Most Cush Prelim Medicine Spots East Coast

[HolisticMed]

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To all of those who have had the pleasure of rotating at such places... can you please share some of this information. This is not about quality of training or health care delivery but simply cushness.... Hours/call schedule/facility/disposition of attendings 👍👍

 

[HolisticMed]

Oh cmon guys... I guess nobody wants to share this information huh... Everyone wants to keep the cush places to themselves 😀

 

[carrigallen]

If you are looking for cush, go for transitional (TY) spots.

 

[nsap102]

check out Pennsylvania Hospital. I interviewed there once. From the way they made it sound, the prelim year is pretty chill. The call sched for prelims sounded like a day in the park
http://www.uphs.upenn.edu/pahedu/gme/medicine.html#program

Also, make sure to check out community programs. I guess I'd pay particular attention to community programs which are affiliated with big name University programs, are IMG friendly (for categorical spots) and where the Medical students rotate. In these situations the program itself wants to be a solid program (hence great IMG's and even better faculty) so that it can serve as a rotating hospital for the University medical students. In terms of Prelim, they want these medical students to rotate at their program, so they make the prelim "bareable"
I think Moses H Cone, NC would be one you may be interested in.

GL

 

[Americannot]

yeh I want to know the answer to this as well. I am sure some have more work hours than others. Like if there is an extensive night float, more ward teams, a hospitalist, etc. Which ones on the east coast have better hours?

 

[shift_roro]

I'm also looking for cush prelim/transitional year programs on the East Coast. Any suggestions?

 

[phisigman03]

What is Cush?

 

[jdh71]

What is Cush?

Cush = "Hey guis, I'm a lazy mother****er who can't handle his ****, and I need to go to a place where they either 1) they are so incompetant they won't yell at me because I'm a ******, and/or 2) where there are so few patients I never have to come in before 9am and can leave at 2pm . . . did I mention that I am a lazy SOB and always get treated with contempt and scorn by my contemporaries?"

 

[ocean11]

Cush = "Hey guis, I'm a lazy mother****er who can't handle his ****, and I need to go to a place where they either 1) they are so incompetant they won't yell at me because I'm a ******, and/or 2) where there are so few patients I never have to come in before 9am and can leave at 2pm . . . did I mention that I am a lazy SOB and always get treated with contempt and scorn by my contemporaries?"

LOL that's hilarious.... but truthfully there are SO many residents and attendings like this. Is it truly wrong to be lazy? is it wrong to want things easy in life? just a thought to ponder on....

 

[asmallchild]

Cush = "Hey guis, I'm a lazy mother****er who can't handle his ****, and I need to go to a place where they either 1) they are so incompetant they won't yell at me because I'm a ******, and/or 2) where there are so few patients I never have to come in before 9am and can leave at 2pm . . . did I mention that I am a lazy SOB and always get treated with contempt and scorn by my contemporaries?"

Now is this place available for application via ERAS? I'm willing to transfer. 😉

 

[jdh71]

LOL that's hilarious.... but truthfully there are SO many residents and attendings like this. Is it truly wrong to be lazy? is it wrong to want things easy in life? just a thought to ponder on....

Yes. Good docs are produced by doing a lot of medicine hands on, which doesn't mean you necessarily have to kill yourself, but to intentionally look for programs where you can be lazy is so weak I cannot heap enough scorn and contempt on such a person.

 

[Ariee]

I agree with jdh! I mean what the heck is going on?

I was just advising some on the Carib forum the other day and there are posts like: "Chances of Carib to get into Rads and Derm".

Ok fine, I'm a Carib student as well. You would think the Caribs would at least go to medical school thinking logically that they want to be a PCP as this is where the odds are, but they also want the ROAD specialties going in...

Ok fine, but folks we're facing a health care shortage. I went to med-school saying I'm going to be a PCP, I became interestd in some of the specialites along the way and will try to apply to them, but will be just fine being a PCP! We are facing a PRIMARY CARE SHORTAGE! We are allowing NP's/PA's to take over the primary care fields by not representing. Did you see the cover of yesterday's USA today?

