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Pretty similar caliber programs, BI slightly higher in reputation overall but not a big difference. If you prefer NYC, you certainly wouldn't be making a mistake to go with Sinai above BI.

I guess I couldn't really get a feel for the caliber of the residents at Sinai. The morning report that they do is so different than anything else where the PD and chiefs basically ask a couple residents any questions regarding all of the patients they admitted overnight. Does anyone have any thoughts on this type of untraditional morning report?
 
I guess I couldn't really get a feel for the caliber of the residents at Sinai. The morning report that they do is so different than anything else where the PD and chiefs basically ask a couple residents any questions regarding all of the patients they admitted overnight. Does anyone have any thoughts on this type of untraditional morning report?
I actually kind of liked it as an applicant. Puts the seniors on the spot for doing what they're supposed to do...higher level analysis and research on unusual cases. Also leads to more topics getting covered and 5 minute "chalk talks" on the stuff everybody is seeing vs 50 minute PowerPoint presentations about fascinomas. My program implemented "Chairman's Rounds" once weekly when I was an intern that was similar. One night each week (Wednesday maybe...it's beenn awhile and I don't think they still do this), everyone sent their lists to the Dept chair who would review 5 or 6 cases at "Resident Report" the next morning while interns had a separate, more focused report the same day.

Honestly, my biggest beef with the system at Sinai is that interns aren't included. I thought it was a great learning experience.

FWIW, MSSM was my #2 and I didn't go that far down my list. Would have been very happy there I think.
 
I guess I couldn't really get a feel for the caliber of the residents at Sinai. The morning report that they do is so different than anything else where the PD and chiefs basically ask a couple residents any questions regarding all of the patients they admitted overnight. Does anyone have any thoughts on this type of untraditional morning report?

LOL

Bro, that is the ORIGINAL morning report format. My father used to tell me about how EASY I had it in training, every morning after being on call, "morning report" was where the people on call got their assess handed to them by the chair, PD, and chief residents about all the patients they saw admitted overnight. Kept you sharp.

It's as "traditional" as it gets. What's replaced it are these mini-grand rounds, usually with a case. Meh
 
Bro, that is the ORIGINAL morning report format. My father used to tell me about how EASY I had it in training, every morning after being on call, "morning report" was where the people on call got their assess handed to them by the chair, PD, and chief residents about all the patients they saw admitted overnight. Kept you sharp.

I wonder why residents do not get more feedback on mistakes they made or other things they should have considered. I think a large part of this is due to the night float system and duty hours. For instance, there were times on wards where a resident will admit a patient overnight (they're a resident from another team) and then our attending will be like "wtf why did they do XYZ" but we won't have that resident to explain his/her logic and reasoning or defend their position. And as a result, they also do not get feedback.
 
Any thoughts on Methodist, Houston? What is the general perception of the quality of training and prospects of going into good places for fellowship (hem/onc, pulm/cc) (I have a very brief idea from my interview day. I felt that I will have a strong training there, but I also feel that the general perception matters).
 
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Something that's been bugging me about University of Maryland's IM program: Maryland is generally considered a very reputable program with strong clinical training and fellowship match lists. However, I noticed that only 1/3 of the current PGY3 class (10/30) is going straight to fellowship, and this seems to be the general trend from the past few years. Now I see that those residents who are going to fellowship are going to top-notch places in all fields, but I can't help but notice that the percentage of PGY3's going directly to fellowships is way lower than at most comparable academic residency programs. For instance, at places like GWU, Georgetown, Jefferson, Temple, Brown, etc, easily 60-70% of the PGY3's go directly to fellowships. Does anyone know why Maryland's percentage is so much lower? Why do so many Maryland residents work as hospitalists or do research for a year before going on to fellowship? Is it because they failed to match the first time around? Because they don't have enough experience or research to get into fellowships right away? Because they need to work to make more money for personal reasons? Or do many residents actually want to go into hospitalist medicine or primary care as a career? I'm dying to know the answer to this question, because the reality of Maryland's fellowship match is so discordant from the reputation it has.
 
