NYC programs

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nyc123

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Anyone have any comments/thoughts on the "Big 4" programs in NYC: Columbia, Cornell. Sinai, and NYU? How would you rank them?
 
Maybe you should bother reading previous posts rather than repeating a question that has been posted several times already within the past year.
 
Dear NYC,

I can only comment extensively on NYU and A. Einstein. As far as what I have heard...other folks I have met like 'em in this order.

1.sinai
2. cornell
3. tie b/t Colombia or NYU

I liked NYU. I think they got it where it counts. By that I mean the 2 hospitals are old and falling apart, but they have brand new equipment. The residents are very happy. I don't know where everyone is getting these rumors about how they are overworked. they may have been in the past, but the residents I met this year were pretty happy.

The faculty was very friendly. I think the teaching is great. The residents literally run the Bellvue hospital, which is a pretty unique place to work. Lots of patients from many different backgrounds. Rght from the getgo, they force you to act as a junior attending.

They have pretty good regional training at the hospital for joint diseases. They have a pretty cool computer system at Tisch hospital where you can access patient records and order tests from your own home.

Neuro is extremely strong. They have a name, not necessarily a big name, but most everyone will recognize NYU.

I dont think they help you at all with housing. thats a big downer, especially in Manhattan. Cornell and a few other places give you phat housing for super cheap. But the two hospitals are located on the lower east side and the views are phat. Overall, it's a good place.

As far as A. Einstein goes. Its got volume and very complex cases, but the place gave me the heebyjeebies. I wouldn't want to be there at all.
 
Originally posted by nyc123
Anyone have any comments/thoughts on the "Big 4" programs in NYC: Columbia, Cornell. Sinai, and NYU? How would you rank them?

Cornell and Sinai are probably about even when you add up the pros and cons. These should be ranked based on where you felt most comfortable, and how much you want the lifestyle Cornell affords (very good pay, subsidized housing to boot). Cornell's name is probably more recognizable if you plan to work outside the Northeast. After that I would rank Columbia, NYU, SLR, then StV's. Overall I thought Columbia had the strongest experience, but it just didn't seem like a very fun place to work. Some of the residents were very abbrasive.

I agree NYU is better than most give it credit for. Clearly the residents I worked with there knew their stuff and had a good experience. They are NOT overworked at all. It's an up and coming program. It suffered from lousy residents in recent years, but this is obviouly better with the CA-1 class, and probably the incoming interns as well.
 
Yes, I forgot to mention. Although I never visited Colombia, I had the fortuitous opportunity to party with these two girls one night who were a CA-1 and CA-2 from Colombia. Well, I did not like their personalities that much at all. The only reason they went there was for the name. They very honestly told me that it was somewhat malignant, but in these trials they have bonded with their class. Also, they seem to be enjoying their social life.

Furthermore, the folks at St. V's ripped on Colombia like there's no tomorrow. Don't really know if they have call to do that, but nevertheless the attendings had nothing good to say about Colombia. That having been said, it's still a damn good place to train so you should be fine if you go there.

Well, Sorry if this is all heresay so take it with a grain of something.
 
Powermd, I was under the impression that Columbia had the best overall (academic) reputation in NYC, and is the most well recognized of the NYC programs outside of the Northeast. Not to start any sort of pissing contest, but I was curious why you regarded Cornell more highly (regardless of the subsidized housing)?
 
Originally posted by Thoinga Thoing
Powermd, I was under the impression that Columbia had the best overall (academic) reputation in NYC, and is the most well recognized of the NYC programs outside of the Northeast. Not to start any sort of pissing contest, but I was curious why you regarded Cornell more highly (regardless of the subsidized housing)?

No pissing match needed, just go back and read my post again. I wrote that I thought Columbia offers the best overall experience in the city, although the residents were abrasive, and the hospital didn't seem to be a fun place to work. For these reasons I personally prefer Sinai/Cornell. I like "warm & fuzzy" programs better than the cold and unfriendly ones. If you don't need that, Columbia is a great first choice.
 
Thanks for the reply, although your response was a bit misdirected. My query was primarily regarding why you thought
that Cornell's name was probably more recognizable outside the Northeast (versus Columbia)-unless you were referring to a comparison between Cornell and Sinai. That's all.
 
