Official 2014-2015 Pulm/CCM Fellowship Application Cycle

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Board Certified!!! Yeah me 🙂
By the way when you get offered a second look what does that mean? And do you have to go?
Yippeee...me as well, though I wish I cared more after 3 yrs of residency 🙂 so what's the deal with having to wait for the score report in the mail... ridonculous in this day and age!
 
Yippeee...me as well, though I wish I cared more after 3 yrs of residency 🙂 so what's the deal with having to wait for the score report in the mail... ridonculous in this day and age!
I agree but I recon it will change with time. What do you think about the second look thing?
 
I agree but I recon it will change with time. What do you think about the second look thing?
Don't really know. I've heard at one of my interviews that some fellow came in for a second look, but at least for residencies, programs are explicitly discouraged from even offerinf 2nd looks. If you really wanna go there, sure, go, but otherwise IMHO don't think it's worth the effort.
 
I was also offered a second look at a program 6 hours away. I am ranking number 1 though. I have ICU coming up , so I don't wanna drive there. I aim to send a nice email by end of October that I am ranking them number 1. My director agreed to call too.
 
Don't really know. I've heard at one of my interviews that some fellow came in for a second look, but at least for residencies, programs are explicitly discouraged from even offerinf 2nd looks. If you really wanna go there, sure, go, but otherwise IMHO don't think it's worth the effort.

Have to say I agree with this statement. This is not residency, most programs don't even how time to accommodate a second look nor it is something common at this point in the process. I would say the only situation would be a program that asked you to do a second look. Then I would actually try and go because they are probably using that as subliminal weaning method to asses interest in their program.
 
I was also offered a second look at a program 6 hours away. I am ranking number 1 though. I have ICU coming up , so I don't wanna drive there. I aim to send a nice email by end of October that I am ranking them number 1. My director agreed to call too.

I'd simply tell them the truth. You can't because you'll be in the MICU. You appreciate the offer, liked their program, and will be ranking #1.
 
Thanks. I told them I will be in ICU during the interview but did not tell them how I will rank them. 3 more IVs to go, who knows, maybe I'll find a new number 1
 
Can you tell a program they are on your top 2. Because I want to email my top 3 and tell them and I dont want to say rank highly. ...
 
Can you tell a program they are on your top 2. Because I want to email my top 3 and tell them and I dont want to say rank highly. ...

if you tell a program they are on your top 2, that's just a way to tell them you'll rank them 2nd ...at least that's what they would understand... just stay away from numbers... if you really want to send emails, just tell them you are really interested and would love to be there ... I just sent that to my #1 after the interview season
 
Anonymous program reviews . . .

Awesome clinical (procedure heaven) + potentially awesome research:

Indiana: (18+18/12+24) This is an Amah-zing program!! Personally my #2. Everything you could ever ask for. Terrific faculty, terrific procedures, ECMO, TX – the works. Not only are the clinicals amazing, but so is the research faculty, and they will all go out of their way to help you get what you want out of an additional degree WITHIN the 3 year program. Young, dynamic PD, have heard very good things about the division chief. Fellows are all great, friendly people. The ONLY ONLY thing negative I had to say about the program was that they rotate through 4 very big and busy hospitals with different EMRs, and need to come in quite a bit overnight when on call. I *heart* IU. They may not be the big ten in research, but they’re definitely in the top 5 clinically.

MUSC: Lovely place, lovely city, awesome people. One of the nicest PDs evehh (can give Bosslett from IU a run for his money in niceness) – Nick Pastis, who is also a procedure guy. New Chief brought in from UW to help recruit more research faculty. Steven Sahn is retired. Former PD is lung cancer bigwig + procedure guru Silvestri (to-be ACCP Chief soon) who btw is also one of the nicest bigwigs I’ve spoken with. In speaking to the Division Chief, felt like I was already being told what path I would take/who I would work with if I signed up, and wanted to do research in the areas I’m interested in. Do Tx but to a limited amount – abt 20 cases/yr

Rochester (18+18): Lovely place, lovely city, awesome people again! Lots of pathology, very busy place. Despite making changes to how the call works, it still seems to be pretty brutal compared to most big state uni places who have shifted to a better night float system. Nicest, smiliest, very accomplished PD. Very strong clinical place if you don’t mind the absence of lung tx (they all go to CC/Pitt). Fellows easily do a 100 EBUSs each without even trying. Fellows said that the 2nd year is too full of clinical responsibilities to get any meaningful uninterrupted research done. Do offer an MPH/MSCR that would probably require 3 to 6 months beyond the 3 year program but probably ONE person pursued it like 3 years ago.


