NYP-Cornell Resident Taking Questions

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Cornell IM

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Now that our interview season is closing, I welcome any specific questions. I ask only that the questions be posted here and not via PM so we all can benefit.

I will be leaving Cornell this year for a fellowship, but we've had amazingly strong matches in the last two years, and we'll hopefully continue this trend. Cornell is a busy program, and the training is excellent.

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Hi! Thanks for taking questions! I have a bunch, sorry...

Are the residents happy? Are the attendings approachable? What is the relationship like between attendings and residents? How many private patients/attendings? How much emphasis is actually placed on research?


Thanks!
 
Hi! Grateful that you're taking questions. Was wondering if you felt that doing a second look helped any? Also, are you guys allowed to moonlight? Lastly, is the patient population truly as diverse as they advertise on interview day?
 
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Are the residents happy? Are the attendings approachable? What is the relationship like between attendings and residents? How many private patients/attendings? How much emphasis is actually placed on research?
Yes, the residents are a happy group of people. Recruiting a cohesive group of interns has always been a mission of the division. When the heat is on, we definitely help each other out.

There are a few private attendings - mostly on the two cardiology services. With the exception of one outlier, I personally have never had an issue with a private attending. Cornell has strict guidelines for private attendings: if they desire this privilege, they MUST be easily reachable and they MUST not remove residents/interns from rounds. If a private misbehaves, the department wants to know about it. On the general medicine services, there is a hard cap on the number of private patients (and, honestly, I didn't see them that often in my time here). In a team of twenty patients (10 per intern...recently reduced to 8 per intern you lucky new people!), the most I ever saw was 3 or 4 privates and that happened once.

Cornell is obviously a pedigree research institution, and researchers freely traverse between Cornell, Memorial Sloan Kettering, Hospital for Special Surgery, and Rockerfeller (I have worked at two of them on a common project). The research is there if you want it, and there is elective time to make it happen, but it's definitely not mandatory. You are training as a physician first. There are no 'hemi-doctors' here.
 
Hi! Grateful that you're taking questions. Was wondering if you felt that doing a second look helped any? Also, are you guys allowed to moonlight? Lastly, is the patient population truly as diverse as they advertise on interview day?
The second look is helpful for the applicant only. The program has a very good idea of what they are looking for and, honestly, the decision is most likely set in stone by the time an applicant comes for a second look. It won't influence the program directors. That said, if (any) program is your first choice, there is nothing prohibitive in expressing that to the Program Director. I did not do this for residency, and I got lucky. I did do this for fellowship.

Up until last year, second-year residents were allowed to moonlight on the hospitalist leukemia service overnight at Cornell. The money is good - maybe $900 gross for a 12-hour shift of not very hard work (compared to general medicine!). The new program director (from what I understand) has forbidden second-years from moonlighting. The reason for this is not clear; when I was an intern, I really could not tell the difference between an R2 an and R3 in terms of performance. This is a front-loaded program. Third-years can moonlight at both Cornell and Memorial Sloan Kettering Cancer Center (the latter is even cushier as the hospital runs like clockwork). This requires the passage of Step 3, and an active NY State License which can take a few months to secure. If you do not intend to moonlight, do not pay the large NY State fee for your license. It must be renewed every two years.

The patient population is diverse. We draw on uninsured and homeless patients from Manhattan and the boroughs but, based on the physical location of the hospital on the Upper East Side, there are a lot of high rollers. You will have the occasional celebrity on your census, but this should not affect your decision to train here. Everyone is treated the same. I am not from New York and so I often don't recognize the high rollers (my colleagues usually have to tell me). The demographics of the outpatient clinics are where you see more homogeneity (more uninsured at Helmsley and Long Island City clinics). It's NYC, and people can be tough, so expect some push back from the general patient population......
 
How are the teams structured? You alluded to the idea of 2 interns: 1 resident. Is this the makeup of most of the teams? Also, who is the attendings? (always a hospitalist, always a specialist, etc)
Thanks!
 