This is always a popular question and has been addressed in the past, but...here's an insider view of one of NYC's best: Cornell. Clearly a better than program than the rest of NY w/ a better name (not that this is important, see below). Best regional (spianls/epidurals are not regional although ST. L claims so), great thoracic (esp SLoan-Kettering), ICU experiences, nicer hospital environment, better patient population, no in-breeding among attendings (they come from numerous programs and therefore your network for jobs/fellowships is that much better vs. Boston/Baltimore where everyone who trained there stays there), new call system (short calls) essentially eliminated any unpredictability in your hours...not on call leave by 5pm. Often as a CA-1 your room will be done well ahead of that time (2pm) and yo can simply cross the street to reach your apartment, speaking of apartments: subsidized upper east side, some w/ dishwashers and central air...other programs give you $3000/yr to help pay rent...that will cover you for about 3 months in NY.... New program director is very enthusiastic and interested in making the program better than it is: new didactics/curriculum, more/better teaching/feedback system,... Resident: overall a very social and diverse group, this is NY and it attracts the type who have other interests outside the OR, we are very vocal and have been known to voice our opinions on this website 🙂

Now for some myths: any of the top programs will give you the same training, the argument that a Boston or a Baltimore program has a better name is silly, b/c it depends on who you ask... more importantly it depends on who called on your behalf to get you that job/fellowpship interview...I am not taling about well known names, but attendings who trained with/know the people you are interviewing with... Bottom line: do not go to an in-bread place unless you truly love it. Basically go somwhere where you can be happy both at work and at home.

Any question, please post. Thanks.
 
Dear ?Somedude?,
After reading your letter providing an ?insider?s view of one of NYC?s best?, Cornell, I am confident of two things:
1. You will do great at Cornell
2. I am thrilled I didn?t choose to go there.
After my interview day at Cornell last year, the only thing I could say with certainty about Cornell was that the pride and joy of the program was how many celebrities they have taken care of. Literally, the program director made reference to their celebrity patient population at least 4 times during his introduction speech, and later in my personal interview with him. If this is what they are most proud of and what they want to show off, then that?s rather unfortunate. Columbia, which serves just as many ?celebrities?, didn?t mention it once in their entire interview day. Rather they spoke about the diversity of their patient population, and the academic and clinical strengths of their program.
How do I know you?ll do well at Cornell, ?Somedude?? Well, your reference to Cornell having a ?better patient population,? will allow you to fit right in. I just can?t imagine what is better about a totally homogenous, white, rich, population which Cornell takes care of, compared to the incredibly ethnically, socio-economically diverse population that NYU, Columbia, St. Vincent?s etc. takes care of.
About the call system involving ?short call? at Cornell: I know many of the residents there, and I?ve never heard so much complaining; just read the reviews on scutwork.com to see how miserable this system is. Even better, talk candidly with some of the residents.
Regarding your comment about the cheap housing at Cornell. Yes, this is one of the great aspects of the Cornell program: the housing is cheap. However, you talk about the programs that give you $3000 extra housing allowance (I assume you?re referring to Columbia, which does this,) and you note that this will last you 3 months in NYC. If you divide this over the entire year, it?s $250 per month: add this to the price of a Cornell apartment (approx $900 or so per month,) and you have $1150, which is certainly enough for a studio apartment in NYC. You are very misleading to other readers when you say the $3000 will only last you 3 months; this amount is in addition to your salary and makes up for the cheaper housing provided by Cornell. It was instituted by Columbia to make housing expenses equal for residents at the different programs. And NYU is now in the process of offering cheaper housing to their residents. Furthermore, both St. Vincents and St. Lukes Roosevelt offer outstanding housing to their residents.
 
Thank you for the reply. However, you seem to be mis- quoting/understanding some of my comments. First of all, I am in no way attacking Columbia since it is a great program. Second, my reference to "better patient population" referred to the fact that Cornell (just like Columbia) draws patients from all over. To say that we take care of a "totally homogenous, white, rich, population" is absolutely FALSE. There is plenty of everything to go around, but you wouldn't know that because you based your opinion on 3.5 hours you spent here during an interview and concentrated on hearing interesting stories about "celebrities" Third, about the housing, check out: http://www.nycornell.org/anesthesiology/residency/index.html

Approximate Rents for 2003-2004:


- Studio : $680-920
1 Bedroom : $890-1280
2 Bedroom : $1205-1425
3 Bedroom : $1420-1760

These numbers clearly offer a financial advantage in the short term (ie the 3/4 years of residency.)