I wonder why residents do not get more feedback on mistakes they made or other things they should have considered. I think a large part of this is due to the night float system and duty hours. For instance, there were times on wards where a resident will admit a patient overnight (they're a resident from another team) and then our attending will be like "wtf why did they do XYZ" but we won't have that resident to explain his/her logic and reasoning or defend their position. And as a result, they also do not get feedback.
Because of this, at least when I was a resident, the NF team always presented overnight admits directly to the accepting team and attending. Not sure if this still happens there since they changed the way that NF admits got distributed.
 
Something that's been bugging me about University of Maryland's IM program: Maryland is generally considered a very reputable program with strong clinical training and fellowship match lists. However, I noticed that only 1/3 of the current PGY3 class (10/30) is going straight to fellowship, and this seems to be the general trend from the past few years. Now I see that those residents who are going to fellowship are going to top-notch places in all fields, but I can't help but notice that the percentage of PGY3's going directly to fellowships is way lower than at most comparable academic residency programs. For instance, at places like GWU, Georgetown, Jefferson, Temple, Brown, etc, easily 60-70% of the PGY3's go directly to fellowships. Does anyone know why Maryland's percentage is so much lower? Why do so many Maryland residents work as hospitalists or do research for a year before going on to fellowship? Is it because they failed to match the first time around? Because they don't have enough experience or research to get into fellowships right away? Because they need to work to make more money for personal reasons? Or do many residents actually want to go into hospitalist medicine or primary care as a career? I'm dying to know the answer to this question, because the reality of Maryland's fellowship match is so discordant from the reputation it has.

The answer to your question is yes. All of those reasons and possibly more. This is why I think getting hung up on fellowship match lists is stupid. You only know the numerator for how many people matched directly into fellowship, not the denominator. So is that 10/30 that matched or 10/10? Unless the UMD PD or one of the chief residents wants to pipe up here, you'll never know. So stop worrying about it.
 
...Why do so many Maryland residents work as hospitalists or do research for a year before going on to fellowship? Is it because they failed to match the first time around? Because they don't have enough experience or research to get into fellowships right away? Because they need to work to make more money for personal reasons? Or do many residents actually want to go into hospitalist medicine or primary care as a career?....

I don't think of that as a negative. It's not the worst decision in the world to actually get paid for work for a little while, particularly if you have a family, a spouse who is a trainee, or you're also beefing up your resume.
 
I know I shouldn't worry too much about it, and you're right that I don't know the total number of PGY3's who applied to fellowships (so I don't even try to compare programs based on that), but I can factually compare programs on the percentage of PGY3's who go directly to fellowships. Now I'm not nitpicking here, not going to look down on a program for having 65% residents go to fellowship vs another program that has 70%. But Maryland is a true outlier here- don't you think it's extremely odd that 1/3 of Maryland's class takes a year off (working as hospitalists, mostly) before applying to fellowship? Here's a quote from an e-mail sent out to all applicants by the PD a few days ago: "Note that approximately 1/3 of our residents take a "gap" year to do hospitalist practice before going on to fellowship." I haven't heard of any other program where so many residents do that. I've got to wonder why this is. Is the program not preparing or supporting residents to go directly to fellowship? If it's for personal reasons as dantay mentioned, that's completely fine- but why is there a significantly greater percentage of people in that boat at UMD than at other programs?
 
I don't think of that as a negative. It's not the worst decision in the world to actually get paid for work for a little while, particularly if you have a family, a spouse who is a trainee, or you're also beefing up your resume.
But...and I have brought this up before...a lot of people in fellowship program leadership (particularly the older ones who didn't graduate with $100-300K in med school debt) will look at it as a lack of dedication to the subspecialty, that you were only interested in the specialty when it suited you. I don't agree with this view, but it's out there in the top levels of fellowship program management and you need to be aware it exists.
 
