- Joined
- Dec 22, 2012
- Messages
- 28
- Reaction score
- 7
No idea...I have an interview coming up there as well, would be interesting to knowany thoughts about the training at Brown?
No idea...I have an interview coming up there as well, would be interesting to knowany thoughts about the training at Brown?
As a newly minted nephrology F1 I thought I'd give my input.
If you don't have time to sleep, let alone enough time to think through a case then help formulate a plan w/ primary team + other specialists I can see why people are being burned out. (My favorite experiences have been pow-wowing with 3-4 different teams to co-manage acute pulmo-renal, cardio-renal, hepato-renal syndromes.) My program takes the 80-hour work week rule VERY seriously and if you are called in overnight the PD will ask one of the outpatient fellows to cover the morning so you can get 8 hours off between shifts (official ACGME policy), which rarely occurs anyways because the house staff are quite impressive at my institution. Ask about work-hour rule compliance and contingency plans for overworked fellows.
How is it possible for outpt fellow ( who know nothing about the patients on that day , and the consult list is usually not a short list) to present in am rounds.
I've only been to 1 so far with September being my main month for interviewing. I guess the only difference between interviewing for internal medicine residency is that the groups are typically a lot smaller (the one i went to was interviewing 5 people, a couple more programs only interview 2-3 ppl per day). You will also typically interview with more people. Otherwise, I would assume its the same (depending where you go, it can be a very intensive process). Just have fun and remember why your going into Nephrology!last years statistics showed out of 158 programs participated in the match only 65 were filled . interesting !
can anyone tell us about his interview experience. do they ask same questions as residency interviews ( tell me about your self, why to choose you , why nephrology, what is ur weakness, etc?)
last years statistics showed out of 158 programs participated in the match only 65 were filled . interesting !
can anyone tell us about his interview experience. do they ask same questions as residency interviews ( tell me about your self, why to choose you , why nephrology, what is ur weakness, etc?)
ok, just to give credence to Denjang's post from a few pages back... I am 2 months into my nephrology fellowship as well and so far i have enjoyed it. All of you guys applying in nephrology are making the right decision. You have to know what you are getting into though. I also had a lot of fun interviewing at different places and then starting my fellowship. Yes there are night calls but within reason. Yes you should stay close to the hospital when on call but then you are not going into ID or Endo. Your expectations have to be realistic but at the same time, calls dont kill you and they are not in house. Also the starting off salaries are not a good point to look at but the 3-5 yr salary. The hospitalist and ICU will start off with higher salaries but there are no options of buy in.. to the practice, there are still opportunities for medical directorship and you might get lucky and get shares in dialysis centers also. DO WHAT YOU ENJOY regardless of if thats nephrology or something else. Dont' pick a fellowship solely due to how much you will make because there are a lot of factors... trust me, i had been in practice for a while. And a word of advice for hospitalist jobs --- YOU WILL BURN OUT AFTER 5 - 10 yrs. Hope this helps
Fellowship in Nephrology is not for faint-hearted. If you are someone you gets burnt out in cushy hospitalist job, you are not ready for a career in Nephrology. Expect to see between 40 to 50 patients a day in practice between clinic, dialysis unit and inpatient service.
Well said Kudney...i has been a hospitalist for over 5 years now and i can frankly tell you its the most mundane and boring thing you can do , except for the money that is !!! As a hospitalist 60-70% of you time is social work and the rest is medicine .If you are someone who enjoys medicine and likes cerebral problems, i guarantee you will feel the same as i do within 5-7 years.Also keep in mind that reimbursement for Hospitalists has also gone down ,more metrics to meet which adds on to the work load.Hospitalists job is good for a few years as it teaches to how to deal with tough situations that are not taught in residency but i don't think it a good career choice.
Another thing i may add is that a lot of hospitalist today are subspecialists .. in my group the top leadership within the devision of Hospital Medicine are Nephrologist and ID guys.The chair of medicine is a nephrologist at my hospital.
