Rank list help (for internship)

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dermie09

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Hey All-

What would you rather do - a cush intern yr in a not so great city/town..or a harder one...in a great city? I would have LOADS more free time in the cush one.. but what the heck would I do with my free time (no friends or support system in place in this town and not much to do).

Discuss.
 
Hey All-

What would you rather do - a cush intern yr in a not so great city/town..or a harder one...in a great city? I would have LOADS more free time in the cush one.. but what the heck would I do with my free time (no friends or support system in place in this town and not much to do).

Discuss.

Cush intern, your days off go take a flight back home and party like a rock star. More time to study, step 3, crack open path or surge book if you wanna gun for one of those fellowships.

Harder one in great city you'll be to tired to do anything anyways. Your days off you'll just want to nap. The day off will be mid week like Tuesday and all your other friends well be working anyways. So it will be as if you don't know anyone in that town anyways cause no one well be free to do stuff with anyways.
 
I had one PD in an interview tell me he looks poorly upon those who do cush intern years. He says he notices a distinct difference in the quality of dermatologist one becomes based on intern year. He was quite adamant that his residents do a difficult prelim med year and absolutely doesn't extended an interview to someone reapplying who did a tranny year...

That said, I am still going for the ty
 
I've gotten really annoyed when interviewers ask what I'm doing for a PGY-1 year and then "strongly recommend" that I do a prelim medicine year at a really intense program. There are certainly some transitional year programs that are cakewalks and I'm not debating that these are a waste of everyone's time, but there are other very legitimate transitional year programs at true academic medical centers. Yes, you'll still put in fewer hours at these programs than you would if you were to do a prelim medicine year at Mass Gen, but I personally feel like I've learned more on elective rotations than I did on gen med. 4-5 months of inpatient medicine is plenty. After that I feel like it's helpful for someone going into a specialty as broad as derm to have a couple months of peds, a month of plastics, a month of rheum, a month of ID, etc. I can understand where program directors are coming from when they say they prefer medicine prelim years, but I think that's a bit misguided.
 
I had one PD in an interview tell me he looks poorly upon those who do cush intern years. He says he notices a distinct difference in the quality of dermatologist one becomes based on intern year. He was quite adamant that his residents do a difficult prelim med year and absolutely doesn't extended an interview to someone reapplying who did a tranny year...

That said, I am still going for the ty

I can't say I agree with this..but my "n" is limited..I have friends who did anywhere from hardcore prelim at places like mass gen, to cakewalk TYs and I have not seen any correlation. My friend who did cakewalk TY is probably the smartest in his/her derm class (senior now) at a top tier derm program...and I know peeps who did the other and really don't seem much better off for it. I guess it really depends on the person?!

Ideally I would love to do a middle ground TY or flexible prelim that lets you things like Palintology suggested..but I didn't look into it until too late!
 
I'm in the same boat. I was so fixed on the derm apps that the intern ones became an afterthought. In retrospect I would have spent more time selecting and would have applied earlier as well.
 
i have the option of doing a super tough and super prestigious prelim. I also have the chance to do a ridiculously easy TY year. The TY year includes 3 months of derm if wanted (mohs, dermpath, derm) or electives in plastics, ID, rheum, research. I was thinking I'd do the hard core year if I don't match but if I do, what's wrong with spending a year relaxing and possibly preparing for residency? Even at the cush year, I have to do 3-4 mo wards, 1-2 mo ICU, 1 mo ER, ambulatory, ect. Its not like that year is spent getting a tan (which is bad for dermies anyway!).
 
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