Hey guys, was cleaning up my files and found this interview experiences I recorded during the match cycle of 2014, may be will be helpful for future applicants. Here it goes:
1. Hartford Hospital, CT
- 800+ beds, with cardiac transplant program (15-20 per year), strong LVAD, heart failure fellowship and interventional fellowship (3) available on site.
- fellows live in West Hartford
- A very nice and friendly environment, 4 fellows per year.
- can easily get level 2 in ECHO and Nuclear (have PET, strong emphasis on nuclear, though since Dr. Heller left, there has been a problem)
- possible to do level 2 in CTA, but could be challenging
- very weak MRI program, ran by radiologist, likely level 1 at max.
- can get level 2 in vascular, but likely need to sacrifice most of the elective for that.
- good EP program but for general fellow mostly basic idea
- to get level 3 in anything, will need to use all 3rd year elective s for that.
- calls are front-loaded (50+ 1st year, 26-30 2nd year, 13 3rd year), can be hit or miss. Home calls.
- lots of PA catheters, some TVPs, good TEE experience
- lots of recent faculty change, which doesn't seem favorable to fellows
- 2000$ conference allowance/year, 1000$ educational stipend can use for anything.
- have great simulation lab. Free gym on the site. So-so on-call rooms. Not a very good cafeteria.
- not a good neighborhood around the hospital, but nice suburbs available
- 100,000+ city.
- ~ 2 hours from Boston, NYC. 30-40 min from New Haven
2. Guthrie Hospital, PA
- 250-bed hospital, small, friendly, 2 fellows/year, fellows are mostly local.
- very rural area, no big cities in 1 hour distance; terrible housing (very old)
- has IM Residency on site (9 per year) who are involved with fellows
- no heart failure, no transplant, no TAVR, CT surgery - only valves/CABG
- shared ICU/CCU with 3-4 pts tops on cardio service.
- had 1 graduating class, went into advanced fellowships
- good number of procedures, a lot of autonomy
- very little experience with MRI, but better with CTA
- no peripheral imaging
- most strength in EP and interventions
- majority of stress tests are stress echo (80%), much less exposure to nucs.
- educational stipend, other perks; fellows are well taken care of.
3. St. Luke's University Health Network, PA
- 350-bed hospital. In very nice area, 1 hour to Philadelphia and NYC
- friendly environment, very nice PD
- 2 fellows per year, will have first graduating fellow this year
- good number of procedures
- have MRI run by cardio, no peripheral imaging
- have CT, but low numbers
- will likely have advanced imaging fellowship
- will soon have Anderson hospital taking over the fellowship with more amenities
- no HF, no VADs, but do TAVR and other structural things
- small educational stipend - 400$/year, meal allowance. 1 conf/year (2,3rd years only, unless presenting)
- no dedicated CCU yet, only few pts in ICUs
- no organized schedule, lectures are very vague; but seem to shape curriculum to accommodate fellow interest
- q4 call in first year and q8 in 2nd and 3rd, weekends divided within fellows, so almost always work one of the weekend days.
- few STEMIs
- nicotine-free policy
4. Buffalo University, NY
- 800+ bed hospital with VA where fellows go for clinic (every other week) and other rotations
- city is dead, very few things to do.
- 4 fellows per year. Have no advanced fellowships, seem to be an old program but not really interested in expanding.
- 15 cath labs, very hands on, large number of procedures. No interventional fellows.
- do have an MRI and CT but mostly level I.
- do not cover STEMI, no need to come for stat echos.
- strange call system, depending on rotations, no Qsomething calls. Apparently not terrible lay busy
- no TAVR, no VADs, heart failure generally lacking.
5. University of Cincinnati, OH
-700 bed hospital with VA where fellows do rotations during the first year and also every other week continuity clinic.
- 4-5 fellows per year.
- strong imaging. EP less hands-on as other places. generally less hands on as has advanced fellows who do most of it. Several fellows at the same time in Cath lab.
- No specific educational stipend, but get Mayo DVD, great library.
- no meal allowance.
- fellows usually live in Hyde park with rent around (750$ and above)
- good numbers of ECHO, including TEE, Nuclear, expanding MRI and CT programs, with future imaging fellowship.
- night float system (1 month/year, plus some random nights)
- 12 bed CCU, new CCU being built.
- a lot of didactics. Have to come in for stat echos, cover All services on night float. Have HF fellow, interventional fellow and EP fellow.
- get to do a lot of swans and TVPs, also good number of pericardiocentesis.
- large focus on research, which will get even more as time goes
- have great MRI ( will have total of 3 by the next year, do 600 studies a year now), do have a CT, PET/CT.
- vascular imaging is not available currently, but likely will be in the future if there is interest; it is under vascular.
6. Cooper University Hospital, Camden, NJ
- big hospital, located in Camden, about 10-15 min from Philadelphia.
- nice PD who is doing mostly basic research in shock (he is also CC trained)
- 4 fellows per year, have women, have 2 interventional fellows and 1 EP fellow.
- imaging is a weakest side of the program with few MRI and CT done, but have access to vascular imaging
- 2000$ educational stipend/year, 60$/month for meals. Do get meals during most conferences. Salary in low 50,000.
