Okay, debating my top three: Brigham, MGH, and UCSF. My goal is (at the moment) to stay in general internal medicine and be a clinician-educator. I have applied to the primary care tracks at all three institutions.
In alphabetical order...
Brigham--I like "warm and fuzzy" as a principle. People seemed incredibly nice and willing to help each other out--trade a call weekend so someone could go to a friend's wedding, etc. I think these "little things" may make a big difference in something as hard as residency. Also, the teaching conferences and overall intellectual atmosphere seemed amazing.
But...I am worried that the patient population might not be as interesting and/or underserved as at the other two. I plan to do work with underserved in practice, but not sure how much I need of that in my three years or training. What seems most amazing is the support for individualized career paths here. Want to work at the WHO? Work with IHS? Do policy work? Hang with Paul Farmer? Done. But is all this icing on the cake? What about the rest of the clinical experience?
MGH--was initially worried that they do not have each other's backs and enjoy hard work for hard work's sake, rather than for learning purposes. However, went back for a second look and thought this might be a nice mix of some more underserved while still very academic. It might be exciting to be thrown into the mix with some more autonomy-with-a-safety-net structure. I also like the 24-hour call schedule, but is this a moot point because of IOM recommendations we'll all be doing 24-hour call anyway? Bigelow service is great, but it is not all of MGH--you are still at Ellison a bunch too.
UCSF--got a really great feeling during my day there. Really like that there are no private patients and the three-hospital system. However, also got a sense people here might be even more overworked than the other two programs. I love county hospital exposure but the paper charts, days to get a CT scan...worried that SFGH might prove to be a little demoralizing for training.
I know I can't go wrong, but anyone else having this debate?