i've posted on this subject before, and not gottena good answer.
i did a rotation at miami gas, and i interviewed. i was impressed by the how the chairman articulated his vision. but what are the *concrete* changes? what has been done, what will be done, and if they see the need for it to be done, why hasn't it been done yet?
here's what i know has been done about 3 years ago:
-less trauma call (still q3 or q4, but you come in late)
-booting out the IMGs whose poor english prevented them from scoring adequately on inservice exams
-less baby-sitting post-op pts *in the OR* b/c the pacu's full
-one can argue that with no img's having been taken in the past couple years the program's image has improved
-3 years ago one of the biggest names in ob gas joined the program
this will always be a work program, with q4 general OR call and maybe q3 in the unit. which is fine if you know what you are getting into. their quasi-mandatory pgy1 program is quite rough- again ok as long as you know what you are getting into. the residents feel they work less but still work harder than they need to. but i don't see anything having been changed recently, and if there are to be changes, why there haven't been already (ie, "more and better didactics")
there is another thread on this, with the final poster having held back some cliff-hanger addressing my query. my question is why is there so much rhetoric about this program and still no excitement about it among folks who can get into the "prestigious ivy-type" programs? i don't know, maybe i'm just buying into the sdn rumour mill. (ie, maybe this is all smoke, people are just perpetuating a bad image so that it's less competitive)
i personally would like to go to this program for the trauma exposure...generally not a popular subspecialty b/c it pays poorly and has a harder lifestyle, but i dig it. the residency prepares you so well you don't need a trauma fellowship, i hear.
anyone know what the graduating residents' proportions of entry into private practice/fellowships/academics are?
ASA HOUSE said:
hmmm, maybe because I told them the real reasons, I was defecting from IM to anesthesiology, were lifestyle, 300k salary as an attending, and prospect of making partner in 2-3 years. Is that bad???
That is how they "rubbed to wrong."
Maybe next time I should be a little more tactful and a little less forthcoming.