As a DO who doesn't have access to such places to train, I was just curious why these people are going to be considered better trained and what I could do at my own program to try to bridge the gap. I have no interest in research/academics so I was hoping to find tangible things that places like UCSF does so much better than say Indiana, CCF, UPMC, or any program with high volume/pathology. Does "writing the book" on something make you better radiologist? I know that in my time in other fields such as chemistry, people who "write books" are deemed more academic and can't really "do the job" so to speak. My program has great lectures (I think) but is that the difference? I've just always been curious if its all just "the name" and I can just work really hard and be as good/better than someone from UCSF/MGH/etc. I'd like to get a good PP job and be able to handle a list well/rack up the RVUs.
Here are my 4th year med stud thoughts that are worth about 0.75 cents:
1) Yes you can train at Indiana/CCF/UPMC/University of Heartland, etc. and become a "better" radiologist than someone who trained at UCSF/Hopkins/The House of God.
2) "Better" depends on who you are talking to. A private practice group will like a radiologist who can "rack up the RVUs", while not getting sued like some breast guy who missed a tiny ambiguous tumor 10 years ago that is now a stage 4 cancer and is getting sued for millions of dollars. An academic institution will like a radiologist who can publish important papers, "write the book" and have a reputation of being a good teacher, nationally and institutionally.
3) If by "better" you mean saving more lives, I don't know who is measuring that, or how. Or if you mean being that radiologist that clinicians say they trust, I think that's more a result of personal effort in finding out what clinicians care about, rather than the prestige of the training program.
4) I am more academically oriented so I get excited by things like opportunities to get viewbox teaching by radiologists of national prominence (those who are invited to write expert reviews for leading journals and speak in national meetings) and to make strong academic connections with those prominent people so they can open doors for my future career (in my experience as a med stud, nothing excites an academic more than a story that begins with "when I was training at XYZ with the famous Dr. so and so, he once told me...", and recommendations from those people go very very far) and doing research at a place that actually has people who are enthusiastic about expanding our knowledge and improving the practice of radiology.
5) I do believe that academic radiologists of national prominence have deeper knowledge on given topic of expertise. I mean, how can they not, when they focus on a narrow area and are writing papers and speaking to national audience routinely? This has to translate to a more enriching educational experience, at the academic level, of course. Would you rather have learned chemistry in high school from a teacher who has a PhD in chemistry or a BS in chemistry?
6) If you are 100% sure about community practice, 90% of the necessary training will be achieved with enough volume/variety of cases and some personal dedication to rigorous learning. The extra 10% of radiology training that can ONLY be found at UCSF/Hopkins/MGH (I don't even know what these would be. Cutting-edge new technology?) will probably be irrelevant in private practice and can probably be overcome after a few years of practice.
7) When markets are tight, prestige/location of program will give you an enormous edge for getting a job, regardless of the practice setting.