Temple: OK faculty, no big time research but clinically pretty solid. ++ Lung Tx. Located in North Philly and so no stiff competition from the Center City programs of UPenn/Drexel/TJ

Mayo: (24+12, option for additional year).. Driving to the clinic from the airport (which has a grand total of 4 or 6 gates) along this dusty road, I was thinking to myself ‘ OMG! What IS this place! This is as rural as it gets!’ Anyhow, I go to my interview and we receive a very warm introductory talk from the PD, and we go through the motions of the interview day.

THIS IS THE S***! Like I died and went to procedure/rare diseases heaven (if you didn’t already have that thought cross your mind as you entered the lofty halls of the Gonda Building). Fellows do about 400-500 bronchs, at least 50 EBUS, other IP stuff. Their main IP person seemed like a great person to work with. Probably going to add a pleural service. Fellows see pretty complicated patients in their own clinics, and become very adept at handling complicated/rare cases. They DO see enough bread and butter, and run the ICU services both at Mayo and their other community hospital. Will likely have a lot of sleep exposure as 2nd years (I personally like sleep, some might not). Do get a lot of PFT/CPET exposure.

Great conferences which the fellows seemed to like, and most of all, I really liked the fellows – a great bunch of non-snooty people from all over. The faculty don’t seem to be bigwigs but all of them are very nice, and no doubt very competent. PD apparently open to feedback. Apparently their ICU has this state-of-the-art software that allows you to monitor patients, check trends and do all kinds of zany clinical informatics mumbo-jumbo, and though I’m not very tech savvy, the fellows were all raving about it.

Apparently not a whole lot of exposure to lung tx unless you ask though they do a decent amount, but apparently most fellows go to Mayo-JAX on an elective for more intense exposure.




Awesome Research + bleh clinicals

Hopkins - apply for NRSA grants 1st year, will probably end up doing research year before clinical year. Could stay for a 4th year depending on whether you can bring in that research moolah. Obviously you could do a million things with the research potential, but I honestly left the place thinking that if I would not graduate as a robust clinician from this program. All the faculty seemed nice enough. I guess it’s a place best suited for people who are definitely committed to a lifelong career of research, because honestly they’re not seeing/doing anything clinically that you wouldn’t find (perhaps even more of) in other decent sized tertiary/quaternary care centers and these days most big places have big names in all ILDs and other disease categories. Newer bigger (I think 24 bed) ICU. Most fellows graduate with 120 bronchs or so with no-minimal EBUS exposure.


Yale - can tailor your research career as you like, awesome research facilities, bronch scene lacking, can hook up with Dr Fares (PHTN) if you wanted to do RHCs. Division chief is a researcher with no clinical duties. Can do a Masters in clinical research or a PhD in investigative medicine – pretty cool opportunities. Don’t see why it couldn’t give Hopkins a run for it’s research money – have wayyy more people/departments to collaborate with and pay 20k more than Hopkins does/year. Loved Dr Herzog – IPF lady who began her career as a clinician. Fellows were okay, and except for 1 chatty/nice chief fellow, most didn’t seem very friendly. Have night time intensivist, and have basically no night call/night float. Major clinical sites = yale + the huge West Haven VA. No transplant.

Bottomline: Cushy fellowship with the best research opportunities (in breadth/independence to do what you want to) but not the strongest clinical program.

Stanford - probably better than the two above clinically. primary VA faculty does a good amount of IP, Dr Zamanian at Stanford does all his RHCs, buttttt.....fellows are basically doing what I used to do as a new PGY2 - running to all RRTs, triaging in the ED, admitting. Looks like PGY1 residents don't rotate through the Stanford ICU, only through SCVMC, and one fellow honestly said that 'every one is demoted a level here'. Interview day interaction with the program director was wierd to say the least, though the division chief seemed like a very nice guy. PCCM fellows don't seem to have as much of a hold in the ICU as they're unwittingly competing for confidence/attention/love of the other ICU auxiliary staff and procedures with straight CC fellows, anes-CC, neuro-CC.



Bleh clinical, bleh research

TJefferson : Strange place. I and 2 co-interviewees had weirdly, unexpectedly unpleasant interactions with him. Nothing to be said on the research front. No NIH awards in a decade, purely clinical and very average at that. No transplant. No strong reason to pick it over ANY program unless you were desperate to stay in Philly and had no other options.

