into interventional, every month you spend in the cath lab over 2 months, is a waste of time (and only exists for man power for the cath lab).

Also, subspecialty fellowships are never guarenteed. If your program has 1/2 interventional spots, and 3 want to go into it...well, somebody is out of luck.
 
If CT/MRI is your thing, why do you care about TEEs/caths? I'd love to have gone to a program where I could have satisfied the bare minimum.

I'm not sure you read my entire post--it seems like there are restrictions/red tape in both imaging and interventional experiences at Mayo.

Beyond this, I would also like to be a well-based cardiologist. If I am going to put up with being in Rochester for x years, I would hope to receive more than the 'bare minimum'. Perhaps we differ in our philosophies of training.
 
I'm not sure you read my entire post--it seems like there are restrictions/red tape in both imaging and interventional experiences at Mayo.

Beyond this, I would also like to be a well-based cardiologist. If I am going to put up with being in Rochester for x years, I would hope to receive more than the 'bare minimum'. Perhaps we differ in our philosophies of training.

Doing extra months of cath won't make you a "well-based cardiologist" over somebody who does the minimum. The extra months in the lab teach you the technical skills which are worthless to anybody who isn't in the lab as part of their job. I agree that doing at least 50-100 TEEs is important for that "well rounded" thing you are trying to achive.
 
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