negatives: average regional and pain experiences which are weak compared to rest of program, excessive ICU (9 months including intern year), chair is nice but has no time/interest to get to know residents personally outside the occasional difficult airway case in the morning, program director is your boss - not your friend, NO electives even as CA3 - you are needed to run the floor and have a ton of main months so it is not possible to make up for the ho-hum regional/pain experience acquired during residency, CA1's stay late a lot, CA2's stay late on specialty rotations (the work hours advertised are still nice but less rosy than it appears), no textbooks provided anymore now that the iPads are given out with texts loaded onto them, small incentive to become chief (ie lots of work for very little benefit except to be able to tell people you were chief)keep in mind: all top programs have weaknesses such as but not identical to those listed above
I'm a resident at Michigan.
I want to clarify some of the "negatives" the previous resident posted. All programs have downsides, but I think the "negatives" listed above are unfair, and warrant further clarification.
1. Regional/Pain: I wouldn't call the regional/pain experiences at U of M our strongest, but our residents do NOT have trouble obtaining their numbers for pain procedures and blocks. We also have new up and coming pain attendings who are focused on revitalizing the regional program and many of the new surgical staff are requesting more and more blocks. Its a work in progress, and not a negative aspect of the program.
2. ICU experience: My intern year we had 2 months of CVC ICU (cardiothoracic ICU). CA1 year we had 1 SICU month. CA2 year we had 2 months of CVC ICU. CA3 year, we have one month in the CVC ICU. All in all, I've had 6 months of ICU. I'm not sure where the person above is getting 9 total months of ICU. Michigan grads graduate from this residency well versed in ICU management which sets us apart from CRNAs and mid-level providers.
3. Chair/Program Director: Our chair is the most down to earth and personable person I've met. He cares about the residents and their education. I could go on and on about him, but I hope that the applicants who interview at our program get to see this for themselves. Our program director is also a sincere and personable man who cares deeply about resident issues and education. Unfortunately, as the program director he has the "bad cop" job of keeping everyone on task (reminding residents to record case logs, record hours, upload presentations, assigning M&M conferences etc). The thing that impresses me about our chair and PD is that both are very responsive to resident issues and complaints, and strive to keep the residents happy.
4. CA3 experience: CA3s do not have electives. It can't really be helped as our hospital is a premier teritary care center. We have about 5-6 months at the Main (general cases) as CA3s. I know I'm going to use this time to study for boards during my 8 hour whipple. We only run the floor when we are on CA3 call which is 2 calls a month at the Main. However, I believe this experience is vital because it teaches us how to manage the ORs and surgeons (which I'm sure will come in handy as attendings or in private practice). And like I said before, there are no issues with attaining block #s as we have 1 month on APS and 1 month at an outpatient center performing blocks.
5. Hours are sweet...way better than my surgery counterparts. The resident above sounds like he's whining or just lazy. CA1 year average 55-60 hours/week at the Main. CA1s have 1 late call/week where they stay till about 8pm. CA2 year 55-60 hours/week at the Main. On specialty rotations like cardiac, thoracic, neuro, hours can be a little longer (60-65 hrs/week). I'm not sure that this is much different from CA2s at other programs. CA3 year averages to about 45-55 hours/week.
Also, our calls are at 11AM-7AM as CA1/CA2s at the Main. As CA3s our calls are 3PM-7AM. Weekends are full 24 hour calls. We have on average 1 weekend, and 1 weekday call a month on a rotation (except for ICU and OB which are q4).
So please, don't complain about hours. I know other anesthesia residents at other programs who are still q4-5!
6. Ipad 2s with access to all the key anesthesia textbooks loaded onto the iPAD instead of 30 lb textbooks. I think that's a positive!
🙂 Sue me, I'm a tree hugger.
7. Chiefs: Why there should be an "incentive" or "benefits" with becoming chief? I thought the whole point was being a voice for the residents and being a leader. Anyways, the four chiefs do work hard (like any other chief resident for any other program), but they are compensated for the extra time spent on chief duties.
Anyways, those are my thoughts regarding the unfair criticism. Michigan has provided me with an outstanding residency experience, and I'd be happy to talk more about my program if any of you have any questions. Good luck on the interview trail!