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Can anyone talk about fellowship following this IM program? i can't find any data on it. Is it IMG heavy with limited fellowship opportunity

Former NYU resident here. I assume you're talking about the NYU community health track (based out of Brooklyn). No it's not full of IMGs, it's actually quite competitive. It used to be a community health program called Lutheran hospital, but NYU bought it about a decade ago and integrated its residency into the general NYU residency. Since then, it's become just another track of the NYU IM residency (just like how you have to apply to Tisch/Kimmel or Bellevue, Brooklyn is just another site you apply to); though disproportionately, you'll focus your time in Brooklyn (as opposed to T/K and Bellevue where T/K is like, 60% T/K and 40% Bellevue/VA and the Bellevue track is the opposite mix, the Brooklyn track is like, 80% Brooklyn with some smattering of time at T/K and Bellevue).

No it's not limited in its fellowship opportunities. You get the same program letter as the rest of the categorical residents and fellowship program directors can't really tell the difference unless you volunteer that information. It shouldn't really hold you back. But make sure you go into it for the right reasons. It's obviously different from the rest of the tracks in that it tries to focus on preparing you to deliver longitudinal care within a community. You still have all the resources of the greater NYU institution at your fingertips, but you're in a different borough. For what it's worth, I trained with the current program director there and he's one of the nicest, most genuinely caring guys I know who I can't imagine would ever want anything other than the best for his residents.

The way I would compare this track with other programs is that it's less like how Harbor/UCLA and UCLA are distinct programs with a lot of overlap, and more like how the primary care track and categorical tracks at academic program XYZ are different tracks but are still within the same larger program.
 
How would you guys rank for fellowship placements into Heme/onc or IM residency rankings:

Jefferson
UofRochester
CCF (Ohio)

If one chooses one over the other for reasons such as proximity to family, etc. will it really diminish his fellowship chances? Are they on a similar level to the point where one should choose off of other factors such as QOL, etc?

Thank you for the much needed help!
Yes, those programs are in the same “tier” and none of them will hinder you in getting a fellowship position. Choose based on location and QOL.
 
Hi, I am a US M4. Super grateful to have interviews at several programs in SoCal where I grew up. As they are mostly community hospital based though, I tried looking high and low for information on clinical training and reputation, but unfortunately the posts are overwhelmingly outdated. I am familiar with all of the surrounding areas/patient demographics but I would love to have any up-to-date info on program culture, reputation, etc anything I should know up front to guide my interviews.

I'm interested in a hospitalist position so I'm fairly uninterested in research or fellowship opportunities. Just a place where I can get rock solid IM training esp with the underserved, but also some work-life balance and just having nice folks so I'm not completely floundering during intern year. This is what I'm aware of in no particular order, if anyone could clarify:

1. Cedars Sinai - known for being "cush", residents only see under-insured/less privileged patients- that's fine, strongest for crit care/cards/GI
2. USC + LA General Medical Center - super duper busy, saw a rumor that the hospital was going to be shut down? but I only see that it has rebranded name
3. Harbor-UCLA - also busy, currently working on $1.7 billion expansion. seeing post about "no longer affiliated with UCLA" from a few years back? not sure what this means.
4. Charles Drew - used to rotate at King county hospital until got taken up by Harbor/shut down, now only rotating there for outpatient clinic, mostly based at the Long Beach VA (level II trauma center whereas the above are level I) which could be a disadvantage in terms of patient diversity but also a plus for maybe a way more manageable pace as I start intern year?, and seems like they genuinely really care about resident well being.

Thanks a lot!
 

The First Thing You Need to Ask Yourself:​

What do you truly want, and who are you as a person?

Even at the most prestigious programs, there are always things you’ll have to tolerate and sacrifices you’ll need to make. This is a reality for everyone applying to any program across the country.

Here’s Your Game Plan:​

1. Define What You Want:Before your interview, figure out exactly what you're looking for. Prepare thoughtful questions that you can ask directly to current program members. Don’t rely solely on what's posted on SDN—get your answers from those who are interviewing you.

For example:

  • Research Opportunities:
    Ask about the research being done in the sub-specialty division you're interested in. Does it align with where you see yourself in the future?
  • Patient Load:
    Does the program prioritize work or education? You can easily determine this by reviewing their daily schedules and conferences. Is it a grind or a growth-focused environment?
  • Patient Variety & Learning Environment:
    If you’re seeing the same routine cases with no diversity, you may get frustrated. A lack of new learning opportunities can make you hate what you do.
  • Program Culture:
    Find out how many program graduates stay on as faculty. High faculty turnover and few resident-to-faculty hires often point to a poor culture from the top down. That's a red flag.
  • Cost of Living:
    This might not seem important now, but when your salary kicks in, cost of living becomes a big deal. Consider what you’ll be paid and what it will cost to live in SoCal.
There’s so much information out there. A little research can go a long way—start with a simple Google search of the faculty and residents and build from there.
 