UIC (32+4 on clinical track, 24+12/24+24 PI track): Fell way below my expectations – I was actually excited about the program before I interviewed. All 3 of my interviewers except the division chief (who seemed really nice) seemed distracted. PD said he’d read our profiles more than 2 weeks before the interviews, and the other interviewers didn’t seem to know much about us either. Very weird day – the initial presentation about the program gave no details as to how the program was structured, and when we pressed the fellows, out it came – they’re very clinically heavy with no-little time for research unless you wanted to stay an extra year. If you did want to go the physician-investigator route, you would do the year of research first. No transplant, vague undefined fellows role in the unit which is mostly resident-attending run. IMO, nothing to really recommend the place.


Highest fellow bronch #s on my list: UI, Mayo, Temple, MUSC if you work with the lung cancer folks, Rochester for the EBUS/Nav
 
How should I rank?
Jefferson, Nebraska, SUNY buffalo, Iowa, Michigan, UAB?

Any ideas...?
 
Can someone write a review for Iowa. Is it one of those "unless you want a career in research you shouldn't come here" places? Or can one focus on clinical training and dabble in semi-serious research with the aim of getting a private practice job?
 
What do people think about Tufts?
 
Last edited:
Anonymous program reviews . . .

Awesome clinical (procedure heaven) + potentially awesome research:

Indiana: (18+18/12+24) This is an Amah-zing program!! Personally my #2. Everything you could ever ask for. Terrific faculty, terrific procedures, ECMO, TX – the works. Not only are the clinicals amazing, but so is the research faculty, and they will all go out of their way to help you get what you want out of an additional degree WITHIN the 3 year program. Young, dynamic PD, have heard very good things about the division chief. Fellows are all great, friendly people. The ONLY ONLY thing negative I had to say about the program was that they rotate through 4 very big and busy hospitals with different EMRs, and need to come in quite a bit overnight when on call. I *heart* IU. They may not be the big ten in research, but they’re definitely in the top 5 clinically.

MUSC: Lovely place, lovely city, awesome people. One of the nicest PDs evehh (can give Bosslett from IU a run for his money in niceness) – Nick Pastis, who is also a procedure guy. New Chief brought in from UW to help recruit more research faculty. Steven Sahn is retired. Former PD is lung cancer bigwig + procedure guru Silvestri (to-be ACCP Chief soon) who btw is also one of the nicest bigwigs I’ve spoken with. In speaking to the Division Chief, felt like I was already being told what path I would take/who I would work with if I signed up, and wanted to do research in the areas I’m interested in. Do Tx but to a limited amount – abt 20 cases/yr

Rochester (18+18): Lovely place, lovely city, awesome people again! Lots of pathology, very busy place. Despite making changes to how the call works, it still seems to be pretty brutal compared to most big state uni places who have shifted to a better night float system. Nicest, smiliest, very accomplished PD. Very strong clinical place if you don’t mind the absence of lung tx (they all go to CC/Pitt). Fellows easily do a 100 EBUSs each without even trying. Fellows said that the 2nd year is too full of clinical responsibilities to get any meaningful uninterrupted research done. Do offer an MPH/MSCR that would probably require 3 to 6 months beyond the 3 year program but probably ONE person pursued it like 3 years ago.


Temple: OK faculty, no big time research but clinically pretty solid. ++ Lung Tx. Located in North Philly and so no stiff competition from the Center City programs of UPenn/Drexel/TJ

Mayo: (24+12, option for additional year).. Driving to the clinic from the airport (which has a grand total of 4 or 6 gates) along this dusty road, I was thinking to myself ‘ OMG! What IS this place! This is as rural as it gets!’ Anyhow, I go to my interview and we receive a very warm introductory talk from the PD, and we go through the motions of the interview day.

THIS IS THE S***! Like I died and went to procedure/rare diseases heaven (if you didn’t already have that thought cross your mind as you entered the lofty halls of the Gonda Building). Fellows do about 400-500 bronchs, at least 50 EBUS, other IP stuff. Their main IP person seemed like a great person to work with. Probably going to add a pleural service. Fellows see pretty complicated patients in their own clinics, and become very adept at handling complicated/rare cases. They DO see enough bread and butter, and run the ICU services both at Mayo and their other community hospital. Will likely have a lot of sleep exposure as 2nd years (I personally like sleep, some might not). Do get a lot of PFT/CPET exposure.

Great conferences which the fellows seemed to like, and most of all, I really liked the fellows – a great bunch of non-snooty people from all over. The faculty don’t seem to be bigwigs but all of them are very nice, and no doubt very competent. PD apparently open to feedback. Apparently their ICU has this state-of-the-art software that allows you to monitor patients, check trends and do all kinds of zany clinical informatics mumbo-jumbo, and though I’m not very tech savvy, the fellows were all raving about it.

