Psych Residencies in the Northeast and Midwest

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Iceman43

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I am an MS3 interested in applying to residencies in the Northeast and Midwest. Would anybody be willing to recommend programs to look at? I don't need to be at a research heavy academic center, just looking for places that treat their residents well and train good clinicians. Lets get a list going...
 
wash u, pitt and iowa are tops in the midwest.
 
Most places treat their residents well and train good clinicians. The Northeast and Midwest are very very wide areas to apply. It's really not very easy to narrow anything down based on what you suggest.

WashU, Pitt, and Iowa (and maybe Mayo and Indiana) are probably the top programs in the Midwest, but they're generally pretty research-heavy places. If you're looking for a community program, try Hennepin in Minneapolis. But again, the "list" is very very long. Based on your requirements, you might as well just go to FREIDA and pick a random one.
 
Hey guys, thanks for the input so far. Right now in terms of the Midwest the states I'm looking at are Ohio, Michigan, Illinois, and Wisconsin. Any thoughts about specific programs in those states?
 
Hey guys, thanks for the input so far. Right now in terms of the Midwest the states I'm looking at are Ohio, Michigan, Illinois, and Wisconsin. Any thoughts about specific programs in those states?

As Billy said, U Mich and Cincy should definitely be on your radar then.
U Wisc-Madison and Medical College of Wisc (MCOW) are good choices.
Think Northwestern in Illinois.

But why Wisconsin and not Minnesota? Why Ohio and not Pittsburgh? Why Illinois and not Indiana or Iowa? Lots of other great programs out there with good lifestyles and livable cities.
 
I interviewed several years ago so you'll likely want to try to get more recent info to corroborate this, but here are some of the things I picked up about programs in that region from my own interviews and scuttlebutt along the way:

Ohio: I would say Cincy is probably the most well-regarded program in this state. This would be a good place to look at if you have any interest in child or forensics. They have a dedicated psych ER which isn't a very common thing. Back when I interviewed, Cincy had a fairly tough call schedule by psych standards but word on the street is that they have changed things with the duty hour changes since then and it's supposed to be better now.

Michigan: If you're looking for a career in academia U of M is clearly going to be your best bet in the state, especially if you have any interest in things like treatment-refractory depression cases since they have developed a Depression Center there.
More than one interviewer at other programs commented on people at U of M being self-important/arrogant when they found out that I had also interviewed there, for whatever that's worth (though I know this website has some alumni of the residency program who seem like very nice folks). Culturally, Ann Arbor is a kind of strange environment...a small city of some of the most liberal people you'll find in the Midwest, but yet surrounded by fairly conservative rural communities. To me, it has a very similar feel to Madison WI.
I rotated at the Henry Ford program as a med student and thought it offered some good things as well despite not having the "name". The program director has changed since then so I can't say anything about the current PD but I liked the chairman (very approachable and seemed to care about resident education). You get a good diverse mix of patients (black urban poor from downtown, affluent white people from Oakland county, a huge Arabic population in Dearborn, a large gay community in Ferndale, etc.), and while I didn't spend any time on consults there I would expect that Henry Ford Hospital would be a great environment to see zebras on the consult service.
Based on my interview there, I'd say Wayne seemed to offer a very gritty/no-nonsense, rigorous urban experience as you'd expect. The program director there comes across, as you'd expect, also as a very no-nonsense type of person who would be demanding but also probably teach you a lot.

Illinois: Chicago programs are going to be more competitive than you'd expect for a normal program of their caliber because so many people want to live in Chicago. Northwestern is probably the most prestigious program in Ill. Advocate Lutheran seems to be a pretty benign program, felt more community-oriented than academic/research-focused but at the time they were expressing plans to try to move in a more researchy direction. Very small resident classes. That might be nice for some people but at the time was causing issues due to coverage for sick residents. If someone in the residency becomes sick/pregnant and you need to cover for them you feel the pain more in a small residency than a large one.

Wisconsin: Both University of WI and Medical College of Wisconsin do their "psychotherapy immersion" year in PGY-2, which is a bit unusual (most programs do the bulk of your psychotherapy training in PGY-3). The reasoning for that is that it gives you a chance to have more of a longitudinal relationship with your psychotherapy patients. People seemed very friendly and down to earth at both programs. UW is more prestigious in terms of research/academic reputation. I believe they are willing to let people who want to do child switch their medicine months for peds months.
MCW has just about all the fellowships and they like to take their own residents for the fellowships, so that would be an advantage if you see yourself doing a fellowship. MCW also has a dedicated psychiatric ER similar to Cincy (and a few other places in the country).
Madison is, as I mentioned, very similar in feel to Ann Arbor from my perspective. Milwaukee seems to have gone through some revitalization over the last few years and has quite a few entertainment/restaurant options. The main drawback both places have is the winter climate.
Something else you might not realize if you aren't from there is that the alcohol/drinking culture in Wisconsin is quite prominent (though maybe you would expect that with its history). For someone who has an interest in substance abuse treatment that might be a good thing. 🙂
 
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I haven't heard much about Cleveland Clinic. Any thoughts about that?
 
