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These are both really great programs, but are very different from each other. Obviously, location is one of the biggest differences.
OHSU -- has a much more "family" feel to it than Mich, not just in terms of actual program size but also in the way the residents act with each other. Dr. Kirsch (chair) is a really nice man and huge advocate for all of his residents. In terms of the actual program, there aren't any big weaknesses (they don't do a lot of trauma, which really isn't a big deal). I didn't really like the weather in Portland, it basically just drizzles all year round, but there are great opportunities for skiing, hiking, camping, and anything else outdoors just a few miles away.
Michigan -- This is a really top notch program with an enormous case load. Residents are really happy because they don't take very much weekend call. The only downside I found was that they have 20+ residents/year if I'm not mistaken which takes away from the "personal" feeling of the program. That being said, the Michigan network is vast and residents get great fellowships/jobs. I wasn't nuts about living in Ann Arbor or I would have ranked this program higher.
Overall, both are fantastic programs and anyone would be fortunate to match at either. I personally liked OHSU more but that's just me. Hope this helped.
What are some other strong central or midwest programs (besides the chicago programs, mayo, ccf, etc)?
I can't say much about OHSU, but Michigan is a great program and I agree with the above assessment. The chair and PD are great and the department is incredibly supportive despite being large. The residents are very well-trained in all subspecialty areas (except maybe trauma, but that goes for a majority of programs), however they also remain very happy in the meantime. Everyone I talked to who interviewd at UM liked it, and geography is what kept them away. Honestly that is a huge factor, and if you're deciding between OHSU and Michigan that is a pretty big difference...
Michigan's interview dinner was awesome too, tons of residents with their families come out so you can really find someone to talk to frankly without any BS.
Out of curiosity, are a majority of UMich's residents married? My family is in Ann Arbor, and I went to undergrad there, and I love the town (and the weather), the only thing that makes me hesitant to go back is that Ann Arbor is not really the place for a single late 20-early 30something.
And to the above poster, Ann Arbor is pretty much as cold as the northeast (Boston, NYC, etc.), I don't see it as any colder having lived in both places long-term. But I like the cold so this is my bias. And yes it is a very desirable college town, I think the only rival for that status in the midwest is Madison.
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!
Another weakness - if you try to reasonably discuss negatives about the program in a meeting or other public forum you are accused of whining and being lazy. As I said the hours are still nice, just not as nice as advertised when you interview.
3 extra months of ICU as internship: neuro ICU, cardiac ICU, transplant month ICU - not all patients are ICU status but you take care of ICU patients everyday and therefore this can count towards ICU time. It does not, however. And it would be nice if it did because most residents truly dislike the ICU experience we have in the TICU and SICU (as most anesthesia residents everywhere probably do).
As I said, regional experience is just average compared with the rest of the program which is excellent (except pain which is average too). "Getting numbers" does not make one proficient but rather just familiar with only the most common regional techniques.
It's good training in a nice environment overall and on par with all the other top places. Applicants should have a fair view of a place, not this rosy unrealistic picture sold at interviews.
Its all about perspective. If you want to make it negative, it will be. If you want to get the best out of it, you will. Michigan is an amazing place to train for anesthesiology. Its not perfect, but no program is perfect. However, it seems to me our program is never satisfied with being a 'top program'; and is always trying to improve.
Also, being an intern "taking care" of patients in the Neuro, Cardiac, Transplant ICU is not on the same level as being a senior resident actually managing ICU patients in the SICU, cardiothoracic ICU. Lets be honest, as interns we had checkboxes and tasks to accomplish. That is why I count 6 months, not 9 months.
As for regional, I have my #s and its only October and have yet to do my second rotation in blocks. And, I would like to think I'm more than just "familiar" with doing blocks. But its all how you approach it, I guess. However, I will agree that we need more experience with peripheral nerve catheters. We rarely see that here.
And as for the comment about hours, if you complain about working about the hours we work at our institution to other anesthesia residents in other programs that work way more hours than us, or to surgical residents, we do look "lazy" and that we are "whining." That was the only point I was trying to make. We have it pretty cush compared to other training programs.
Regardless, I'm glad we are having a healthy debate regarding our program. Just like every applicant, every program is going to put their best foot forward on interview day. All I can say as a CA3 here at Michigan is that I've been very happy with the program, and even though there are a few things to work on, I am confident that I've had superior training. And I think most of the residents that train here will agree with me.
Its all about perspective.
Everyone is entitled to an opinion, and with 120 anesthesiology residents in our program, we are are not going to make everyone happy. But insulting the Chair of the program and the Program director is never fair and its not professional, especially when 99.9% of our residents and the entire anesthesiology community have the most utmost respect for these leaders and pioneers. And the chair and PD absolutely care about residents, and only want the best for them. I know this, because I meet with them on a monthly basis discussing resident issues, and ways to improve our program.
If you are going to be interviewing with us this season, I encourage you to ask a lot of questions, grill us, and talk to the residents. We have something very special at Michigan, and I'm absolutely confident that you will see this for yourself. And I can not emphasize enough, how happy I am that I trained here, and I know that majority of our residents will agree with me. The teaching is very good, and the cases are challenging yet rewarding. You will be more than adequately prepared for life outside of residency. Finally, despite our large residency size, we are family, and we try our best to take care of our own.
I've reached out to the above poster. And I hope get to the root of the problems and address the issues he/she has brought up. Hopefully, he or she will take me up on my offer. And I regret the fact if it seems that he/she is being labeled lazy or malcontent, that is not my intent. And I sincerely apologize if it seems that way. We take care of our own, and it seems like he/she has been lost the mix. But we will try our best to address these concerns.
Please feel free to PM me with any questions about our program including the intern year, and the CA years. I've tried my best to paint an accurate picture based on my experiences. Again, good luck on the interview trail! I know its a very stressful time, and also financially draining! I know this, as I interviewed at over 20 places because of the couple's match. 🙂 It was well worth it, as I found my home at Michigan.

I am the go to in my group for pretty much anything, Whether it be regional, Cardiac, a sick patient in PACU or ICU. I have been out 2.5 years. Michigan is the real deal, but just like anything in life you get out of it what you put into it.
I trained with many people who decided that anesthesia was the "A" on a ROAD to a good life. All they ever did was whine about this, that, and the other thing but were unwilling to stick it out during a good learning case, or if they couldnt do the block they would sit on their butt instead of watching and learning. This will be found at any program and any practice. Some people will actually love what they do and find a passion in it and to others its a way to pay the bills. Upsides and downsides to both philosophies, in the end try to end up somewhere in the middle.
To answer the original question about OSU vs UM, ask your self would you really want to be a suckeye?![]()