Apparently not a whole lot of exposure to lung tx unless you ask though they do a decent amount, but apparently most fellows go to Mayo-JAX on an elective for more intense exposure.




Awesome Research + bleh clinicals

Hopkins - apply for NRSA grants 1st year, will probably end up doing research year before clinical year. Could stay for a 4th year depending on whether you can bring in that research moolah. Obviously you could do a million things with the research potential, but I honestly left the place thinking that if I would not graduate as a robust clinician from this program. All the faculty seemed nice enough. I guess it’s a place best suited for people who are definitely committed to a lifelong career of research, because honestly they’re not seeing/doing anything clinically that you wouldn’t find (perhaps even more of) in other decent sized tertiary/quaternary care centers and these days most big places have big names in all ILDs and other disease categories. Newer bigger (I think 24 bed) ICU. Most fellows graduate with 120 bronchs or so with no-minimal EBUS exposure.


Yale - can tailor your research career as you like, awesome research facilities, bronch scene lacking, can hook up with Dr Fares (PHTN) if you wanted to do RHCs. Division chief is a researcher with no clinical duties. Can do a Masters in clinical research or a PhD in investigative medicine – pretty cool opportunities. Don’t see why it couldn’t give Hopkins a run for it’s research money – have wayyy more people/departments to collaborate with and pay 20k more than Hopkins does/year. Loved Dr Herzog – IPF lady who began her career as a clinician. Fellows were okay, and except for 1 chatty/nice chief fellow, most didn’t seem very friendly. Have night time intensivist, and have basically no night call/night float. Major clinical sites = yale + the huge West Haven VA. No transplant.

Bottomline: Cushy fellowship with the best research opportunities (in breadth/independence to do what you want to) but not the strongest clinical program.

Stanford - probably better than the two above clinically. primary VA faculty does a good amount of IP, Dr Zamanian at Stanford does all his RHCs, buttttt.....fellows are basically doing what I used to do as a new PGY2 - running to all RRTs, triaging in the ED, admitting. Looks like PGY1 residents don't rotate through the Stanford ICU, only through SCVMC, and one fellow honestly said that 'every one is demoted a level here'. Interview day interaction with the program director was wierd to say the least, though the division chief seemed like a very nice guy. PCCM fellows don't seem to have as much of a hold in the ICU as they're unwittingly competing for confidence/attention/love of the other ICU auxiliary staff and procedures with straight CC fellows, anes-CC, neuro-CC.



Bleh clinical, bleh research

TJefferson : Strange place. I and 2 co-interviewees had weirdly, unexpectedly unpleasant interactions with him. Nothing to be said on the research front. No NIH awards in a decade, purely clinical and very average at that. No transplant. No strong reason to pick it over ANY program unless you were desperate to stay in Philly and had no other options.

UIC (32+4 on clinical track, 24+12/24+24 PI track): Fell way below my expectations – I was actually excited about the program before I interviewed. All 3 of my interviewers except the division chief (who seemed really nice) seemed distracted. PD said he’d read our profiles more than 2 weeks before the interviews, and the other interviewers didn’t seem to know much about us either. Very weird day – the initial presentation about the program gave no details as to how the program was structured, and when we pressed the fellows, out it came – they’re very clinically heavy with no-little time for research unless you wanted to stay an extra year. If you did want to go the physician-investigator route, you would do the year of research first. No transplant, vague undefined fellows role in the unit which is mostly resident-attending run. IMO, nothing to really recommend the place.


Highest fellow bronch #s on my list: UI, Mayo, Temple, MUSC if you work with the lung cancer folks, Rochester for the EBUS/Nav

That was awesome. Thank you anonymous.

I will be doing the same. Going on my last set of interviews next week. Excellent excellent job. Much appreciated.
 
Just a hypothetical...If you were able to do a straight CCM fellowship at a great program and then follow that with a pulmonary fellowship at the same center, would that be something you would be willing to do? So 2 years and then another 2 years.
 
can anyone comment on how to rank the NYC progrmas? cornell, sinai, NYU? thank you!
 
