mnm

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Hi
I am basically struggling to decide between
arkansas children hospital
miami children hospital
LSU,shreveport
Any body can help?
thanks
 

TeleoDeum

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Hi,

I'm a 2nd year resident at ACH in Little Rock. I am glad you are still considering us as a potential choice. I do not know much about the Miami progam, but I can answer specific questions about the Arkansas Children's program. In comparison to LSU Shreveport, you will see more tertiary care and referral stuff at ACH. This is good and bad. Sometimes on wards months it feels like half or more of your patients are subspecialty (GI, Endocrine, ID, HemeOnc, etc.) and not enough good old general peds stuff. The flip side is that you get to interact and be taught by all these pediatric trained subspecialists, not just an adult GI who sometimes does kids too. Please know coming into our program, we do ALOT of ER time in the intern year. Some current interns did not fully understand this and are not happy because of this. I personally like the ED (hoping to do a fellowship in Peds EM) - the reason I like the ED is because we get most of our procedures there - tons of LPs, suturing, splints, etc. I also like the multi tasking.
As pediatric residents, we are very well treated. Everyone gets pocket PCs with in hospital wireless connections - I can check my labs and radilogy reports while I am sitting in morning report! We also have an administration who is responsive to the needs of the residents - ie now having nurse practioners on the ward teams, repainting the intern call rooms, instituting a ward admit/night float system where on most call nights I got 4-5 hours of sleep and still went home by 1pm post call. Another difference b/w Shreveport is that a free-standing hopital for children, everything is made for pediatrics - from the wagons to goto radiology to the bright colors to the nurses and techs who choose less salary to work in a peds hospital because they love what they do. It does make a difference in the overall experience for the patients.
No program is perfect- ours is no exception. We do work hard - especially in the intern year. Again, lots of ER time, wards months, one term nursery month and one neonatology month. But, by comparison to the other places I interviewed, we worked efficiently ie night float, home by 1pm, NPs. I have a life at home with my wife and daughter, and if I stay off SDN, I could have enough reading time too. Second year is great - lots of outpatient months with regular 8:30-4:30 clinic hours, 2 neonatolgy months, one month of PICU (today is my day off), and electives. Third year is supposedly more work than 2nd year, but not nearly like first year. Another complaint from some of us is the Morning report/ noon conference schedule. They can be hit or miss depending on the person giving the lecture. What the PD has done is buy everyone a board review book and change the lecture schedule from random topics to grouped lectures ie I read about GI in my book or Nelsons and for those 2 weeks the GI docs give the noon conferences with a board review session at the end. Also all topics will be covered every 1 1/2 years not every 3 years, so if I miss a lecture series because I am on an outpt month, I will see it again before I finish. Again this plan is supossed to start next July - we already have the books, but we will see how it works.
Anyway, I have now rambled for half an hour (yep, I type incredibly slow). Overall I would choose to come here again. Little Rock is a good city, very affordable (you can buy a house). I would feel prepared to do general peds or to go onto a fellowship (we have people do both every year).

Pleae feel free to continue this thread with questions.
Have fun making your decision - and once that is done, enjoy the hell out of 4th year.
 
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mnm

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Hi
Thanks for the detailed reply.I really appreciate it.
Its never easy to decide these things.
In the intern yr in ACH,is call q4 throughout?
good to know that second yr is better.
I really liked little rock.
well,thanks again and enjoy ur off day.