How are the teams structured? You alluded to the idea of 2 interns: 1 resident. Is this the makeup of most of the teams? Also, who is the attendings? (always a hospitalist, always a specialist, etc)
Thanks!
It depends. General medicine services have two interns and one R2 as the team leader for the most part (an R3 "super-senior" who traverses two teams each with 16 patients stands in for the R2 on the R2 day off and nightfloat days). ICU rotations generally have two interns and two residents daytime for one half of the ICU some days and a resident and two interns on other days but, at night, only an intern and a resident (R2 or R3) run the unit. Lymphoma at Cornell and all of the rotations at MSKCC have two residents and two interns for 20 patients for the nightmare services (GI, GU MSKCC....and you CAN expect to have >20 patients on those services and have the intern transiently have >10 patients), but one resident and two interns on the smaller services (like leukemia) at MSKCC.

On the general medicine rotations (with one or two exceptions), you have a faculty hospitalist, though a couple of them are board-certified in internal medicine sub-specialties also but choose to do what they do out of an interest in and an aptitude for housestaff education. For some odd reason, Cornell has a bit of fetish for hospitalists who completed their medical school and residency training in Boston. On sub-specialty rotations (lymphoma, leukemia, solid tumors, geriatrics, renal, cardiology etc.) you obviously have a specialist faculty member. Cornell has no pulmonary, I.D., G.I., HIV, or solid tumor service - all are absorbed into general medicine so you can have a pretty sick general medicine team.
 
cornell pgy-2 here. i'll answer questions as well. my advice for everyone - pick the program where you like the people and where you like the location. nobody can predict what is going to happen to any residency program with these ridiculous new acgme guidelines that are starting next year. if you decide to come to cornell, you'll do well in the fellowship match. we've been very strong especially over the last few years. i'm currently going through the process and the cornell name alone is going to get me where i want to go.
 
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Hi, thanks offering to answer questions. Which of your institution's departments would you consider to be the strongest? And compared to Columbia, which is generally regarded as the best place to train in NYC, what is better about Cornell?
 
Hi, thanks offering to answer questions. Which of your institution's departments would you consider to be the strongest? And compared to Columbia, which is generally regarded as the best place to train in NYC, what is better about Cornell?
Honestly, these are questions that don't have answers. It's relative, as dreamfox alluded to. Sorry. Cornell is a pedigree program, and there are no especially weak links. Try not to enter a medicine residency program looking for an especially strong department. Your primary goal is to become a competent medicine resident. The rest will follow.
 
Honestly, these are questions that don't have answers. It's relative, as dreamfox alluded to. Sorry. Cornell is a pedigree program, and there are no especially weak links. Try not to enter a medicine residency program looking for an especially strong department. Your primary goal is to become a competent medicine resident. The rest will follow.

Superb advice.
 
here were my reasons for choosing cornell over columbia:

** first off, if your heart is set on doing heme/onc at mskcc, then go to cornell (i'm not going into heme/onc)

1) i'm not from nyc and wanted to live in a nice, fun part of manhattan (aka not harlem)
2) cornell has really nice housing for all the residents/fellows/nurses very close to the hospital - i live across the street.
3) i live 5 blocks from central park and only 5-10 minutes from downtown in a taxi
4) residents seemed more out-going when it came to life outside the hospital

in the end, pick where you think you would be happy. it literally will be the next three years of your life, because you are going to work very hard at both programs.
 
along the lines of columbia vs. cornell,

were any of you struggling between the choice of cornell and mount sinai?
 
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along the lines of columbia vs. cornell,

were any of you struggling between the choice of cornell and mount sinai?

Both are great programs, both in great parts of the city, Cornell is probably nationally more well known, but on the east coast and especially in NYC Sinai has a great name. If you want Heme/Onc you're crazy if you don't rank Cornell over Sinai, and similarly if you want GI I think ranking MSSM over Cornell is a no brainier.
 
Both are great programs, both in great parts of the city, Cornell is probably nationally more well known, but on the east coast and especially in NYC Sinai has a great name. If you want Heme/Onc you're crazy if you don't rank Cornell over Sinai, and similarly if you want GI I think ranking MSSM over Cornell is a no brainier.
Guys, thanks for the input, but I was hoping to keep this thread specifically for people interested in asking last-minute questions from Cornell residents before the match. There's a general rank list thread above where people are comparing and contrasting programs.
 
I was wondering if you could discuss the housing (Payson vs. Helmsley vs. Coleman). The sheet they gave us listed a 1 br in Coleman as $2600 - 3100. Why the range? Thanks in advance.
 
