Need help with my rank list - need more information

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Robotfishbrain

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I know know, another rank list post. I'm trying to figure out where to go for the next 4 years of my life and the virtual setting was not kind in really getting to know programs. I just finished my last interview for psychiatry and was fortunate enough to have 13 total. I have read previous forum posts but I am looking for insight into differentiate between programs in the context that I have a deep interest in Neuropsychiatry and research

Ohio State vs. Cleveland Clinic vs. Case Western UH - Ohio was good to me this year and I really loved these programs. I feel like the ones in Cleveland offer a bit better training (longer hours too) and that OSU is a bit more relaxed, but with far less pay (8k less than Case) and a more expensive city with call stretching through the end of 3rd year. I keep reading conflicting things about Case Western, but it's hard to distinguish between CCF and OSU. Any insight into culture or quality of training at either of these two would be helpful.

Indiana University vs. University of Michigan - I know U of M is a top tier program, but it was a weird interview day virtually for me so I feel like my initial feeling is to rank them lower. The residents seemed exhausted and the program director is changing, so I'm not sure what to make of it. On the other hand, IU seemed like a great place to work and the residents really seemed to enjoy being there. Is the quality of training at U of M really that much better than IU? I want to put IU above U of M here.

Baylor vs. University of Texas (Houston) - this is the toughest one for me to differentiate. They are literally across the street from each other and the training seems similar. Any help with the culture and quality of training at these two places would be really helpful. There is very little difference in terms of lifestyle from what the programs offer and being literally in the same place in Houston makes them similar in terms of location.

Any help from current or past residents or people familiar with the current culture at programs would be really helpful.
 
Irrelevant to the residencies themselves, but the state of Indiana dumps money into their health system like it grows on trees. Interviewed at the other Indiana psych residency and they were building more than one new building because the state gave them a ton of money that they'd lose if they didn't spend it. Idk what funding IU gets from the state, but if it's anything like the other program, I'd imagine they're sitting pretty from that standpoint.
 
Any reason why you ranked CCF higher? Did you get a feeling the training was better? For me it seems like OSU’s program was a bit too relaxed. Idk if that makes sense.
 
I focused on clinical rotations for my rank list heavily. CCF has breadth and depth found at very few programs. Clinical flexibility, for resident initiated sub clinics. However, I'm far enough out I don't know what the culture is now and if they have same flexibility. A resident started a private practice as a PGY-III. One created an HIV focused psych clinic, another suboxone clinic, others rotated through with already established niche clinics, etc. Chronic pain rehab for adults. Chronic pain rehab for C&A. Multiple different types of IP and also SUDs units. Robust ECT service, DBS site. They were moonlighting friendly in my day. The list goes on.

If you want therapy heavy, CCF is not it, at least with my outdated experience. Could be different now.
 
When I was interviewing, the general feel for Ohio programs was Cincinnati > Case Western > Cleveland Clinic > Ohio State > Toledo. I’ve heard that Case Western is no longer actually Case Western? As in, they no longer have the university affiliation. Don’t know whether that has any meaningful impact in terms of training or is just some political fight between admins.

Indiana > Michigan without a doubt. Again, my info is a few years old now, but I heard overwhelmingly negative things about the residency culture and workload at Michigan. Current residents were a bit cagey about it on interview but I had a friend of a friend who was a resident there. She was very, very unhappy at the program and said would not recommend coming there. I’ve since talked to other graduates who said the same thing. Meanwhile, I’ve heard overwhelmingly positive things about Indiana’s program (didn’t interview there myself so all second hand info).

Dunno about Baylor vs UT Houston, I avoided Texas like the plague.
 
When I was interviewing, the general feel for Ohio programs was Cincinnati > Case Western > Cleveland Clinic > Ohio State > Toledo. I’ve heard that Case Western is no longer actually Case Western? As in, they no longer have the university affiliation. Don’t know whether that has any meaningful impact in terms of training or is just some political fight between admins.

Indiana > Michigan without a doubt. Again, my info is a few years old now, but I heard overwhelmingly negative things about the residency culture and workload at Michigan. Current residents were a bit cagey about it on interview but I had a friend of a friend who was a resident there. She was very, very unhappy at the program and said would not recommend coming there. I’ve since talked to other graduates who said the same thing. Meanwhile, I’ve heard overwhelmingly positive things about Indiana’s program (didn’t interview there myself so all second hand info).

Dunno about Baylor vs UT Houston, I avoided Texas like the plague.

Yeah Michigan was the only interview this season that I felt a really bad energy with. The residents did not seem happy at all. It'll probably still be top 10 but not as high as Indiana.

On the other hand, I had such good feelings with OSU, but I guess I did with CCF as well. I'm having a hard time deciding between the two. It might just come down to visiting these two cities and seeing which one I enjoy more? I'm not sure how to make this decision with how interview season was conducted this year. In terms of training I keep hearing CCF and Case are better than OSU.

FYI - the name Case Western is still on UH b/c I guess a majority of medical students still rotate there. But yes there was a big admin fight and Case created a closer relationship with Cleveland Clinic the past couple of years. So who knows what that means in the future.

I appreciate the help on this.
 
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