I know I shouldn't worry too much about it, and you're right that I don't know the total number of PGY3's who applied to fellowships (so I don't even try to compare programs based on that), but I can factually compare programs on the percentage of PGY3's who go directly to fellowships. Now I'm not nitpicking here, not going to look down on a program for having 65% residents go to fellowship vs another program that has 70%. But Maryland is a true outlier here- don't you think it's extremely odd that 1/3 of Maryland's class takes a year off (working as hospitalists, mostly) before applying to fellowship? Here's a quote from an e-mail sent out to all applicants by the PD a few days ago: "Note that approximately 1/3 of our residents take a "gap" year to do hospitalist practice before going on to fellowship." I haven't heard of any other program where so many residents do that. I've got to wonder why this is. Is the program not preparing or supporting residents to go directly to fellowship? If it's for personal reasons as dantay mentioned, that's completely fine- but why is there a significantly greater percentage of people in that boat at UMD than at other programs?
No, I don't think it's odd. I don't think it's a good idea, for the reasons I've outlined above. But it's not really an outlier in the grand scheme of things.
 
But...and I have brought this up before...a lot of people in fellowship program leadership (particularly the older ones who didn't graduate with $100-300K in med school debt) will look at it as a lack of dedication to the subspecialty, that you were only interested in the specialty when it suited you. I don't agree with this view, but it's out there in the top levels of fellowship program management and you need to be aware it exists.

You're probably right that people may perceive an applicant that way. I'm also sick enough of the game by now that I'd say that I wouldn't want to go into a program that has that attitude.
 
You're probably right that people may perceive an applicant that way. I'm also sick enough of the game by now that I'd say that I wouldn't want to go into a program that has that attitude.

Doing 1 year of hospitalist work, as long as you are also involved in research, will generally not hurt you. In fact, some programs will see it as a positive in that you have already taken/passed your boards, and have an additional year of clinical experience. It is extremely common to see it on the interview trail.

Those that are neutral/benefit > those that find it as a negative.
 
Doing 1 year of hospitalist work, as long as you are also involved in research, will generally not hurt you. In fact, some programs will see it as a positive in that you have already taken/passed your boards, and have an additional year of clinical experience. It is extremely common to see it on the interview trail.

Those that are neutral/benefit > those that find it as a negative.
I think this is becoming more common. In fact, some residencies (eg, NYU) have program in place where you can do just that (hospitalist + research) for a year before applying for fellowship.
 
I guess it depends on where and for how long you do your hospitalist work before you apply for fellowship. It probably won't hurt to do it for 1-2 years in an academic institution while you're finishing up your research projects before you apply to fellowship. But going to the middle of nowhere to work for a few years away from any academic setting is probably going to hurt your chances badly in a competitive fellowship. Sadly this might be the only option for some people who have large families and big loans to pay.
 
Something that's been bugging me about University of Maryland's IM program: Maryland is generally considered a very reputable program with strong clinical training and fellowship match lists. However, I noticed that only 1/3 of the current PGY3 class (10/30) is going straight to fellowship, and this seems to be the general trend from the past few years. Now I see that those residents who are going to fellowship are going to top-notch places in all fields, but I can't help but notice that the percentage of PGY3's going directly to fellowships is way lower than at most comparable academic residency programs. For instance, at places like GWU, Georgetown, Jefferson, Temple, Brown, etc, easily 60-70% of the PGY3's go directly to fellowships. Does anyone know why Maryland's percentage is so much lower? Why do so many Maryland residents work as hospitalists or do research for a year before going on to fellowship? Is it because they failed to match the first time around? Because they don't have enough experience or research to get into fellowships right away? Because they need to work to make more money for personal reasons? Or do many residents actually want to go into hospitalist medicine or primary care as a career? I'm dying to know the answer to this question, because the reality of Maryland's fellowship match is so discordant from the reputation it has.

Bro, this is going on EVERYWHERE outside of the tippy-top of academia and people who have been focused on fellowship from day 1. Right now the money and lifestyle are almost too hard for folks to pass up after 7 years of medical school and residency. And if you know how to be a PGY3 resident, you basically know how to be a hospitalist.
 
Bro, this is going on EVERYWHERE outside of the tippy-top of academia and people who have been focused on fellowship from day 1. Right now the money and lifestyle are almost too hard for folks to pass up after 7 years of medical school and residency. And if you know how to be a PGY3 resident, you basically know how to be a hospitalist.

Outside of [...] academia? Is there really such a thing? What a wonderful new world this must be--odd that this novel discovery wasn't in Nature--or mayhaps you got your hands on an advance publication?
 
