Quality of NYC Big 4 IM Programs?

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mariambaby3

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For an individual who is aspiring to match into Cards or GI for fellowship, are there any appreciable differences between Columbia, Cornell, Mt. Sinai, and NYU's IM residency programs?

Is any distinctly better than the others? Or are the 4 IM residency programs all more or less on par with each other? Are they all considered "top tier?"

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Yes all top tier. If you want to be nitpicky I would say:
Columbia
Cornell = Mount Sinai = NYU

Your mileage may vary. Mount Sinai traditionally solid for GI, Columbia great for everything. NYU is solid for cards and Cornell for H/O.
 
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All 4 can get you into amazing fellowships. Chose the one your friends from med school like.
 
What would your take be on the relative schedule/scutwork in these programs? I've heard not so great things about NYC because of this..
 
I guess my priorities are: being able to secure a good fellowship and receiving a good training.

Does scutwork help prepare you for future practice? Or is scutwork usually handled by other members of the healthcare team in other places?
 
I guess my priorities are: being able to secure a good fellowship and receiving a good training.

Does scutwork help prepare you for future practice? Or is scutwork usually handled by other members of the healthcare team in other places?

The scutwork you will be doing in the NYC programs are all the jobs that usually are covered by the rest of the staff who provides care for the patient. You will have to do almost all of this in NYC. In other words, if you order labs, you draw the blood for them. If you order a CT scan, you probably are the one bringing them down there. The stress this adds is what turns a lot of people away from wanting to train in NYC.

If you want to secure the most prestigious fellowships/complex patients:
1. Columbia
2 Tie. Mount Sinai (more GI)
2 Tie. Cornell (more Heme/onc)
4. NYU

All 4 you can get into great fellowships and the training is essentially equal over 3 years. A lot of it is what you make of it and the support you will receive. Columbia also has arguably the best cards program in the country if you are interested in that field.

If most of us were to rank other things such as supportive atmosphere, location, collegiality and overall workload it probably would go like this.
1. Mount Sinai
2 tie. NYU
2 tie. Cornell (these two can be disputed)
4. Columbia

People generally either really love or are totally put off by Columbia's program. I have a ton of friends that had not chosen to rank them after interviewing there. I have also had 1 or 2 friends who are current residents there and love it. You should really read MedcatHouse reference to Broxzoo (#211). He does an exceptional job summarizing them all and I think a ton of us totally agree with his assessment of each program. I'd say you should apply, see how you feel about each of these programs and honestly just go where you think you'd be the happiest.
 
The scutwork you will be doing in the NYC programs are all the jobs that usually are covered by the rest of the staff who provides care for the patient. You will have to do almost all of this in NYC. In other words, if you order labs, you draw the blood for them. If you order a CT scan, you probably are the one bringing them down there. The stress this adds is what turns a lot of people away from wanting to train in NYC.

is this true for all NYC programs? Even the prestigious ones with presumably proper ancillary staff support?
 
the above is a good summary.

In brief, most people who want to be docs would enjoy and be well be served by the MSSM main campus program.

Some people need the smfn', smfn' that is the medicine program on 168th, most people don't.
 
is this true for all NYC programs? Even the prestigious ones with presumably proper ancillary staff support?
Yes. New York has amazing unions for nursing staff. It prevents them from being abused/overworked. The only issue is no equal union exists for residents so you end up picking up the slack of doing all the extra stuff on the floors.

http://forums.studentdoctor.net/threads/whats-up-with-new-york-nurses.1031777/

Really interesting forum that goes into more detail about it (a bit biased but puts light to the issue).
 
Yes. New York has amazing unions for nursing staff. It prevents them from being abused/overworked. The only issue is no equal union exists for residents so you end up picking up the slack of doing all the extra stuff on the floors.

http://forums.studentdoctor.net/threads/whats-up-with-new-york-nurses.1031777/

Really interesting forum that goes into more detail about it (a bit biased but puts light to the issue).

Thanks a lot for the great information!

Do you know if either of the four programs publish their fellowship matchlists? From searching around the forum, I've been able to find some second-hand lists dating back to 2005-06, but nothing definitive from recent years.
 
Thanks a lot for the great information!

Do you know if either of the four programs publish their fellowship matchlists? From searching around the forum, I've been able to find some second-hand lists dating back to 2005-06, but nothing definitive from recent years.


Columbia:
http://nypmed.com/applicant/#grads

Cornell:
http://www.weillcornellmedicine.com/education/medicine_house_staff/where_are_they_now.html

Mount Sinai:
http://icahn.mssm.edu/departments-a...ernal-medicine-residency/our-residents/alumni

NYU:
http://www.med.nyu.edu/medicine/education/residency-post-residency
 
Are all 4 IM program equally difficult to match into?

Listen, I realize you are interested in NYC, so was I, but are you gonna just keep asking questions here and having other people answer them for you? Especially when this information can be found using the "Search" function
 
Listen, I realize you are interested in NYC, so was I, but are you gonna just keep asking questions here and having other people answer them for you? Especially when this information can be found using the "Search" function

My apologies. I'll search the forum more carefully. Thanks a lot for all your help so far.
 
MSSM is the easiest program to match (at least in my day), and as noted above, probably the best one for most people.
win win.
 
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