I was wondering if you could discuss the housing (Payson vs. Helmsley vs. Coleman). The sheet they gave us listed a 1 br in Coleman as $2600 - 3100. Why the range? Thanks in advance.

I'm also curious about the housing options. Do most residents live in the NYP housing? Opinions on which of their buildings are considered the best value?
 
I'm also curious about the housing options. Do most residents live in the NYP housing? Opinions on which of their buildings are considered the best value?
Most do - as a matter of convenience (and after an 80-hour week), it's convenient! You can be home in two minutes. A few live elsewhere on the Upper East Side, a couple live in the East Village, and I know a couple live in the Bronx.

Staff House is excellent value, but it's older and noisy. Payson is a little more expensive but there's a lot of kids. Helmsley is somewhere in between but most are studios and 1-BDRs. Coleman is amazing but, frankly, the people that can afford Coleman have a SO with a good job or rich parents that still pay for them.

If you choose Cornell Housing, just be aware of the 'bottle-neck': you are expected to arrive for work before the residents move out, so maybe 60-70 of the interns are in temporary housing at their own expense. Also, even though it's subsidized, it's still very expensive. Expect pain. Sorry.
 
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I was wondering if you could discuss the housing (Payson vs. Helmsley vs. Coleman). The sheet they gave us listed a 1 br in Coleman as $2600 - 3100. Why the range? Thanks in advance.
I am glad they are now giving a list with prices. This was a major complaint of mine after I moved here, and I told management they need to do a better job. Clearly they are still lacking.....

The cost varies according to size, but also how high up the apartment is (higher being expensive) - and you have no control over where you are placed. Thus, you may be $300 more per month than someone 25 floors lower than you.
 
What about pets? Are they allowed? Specifically having a 40-50 lb dog?
 
cornell housing in regards to how nice apts (and price) are: coleman > helmsley > payson > phipps > staff

most cornell resident live in housing, it's nice. i live in payson. i have a dog and it costs me $0 to have. think that goes for all the buildings (not sure about coleman).

i am also NOT from nyc and was able to get my apartment three weeks before residency started.
 
I wanted to thank the Cornell residents who are answering questions on this thread - we all really appreciate it! Although I know free time is sparse, do the residents at Cornell seem to do things outside the hospital together when you're free? Do people get together in the apartment buildings to watch games or go to local bars, etc., regularly??? Just trying to get an idea of what you all do socially with your limited time off in any given month
 
I wanted to thank the Cornell residents who are answering questions on this thread - we all really appreciate it! Although I know free time is sparse, do the residents at Cornell seem to do things outside the hospital together when you're free? Do people get together in the apartment buildings to watch games or go to local bars, etc., regularly??? Just trying to get an idea of what you all do socially with your limited time off in any given month
Yes, we have a cohesive group. One of the real benefits of the Cornell housing is proximity to colleagues. All of the people that live there are NYP staff (residents, nurses, attendings, administrators), and that allows us to mingle with everyone - not just medicine residents. Thus, you'll get to hear neurosurgery thank you for the interesting consult that day, and you'll become close with all the residents and you'll get to know their SO's. Also, there's the obligatory happy hour where most people attend. This is a busy program, but you will have some social time, and NYC is a great place to have that.
 
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Thank you Cornell residents! this is very helpful! Do you think we should let the PD know if the program is our first choice? and how so? does she want to hear 'you're my # 1' or 'I'd be very glad if I match with your program'? thanks a lot!
 
Thank you Cornell residents! this is very helpful! Do you think we should let the PD know if the program is our first choice? and how so? does she want to hear 'you're my # 1' or 'I'd be very glad if I match with your program'? thanks a lot!
You're welcome!

Do keep in mind the the rules of ERAS forbid programs from openly discussing an applicant's rank order position (though off the record I'll tell you some of the famous program I interviewed at did this in a shady way). Now, that said, expressing mutual interest is harmless - as long as it's sincere!