Notable interview trail moment/mental snapshots

- The PD with one of those small Jack Daniels bottles on the corner of his desk
- The male PD with the bangs like Ms Swift
- The PD that reeked of cigarette smoke (well..in his defence...who knows...maybe he was just in a lab smoking mice..)
- the interviewer who kept his gaze mostly fixed on a lady's anterior thoracic area
- the interviewer who sat in the chair with one foot crossed over the other knee with a threadbare stinky sock inches away from your face
- the interviewer who was wearing track pants and kept his feet stationed on his desk while he interviewed
- the really nice lady who had to tiptoe and tread cautiously around the stacks of papers on the floor to get to her desk. If a city inspector stepped in, her office wouldaf been condemned.
- the interviewer who spent 30 minutes (when he had 20 allotted minutes) telling me about how much the EMR sucked; I literally wanted to stand up and walk out
- the interviewer who could made Pierce Brosnan look ugly
- getting stuck at O'Hare, and not wanting to ever fly again
- not checking into a Southwest flight early enough and having to sit next to a stinky drunk drooly guy
- sitting through 8 interviews and then having to sit through a basic science conference post lunch

- 2:1 male:female interviewee ratio
- the interviewee who kept nodding his/her head vigorously to everything the PD said
- hour-long 'tours'...ughhh!!!

- DO YOU HAVE ANY QUESTIONS ABOUT THE PROGRAM ??

Done with interviews......phewww....!!! :clap:
 
Leo Spaceman should write a journal about interview experience lol.

I am done interviews too. All that is left is prayer and hope.
 
Leo Spaceman should write a journal about interview experience lol.

I am done interviews too. All that is left is prayer and hope.
lol! Putting aside the cost, emotional and mental fatigue and general tear-my-hair-outedness, I learnt SO much during the interview trail, and I don't mean all those rad/path/ILD conferences I had to sit through. I learned about how the process works, how people got to where they are now, valuable advice about mentors/NIH grants/clinical training.

Was it just me, or were more than half the clinical/image 'puzzlers' at those conferences cystic lung diseases? It was ALL about Birt-Hogg-Dube and pleuro-pulmonary fibroelastosis.

Can't hardly wait for December 3. I've realized I'll probably be equally happy to match into any of my top 5.
 
Anyone interviewed at SLU and/or Carilion Clinic in Virginia?

I'm looking for a program with strong Pul and opportunities for pulmonary sub specialties (not just IP).

I thought Carilion clinic has diverse faculty. Fellows seem to be very happy. In addition to CF and Pul Htn, they have faculty with interests in ILD, US, etc. But it's a fairly new program. Hard to find out about them other than what I learned on interview day.

On the other hand, SLU has been "there" for so long. In my opinion, their biggest strength is the PD revamping curriculum. He himself runs CF clinic and also a Pul Htn specialist. I met only one fellow that day so it's hard to assess what most of them feel about the program.

Will SLU's name help me with future jobs in private practice or academic clinician? Or is pairing with Pul-sub specialists at Carilion going to open more doors for me?

Please share your opinions on these programs. Thanks.
 
sunny downstate rejection after already interviewed there. Bad sign

SLU i felt was really awesome. PD was the nicest person ever. He encourages diversity and the fellows all seemed happy. Its a procedure heaven. Could easily do more than 300 bronch procedures by the end of 3rd year. Also they do the right heart caths. If location was not a factor, it could have easily been my number 1. Best clinical program with good academic background in my opinion.

In regards to your question above, i do not think the name of the program affect private jobs much considering PulmCC is a competitive field overall. If you are looking for academics, definitely not the best place for that. .. Very good clinical program is what it is.
 
IF you want to go with name only, SLU definitely is more recognizable (Not sure how academic SLU is considered, I know they have a good clinical reputation). Also a concern of a new program is will they be around for long, how will their fellows do after graduation, board pass rates. All these things matter. I also have a new program on my list that hasn't graduated fellows yet. IMO rank it, but below places that have an established program for some time. End of the day, rank them how you feel, and will they achieve your career goal. If you want to be PP go to a place that will train you for that and see where most fellows have gone in recent years after graduation.
 
Last edited:
sunny downstate rejection after already interviewed there. Bad sign
.

Its a mistake or a very crappy way of dealing with the interview process. Might just call the coordinator and ask, but it is highly unusual for a program to do that (never heard off).
 
Another funny/WTH moment...
So I'm not white, and did not go to an American med school. So never mind my letters, my track record, my not-so-bad personal statement, my very american birthplace at the top of my cv, and my non-lies on my application. So I'm sitting with this very educated interviewer at a very 'top' place, who teaches a lot of med students in a very big city and he goes... 'Oh, you ARE fluent in English, I can't even tell!!' 🙄 The stories we colored people have....!
 
