Not that these rankings should really matter, but just wondering about why BIDMC-Harvard is ranked so much lower than Brigham on Doximity? Anyone have any insight into this? It seems strange considering both used to be part of the same (and well-regarded) Longwood program, and at least based on my experience at interview day BI seems like an absolutely incredible program. Interested to hear people's thoughts on this.
I recently interviewed at BIDMC and loved it as well. I actually believe it's a better training program *in psychiatry* than BWH.
1) Doximity rankings are based on Doximity members polls; basically they're popularity contests where perceived prestige plays a great role. There is a joke that Princeton Law School was named one of the best US law schools in a similar poll among lawyers; the catch it, Princeton doesn't have a law school.
2) There's a self-perpetuating effect - eg., MGH will continue to be number one because it's always been number one, so it has to be the best, right?
3) There is also a halo effect. Which is where I get to the point regarding BWH vs. BIDMC ranking. BWH, a paternal twin of MGH, has been a top hospital for *medical and surgical* specialties attracting complicated patients/difficult cases from all over the world. By comparison, BIDMC is considered a more "community" (though it's still very much academic) hospital for medicine and surgery. And with the halo effect, the more renowned medical/surgical reputation translates into more assumed prestige for BWH psychiatry without any actual evidence for it.
4) Since the Longwood "divorce" it's actually BIDMC that's been carrying the Longwood flag. To start with, BIDMC was a strong prestigious psych program of its own before its merger into Longwood. Longwood's founder and long-time PD is now BIDMC psychiatry chair. The most recent/current Longwood PD will continue on as BIDMC PD.
In terms of services/training opportunities BIDMC "lost" in the divorce from BWH, almost all of them are redundant - another psych inpatient unit, another C-L service. I pressed senior Longwood residents really hard as to what were the differences between the corresponding services at BWH and BIDMC and they ultimately conceded that there were more medically complicated patients at BWH (consistent with the above: BWH is strong in medicine and attracts more complicated patients) but that BIDMC psych inpatient had sicker patients and BIDMC C-L had more eating disorders (because of some medicine docs specializing in eating disorders there). Doesn't sound bad at all to me. One non-redundant service that BIDMC lost was addictions, but they arranged a relationship with a VA for a detox unit and residential treatment rotation for interns (as well as an opportunity for a PTSD elective), and all the residents I talked to who had already done this rotation were extatic about it. BIDMC also created a new addictons service within C-L.
BWH is perceived to be stronger in neuropsych (the chair is a neuropsychiatrist), "biological" psychiatry and research, but BIDMC has its own strong neuropsych - in fact, it has one of the top neuromodulation centers in the country, research (particularly at Mass Mental) and certainly doesn't lack in psychopharm education.
On the other hand, what BIDMC "retained" after the divorce is its renowned outpatient clinic and strong psychotherapy training, as well as its affiliations with Mass Mental and Fenway Health, which are fantastic patient care, research and training institutions in their own right.