Aria Philadelphia, PA
- 4 per class
ED
- Total ED visits 110k/year among 3 campuses (Torresdale, Frankford, Bucks Co.)
- Torresdale Level 2 trauma, 239 bed hospital, 38 bed ED with cath lab. Stroke center in the works.
- Bucks Co no trauma, 184 bed hospital, 16 bed ED with cath lab. More community/suburban setting
- Frankford no trauma, 121 bed hospital, 25 bed ED. More of an urban, inner city feel.
- Admission rate is 15-30% (lower at Frankford, higher at Torresdale)
- Saw Torresdale campus on tour. ED is large with 3 separate pods all similar in acuity, only 1 open over night. Looked like only 1 large work area with multiple computers and felt a bit maze-ish. Floors looked nice, updated ICU, decent food/cafeteria.
- 1-2 residents per attending
Curriculum
- PGY1 year is mostly at Bucks campus
- PGY1: EM x 12wk, IM/ICU x 12wk, Surgery x 4wk, Trauma x 4wk, OBGYN x 4wk (at St Marys, no residency there), Peds EM at CHOP x 4wk, Anesthesia x 4wk, Cardiology x 4wk, Night Float x 4wk
- PGY2: EM x 6m, MICU, Peds EM at St. Chris, Ortho (office based), Urology/Ultrasound, Trauma, Elective
- PGY3: EM x 6m, Burn ICU at Temple, PICU at St. Chris, Trauma at Cooper, Research, ENT/Optho, Elective
- PGY4: EM x 6m, Peds EM at CHOP, EMS, Plastics/Neuro, Toxicology, Admin, Elective
- EM rotations split 50% Torresdale, 35% Frankford, 15% Bucks
- 12h shifts, 17 as PGY1 then 16-15-14
Academics
- Lectures, journal club (every 1-2 mo) all seemed pretty relaxed
- Read Rosens x 2
- Faculty said inservice exams not as good recently so tweaking curriculum
- New Sim Lab program, new ultrasound program (not sure the extent of either)
Location
- Torresdale is Northeast Philly, Frankford is Urban, Bucks is Suburban. All within 30min of each other.
- Most married residents live in Bucks/Langhorn area. Singles tend to live in city.
- Lots of shopping, restaurants, cultural events, outdoor activities in Philadelphia area
Misc.
- Other residencies: IM, FP, EM/IM, EM/FP, TRI, podiatry
- Salary 45k to 50k, a little low for the cost of living.
- Meal stipend ($1200/yr), free parking, CME $500/yr
- Cost of living dependent on where in Philadelphia/surrounding areas you live
- Rumor: new ED in ~2yr and 4th hospital in ~3-5 years???
- In house moonlighting as PGY3-4
- No trauma intubations until PGY3.
Interview
- 5 x 20min interviews. One with a group of residents, 1 with PDs, 3 with faculty. One of the faculty had a short case
- No dinner. Interaction with residents was limited to interview, interaction between lectures (waited in conference between interviews), and tour/lunch. Seemed like a nice bunch but not terribly outgoing.
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Overall
Undecided. Interesting out rotations for Peds/Burn/Trauma, but intern year seems to have a decent amount of scut rotations. Nice variety in the 3 locations but might end up with more travel than Id like. Two PDs have mix of youthful energy and experience. I question the strength/structure of the academics and how thatd work for my learning style.
Einstein Philadelphia, PA
- 12-15 per class, taking 15 this year
- Dual AOA/ACGME accrediation
ED
- Total ED visits 90k/year
- Admission rate is 19% but higher than national average for ICU admits.
- Level 1 trauma, cath lab, stroke center, etc.
- No EMR yet but implementing in the ED early 2011.
- ED is 53 beds split between 3 pods plus 5 bed Fast Track. Adding a new 4th pod to be completed soon. Most rooms are 3 walls/curtain. Large department, its not shiny and new but is nice with large work stations. Currently lack enough computers but Id imagine thatd change with the addition of EMR. New hospital in Montgomery Co. for 2012. I think residents will be there?
- 3 or 4 residents per attending
Curriculum
- PGY1: Orientation/EM, EM x 3, Anesthesia, IM, CCU, Simulation, MICU, Trauma, Surgery, Peds, OBGYN
- PGY2: EM x 6, EMS, NICU, Ortho, Simulation, Neurology, Radiology, MICU
- PGY3: EM x 6, Shock Trauma @ Lehigh Valley, PICU @ CHOP, Burn ICU @ Temple, Simulation, Emergency Psych/Elective, Toxicology, Scholars
- PGY4: EM x 6, Peds EM @ CHOP, Neurosurgery, Admin, Simulation, Elective, Optho/ENT, Scholars
- 8, 9, 10, and 12 h shifts, 18-21/year on a template of 3 days, 24h off, 3 nights, 3 off
Academics
- Strong. Lectures, sim lab, Rosens, journal club
- Some lectures split PGY 1+2, PGY 3+4
- Monthly quizzes
- Brand new sim center is BEAUTIFUL. Implementing a more formal curriculum for it.
Location
- Hospital is in a fairly rough neighborhood but you can live in nicer areas and still have decent commutes.
- Tons of shopping, restaurants, cultural, and outdoor activities
- Cost of living dependent on where in Philadelphia/surrounding areas you live
Misc.
- Other residencies: 400 residents/fellows in 34 specialties (IM, Neuro, OB, Peds, Psych, Radiology, Surgery, Urology, Prelim, TRI, Cardio, GI, Geriatrics, ID, Heptatlogy, Nephro, Rheum, Transplant, Pulm/CC)
- Salary 47k to 52k
- Meal stipend, parking, scrubs
- 15 vacation days through the year plus 5 days around holidays
- Work Fast Track shifts as PGY2
- Alternate traumas with surgery ED even days, surgery odd but PGY3 and 4 does all airways
- PGY2 does all medical intubations in ED
- Dedicated orientation block with lectures, labs, bonding activities, princess shifts
- Shifts at new Montgomery Hospital will be 1:1 with attending and will be scattered in schedule
- Tropical medicine elective in St. Croix
- Fellowships in toxicology, EMS/disaster medicine
Interview
- 3 x 20 min interviews with PD, associate PD, and chief resident
- Pretty extensive tour. Wear comfy shoes!
- Nice dinner the night before in center city Philadelphia
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Overall
Very strong program. Youll see everything and be very well prepared. Excellent trauma management set up. Also really liked the rotations at CHOP and Temple. Lehigh Valley for trauma also gives balance with blunt trauma. Einstein is definitely significantly more penetrating. Dr. Carter (PD) is awesome, as are the other faculty we met. Residents worked very hard, but seemed happy in their decision to come to Einstein. Id heard at other interviews that the Einstein residents are overworked and miserable but didnt get that vibe. One drawback is number of residents to each attending. Personally, not sure I want to be in an urban program, but this will still end up high on my list.