I mean come-on folks! What is wrong with hard-work? Not to mention, I'm a woman and want to have kids during a possibly non-difficult residency year.

Medicine isn't meant to be CUSH and it's not meant to be impossible. IMHO, it's meant for hard-work + outside medicine interests (piano, novels, biking, pottery) , this is what will balance lives, not CUSH!

Are these same CUSHer's those that pull for a 56hr work week and add more years to residency training programs? I'd rather not prolong the hard-work. Get it over with and mold your life to balance/CUSH/what-say-you!

I mean I'd rather carry octuplets during residency than be in an unstimulated, zombie, CUSH pre-lim! Lol, sorry, step 3 near! I need my mood-stabilizer now! 😀

A

 

[asmallchild]

What is wrong with hard-work?

Nothing. But let's not make the mistake of assuming only PCPs work hard. You can work hard (and are supposed to for that matter) in any field of medicine. I've met my fair share of hardworking radiologsts/dermatologists/physiatrists/etc.

 

[Substance]

Nothing. But let's not make the mistake of assuming only PCPs work hard. You can work hard (and are supposed to for that matter) in any field of medicine. I've met my fair share of hardworking radiologsts/dermatologists/physiatrists/etc.

Ive also seen my share of lazy, unmotivated, uninspiring primary care docs.

 

[Ariee]

Substance, JDH,

You're both right. I hope I haven't sparked a debate in regards to which field works harder than the other. I think all fields work fairly hard. I'm sure that most physicians have work days that are not anything shorter than 8-12hrs...not the ones I've seen anyways, I'm sure there are exceptions to every rule.

I just can't believe that ppl go into med-school already knowing they're going to be some kind of specialist (especially these days with the current health care debate) or they seek residency that is "cush". 😱😱😱

 

[Substance]

Substance, JDH,

You're both right. I hope I haven't sparked a debate in regards to which field works harder than the other. I think all fields work fairly hard. I'm sure that most physicians have work days that are not anything shorter than 8-12hrs...not the ones I've seen anyways, I'm sure there are exceptions to every rule.

I just can't believe that ppl go into med-school already knowing they're going to be some kind of specialist (especially these days with the current health care debate) or they seek residency that is "cush". 😱😱😱

Can you blame people for wanting to do "cush" residencies?

Think about it: what's "cush" in medicine is normal, or harder-than-normal, in real-world careers. Most residencies in medicine involve ridiculous amounts of overwork. You know that saying: "Residency: the last legal sweatshop in the USA."

Doing only hands-on medicine is a recipe for disaster, since you're learning by dogma and by pattern - the same as a nurse. Without time to read heavily and confirm or refute yours or another's theories, you run the risk of acquiring bad habits and not staying current with your knowledge base. This is the way most residencies are right now, and for any resident to think that they are immune to these detriments is full of hubris!

It's well known how dehumanizing residency training is. I cannot blame anyone for wanting to avoid being dehumanized, since being human is quite entertaining.

 

[jdh71]

Substance, JDH,

You're both right. I hope I haven't sparked a debate in regards to which field works harder than the other. I think all fields work fairly hard. I'm sure that most physicians have work days that are not anything shorter than 8-12hrs...not the ones I've seen anyways, I'm sure there are exceptions to every rule.

I just can't believe that ppl go into med-school already knowing they're going to be some kind of specialist (especially these days with the current health care debate) or they seek residency that is "cush". 😱😱😱

Some areas of medicine DO work harder than other, this is obvious to anyone. It's NOT up for debate.

What I'm responding to is the attitude, the fundamental underlying problem for practially every single person I see going into a ROAD specialty . . . I've got no qualms with people who are genuinely interested. It's not derm's fault that it very RARELY ever has an emergeny, and that most of the clinical practice is 9-5, and pays well. What's annoying to me are the lazy mother****ers that tend to gavitate that way

 

[jdh71]

Doing only hands-on medicine is a recipe for disaster, since you're learning by dogma and by pattern - the same as a nurse.

