I have mixed feeling about Mayo Florida.
I don't think just naming the subspecialty clinics, is going to make huge difference. It does offer exposure to all subspecialty outpatient cases , [except for adult CF, as they send us to Ped CF clinic] [In all fairness, they are planning to send fellow to UF Gainesville for CF Adult]. In fact, chief of Pulmonology is very proud of their Pulmonology experience, and thinks it their biggest strength. I had the same feeling from fellows as well, that they are very happy with Pulmonology and experience both inpatient, and outpatient.
For me, worrisome was the inpatient critical care experience, with census from 4 - 12 patients, that sounded scary low. In fact, one of the fellow did mentioned that, sometimes she feels she needs more patients in ICU. I asked about that to chair, and her response was that they have just about the right number of patients, to have enough exposure to critical care, at the same time, allows ample of time for education as well. So they do take pride in it that their fellows have enough time for education.
Something I have not seen in any other programs [i have been to] is their critical care service is fellow independant. There is 24X7 attending in house, they do their own check out and all., SO whether fellow is there or not, service will go on. They say it allows fellows to focus on education. I really don't know how it is going to impact my training. Somebody can share first hand experience, would be very helpful.
So, point is, it depends on what kind of learner you are. I need to get my hands dirty during my fellowship training, So I would rather be at place which keeps me busy, and expose me to all the variety out there. Bottom line is, it's not going high on ROL.
FYI, they have very specific patient population, most of them insured. They dont have those typical training uninsured/underinsured patients that allows great learning. They dont have much HIV patients. 2nd year fellow has not seen a single PCP case in 1 year [not a good sign]. Their immunocompromised patient are post organ transplant.