How have people felt about Columbia's program? I know it's highly regarded in reputation and location (if NYC is your "thing").

Other than that, I've basically heard not-so-great things about them. They lack block scheduling, several residents told me they go over duty hours frequently, horrible ancillary support (I've heard it's the worst among the top NYC programs), somewhat malignant, huge spanish-only speaking population, PD seemed extremely hands-off on the interview day which was pretty much entirely run by one of the associate PDs, and the overall vibe seemed very tense.

Any thoughts? Has anyone heard anything else or something contrary to the above?
 
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How have people felt about Columbia's program? I know it's highly regarded in reputation and location (if NYC is your "thing").

Other than that, I've basically heard not-so-great things about them. They lack block scheduling, several residents told me they go over duty hours frequently, horrible ancillary support (I've heard it's the worst among the top NYC programs), somewhat malignant, huge spanish-only speaking population, PD seemed extremely hands-off on the interview day which was pretty much entirely run by one of the associate PDs, and the overall vibe seemed very tense.

Any thoughts? Has anyone heard anything else or something contrary to the above?

Ha! Do you want top end academics or not?!

The gossip you heard, is the gossip we have all heard. I'm sure it's all put out by haters of Columbia, right? Look, it may not be as bad as some make it out to be and probably isn't, but where there is some smoke there is usually some fire. Your gut is telling you what your head isn't listening to and you're trying to corroborate it with gossip. At least that's my pop-psych analysis here.

It's like I've begun to say when it comes to big name academic programs: "buyer beware". Do you thrive in the snake pit or not?
 
Ha! Do you want top end academics or not?!

The gossip you heard, is the gossip we have all heard. I'm sure it's all put out by haters of Columbia, right? Look, it may not be as bad as some make it out to be and probably isn't, but where there is some smoke there is usually some fire. Your gut is telling you what your head isn't listening to and you're trying to corroborate it with gossip. At least that's my pop-psych analysis here.

It's like I've begun to say when it comes to big name academic programs: "buyer beware". Do you thrive in the snake pit or not?
Sorry to potentially state the obvious, but are you saying: his gut says columbia, but his head isn't listening due to all the negative rumors and gossip, now his head is seeking reassurance so it can be in agreement with his gut?---cause thats pretty much how I feel about columbia too
 
Sorry to potentially state the obvious, but are you saying: his gut says columbia, but his head isn't listening due to all the negative rumors and gossip, now his head is seeking reassurance so it can be in agreement with his gut?---cause thats pretty much how I feel about columbia too

Sounds to me like his gut is saying "no" to Columbia. His head is telling him it's good, good, good, (on paper) and then paying attention to rumors to support his gut without knowing it.

But it's really the decision that makes you feel MOST at ease. If ranking them one feels good, but you have some questions because of rumors, your gut is on board. If you feel good NOT ranking them number one, but your head is telling you that is stupid, your gut is in full scale rebellion against the choice.
 
Sounds to me like his gut is saying "no" to Columbia. His head is telling him it's good, good, good, (on paper) and then paying attention to rumors to support his gut without knowing it.

But it's really the decision that makes you feel MOST at ease. If ranking them one feels good, but you have some questions because of rumors, your gut is on board. If you feel good NOT ranking them number one, but your head is telling you that is stupid, your gut is in full scale rebellion against the choice.

I like this. I guess this begs the question of wether the enteric or central nervous system is more trustworthy. Im guessing the status quo is to go with the enteric tho huh.
 
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I like this. I guess this begs the question of weather the enteric or central nervous system is more trustworthy. Im guessing the status quo is to go with the enteric tho huh.

It is around here.

Though.

If Colombia is taking a look at you, you've probably ONLY got first world problems, ya know? I'm sure you'll end up somewhere that will not kill your career regardless.
 
I like this. I guess this begs the question of weather the enteric or central nervous system is more trustworthy. Im guessing the status quo is to go with the enteric tho huh.
It is way easier to power your way over your CNS than your enteric nervous system.
 
Sounds to me like his gut is saying "no" to Columbia. His head is telling him it's good, good, good, (on paper) and then paying attention to rumors to support his gut without knowing it.