This is some of the biggest horse**** I've even seen bandied about in here. I actually feel mildly embarassed for you. Because it appears you were serious when you typed that. I don't think you are trolling here at all.

Read about the crashing, septic patient who needs intubation, a central line, abx, pressors, tube feeds, etc. all day long, but if you have no personal experience with those situations you'll be dead in the water.

Without time to read heavily and confirm or refute yours or another's theories, you run the risk of acquiring bad habits and not staying current with your knowledge base. This is the way most residencies are right now, and for any resident to think that they are immune to these detriments is full of hubris!

You find time to read. Being a busy resident is not an obstacle to reading (except maybe for lazy SOB's)

It's well known how dehumanizing residency training is. I cannot blame anyone for wanting to avoid being dehumanized, since being human is quite entertaining.

Too much . . .

 

[Ariee]

This is some of the biggest horse**** I've even seen bandied about in here. I actually feel mildly embarassed for you. Because it appears you were serious when you typed that. I don't think you are trolling here at all.

Read about the crashing, septic patient who needs intubation, a central line, abx, pressors, tube feeds, etc. all day long, but if you have no personal experience with those situations you'll be dead in the water.



You find time to read. Being a busy resident is not an obstacle to reading (except maybe for lazy SOB's)





Too much . . .

ROFL! Jdh, you're awesome! I find you sooo funny and you are so right. You have my utter respect. I hope I get to work with you some-day!

Also by being a busy-resident/medical-student, I find that when I read about it, it sticks faster and lasts forever, b/c I've had the hands on experience...that's just me though.

 

[Ariee]

Ok, so this is totally off-topic, but I actually went to look up what "cush" meant. In biblical terms, cush was the father of nimrod (lol, no joke) and he created this land, called the land of cush which was surronded by the river of paradise, etc, etc...no thank-you!

 

[jdh71]

ROFL! Jdh, you're awesome! I find you sooo funny and you are so right. You have my utter respect. I hope I get to work with you some-day!

Also by being a busy-resident/medical-student, I find that when I read about it, it sticks faster and lasts forever, b/c I've had the hands on experience...that's just me though.

Thank you.

I see people who bitch about residency being hard work with long hours akin to the police who bitch about how dangerous their job is (that's why they carry guns), and EVERYONE knew these aspects about their job BEFORE they ever started.

A good working definition of insanity is doing the same thing as everyone else, yet expecting or wanting different results than everyone else. It's ****ing asinine.

 

[scootad.]

Based on when I interviewed in 2005

Cush Internships in Northeast

Albert Einstein Philly TY/Prelim
Abington, PA Prelim
Reading Hospital, PA TY/Prelim
Allentown, PA TY/Prelim
Crozer Chester, PA TY/Prelim
Morristown, NJ TY
Flushing Hospital, NY TY

For those intending on specializing in rad, derm, ophtho, I would def. advise as cushy an internship as possible.

 

[Substance]

This is some of the biggest horse**** I've even seen bandied about in here. I actually feel mildly embarassed for you. Because it appears you were serious when you typed that. I don't think you are trolling here at all.

Read about the crashing, septic patient who needs intubation, a central line, abx, pressors, tube feeds, etc. all day long, but if you have no personal experience with those situations you'll be dead in the water.



You find time to read. Being a busy resident is not an obstacle to reading (except maybe for lazy SOB's).

I see your point of view, but did you really have to insult me?

Notice how I said "all" as well. There exists a fine balance between practical and theoretical knowledge. I feel that our current brand of residency training places far too much emphasis on the practical part. Though for some fields, ICU included, speed is of the essence so practice is definitely warranted (but not at the expense of theoretical knowledge).

See, doing things is great and all, but you only learn what to do with things you've seen. It's when something happens that is outside your realm of habit that you have to think about it - and if you could not read enough, you're not going to make the right calls.

Most residents aren't lazy SOBs, as far as I've seen. A lot are just overworked and seriously don't have time to read, especially the general surgery residents. And before you say there's always time to read, then when do you eat or sleep, or ****, or have sex, or live as a human being?