There is nothing wrong with telling a program you will be ranking them #1. Ethically you should be doing this only for one program. Don't expect a response, but know that you have done all you can if you really want to go there. The easiest way would be via e-mail. Our program director is new, so I'm not sure how things will go, but she's very fair. One of my interviewers called me a day before the ROL was due to say that I would be highly ranked and to ask if I had any questions. That was a nice gesture and, since I matched here, it was sincere. Some of my classmates that started with me a few years ago at Cornell did not get this call but did match here, so don't be discouraged if you want to come here and don't get this.

Again, everyone is so nice here, and that makes the workload bearable. It's NYC, some people may be curt, and its busy, but don't let anyone intimidate you if you really want to match at Cornell. Good luck!
 
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curious to know if others have sent an email to PD about intention to rank and if they got a response/what kind of response. thanks!
 
Greetings doctors. I'm just wandering, what's the difference between the Manhattan program as opposed to the Queens program which is also affiliated with Cornell??
 
Greetings doctors. I'm just wandering, what's the difference between the Manhattan program as opposed to the Queens program which is also affiliated with Cornell??
We never interact with each other. NYP-Cornell is a large academic program and NYP-Queens is a smaller community program. We see the odd patient transferred to us in Manhattan from Queens, but that's it. Sorry I can't be more helpful...
 
I would like to know more about the diversity of diseases seen at Cornell. Cornell residents spend the overwhelming majority of their time at New York Hospital, so I was wondering whether there's enough variety in the types of cases seen there. Do you feel like you can handle any disease thrown at you by the time you're finished with training? Mt. Sinai has Elmhurst Hospital and the VA, and NYU also has a three hospital system, which seems like an advantage.
 
I would like to know more about the diversity of diseases seen at Cornell. Cornell residents spend the overwhelming majority of their time at New York Hospital, so I was wondering whether there's enough variety in the types of cases seen there. Do you feel like you can handle any disease thrown at you by the time you're finished with training? Mt. Sinai has Elmhurst Hospital and the VA, and NYU also has a three hospital system, which seems like an advantage.
It's NYC. We see everything from all the boroughs, and the world. Not just UES. Aside from a token month at MSKCC each year, and a month at HSS in PGY2, we spend all of out time at WCMC. It's not an issue.
 
It's NYC. We see everything from all the boroughs, and the world. Not just UES. Aside from a token month at MSKCC each year, and a month at HSS in PGY2, we spend all of out time at WCMC. It's not an issue.

This is pretty much the case at any program in NYC BTW. Cornell gets its fair share of "locals" from the neighborhood as well as plenty of self-referred (and physician referred) patients from all over the region.

But NYC is so diverse that pretty much anywhere you go there you're going to see some great pathology.

While a multi-hospital program will give you greater diversity in terms of patterns of practice than a single-hospital will, the pathology in NYC comes to you no matter where you are. Don't worry about it.
 
What do you think of the program director (Lia Logio)? Is she easy to interact with? To my knowledge, she was the program director at Indiana University. Why did she come to Cornell to become another program director? Seems like a lateral move...
 
What do you think of the program director (Lia Logio)? Is she easy to interact with? To my knowledge, she was the program director at Indiana University. Why did she come to Cornell to become another program director? Seems like a lateral move...
This is a question that cannot be answered and, honestly, much like your other question above I'm not sure how it's even relevant. Dr. Logio is great. She runs a very tight ship. You want a tight ship during residency.
 
This is a question that cannot be answered and, honestly, much like your other question above I'm not sure how it's even relevant. Dr. Logio is great. She runs a very tight ship. You want a tight ship during residency.

I think she'll do great at Cornell. She'll be a chairwoman in the future no doubt.

She does run a tight ship. I do, however, have some criticisms. She didn't make herself known too well to the residents. Her PD letters for fellowship would echo this with generalized statements. In large part this didn't harm our residents, as we have great fellowship placement, and I don't expect it to be a problem for Cornell. I would have liked to see her face around more, with engaging conversations at all levels.

I think she was partly to blame as to why our FMG percentage kept rising year after year (now to just over 50%). When I interviewed in the midwest, programs would hand write notes or send letter correspondence and really make you feel wanted. This did not happen to any great extent. So, I really felt like we lost out on talented midwestern candidates because she came across as stern, distanced. This is not who she really is, but how she came across. She is really a great PD, but didn't take the time to massage the finer aspects of recruitment season. This is obviously not a concern for Cornell, because it's name will recruit for itself.