But it's really the decision that makes you feel MOST at ease. If ranking them one feels good, but you have some questions because of rumors, your gut is on board. If you feel good NOT ranking them number one, but your head is telling you that is stupid, your gut is in full scale rebellion against the choice.

I think you're onto something but I really don't follow.

If ranking a program #1 feels good but you have questions about your choice, then your gut is in sync with your head? How? Can you elaborate?

And if NOT ranking a program #1 feels good but also feels stupid, then your gut and head are not in sync? How are the two scenarios different if BOTH of them involve you having questions about your decision?
 
I think you're onto something but I really don't follow.

If ranking a program #1 feels good but you have questions about your choice, then your gut is in sync with your head? How? Can you elaborate?

And if NOT ranking a program #1 feels good but also feels stupid, then your gut and head are not in sync? How are the two scenarios different if BOTH of them involve you having questions about your decision?

In neither scenario are the gut and head in sync. It's about what feels right despite what the head tries to tell you.
 
I think you're onto something but I really don't follow.

If ranking a program #1 feels good but you have questions about your choice, then your gut is in sync with your head? How? Can you elaborate?

And if NOT ranking a program #1 feels good but also feels stupid, then your gut and head are not in sync? How are the two scenarios different if BOTH of them involve you having questions about your decision?
I'll use personal examples to explain
Example A: I go to columbia and I feel like I click with the program (gut in sync). After interview day I hear from sdn/fellow apps presumably how malignant and horrible the experience at columbia (so my brain is like oh s**** you dont want that)
Example B: I go to Northwestern and I dont really click with anyone there ( gut says no). After interview day I keep hearing how awesome northwestern is, how theyre better the Uoc and how amazing their match list (my brain is like man these are all pretty good things)
So like you said in neither situation are they in sync, and hence I posed the question "I guess this begs the question of wether the enteric or central nervous system is more trustworthy" The general consensus is apparently to go with your gut and not your head lol. I generally go with what my "Head" says tho [troll face] but I'm gonna go with the gut this time around.
 
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I think "the gut" captures a whole slew of unconscious internal emotional and external objective (oftentimes very subtle) inputs that the head either misses or intentionally ignores. That's why people often talk about sixth sense and things like that. They also tend to be happier with the "gut" choice than the "head" choice, likely because even if the head has ignored/screened out lots of stuff on an interview day, this stuff has a basis in reality and becomes impossible to ignore over 3-7 years.
 
Any info on University of Oklahoma (Oklahoma city)? Reputation of the program and fellowship prospects later on?
I kind of liked the place, but couldn't gather much info on it.
Their site doesn't have the match list, we weren't provided any on the interview day.
Having a hard time deciding between OUHSC v/s Upstate.
 
Question re: Hopkins....

Did they have a second look day where they invited a herd of applicants back a few weeks ago? If so, was it Osler or Bayview? Thanks!
 
Any info on University of Oklahoma (Oklahoma city)? Reputation of the program and fellowship prospects later on?
I kind of liked the place, but couldn't gather much info on it.
Their site doesn't have the match list, we weren't provided any on the interview day.
Having a hard time deciding between OUHSC v/s Upstate.

It's kind of a dark horse. As I understand it . . . they tend to pull from OK, or very near by and prefer it that way, and give almost exclusive deference to in-house candidates for fellowships. Though where to put them in some kind of national reputation kind of hierarchy, I have no clue, but they are probably on par with Upstate in a general sense. I guess if everything else is being equal, then . . . pick based on location.
 
Hello,
I'm planing to go back to Peru to study medicine. Right now I'm attending a college in the U.S but due to personal reasons I have decided to go back. I have completed my elementary, middle and high school education in the U.S and a year and a half of college in the field of biology. I would like to know if it will be possible to do my internship and residency in the U.S when I finish medical school in Peru ? What test would I have to take and is there any information that I need to know?

Additional information
I'm a U.S Citizen.

Thank You
 
Yes. You just need to do medical school in Peru. Write the USMLE exams (USMLE Step 1, Step 2 CK, Step 2 CS) and do very well. It will be tougher to get in remember that. You won't be able to do a lot of competitive specialties and for the less competitive specialties it will be tougher to get as good locations. However, it is still possible.