Its a mistake or a very crappy way of dealing with the interview process. Might just call the coordinator and ask, but it is highly unusual for a program to do that (never heard off).
ummm.....from former memories, from what I remember Downstate is pretty malignant.
 
I don't believe Downstate's pulm program is malignant at all. Did a pulm rotation at their VA as a med student. Fellows came in at 9 and left at 5 with home call (almost never got called in). Did bronchs/EBUS w NAV/ thoracs etc. Maybe its chill cause its the VA? Program is not very academic though.
 
Now that interview season is winding down, I was just wondering, did anyone else feel underwhelmed by the whole process? With the exception of one program, my interview experiences were pretty uninspiring. I must say that it was a bit disappointing, especially after spending money, time, and energy on travel, taking time off work, etc.
 
I don't believe Downstate's pulm program is malignant at all. Did a pulm rotation at their VA as a med student. Fellows came in at 9 and left at 5 with home call (almost never got called in). Did bronchs/EBUS w NAV/ thoracs etc. Maybe its chill cause its the VA? Program is not very academic though.
At Kings County and the Downstate Hospital, they are crrrrrazy busy by virtue of who they are and the demographic they cater to. I'm not sure where else they rotate through these days other than the above two and the VA.
 
Now that interview season is winding down, I was just wondering, did anyone else feel underwhelmed by the whole process? With the exception of one program, my interview experiences were pretty uninspiring. I must say that it was a bit disappointing, especially after spending money, time, and energy on travel, taking time off work, etc.
hmmm.... I don't know...I felt like there's a lot of absolutely awesome programs out there, and that the name recognition/perceived ranking had very little to do with the quality of training. Sure, at some places I was really pissed off that some interviewers seemed very distracted or not invested enough in getting to know you, but it was totally made up by some awesome sweethearts of a PD/interviewer who gave you credit for the 3 or more years of slogging-yer-behind-off that you did to get to this point.
 
I tried telling you guys all this.

Get the training you'll want.

I had a NUTSO night last night. I'm not even going to take the time to explain the whole deal and the 5 sick patients at almost once.

When you're running LONE cowboy and are the LAST house on the block for patients for many services, including CVsurg, neurosurg, vascular surg, general surg, and cardiology you better have your shiz together! I mean I LOVE this stuff. It turns my freaking crank but it's like riding a greased pig without a saddle into a lightning storm Viking melee complete with flying battle axes sometimes. People will expect a lot of you in the unit. And people will expect a lot out of you in diagnosing weird nonsense in the lung, especially in the out patient setting.

Are you a bad enough dude to save the president?? Because he's been kidnapped by ninjas.

Choose your training wisely.

It's so cool. Lol. I love this job.
 
I don't believe Downstate's pulm program is malignant at all. Did a pulm rotation at their VA as a med student. Fellows came in at 9 and left at 5 with home call (almost never got called in). Did bronchs/EBUS w NAV/ thoracs etc. Maybe its chill cause its the VA? Program is not very academic though.
Copy-pasting Downstate Review from last season:
SUNY Downstate:
Four different hospitals spread over quite some distance and you will have to drive between hospitals on your clinic days. It is a clinical heavy program and even though they had one of their non-physician PhD faculty interview us, research is difficult other than some review papers and case reports unless you are exceptional. We spoke more about his research than mine during the interview, which was sort of very strange.No nights throughout the three years. Third year has 10 months of ICU. Worst third year schdule I have ever seen. No doubt this is a clinically strong program but I believe that it has far too many ICU months in the third year. No transplant experience available.
 
Any insight on the Pulmonary Fellowship at Memorial Sloan Kettering Cancer Center. Interview process, program itself and highlights of the program. Thanks.
 
I tried telling you guys all this.

Get the training you'll want.

I had a NUTSO night last night. I'm not even going to take the time to explain the whole deal and the 5 sick patients at almost once.

When you're running LONE cowboy and are the LAST house on the block for patients for many services, including CVsurg, neurosurg, vascular surg, general surg, and cardiology you better have your shiz together! I mean I LOVE this stuff. It turns my freaking crank but it's like riding a greased pig without a saddle into a lightning storm Viking melee complete with flying battle axes sometimes. People will expect a lot of you in the unit. And people will expect a lot out of you in diagnosing weird nonsense in the lung, especially in the out patient setting.

Are you a bad enough dude to save the president?? Because he's been kidnapped by ninjas.

Choose your training wisely.

It's so cool. Lol. I love this job.