Now, the short call system: it is in its early experimental stages right now and has received great feedback, the review you are referring to is simply not true. Also, starting in July, we will most likely have it modified to give the CA-3 the floor at night (similar to the so-called Team Captain system at many other institutions including Columbia) In other words, if you are saying that the short call system sucks here, then I am sure it sucks elsewhere as well (just about half the programs in this country have a short call system)

Finally, regarding research, it just so happens that Cornell had more presenters/awards at this years ASA than any other NYC program. Also, check out JAMA 1.5 months ago (a study by a resident w/ several attendings). If that is not enough go to:

http://www.nycornell.org/anesthesiology/publications.html
or
http://wo-pub1.med.cornell.edu/cgi-...oa/34/wo/oX7H1GQgdpJ93kH5vw24e32BP7W/3.38.1.0

for a list of recent publications and individual faculty research interests. Also, let's not forget the book authors and board examiners and attendings who lecture at every level both nationally and abroad. I suppose, the latter may be true for a lot of programs since anesthesia is a relatively small field.

To reiterate, NYC has excellent training programs, just find the one that fits you (and don't speak badly about other programs because as Shaq once said, "trash talking is a sign of weakness" 🙂
 
In ENT we rotate through both....the Cornell residents seem a lot more social (ie can hold a chill conversation in the OR), they also function on their own w/ a lot more confidence and don't whine as much. facilities there are better and this non-sense you guys are talking about "white patients" what's that? We've done some sick patients of all kinds there. Attendings seem cool, there a a few wackos, but hey its academics. So, when my fiance applies next year: cornell is the way to go. Peace.
P.S. went to Sinai for med school: any place that accepts 281 on step I doesn't seem strong to me (there are two people I know there who are pgy-2 now w/ those numbers. also, its all about private practice when you're done, nothing else)
 
pgy2 anesthesia, 181 on step I, apparently that person did an away there and kissed up a lot, we all know how that works.
 
what do you mean by private practice for Mount Sinai. I know it is very strong clinically, but do you think research and academics are non existent?
 
Oh, btw how would you rank NYU vs. Mt. Sinai if you were interested in research and academics? Also any thoughts on St. Vincents I know its very small but everyone I met was happy.
 
To answer your question about the NYC programs. Avoid Sinai. The program was once very good, but the hospital is hemorrhaging money. Their surgeons are jumping ship. You'll have a great lifestyle, but you won't have any experience doing anesthesia.

Honestly, I'm sure that Columbia has the hardest working program (although NYU has trauma). And the attds. aren't the most supportive, but honestly you don't want them around after one year. If you feel like you need the constant reassurance from the attendings after one year, you are probably going into the wrong field.

The residents at Columbia are a bit unhappy, but all of them feel like they can handle any situation that could possible arise in the real world mainly b/c they get the crap that all the other hospitals in the NYC area (including Cornell) can't handle.

Hope this helps.
 
In deciding what program to choose in NYC there is only really one choice, and that is Columbia(not Colombia, Mr Superfresh). First of all, Columbia has far and away the best clinical training in NY. On that matter there is no arguement.
Secondly, it is not a malignant program. I know for a fact that we work far less than Cornell. I only mention Cornell because it is the only program nearly as solid as Columbia's. I have averaged around 55 hours a week, with only OB being slightly more at 65.
If it has not been obvious already, I am a Columbia resident. There are 20-something resident per year here, so you will find who you like to hang with and who you don't. The Cornell residents and St. Luke's come up here for Peds so I have gotten to know several of them and I really did like the guys from Cornell (as well as having a med school buddy at Cornell). So as far as how 'cool' the residents are, seems like Cornell may have the upper hand.
You can go to scutwork.com and see what the other residents have to say about there own program. You can also find out the information on the match there and see that these so called 'good' programs didn't even match all there spots.
 