Step 1 and 2 CK are knowledge tests in basic sciences and clinical knowledge respectively. Step 2 CS is a clinical skills exam which tests your ability to do different medical exams.

You can do residency in the US no problem as long as you do very well on the USMLE and you do well in medical school in Peru and do rotations in the US (make sure the medical school you go to gives you time in your last year to do rotations in other places).
 
I'll use personal examples to explain
Example A: I go to columbia and I feel like I click with the program (gut in sync). After interview day I hear from sdn/fellow apps presumably how malignant and horrible the experience at columbia (so my brain is like oh s**** you dont want that)
Example B: I go to Northwestern and I dont really click with anyone there ( gut says no). After interview day I keep hearing how awesome northwestern is, how theyre better the Uoc and how amazing their match list (my brain is like man these are all pretty good things)
So like you said in neither situation are they in sync, and hence I posed the question "I guess this begs the question of wether the enteric or central nervous system is more trustworthy" The general consensus is apparently to go with your gut and not your head lol. I generally go with what my "Head" says tho [troll face] but I'm gonna go with the gut this time around.

I <3 examples. Crystal clear now, thanks so much! And best wishes on match day!
 
Kind of a random scenario: I'm hoping to end up in GI. I know a very well renowned gastroenterologist who has informed me that the GI department of a particular program I am ranking is in shambles from a leadership standpoint and he recommended me to stay away from that institution for this reason. This is a well regarded program on SND (Top 20-30 likely) with a consensus of having great clinical training & fellowship opportunities. Im confused as to whether I should take this into account when ranking this institution? I don't really know further if his opinion has any bearing on how fellowship stability at this institution. I'd probably be ranking it 4th or 5th on my current ROL and overall I got a great vibe from the IM program. I know that I should focus on the IM program itself, but I'm the type who'd like to try to stay wherever I end up for fellowship as well.

Thoughts?
 
Did anyone else who interviewed at Baylor remember the PD saying intern vacation weeks changing form 2 to 3? Not the biggest deal, but wanted to know if I was just imagining things...thanks!
 
Did anyone else who interviewed at Baylor remember the PD saying intern vacation weeks changing form 2 to 3? Not the biggest deal, but wanted to know if I was just imagining things...thanks!

yes. it will be 3 weeks
 
Hello, Does anyone know anything about UTMB? I didn't receive a fellowship match list and can't seem to find one online. Does anyone know how well residents match from UTMB? I'm particularly interested in Hem/Onc and would like to return to Chicago or Milwaukee for fellowship.

Also, I really enjoyed my visit to University of Kansas. Can anyone comment on this program? It seems like a program that is trying to grow rapidly and become more of a name in the midwest. I know that those doing fellowships from KU typically end up at KU, but does anyone know how KU residents fair in their competitiveness outside of KU?

Thank you!
 
Hello, Does anyone know anything about UTMB? I didn't receive a fellowship match list and can't seem to find one online. Does anyone know how well residents match from UTMB? I'm particularly interested in Hem/Onc and would like to return to Chicago or Milwaukee for fellowship.

Also, I really enjoyed my visit to University of Kansas. Can anyone comment on this program? It seems like a program that is trying to grow rapidly and become more of a name in the midwest. I know that those doing fellowships from KU typically end up at KU, but does anyone know how KU residents fair in their competitiveness outside of KU?

Thank you!

Galveston is very meh.
 
I need information about a few internal medicine programs . Any help is highly appreciated from seniors
St Luke's Roosevelt
Cooper University Camden
SUNY Downstate
AGH Pittsburgh
Maimonides
SUNY Downstate
ECU Greenville
I am interested in doing a competitive fellowship
Kindly guide me further
Thank you very much
 
I need information about a few internal medicine programs . Any help is highly appreciated from seniors
St Luke's Roosevelt
Cooper University Camden
SUNY Downstate
AGH Pittsburgh
Maimonides
SUNY Downstate
ECU Greenville
I am interested in doing a competitive fellowship
Kindly guide me further
Thank you very much

What do you mean by doing a competitive fellowship? SUNY Downstate is a horrible place but I think their residents have the opportunity to match decently. But no matter how much you like it you still can't rank it twice.
 
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