Are there programs (other than the top 5) out there that are known for providing the best of both worlds in terms of great clinical training with good clinical research opportunities? As someone who is not completely sure about which path (academic vs private practice) I will want to take after 3 years, I am looking for a program that would be able to foster either direction I choose.
 
Are there programs (other than the top 5) out there that are known for providing the best of both worlds in terms of great clinical training with good clinical research opportunities? As someone who is not completely sure about which path (academic vs private practice) I will want to take after 3 years, I am looking for a program that would be able to foster either direction I choose.

The top 5 are NOT for people "trying to figure out direction". The top 5 are for people who KNOW they want to be research clinicians. No questions in their mind. If it turns out otherwise it's a BIG surprise to everyone. People who WANT to play in the snake pit of research academia. Want to be division chief, chair, or dean some day.

There are a good number of university programs that will give you 12 to 18 months of time for research and allow you to "figure it out". However, if you decided on a research career from one of these places then your uphill battle to independent funding will be harder but not impossible.
 
Allegheny sent general thank you letter. However, i sent thank you letters few weeks ago but no reply. Should I still email the rank me letter? and let my program director call for me
 
Duke - anyone have an understanding on the recent turnover at the program? Think that makes a big difference if stepping into new division chief and pd?

How's the clinical training there?

Sigh.,,
 
Anonymous program reviews . . .

Awesome clinical (procedure heaven) + potentially awesome research:

Indiana: (18+18/12+24) This is an Amah-zing program!! Personally my #2. Everything you could ever ask for. Terrific faculty, terrific procedures, ECMO, TX – the works. Not only are the clinicals amazing, but so is the research faculty, and they will all go out of their way to help you get what you want out of an additional degree WITHIN the 3 year program. Young, dynamic PD, have heard very good things about the division chief. Fellows are all great, friendly people. The ONLY ONLY thing negative I had to say about the program was that they rotate through 4 very big and busy hospitals with different EMRs, and need to come in quite a bit overnight when on call. I *heart* IU. They may not be the big ten in research, but they’re definitely in the top 5 clinically.

MUSC: Lovely place, lovely city, awesome people. One of the nicest PDs evehh (can give Bosslett from IU a run for his money in niceness) – Nick Pastis, who is also a procedure guy. New Chief brought in from UW to help recruit more research faculty. Steven Sahn is retired. Former PD is lung cancer bigwig + procedure guru Silvestri (to-be ACCP Chief soon) who btw is also one of the nicest bigwigs I’ve spoken with. In speaking to the Division Chief, felt like I was already being told what path I would take/who I would work with if I signed up, and wanted to do research in the areas I’m interested in. Do Tx but to a limited amount – abt 20 cases/yr

Rochester (18+18): Lovely place, lovely city, awesome people again! Lots of pathology, very busy place. Despite making changes to how the call works, it still seems to be pretty brutal compared to most big state uni places who have shifted to a better night float system. Nicest, smiliest, very accomplished PD. Very strong clinical place if you don’t mind the absence of lung tx (they all go to CC/Pitt). Fellows easily do a 100 EBUSs each without even trying. Fellows said that the 2nd year is too full of clinical responsibilities to get any meaningful uninterrupted research done. Do offer an MPH/MSCR that would probably require 3 to 6 months beyond the 3 year program but probably ONE person pursued it like 3 years ago.


Temple: OK faculty, no big time research but clinically pretty solid. ++ Lung Tx. Located in North Philly and so no stiff competition from the Center City programs of UPenn/Drexel/TJ

Mayo: (24+12, option for additional year).. Driving to the clinic from the airport (which has a grand total of 4 or 6 gates) along this dusty road, I was thinking to myself ‘ OMG! What IS this place! This is as rural as it gets!’ Anyhow, I go to my interview and we receive a very warm introductory talk from the PD, and we go through the motions of the interview day.

THIS IS THE S***! Like I died and went to procedure/rare diseases heaven (if you didn’t already have that thought cross your mind as you entered the lofty halls of the Gonda Building). Fellows do about 400-500 bronchs, at least 50 EBUS, other IP stuff. Their main IP person seemed like a great person to work with. Probably going to add a pleural service. Fellows see pretty complicated patients in their own clinics, and become very adept at handling complicated/rare cases. They DO see enough bread and butter, and run the ICU services both at Mayo and their other community hospital. Will likely have a lot of sleep exposure as 2nd years (I personally like sleep, some might not). Do get a lot of PFT/CPET exposure.

