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SDP, as regards UPMC (again, like bigdan, I'm a resident here):
(1) Clinical volume: As the largest department/practice group in the country, UPMC administers a significant number of anesthetics annually (as I recall from my interview day a couple of years back, somewhere north of 110K/yr which will only continue to rise as the UPMC system acquires more hospitals).
(2) Case variety: As bigdan mentioned, we have exposure to a great mix of cases. There's every sort of transplant (heart, lung, liver, kidney, pancreas, multi-visceral, even the occasional hand; IIRC we did ~170 heart transplants last year). Very strong general and subspecialty experiences, including regional anesthesia (which was important to me as I like/recognize the utility of regional and, as such, want to be good at it but have little interest in doing a regional fellowship). Additionally, given the free standing women's and children's hospitals, we have high quality OB and peds anesthesia experiences.
(3) Practice settings: Given the numerous clinical sites we rotate through (admittedly, this can be viewed as either a positive or a negative depending on individual personality/outlook), we get to learn many different approaches, from big university hospital style to private practice like. Additionally, as CA-3 residents, we have the option to do two month rotations in either Ireland or Sicily (being interested in critical care, I'm looking forward to experiencing the European model of anesthesiology, which seems to place more emphasis on true perioperative care).
(4) Academics/research: A strong didactic program that the department is very committed to. Abundant research opportunities should you want them. For example, like bigdan, I arrived in Pittsburgh ~7 months ago and have written a book chapter and am working on a case report as well as an independent research project. Additionally, if you're interested in further training post-residency, UPMC offers fellowships in all of the sub-specialties.
(5) Department culture: As a field, I think that anesthesia tends to attract smart, laid back folks. This is certainly true of our program. I'm fortunate to have a great set of fellow residents. In general, the attendings are also very approachable, good teachers, and nice to work with. Also, residents are not the workhorses of this program.
(6) Reputation: Although likely not well known by lay-people outside of this area, I think that UPMC has a strong reputation within the medical community. Frankly, UPMC will never have the cache of MGH or Hopkins, but it is known for having a very strong training program (BTW, Mista Suprane is a Hopkins resident).
At the end of the day, there are many programs that can give you excellent training. As an applicant, your goal is to find the sweet spot between quality of training, reputation, location, and personal fit/feel (i.e. no program is perfect, find the one that's closest to perfect for you). The relative weight placed on each of these factors is, of course, a personal decision. I was fortunate enough to interview at a number of excellent/well known programs. I came away from these experiences with the impression that UPMC provided the best overall quality of training (depth/breadth of experience, etc...) and would be a good fit for me. Like you, I was somewhat skeptical about location but I've come to like Pittsburgh (I probably won't stay here post training but its a very reasonable, livable place to spend a few years in). In any case, I'm happy here and wish you and the other applicants best of luck in finding/matching at a place where you'll be happy.
(1) Clinical volume: As the largest department/practice group in the country, UPMC administers a significant number of anesthetics annually (as I recall from my interview day a couple of years back, somewhere north of 110K/yr which will only continue to rise as the UPMC system acquires more hospitals).
(2) Case variety: As bigdan mentioned, we have exposure to a great mix of cases. There's every sort of transplant (heart, lung, liver, kidney, pancreas, multi-visceral, even the occasional hand; IIRC we did ~170 heart transplants last year). Very strong general and subspecialty experiences, including regional anesthesia (which was important to me as I like/recognize the utility of regional and, as such, want to be good at it but have little interest in doing a regional fellowship). Additionally, given the free standing women's and children's hospitals, we have high quality OB and peds anesthesia experiences.
(3) Practice settings: Given the numerous clinical sites we rotate through (admittedly, this can be viewed as either a positive or a negative depending on individual personality/outlook), we get to learn many different approaches, from big university hospital style to private practice like. Additionally, as CA-3 residents, we have the option to do two month rotations in either Ireland or Sicily (being interested in critical care, I'm looking forward to experiencing the European model of anesthesiology, which seems to place more emphasis on true perioperative care).
(4) Academics/research: A strong didactic program that the department is very committed to. Abundant research opportunities should you want them. For example, like bigdan, I arrived in Pittsburgh ~7 months ago and have written a book chapter and am working on a case report as well as an independent research project. Additionally, if you're interested in further training post-residency, UPMC offers fellowships in all of the sub-specialties.
(5) Department culture: As a field, I think that anesthesia tends to attract smart, laid back folks. This is certainly true of our program. I'm fortunate to have a great set of fellow residents. In general, the attendings are also very approachable, good teachers, and nice to work with. Also, residents are not the workhorses of this program.
(6) Reputation: Although likely not well known by lay-people outside of this area, I think that UPMC has a strong reputation within the medical community. Frankly, UPMC will never have the cache of MGH or Hopkins, but it is known for having a very strong training program (BTW, Mista Suprane is a Hopkins resident).
At the end of the day, there are many programs that can give you excellent training. As an applicant, your goal is to find the sweet spot between quality of training, reputation, location, and personal fit/feel (i.e. no program is perfect, find the one that's closest to perfect for you). The relative weight placed on each of these factors is, of course, a personal decision. I was fortunate enough to interview at a number of excellent/well known programs. I came away from these experiences with the impression that UPMC provided the best overall quality of training (depth/breadth of experience, etc...) and would be a good fit for me. Like you, I was somewhat skeptical about location but I've come to like Pittsburgh (I probably won't stay here post training but its a very reasonable, livable place to spend a few years in). In any case, I'm happy here and wish you and the other applicants best of luck in finding/matching at a place where you'll be happy.
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