...
More than one interviewer at other programs commented on people at U of M being self-important/arrogant* when they found out that I had also interviewed there, for whatever that's worth (though I know this website has some alumni of the residency program who seem like very nice folks). Culturally, Ann Arbor is a kind of strange environment...

*I think it's mostly a football thing, and to some extent an Ann Arbor thing. 😀
But it is definitely NOT the case with the Psychiatry department.
 
Hey guys, thanks for the input so far. Right now in terms of the Midwest the states I'm looking at are Ohio, Michigan, Illinois, and Wisconsin. Any thoughts about specific programs in those states?

And which states are you looking at in the northeast?
 
Michigan:...
More than one interviewer at other programs commented on people at U of M being self-important/arrogant when they found out that I had also interviewed there, for whatever that's worth (though I know this website has some alumni of the residency program who seem like very nice folks).

Not sure I would agree with this. UM does do its culty "it's the Michigan difference" thing to its medical students, but that's mostly a department of medicine thing and not a department of psychiatry thing. And in my own experience UM grads, residents, and faculty do not have a chip on their shoulder about being from the midwest.
 
Pitt and Wash U definitely seem to have the most pluses overall, pathology and reputation wise. Cinci and NW are not far behind. Depending on what you want to do there are a lot of good programs in the Midwest. UMich, Iowa, and Mayo would probably set you up for a great academic career but due to their locations your patients will be disproportionately the "worried well". (although Iowa is the only program in the state so they draw from a large population unlike the other two) UIC has a dedicated neuropsych unit and they have the contract with the state to take care of the indigent population for Cook County so you will see some amazing pathology. Case Western seems like the better program for pathology and reputation in Cleveland over the clinic. Indiana is the only program in the state and SDNers have spoken very highly of the program in past years. There are a lot of great options in the Midwest. You just have to decide what's most important to you. Do you want to see the toughest and most interesting cases? Do you want to go in to academia? Would you prefer a smaller or larger city? If you prefer community programs, Hennepin and Henry Ford are very solid programs also. There are only about 30 programs in the "great lakes" area total so it's not that hard to sift through them.
 
For the northeast I am thinking Pennsylvania, Connecticut, Massachusetts, new hampshire, Vermont, Rhode island, and New york (but I would rather not live in NYC). I realize that is practically the entire northeast but I wouldn't mind living in those states.
 
I'm only applying to Chicago area psych programs so I can help you there. I received an interview at all of them except NW (U Chi, UIC, Rush, Loyola, Lutheran General, and Rosalind Franklin). If you're a DO, don't expect to interview at NW b/c they aren't DO friendly. To be honest, I would be totally happy at all of them except rosalind franklin's due to a number of reasons. The program is not bad from an educational standpoint, but it doesn't fit my needs in a residency. All of the residents at each program seemed happy and able to come out of residency feeling ready for whatever they want to practice. Not any of the programs really overwork their residents and they all totally have a life outside of work (besides intern year at most but that's expected). Psychiatry attracts some weird people so each program has a variety of personalities that you need to see if you can click but they all had people that I felt I could be friends with. One of the PDs talked about how programs are all essentially the same in that they have the same requirements for necessary learning components from the acgme. Of course, every program is going to have different experiences such as VA exposure, different subspecialty clinics, different CL experiences, differences in call, diff psychotherapy experiences, etc. but you will learn what you need to no matter where you are at. You make the program and are going to be as good or as ****ty as you want to be regardless of the reputation. As you interview, you gain more knowledge on what you want in a program and will have that gut instinct where you feel like you belong.
That being said, I feel comfortable saying that I'd be a good psychiatrist coming from any chi program. I've gone through the pros/cons of all the program multiple times and know I'd be happy and get a good education at each. I know my response was somewhat vague and didn't talk about any program in detail, so if you have any specific questions about any of the programs I will try to answer them for you.
 
I really enjoyed Maine Medical Center (a Tuft's community program) in Portland, Maine. The program director is excellent at psychotherapy/interviewing. Everytime we watched him, I was just in awe. They have a psychiatric hospital (Spring Harbor) as well as a med-psych + geriatrics floor in Maine Medical Center and a well staffed C-L service.

Not heavy on research.
DO and IMG friendly, likely becuase Maine has a DO school just 20-30 min away.
They have lots of medical on the "Maine Track" from Tufts.
 
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