Ah unfortunately I only focused on the Northeast. I know there was one person that was talking about Southeastern and Texas programs so hopefully he posts soon.Any feedback about programs in Dallas and Houston?
Most of big name programs have busy consult services 30-40 a day and they consider it as strength since the fellow will get exposure to wide spectrum of pathology like GN, peritoneal dialysis , transplant and etc. And will prepare u to private practice after graduation in when u will have many patients to cover.
Is that a valid point or just an excuse for the heavy workload? If u see 35 pt a day u become more experienced nephrologist than if u see 20!!
regardless of all the negative propaganda, it is ultimately up to the applicants to decide their future. If by now, they have not figured out that nephrology is in a deep state of distress, then they are not going to change their minds. They are going to interview in programs who are gonna be very humble and polite to hire as many as possible. The real deal would start a year later when they start applying for jobs and ll figure out that. Jus see the following examples from practicelink
http://www.practicelink.com/jobs/physician/nephrology/
http://www.practicelink.com/jobs/physician/gastroenterology/
GI has close to 500 jobs in one website alone vs nephrology with paltry 78 jobs. Although there may be more jobs out there, practicelink is a very good website of job listings. even if 50% nephro spots are filled, there would be 200 fellows a year and not everyone of them are going to be offered a nephrology job. These things definitely need to ring a bell among applicants but I am afraid it is not gonna change the reality.
View attachment 209351
View attachment 209350
GI versus Nephrology - time for introspection
Where did we go wrong?
to all the nephro bashers:
I believe you guys have made your point. This is a fellowship interview invite thread.
they have made their choice.
You sound like a program director with selfish interests. This is also aimed at pgy2 who are considering nephrology. They should be aware and stay away.
What do you disagree so much about academic people? I am curious
why do you have a chip on your shoulder about academia?You sound like a program director with selfish interests. This is also aimed at pgy2 who are considering nephrology. They should be aware and stay away.
What do you disagree so much about academic people? I am curious
he comes here EVERY year and does the same thing...i disagree with your categorization that academic nephrologist are selfish and care only about their work life balance. I am disgusted with your incessant attack on academic nephrologist as they are some of the smartest hard working people i know. They obviously know the field isn't in a great place right now and the society as a whole is trying to fix the issue. It is not something that can be fixed overnight. Biggest problem right now is compensation.
-fellowship is suppose to be hard so I do not understand your whining about work.
Act like a professional of the medical field. Don't bash other physicians just because you chose the wrong field. I will leave it at that and not argue with you any further.
lol great hospitalistsGoing to nephrology fellowship nowadays remind me with butterflies attraction to fire phenomenon (phototaxis ) . do not worry guys I am sure all the applicants will join top name programs because those programs they do not have anybody to fill their positions . you guys after joining the fellowship be ready to work very very hard day and night for 2 years . after graduation at the end of the road you guys will be a great hospitalists .
Or great academic Nephrologists who perhaps will do something to advance the field and Medicine in generalGoing to nephrology fellowship nowadays remind me with butterflies attraction to fire phenomenon (phototaxis ) . do not worry guys I am sure all the applicants will join top name programs because those programs they do not have anybody to fill their positions . you guys after joining the fellowship be ready to work very very hard day and night for 2 years . after graduation at the end of the road you guys will be a great hospitalists .
to all the nephro bashers:
I believe you guys have made your point. This is a fellowship interview invite thread.
they have made their choice.
Give a list of places and people can post what they know.
Feel like this thread has been just overtaken by a few who keep repeating the same thing over and over --->nephrology is bad, don't go into it, become a hospitalist and enjoy life, are you guys hospitalist program recruiters or something ? you remind me of those hospitalist flyers which show mountains and a lake in the background ( and forget to mention that you will never have any time as a hospitalist to actually go to that mountain or lake )