Great conferences which the fellows seemed to like, and most of all, I really liked the fellows – a great bunch of non-snooty people from all over. The faculty don’t seem to be bigwigs but all of them are very nice, and no doubt very competent. PD apparently open to feedback. Apparently their ICU has this state-of-the-art software that allows you to monitor patients, check trends and do all kinds of zany clinical informatics mumbo-jumbo, and though I’m not very tech savvy, the fellows were all raving about it.

Apparently not a whole lot of exposure to lung tx unless you ask though they do a decent amount, but apparently most fellows go to Mayo-JAX on an elective for more intense exposure.




Awesome Research + bleh clinicals

Hopkins - apply for NRSA grants 1st year, will probably end up doing research year before clinical year. Could stay for a 4th year depending on whether you can bring in that research moolah. Obviously you could do a million things with the research potential, but I honestly left the place thinking that if I would not graduate as a robust clinician from this program. All the faculty seemed nice enough. I guess it’s a place best suited for people who are definitely committed to a lifelong career of research, because honestly they’re not seeing/doing anything clinically that you wouldn’t find (perhaps even more of) in other decent sized tertiary/quaternary care centers and these days most big places have big names in all ILDs and other disease categories. Newer bigger (I think 24 bed) ICU. Most fellows graduate with 120 bronchs or so with no-minimal EBUS exposure.


Yale - can tailor your research career as you like, awesome research facilities, bronch scene lacking, can hook up with Dr Fares (PHTN) if you wanted to do RHCs. Division chief is a researcher with no clinical duties. Can do a Masters in clinical research or a PhD in investigative medicine – pretty cool opportunities. Don’t see why it couldn’t give Hopkins a run for it’s research money – have wayyy more people/departments to collaborate with and pay 20k more than Hopkins does/year. Loved Dr Herzog – IPF lady who began her career as a clinician. Fellows were okay, and except for 1 chatty/nice chief fellow, most didn’t seem very friendly. Have night time intensivist, and have basically no night call/night float. Major clinical sites = yale + the huge West Haven VA. No transplant.

Bottomline: Cushy fellowship with the best research opportunities (in breadth/independence to do what you want to) but not the strongest clinical program.

Stanford - probably better than the two above clinically. primary VA faculty does a good amount of IP, Dr Zamanian at Stanford does all his RHCs, buttttt.....fellows are basically doing what I used to do as a new PGY2 - running to all RRTs, triaging in the ED, admitting. Looks like PGY1 residents don't rotate through the Stanford ICU, only through SCVMC, and one fellow honestly said that 'every one is demoted a level here'. Interview day interaction with the program director was wierd to say the least, though the division chief seemed like a very nice guy. PCCM fellows don't seem to have as much of a hold in the ICU as they're unwittingly competing for confidence/attention/love of the other ICU auxiliary staff and procedures with straight CC fellows, anes-CC, neuro-CC.



Bleh clinical, bleh research

TJefferson : Strange place. I and 2 co-interviewees had weirdly, unexpectedly unpleasant interactions with him. Nothing to be said on the research front. No NIH awards in a decade, purely clinical and very average at that. No transplant. No strong reason to pick it over ANY program unless you were desperate to stay in Philly and had no other options.

UIC (32+4 on clinical track, 24+12/24+24 PI track): Fell way below my expectations – I was actually excited about the program before I interviewed. All 3 of my interviewers except the division chief (who seemed really nice) seemed distracted. PD said he’d read our profiles more than 2 weeks before the interviews, and the other interviewers didn’t seem to know much about us either. Very weird day – the initial presentation about the program gave no details as to how the program was structured, and when we pressed the fellows, out it came – they’re very clinically heavy with no-little time for research unless you wanted to stay an extra year. If you did want to go the physician-investigator route, you would do the year of research first. No transplant, vague undefined fellows role in the unit which is mostly resident-attending run. IMO, nothing to really recommend the place.


Highest fellow bronch #s on my list: UI, Mayo, Temple, MUSC if you work with the lung cancer folks, Rochester for the EBUS/Nav

I had the same experience at the IU program. The PD was awesome. They fellows got more bronchs including EBUS and Navi than any of the other programs I visited. They also have exposure to interventional and rigid bronchoscopy if they want. They also do a good deal of transplant. I would say, the only negatives was the amount of call in the first year and the amount of clinical research available. It looks like if you want basic science research, they have plenty of opportunities. I loved this program overall!
 
I am seriously considering ranking Cleveland Clinic #1. Can someone play devils advocate and try to convince me otherwise. Oh and you are not allowed to use the city of Cleveland in your argument, you have to focus solely on the program. And you can't use its relative lack of research, I view the amount of research expectation a huge plus of the program.
 
Top