Rate New York Residency programs

[nydpm]

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I want to stay in NY and will only apply to programs here. I am just wondering if upper classmen who went into different externships and residencies in this region will shred lights on different residency programs in this area. I am an average student. So I don't want to shoot too high. Few of the programs I am considering:

St Barnabas
Luthern
Coney Island
New York Downtown hospital
New York Hospital of Queens
Jamaica Hospital
Beth Israel
Wyckoff
Mount Sinai
Methodist

Any advice?

 

[krabmas]

I want to stay in NY and will only apply to programs here. I am just wondering if upper classmen who went into different externships and residencies in this region will shred lights on different residency programs in this area. I am an average student. So I don't want to shoot too high. Few of the programs I am considering:

St Barnabas
Luthern
Coney Island
New York Downtown hospital
New York Hospital of Queens
Jamaica Hospital
Beth Israel
Wyckoff
Mount Sinai
Methodist

Any advice?

In reality? none

If you are really stuck on NYC then:
1. MSSM
2. any of the others

 

[Marry2Pod]

In reality? none

If you are really stuck on NYC then:
1. MSSM
2. any of the others

How come it is not recommended to do a residency in NYC? I thought that there weren't limitations on practice during residency - Is that not the case or is there another reason? Just curious because I thought that a resident would see a lot of pathologies, etc in NYC!

 

[DancerPod]

How come it is not recommended to do a residency in NYC? I thought that there weren't limitations on practice during residency - Is that not the case or is there another reason? Just curious because I thought that a resident would see a lot of pathologies, etc in NYC!

That's a great question. Anyone want to chime in?
I spoke with a current resident yesterday here in NYC. She doesn't have any limitations in residency and works with the orthopods all the time. She did 75 ankles last year alone.
It's my understanding that the downside only hits when you are finished with residency, THEN you are restricted to below the Choparts joint.

 

[347932]

She did 75 ankles last year alone.

I always laugh when I read statements like this. Who cares how many ankles she did? Residency is centered on training you to be a great surgeon. You'll find that if it gives you the confidence you need to succeed in the OR, you will have the skills and knowledge to attack even the most complex of procedures, whether you did "75" of them in residency or not. The other issues is how many of these do you really think you're going to see in practice everyday? Worry about training to be a great all around foot and ankle surgeon. Forget about how many this or that.

 

[questiondoc]

I don't think the point was 75 ankles per se. I think the point is that by being in NYC, the opportunity to see many cases like 75 ankles or 45 of this or 80 of that, is what eventually will give you the confidence and experience to be a great surgeon. Rather than the " I saw 5 ankle cases in BFE" sort of residency.

 

[347932]

I don't think the point was 75 ankles per se. I think the point is that by being in NYC, the opportunity to see many cases like 75 ankles or 45 of this or 80 of that, is what eventually will give you the confidence and experience to be a great surgeon. Rather than the " I saw 5 ankle cases in BFE" sort of residency.

When I speak to students and residents, I'm never asked how many bunions do you do or how many Retrocalcaneal exostectomies with achilles repairs you do. I'm ALWAY asked about ankle fractures and Charcot recons with frames. The reality is that most podiatrists do more bunions and bread and butter stuff, which is what residents should focus on learning to make a very good living. Time/earning ratio is MUCH higher with our basic podiatric surgical procedures. My comment was geared towards that.

 

[Marry2Pod]

There's got to be some thought on this! I know there are some opinions out there - Please share! Dancer and I couldn't possibly be the only curious ones...

 

[DancerPod]

When I speak to students and residents, I'm never asked how many bunions do you do or how many Retrocalcaneal exostectomies with achilles repairs you do. I'm ALWAY asked about ankle fractures and Charcot recons with frames. The reality is that most podiatrists do more bunions and bread and butter stuff, which is what residents should focus on learning to make a very good living. Time/earning ratio is MUCH higher with our basic podiatric surgical procedures. My comment was geared towards that.

Kidsfeet, she's done hundreds of bunions and hammer toes. I brought up the ankle numbers because the question was on limitation of scope in NY. I agree with you that chances are you'll be working on bread and butter stuff. The resident I spoke with would also. But as questiondoc intuited correctly, the numbers weren't given to me as "look at me! I've done sooo many" but rather that she was getting the experience to make her confident in performing multiple types of surgeries, and in patient care. Who cares if you do 1000 if you learn nothing from it, right? But if you only see 5 cases, it's doubtful you'll have the experience and confidence to do it well in practice.

 

[347932]

Kidsfeet, she's done hundreds of bunions and hammer toes. I brought up the ankle numbers because the question was on limitation of scope in NY. I agree with you that chances are you'll be working on bread and butter stuff. The resident I spoke with would also. But as questiondoc intuited correctly, the numbers weren't given to me as "look at me! I've done sooo many" but rather that she was getting the experience to make her confident in performing multiple types of surgeries, and in patient care. Who cares if you do 1000 if you learn nothing from it, right? But if you only see 5 cases, it's doubtful you'll have the experience and confidence to do it well in practice.

I understand exactly what you mean. What would be nice to hear once in awhile would be "How confident does the residency/training make you when you're about to get into practice with your surgical skills?", rather than "So how many ankles do you do?". You see?

 

[DancerPod]

I understand exactly what you mean. What would be nice to hear once in awhile would be "How confident does the residency/training make you when you're about to get into practice with your surgical skills?", rather than "So how many ankles do you do?". You see?

That makes perfect sense. I wouldn't be surprised if she felt the same way. She lumped all of that information together (i.e. This program makes me feel very confident... I've already done #'s.... Good training...etc.).
My guess is that she's been asked that type of information a lot and perhaps it's a rote answer by now.
Thanks!

 

[PADPM]

In reality? none

If you are really stuck on NYC then:
1. MSSM
2. any of the others

Wow, that's quite a bold statement. I was under the impression that NY Hospital of Queens offered good training since it was under the direction of Charles Lombardi, DPM who has an excellent reputation. He was the president of the ABPS and is well known, well published, etc.

If I remember correctly, Kidsfeet had a personal issue with Dr. Lombardi, but that shouldn't take away from the quality of training someone like Dr. Lombardi can offer his residents.

Do you have specific reasons for your comments, specifically regarding the training offered at this particular program?

 

[347932]

If I remember correctly, Kidsfeet had a personal issue with Dr. Lombardi, but that shouldn't take away from the quality of training someone like Dr. Lombardi can offer his residents.

Correct and agreed.

 

[GrandHustle1]

I know the buffalo program is not in NYC. Any thoughts on that program?

 

[bearfeet]

Why do NY programs have a bad reputation? Are those programs aware that they have a bad reputation, whether or not they hold true?