On paper (academic credentials, networking, etc) she is top notch. I think the finer aspects are what make or break mid to high tier midwestern IM programs, who need vibrant, caring, outgoing PD's (in my opinion).

All in all, I think she will flourish at Cornell. She was trained in an East Coast setting and will do well back in her "zone".
 
I think she'll do great at Cornell. She'll be a chairwoman in the future no doubt.

She does run a tight ship. I do, however, have some criticisms. She didn't make herself known too well to the residents. Her PD letters for fellowship would echo this with generalized statements. In large part this didn't harm our residents, as we have great fellowship placement, and I don't expect it to be a problem for Cornell. I would have liked to see her face around more, with engaging conversations at all levels.

I think she was partly to blame as to why our FMG percentage kept rising year after year (now to just over 50%). When I interviewed in the midwest, programs would hand write notes or send letter correspondence and really make you feel wanted. This did not happen to any great extent. So, I really felt like we lost out on talented midwestern candidates because she came across as stern, distanced. This is not who she really is, but how she came across. She is really a great PD, but didn't take the time to massage the finer aspects of recruitment season. This is obviously not a concern for Cornell, because it's name will recruit for itself.

On paper (academic credentials, networking, etc) she is top notch. I think the finer aspects are what make or break mid to high tier midwestern IM programs, who need vibrant, caring, outgoing PD's (in my opinion).

All in all, I think she will flourish at Cornell. She was trained in an East Coast setting and will do well back in her "zone".
Interesting. Thanks for your input. Dr. Logio knows us all by name and comes to all of the conferences. IMHO, the PD letter is over-rated. When I applied for fellowship a couple of years ago we didn't even have a program director (he just stepped down). I was still able to match at my first choice.

As for the FMG thing. It's kind of a sweeping statement. We have perhaps 1 FMG each year and they are always absolutely stellar. Again, I've had a great three years....
 
Do you know if Cornell has made ranking decisions yet and has sent out any ranked to match calls/emails?
 
Do you know if Cornell has made ranking decisions yet and has sent out any ranked to match calls/emails?

don't worry about match calls. i didn't receive one and i matched at cornell.
 
Do you know if Cornell has made ranking decisions yet and has sent out any ranked to match calls/emails?
Tough to say. My year, a bunch of people were called a day or so before the rank list was due (I was called to say I would be highly ranked), but it's pretty meaningless. People can and do match without this call and we have also seen that some programs (hopefully not us) sometimes call more people that they have places for. Bottom line: rank where you want to go, and let the system do its thing.
 
The ROL is almost due. I invite any applicants to our program to ask a couple of final questions. I have a nightmare schedule tomorrow, so I'll try to check this thread periodically tonight. Good luck to all in the match!
 
The ROL is almost due. I invite any applicants to our program to ask a couple of final questions. I have a nightmare schedule tomorrow, so I'll try to check this thread periodically tonight. Good luck to all in the match!

I remember at the interview day they were talking about removing CCU from intern year and having residents with NPs. Have they made any final decisions on that? How many MICU months vs CCU months are there going to be in total? Thanks!
 
I remember at the interview day they were talking about removing CCU from intern year and having residents with NPs. Have they made any final decisions on that? How many MICU months vs CCU months are there going to be in total? Thanks!
Removing CCU from the intern year has not been implemented yet, but it will probably happen. Our CCU is pretty rough, but they are making changes for the better. Not sure how I feel about it personally. Most people (PGY1-3) get 6-8 weeks of unit time each year. As an intern, I had 6 weeks in the MICU and 2 weeks in the CCU. Some people had only two weeks in the MICU. It varies. Some people have no MICU as a PGY-2 (only CCU), then six weeks of MICU as a PGY-3.
 
Thanks for fielding questions. A few that I had were

1) How friendly is the overall environment? I'm in a midwest school where everyone from the attending on down is very friendly and supportive. I was wondering how your experience has been at Cornell.

2) What's the support staff situation? Are things done on time on the floors?

3) Do you see a fair amount of liver patients? As far as I know, it's not a major transplant center, which is why I'm asking.

Thanks for your help.
 
1) How friendly is the overall environment? I'm in a midwest school where everyone from the attending on down is very friendly and supportive. I was wondering how your experience has been at Cornell.