I've heard rumors that the IM residency at Umiami overworks their residents, and that the funding t the hospital is poor making it harder to provide care for patients. Are these things true? What are the pros and cons of Umiami/jackson memorial?
 
I've heard rumors that the IM residency at Umiami overworks their residents, and that the funding t the hospital is poor making it harder to provide care for patients. Are these things true? What are the pros and cons of Umiami/jackson memorial?

I am not IM (I'm family med) but I live in Miami and have interacted some with the IM program.

The residents cover 3 different sites - most of their time is spent at Jackson, but they also cover the VA (which is literally across the street) and spend some time at the University of Miami (which is 3 blocks away). They work hard, although I can't say that I've ever gotten the sense that they feel like they work harder than any other large academic IM program.

Jackson is the safety net hospital for the county, and yes, funding is always an issue. That being said, I don't think that the funding for Jackson is any worse than any other safety net hospital like Cook County or Grady Memorial. It's a chaotic place, like any other safety net hospital.

Jackson and UM have a strange relationship - UM depends heavily on Jackson (since UM doesn't offer obstetric, transplant, or pediatric services; only Jackson does), and most UM faculty will have privileges at both places. But they have totally separate credentialing committees, totally separate HR departments, and they even actually use different EHRs that don't really talk to each other (Jackson uses Cerner and UM uses Epic).

The pathology and patient population that you will see in Miami is pretty unique - there is some truth to the phrase that Miami is the capital of Latin America. Lots of recent immigrants (although that may change with this current president), lots of interesting pathology.

Some things to keep in mind - Miami is EXPENSIVE. I truly don't know how a single resident could live on their own in any decent neighborhood that is reasonably close to the hospital. Having a significant other who works will help.

There are cheaper neighborhoods to live in, but they're far. Many incoming students or residents make the mistake of assuming that just because they look close on the map means that the commute time is reasonable. Traffic in Miami is terrible (although most residents have to be at the hospital early enough that it wouldn't be so bad) and public transportation is spotty.

I am also impressed/amazed at residents who come to Miami but don't speak Spanish or Creole fluently. I am not sure how they survive, but plenty do just fine. Also something to keep in mind.
 
I am not IM (I'm family med) but I live in Miami and have interacted some with the IM program.

The residents cover 3 different sites - most of their time is spent at Jackson, but they also cover the VA (which is literally across the street) and spend some time at the University of Miami (which is 3 blocks away). They work hard, although I can't say that I've ever gotten the sense that they feel like they work harder than any other large academic IM program.

Jackson is the safety net hospital for the county, and yes, funding is always an issue. That being said, I don't think that the funding for Jackson is any worse than any other safety net hospital like Cook County or Grady Memorial. It's a chaotic place, like any other safety net hospital.

Jackson and UM have a strange relationship - UM depends heavily on Jackson (since UM doesn't offer obstetric, transplant, or pediatric services; only Jackson does), and most UM faculty will have privileges at both places. But they have totally separate credentialing committees, totally separate HR departments, and they even actually use different EHRs that don't really talk to each other (Jackson uses Cerner and UM uses Epic).

The pathology and patient population that you will see in Miami is pretty unique - there is some truth to the phrase that Miami is the capital of Latin America. Lots of recent immigrants (although that may change with this current president), lots of interesting pathology.

Some things to keep in mind - Miami is EXPENSIVE. I truly don't know how a single resident could live on their own in any decent neighborhood that is reasonably close to the hospital. Having a significant other who works will help.

There are cheaper neighborhoods to live in, but they're far. Many incoming students or residents make the mistake of assuming that just because they look close on the map means that the commute time is reasonable. Traffic in Miami is terrible (although most residents have to be at the hospital early enough that it wouldn't be so bad) and public transportation is spotty.

I am also impressed/amazed at residents who come to Miami but don't speak Spanish or Creole fluently. I am not sure how they survive, but plenty do just fine. Also something to keep in mind.
Great info! Thanks so much for all this help! I live in AZ so my Spanish is decent and still improving lol. The current hospital I work for isn't exactly a community hospital but is a non-profit that functions similar to one. And yes Miami is expensive lol, and traffic is bad, but I am used to driving an hour to work anyway. Glad to hear that there isn't a toxic work environemnt though! That was the thing I was worried about the most.
 
Hello everyone, could anyone give me insight into the cape fear valley health internal medicine residency. There isn’t much info about it and I can see they’ve seperated from Campbell university which was described as the toxic portion. It looks like they have a new PD but I can’t get more about the program in general. Thank you!
 
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