the rules of engagement:
for those posting advice about a program that they're at or will be attending there are a few cardinal rules that must be followed:
1) try not to misspell your own program's name. . . it just sits wrong
2) you do not talk about fight club
3) you do not talk about fight club

right, my advice on Columbia vs Cornell.
In my final four, I had both of these programs there. There are definite differences between the two, but here are the key points.
Both are excellent institutions that will leave you trained well clinically.
Academics/research
On the academic side I believe Columbia is more focused, which doesn't mean academic options aren't at cornell, I just felt they were more prevalent at Columbia (look up their virginia apgar scholars option).
Unique aspects:
Cornell offers some of the best regional anesthesia training in the country with rotations at HSS.
Columbia offers amazing pediatrics with the children's hospital (which is also done if you attend cornell, but for a shorter amount of time. . . and you have to truck all the way over from the east side, which kind of sucks).
Cornell offers amazing subsidized housing
Columbia offers a bit more for pay and a 3K housing stipend (which means
you're only seriously broke instead of destitute after paying rent).
Cornell offers a categorical and advanced program, Columbia only offers a categorical option. Doesn't mean you can't apply and do a prelim year there, but you have to apply separately.
Staff:
Cornell has lightening fast ancillary staff
Columbia has some longer holding times between cases.
Location:
East side, west side. Take your pick.
Residents:
Both are large classes, I personally felt the residents at Cornell were some of the most congenial and fun to be around out of all the programs I visited (Duke was a fun second). Columbia did feel a bit more cold in comparison, but I think it's what you make of it in the end. I'm planning on a change in the weather if it needs it when I show up.
Administration:
I agree with previous posts that the P.D. at Columbia was a bit cold (the chairman rocks though). Dr. Swamidoss at cornell (sorry if I slaughtered your name) was fantastic though. He's very enthusiastic and was a serious consideration in choosing which program to rank first.

The final line:
Your training will be excellent at either institution, recognized outside of the state and worldwide (yes, worldwide. I'm looking at jumping ship someday and found that both programs were well known overseas).
So, how do you decide?
Introspection. Sit down, ask yourself what you want to see happen in your career and personal life over the next four years and then go with your impressions on interview.
Me, I'm heading to Columbia, which in the end was based on some subtle differences that clicked with my ambitions and a desire for research that seemed more likely at Columbia.
Would I have been unhappy at Cornell, not at all. In fact, I was kind of bummed after the match was over because, while it meant I got into the program I wanted, it also meant I wouldn't be going to any of the other programs I liked, which all had their appeals.

Can't comment on NYC or Sinai, didn't look at them.
 
I agree with most of the points made above. I would like to add a few more what I think are important both in training and quality of life at Cornell -

We do extensive rotations at Memorial Sloan Kettering Cancer Center (A top ranked cancer center) which provides excellent thoracic experience as well as experience with other major cancer surgeries

HSS (top orthopaedic hospital in the country) provides unparalleled regional training, with over 10000 procedures a year

Facilities and ancillary staff across our 3 institutions are excellent, at NYPH/Cornell the OR's are newly built, spacious, and look out on the East River, which are drenched in sunlight in the morning (Prozac like effect). Memorial Sloan Kettering has brand new ORs coming into operation in August '05, which are as high tech and contain as many gadgets as anyone could ever want. The ORs at HSS are also great, modern, with anesthesiologists in full control of the OR Ipod.

All 3 hospitals are within 5 minute commute of my studio in a large modern high rise which is heavily subsidized. The lack of commute saves hundreds of hours and multi-thousands of dollars over the years when you have no need for a car or MTA pass and spend all that extra time sleeping in the morning or at home earlier. AND - You get to take general OR call from home. What other program lets you do that? The neighborhood (68th and York on the UES) is safe, quiet at night, with hundreds of restaurants and bars merely an avenue away.

The categorical program here is great too, tailored for anesthesia residents, although not as cush as some community programs, is very managable and provides great critical care training and lets you do anesthesia and hang out in lovely NYC earlier.

All residents at Cornell live within a 2 block radius, which facilitates social interaction and makes hanging out after work, on the weekends, quite easy. The anesthesia folk here are awesome and laid back. Its a great place to be.
 
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