People are generally friendly. It's New York City, though, so anticipate some push-back. You do have to stand up for your patients sometimes. I, too, trained in a small leafy area in a city of ~1 million, and was pretty concerned about moving here. I did fine. You will too.

2) What's the support staff situation? Are things done on time on the floors?

It's kind of a broad question. Nurses are petty good, but will not draw blood unless it's a unit setting. Social workers are just stellar - I've seen none better than here. Phlebotomy can be iffy - expect to do your own labs in an emergency or during off hours or weekends. Transport is reasonable (unless it's late or on a weekend, in which case you'll be wheeling a bed to the CT scanner). You'll be doing most of the EKGs. Bottom line: if you want something done quickly, you might just have to do it yourself. NYC does not have exclusive real estate on this.

3) Do you see a fair amount of liver patients? As far as I know, it's not a major transplant center, which is why I'm asking.


We're just starting.
 
(First of all, thanks a lot for this Q&A!!)

1. For someone who didn't do any research in medical school, would it be difficult to get involved in research at Cornell? Will people look down on such residents or not be picked to be part of a project? I'm considering GI in the future, and I know I'll need to have some "scholarship" under my belt. Will this be difficult to accomplish at Cornell?


2. It seems like a lot of residents stay at Cornell (or the other NYC hospitals) for fellowship. Does Cornell normally take many of their own (aka, inbreeding)? Do most people opt to stay out of choice, or do most residents not get their top choice?
 
(First of all, thanks a lot for this Q&A!!)

1. For someone who didn't do any research in medical school, would it be difficult to get involved in research at Cornell? Will people look down on such residents or not be picked to be part of a project? I'm considering GI in the future, and I know I'll need to have some "scholarship" under my belt. Will this be difficult to accomplish at Cornell?

2. It seems like a lot of residents stay at Cornell (or the other NYC hospitals) for fellowship. Does Cornell normally take many of their own (aka, inbreeding)? Do most people opt to stay out of choice, or do most residents not get their top choice?

1. It's difficult at any residency, as you are so busy. Cornell's research is not its major strength, but it's there. Faculty are always looking for lackies to crunch numbers, do chart reviews and push research that they are too busy to too crap at to do themselves. Forget about basic research as you will be too busy. Keep in mind Cornell people can also do research at our sister hospitals within a block - Memorial Sloan Kettering Cancer Center, and Hospital for Special Surgery, and Rockerfeller is right down the street. I worked at HSS for research. A friend in my year who matched in GI did her research at Sloan--which also has a strong GI program (you'll see all the esoteric stuff you'll never see in private practice).

2. This is simply because the hospital knows how we have been trained and if we do a good job, we are not a gamble like an outsider, and they will take us if we want to stay. I chose not to stay at Cornell for fellowship even though they said I could as I felt the fellowship program I wanted to do had a lot of issues ( it's not GI, don't worry). Also, NYC is a highly desirable location; many people want to move here and stay here and this reason alone makes Manhattan residency programs and fellowships competitive. Most residents I saw got one of their top two choices for fellowship. The token two residents that I saw who did not match first time both had personality problems (both got matched in the scramble at top places, ironically--better than some of the people who matched). Part of it is also political: one resident who matched elsewhere for onc was in my opinion one of our most talented residents, and another who matched in GI at Cornell was extremely average. Sloan takes a lot of us for oncology because we do most of our onc rotations there and so, again, we are not a gamble as they see how we work.
 
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Hi,

First of all, thank you for fielding questions.

I was on the ACGME accreditation site and saw that Cornell's IM accreditation cycle was only 2 years. The average is 5 with a maximum of 10. Are there some inherent problems with the medicine program that needed to be fixed at the last site visit? I know this number is quite important and a surrogate for the overall health of a program in the eyes of the ACGME. Short cycle lengths may correlate with future program probation and even restructuring...something you don't need as a resident and especially as a fellowship applicant.

I'm a bit worried to challenge the PD with this question but if anyone knows or could find out I would be eternally grateful as it's nearly decision time and I am between two very strong programs. Thank you so much.

Here is the website for those who want to look at accreditation cycle lengths:

http://www.acgme.org/adspublic/
 
I think the 10 years are for those participating in the Educational Innovations Program (Duke, Pitt, etc).
 
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