TeleoDeum said:
Hi,

I'm a 2nd year resident at ACH in Little Rock. I am glad you are still considering us as a potential choice. I do not know much about the Miami progam, but I can answer specific questions about the Arkansas Children's program. In comparison to LSU Shreveport, you will see more tertiary care and referral stuff at ACH. This is good and bad. Sometimes on wards months it feels like half or more of your patients are subspecialty (GI, Endocrine, ID, HemeOnc, etc.) and not enough good old general peds stuff. The flip side is that you get to interact and be taught by all these pediatric trained subspecialists, not just an adult GI who sometimes does kids too. Please know coming into our program, we do ALOT of ER time in the intern year. Some current interns did not fully understand this and are not happy because of this. I personally like the ED (hoping to do a fellowship in Peds EM) - the reason I like the ED is because we get most of our procedures there - tons of LPs, suturing, splints, etc. I also like the multi tasking.
As pediatric residents, we are very well treated. Everyone gets pocket PCs with in hospital wireless connections - I can check my labs and radilogy reports while I am sitting in morning report! We also have an administration who is responsive to the needs of the residents - ie now having nurse practioners on the ward teams, repainting the intern call rooms, instituting a ward admit/night float system where on most call nights I got 4-5 hours of sleep and still went home by 1pm post call. Another difference b/w Shreveport is that a free-standing hopital for children, everything is made for pediatrics - from the wagons to goto radiology to the bright colors to the nurses and techs who choose less salary to work in a peds hospital because they love what they do. It does make a difference in the overall experience for the patients.
No program is perfect- ours is no exception. We do work hard - especially in the intern year. Again, lots of ER time, wards months, one term nursery month and one neonatology month. But, by comparison to the other places I interviewed, we worked efficiently ie night float, home by 1pm, NPs. I have a life at home with my wife and daughter, and if I stay off SDN, I could have enough reading time too. Second year is great - lots of outpatient months with regular 8:30-4:30 clinic hours, 2 neonatolgy months, one month of PICU (today is my day off), and electives. Third year is supposedly more work than 2nd year, but not nearly like first year. Another complaint from some of us is the Morning report/ noon conference schedule. They can be hit or miss depending on the person giving the lecture. What the PD has done is buy everyone a board review book and change the lecture schedule from random topics to grouped lectures ie I read about GI in my book or Nelsons and for those 2 weeks the GI docs give the noon conferences with a board review session at the end. Also all topics will be covered every 1 1/2 years not every 3 years, so if I miss a lecture series because I am on an outpt month, I will see it again before I finish. Again this plan is supossed to start next July - we already have the books, but we will see how it works.
Anyway, I have now rambled for half an hour (yep, I type incredibly slow). Overall I would choose to come here again. Little Rock is a good city, very affordable (you can buy a house). I would feel prepared to do general peds or to go onto a fellowship (we have people do both every year).

Pleae feel free to continue this thread with questions.
Have fun making your decision - and once that is done, enjoy the hell out of 4th year.
 

TeleoDeum

Peds EM
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Mar 11, 2001
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mnm said:
Hi
Thanks for the detailed reply.I really appreciate it.
Its never easy to decide these things.
In the intern yr in ACH,is call q4 throughout?
good to know that second yr is better.
I really liked little rock.
well,thanks again and enjoy ur off day.
Intern year call at ACH.
5 months in outpatient - half time in General pediatrics Clinic, half time in ED
These months are "call free" - meaning instead of overnight call you do 6-8 nights straight in the ED 8pm-8am

5 months of wards are on average q4-q5 rotating - most have 7 calls per month, 5 "short calls" - Sunday through Thurs with night float doing admissions 10pm-7am, you cross cover your team but no admissioms after 10pm (usually get to sleep a few hours), and 2 "long calls" Friday or Saturday where you do admissions and cross cover for full 24hrs (all call was like this in the past - gotta love the night float!)

1 month of term nursery q4 call
1 month of neonatology q4-5 call, but you cover the term nursery, not the NICU (there is an upper level who helps you with deliveries and covers the NICU)

Other questions?
 
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mnm

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Well,that doesnt sound bad at all.Some of the other programs that I interviewed had much more hectic schedules.
How is living in little rock ?
I mean as in housing ,rents and do u get time to have a life outside the hospital.
Thanks again.

TeleoDeum said:
Intern year call at ACH.
5 months in outpatient - half time in General pediatrics Clinic, half time in ED
These months are "call free" - meaning instead of overnight call you do 6-8 nights straight in the ED 8pm-8am

5 months of wards are on average q4-q5 rotating - most have 7 calls per month, 5 "short calls" - Sunday through Thurs with night float doing admissions 10pm-7am, you cross cover your team but no admissioms after 10pm (usually get to sleep a few hours), and 2 "long calls" Friday or Saturday where you do admissions and cross cover for full 24hrs (all call was like this in the past - gotta love the night float!)

1 month of term nursery q4 call
1 month of neonatology q4-5 call, but you cover the term nursery, not the NICU (there is an upper level who helps you with deliveries and covers the NICU)

Other questions?
 

