NYC Programs

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AnesApp

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Hey, I am an applicant that is looking to stay in the NYC/NJ area. I interviewed at these 4 places which I have no idea how to differentiate during my interviews. I have heard mixed things about all 4. How would you rank Maimonides, NYMC-Westchester, Downstate, Barnabas NJ. I am especially having a tough time btwn NYMC and Downstate. Has NYMC or Downstate improved recently?
 
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While NYMC's chairwoman was awesome, the program scared me for one MAJOR reason; residents were absent at mine and my colleagues interview dates. A program hiding its residents seemed to me to be a major red flag. Additionally, I ran into an applicant from NYMC med school who wanted to stay in the area, but told me that she didnt even consider applying to the program there. The whole vibe seemed off and I'd be worried about fluctuating probationary status there.

As for Downstate, it seemed like the residents worked hard, but they were appreciative of their training. If you can get over the dangerous location, the 70hrs/week and the aging facilities/faculty, it seemed like a fine place to train.

I happened to really like Barnabas; good training, burn ICU, nice faculty and great resident advocacy. The only issue I had was that with such a small class (4/yr), if someone needs to take off (maternity etc.) it would really affect the call schedule.

I don't know enough about Maimo, but based on how late they handed out their interviews...I'm assuming their program is a little helter-skelter. Regardless, if you need to stay in Bkln, its nice to have an alternative to downstate.
 
You are going to have mixed reviews of just about any program. Just like you will probably do well at just about any program if you are a hard worker/independent studier.

Didactics should be an integral part of any program. For your written boards you need a solid knowledge base that will come from lectures, text book reading, and clinical experience. Ask about written board pass rates for the different programs. If the rates are low, or were low in the past, you should ask what the program has done/is doing to improve this. There will always be people who take tests poorly, have bad days, etc., but a consistently low written board pass rate should be a red flag.

Are any of the programs on probation, or were they on it recently? What has changed to improve the program as a result of that? How long is there ACGME accreditation good for? If they were accredited for 3 or 4 years last time, it is likely a solid program. A 1 year accreditation would be a red flag.

As someone else mentioned, a smaller program can make it harder to adjust for call schedules. But it may also build more collegiality.

Maimo residents do not really get acute trauma exposure. Nor do they do lots of burn cases. I trained there and feel I got a good experience. I love the program director. She is a true residents advocate. But things change from year to year. I left 2.5 years ago. Talk to the residents, and see what they have to say. When I was a resident we met with the interview candidates for lunch in the absence of attendings. So you should be able to get a true feel for what the residents think of the program.

I did a Burn ICU rotation as a 4th year medical student, and it was all from the surgical side. But I had no hesitation stepping into the Burn OR at my current institution as an attending, because I had a solid grasp on the academic aspects.

I am also at a trauma center. So while I have not been scheduled in the trauma ORs, we get a lot of the stabilized patients for their first or subsequent post-trauma surgeries in the main OR. There are a lot of facial fractures. I hadn't seen any facial fractures in residency, mainly lots of hips and long bone fractures. I took my general principles and picked up on other aspects by talking to my colleagues and surgeons. It was not a detriment

St. Barnabas is in a suburban area (Livingston, NJ). The patient population there is different than that of Maimonides, which is different than that of Downstate. Maimonides is in a more upscale area than Downstate. Is location important to you?

Assuming you didn't get bad vibes from any of the programs, look at these other aspects. Only you can decide what program is best for you.
 
Downstate you rotate at different hospitals the main two most residents spend their time is UHB in Flatbush and LICH in Brooklyn Heights/Cobble Hill. You definitely get to work with a diverse group of ppl and the neighborhoods are completely different.

I had liked NYMC when I interviewed there, the only thing I was worried about was having to commute to all the different locales.

Good Luck
 
Any residents that can chime in? I actually did like Downstate alot when I interviewed there, but I heard there were some issues in the past. I wanted to know if things have improved since.
 
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Any residents that can chime in? I actually did like Downstate alot when I interviewed there, but I heard there were some issues in the past. I wanted to know if things have improved since.

I have a casual acquaintance from medical school whose is a resident at downstate and hes had pretty positive remarks about his experience . The one thing I can tell you for sure, his hours are def not bad. He goes to work at probably 630am, and is usually out by 3-4 and sometimes earlier. He gets stuck every now and then, but nothing crazy. 4-5 24 hour calls a month. They seem to have of 12-8 and 3-11 shift residents to help get residents out. He also spends most of his time at the long island college campus is in probably the nicest nyc neighborhood outside of manhattan (Brooklyn Heights). He lives in manhattan and commutes to to work with no issues as do many of his co-residents. They also have a strong board pass rate.

Never interviewed or know anybody from the NYMC program-but I heard from a friend that went to school there, they cover hospitals all over the northern nyc suburburbs which lead to all kinds of communting hell. I know the surgery program there is busy so they're training must be decent. They were on probation for a poor board pass rate when i was interviewing-not sure if its improved.

St. Barnabas seems like it could be a good fit for the right person. A previous graduate of my program is now an attending on staff there and he loves it. I dont think you'll be seeing a large amount ASA III-IVs however. The partners that run the group apparrently make a killing and it might be an in to the group. I remember from my interview they have some policy of relieving the residents for 2 hours a day to study-pretty hard to fail your boards with that much dedicated didactics time. The PD also seemed very nice-took the time to call me before my interview. One of the residents said the intern year was tough tho. Beautiful hospital (by NYC standards)

Maimo seems like a decent training program. I've met a few residents and they seem pretty happy. They work hard but have set hours and their call schedule seems to lighten up as the years go on to a pretty chill schedule. They also do a large variety of cases you wouldn't expect a community hospital to perform. The program is in south brooklyn, and everybody I've met from there lived in either brklyn or right over the bridge in Staten island. @ the interview, I was impressed by the chairman as well as the PD.
The one caveat is they had a poor board pass rate when I was interviewing-no idea how it is now.

Good Luck to you all! Sorry for any typos, its been a long ob call....
 
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Any residents that can chime in? I actually did like Downstate alot when I interviewed there, but I heard there were some issues in the past. I wanted to know if things have improved since.

There was a recent thread about the program 3-4mnths ago with mixed reviews, I think everything pretty much stands. Work about 60 hrs a week, 5-6 calls a month, rotate at 3 main hospitals, OR teaching is somewhat lacking, lots lectures, administration is big on test scores like AKT/ITE which equals high board pass rate, and adds a certain amount of stress. Mix personality of attendings. UHB/Kings County have poor ancillary staff which really only affects u if you do intern year there.
It's pretty much your average program, I ranked it highly but I think it's a good middle program.

You can message me if you have anymore questions
 
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