- fellows have no problem with numbers for echo/tee, cath, nuclears, but seemed worse than other places to me.
- have lectures, good number.
- no heart failure, and no VADs either
- 12 bed open CCU with some overflow. a lot of things are done by CC and not cardiology, including stat TVPs, very strong CC program
- have privat cardiology group with which they don't interact at all and never take care of their patients, don't read echos several days a week too
- nuclear studies in the hospital are read by radiology, only read outpatient studies.
- front loaded call system, with calls seemed to be terrible sometimes.
7. Carilion Clinic/ Virginia Tech
- 850-bed hospital with 7 cath labs, doing TAVI. In south east Virginia.
- about 100,000 people southern town, low cost of leaving ( 1 bedroom about 600-800$)
- 3 years old but already have 2 interventional positions, soon EP, very dedicated faculty, mostly from around the area.
- 3 fellows per year, soon 4.
- very high volume place with no problems with numbers at all, good level of authonomy
- very busy inpatient and consult services, less busy CCU.
- heart failure is a little weak with few VADs which they started doing this year. no transplant
- have CTA and MRI but not very strong, working on it, have possibilities to do away elective in MRI at nearby institutions.
- go to VA only for imaging and cath.
- have 2 months of research every year.
- have sufficient amount of lectures, good number of procedures.
- call system about 1/9, have 24 in house call, which is very busy. Do have their own service with admissions and discharges, but have help from mid-level and residents most of the time.
- cover STEMIs together with interventional fellows
8. Cook County Hospital, Chicago
-450 bed county hospital with about 80% of patients being uninsured, all insured pt are at Rush.
- do have strong collaboration with Rush, do EP there and CCU + nuclear
- 3 fellows per year, but 6 fellows of Rush do rotate at course at county too
- only 2 cath labs without any advance things, low volume. No EP at all
- fellows claim to get all there numbers but questionable, CCU is not busy at all, no VADs, do have ballon pumps, low STEMI volume
- low salary, but do get paid for weekend calls (about 10,000$ extra a year)
- do have a very nice faculty, very strong ekg training
- no heart failure at all.
- stress tests without a tech. Do claim to have a lot of authonomy in procedures.
- clinic is very busy, but fellows now don't see more than 10 pt in 1/2 day session.
- meal allowance 19$/call
- all cardiologist are hospital employed, no private group
- not much exposure to CT or MRI, no vascular studies
9. Christiana Hospital, Delaware
- 1100 bed hospital, with 8 cath labs, 4 EP labs. Doing TAVI, VADs. No transplant but good heart failure. Very big catch man area, very good volume.
- 18 bed combined CCU, CTICU. Usually have about 8 pt in CCU, do take care of VAD patients, do Impella, baloon pumps
- 4 fellows per year, have 2 interventional fellows, and 1 heart failure fellow
- good authonomy in most procedures, very good numbers. in EP though very poor autonomy.
- many private cardiology groups, but seems like most of them are devoted to teaching
- fellows also do 3 months in 3 years in VA and also several months in Willmington hospital their they have their own service.
- on call 1st years, q1 week + 1 weekend/month, home call, but cover 2 hospitals. 2nd and 3rd years have invasive and non-invasive calls, and do 1 weekend/2 months.
- do have 2000 educational stipend, can go to hopkins for CTA course
- PD is mostly researcher, and helps fellows with projects. 1 month research/year
- can easily do level 2 in cath/echo/nuclear + vascular studies and even CTA, all together. Can get level 3 echo, sacrificing some other rotations.
- fellows opinions a heard and changes made appropriately. Fellows seem very happy
- have EMR, very clinic has different one (don't really have fellow clinic but go to private cardiologists offices mostly
- hospital EMR is not full, notes at written, H&P and discharges are dictated
- on call days can be busy, but generally manageable
- hospital nuclears are ran by radiology, but seems that fellows have no issues learning from them
- do have MRI and CT but not much used.
- do not cover stat Echo
10. Danbury Hospital
- 450 bed hospital with 2 cath labs (doing EP ablations and TAVR - just started) in Danbury, old town with creepy downtown.
- 2 fellows per year
- 20 bed ICU, no dedicated CCU
- have consult service no cardiac service, but going to add one in next couple months
- no VAD experience, not many advanced things
- one hospital only, fellows are very relaxed and happy. No advanced fellows
- get good numbers, except for tee, which happens very early in am and fellows are at conference. Very little authonomy in EP
- daily conferences. Calls are q6-7days first 2 years and 1 full weekend in a month, but 3rd years have nearly no calls
- have 6 months for research in 2nd year, which fellows use not truly for research, no help from faculty in finding projects or mentoring. Pay 5000$ per fellow for this
- hospital EMR is not full, outpatient is full.
- can get level to in echo and nuclear without problems. Nuc ran by cardiology.
- MRI is very weak but just got new software and planning to expend use
- hospital doesn't need fellows for anything, if you are interested you will get exposure, but if you are not, nobody will care
- calls can be busy but ok.
- 2 cardio groups, one is hospital employed, the other is private, fellows work with both