TeleoDeum

Peds EM
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mnm said:
Well,that doesnt sound bad at all.Some of the other programs that I interviewed had much more hectic schedules.
How is living in little rock ?
I mean as in housing ,rents and do u get time to have a life outside the hospital.
Thanks again.
No problemo!
Little Rock is a pretty good city. I am from south Louisianna and went to med school in New Orleans. We were ready after med school to move to a smaller and safer city than NO. Little Rock is a smaller city, but still has lots to do. There is a nice waterfront area with good restaurants, a rep theater, good travelling theater/Broadway series, and of course, lots of outdoor things to do - biking, jogging, camping, fishing, hunting, golfing etc.
Housing is very afforadable, as is the cost of living. We bought a nice, 6 year old house in a middle class subdivision in west LR, about 15 min from the hospital, 3bed/2bath, 1570 sq feet, deck in backyard with trees for $152K. There are cheaper houses available too (my wife NEEDED the jacuzzi tub and walk-in closet). There are several areas where residents generally live. Older houses/cottages in the Hillcrest/Heights area; some older but larger homes in North LR (cheaper and a bit longer drive) or West LR - again, mostly newer construction, convienent to restaurants, shopping (Walmart/Target/etc), movies, and about 15 min from work. If you match here, the welcome packet sent out has several realtors listed. We used Michelle Privett (my sister in laws best friend) to help us, as did several of my fellow peds residents. Traffic here is light compared to NO. Schools - some LR public schools are OK, esp elementary, but most attendings send their older kids to private school. North LR public schools are suposedly much better.
Time off - on harder rotations (NICU, ER nights) I am generally tired, but I have some time at home with the wife and daughter (and 4 days off per month). Easier rotations (ward months, not on call, out by 4-5pm; or GPC days done by 4:30pm) I have a good afternoon time to go for walks, etc. My 2nd year class has lots of married folk, some of us with younger kids (must be that sex for stress relief thing) so we socialize quite a bit. Some family friendly things like BBQ. crawfish boils, movie nights, annual Halloween pumpkin carving party (with beer and drinks for the Big Kids), but also some adult nights out - we had a murder mystery dinner party this month, poker games, bar nights out (one guy in our class is a drummer in a band, so we check out his gigs). Peds is busy, but we sure ain't workig like the surgeons!
What else ya got?
 
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mnm

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Looks like u guys are really enjoying little rock.
Well,life as a resident can never be easy so it helps to get into a laidback place with good colleagues.
U r house sounds great too.
Thanks again for all the input.It will definitely help me to decide.
 
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mnm

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Hi again
I had one more q though it may sound silly.....!
What time do u guys usually go to the hospital and when is sign out ?
Thanks.
 

TeleoDeum

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mnm said:
Hi again
I had one more q though it may sound silly.....!
What time do u guys usually go to the hospital and when is sign out ?
Thanks.
Morning...
On intern ward months (5 of them), usually arrive b/w 6:30 - 7am, expected to see all your patients before rounds, usually get at least one new patient per morning (remember that night float thing). When not on call, checkout is at 4pm, if you do not get the dreaded 3:45 admission. Post call out by 1pm - this is a priority for most upperlevels - get the post call terns out.
GPC days 8:30 - 4:30, Wed, Thurs, Fri c noon conference
ED days - 12 hr shifts - 8a-8p, 8p-8a
NICU - usually a little longer day, 6 or 6:30 am - 4 or 5pm (occ. later if very busy)
Term nursery- 6:30 or 7a - 4 or 4:30p, going to deliveries throughout the day
 
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mnm

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hey thanks again.
well,hope u have a great weekend with ur wife and daughter.
 

Peds4me

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This is so strange to read because I am in the same predicament. (or was rather...) See, I am a fourth year here in South Florida. But I did NOT apply to the miami program. But I ranked ACH and LSU-S one and two respectively. (I'm from Louisiana). I am curious as to why you are looking at Miami? Don't get me wrong, it is a good program. The thing is, if you've never lived here before and are from LA, AR, etc. it is so incredibly expensive to live here. And the salary for an intern... :( It IS beautiful, and exotic at times (can't beat the weather). But, geez! You can't buy a piece of crap house for under 200K. Comparing the two, traffic here is AWFUL!!! But, on the other hand, on your off day you can be in South Beach in 20 min. It has it's good and bad side. I was just curious why you were deciding on Miami?
 
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mnm

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Hi
Well,Miami childrens hospital does have a good reputation and the charm of being in florida,I have a sister in Fort laurdadale doing dentistry so I kinda thought.........
But,the program seems too busy and residents seem overworked so i dont know.
Arkansas and Lsu are my top choices too.
Good luck