Quick Program Overviews For Those Who Will Come After Us
Things that were important to me when looking at programs; academic program with strong inpt training, plenty of research opportunities, and a reasonable work schedule that would allow a good life work balance. The location was also important to me, however, I only applied to places where I thought I would be happy living.
1) UNC: great free standing psych hospital with a number of specialty units, add in the state hospital is 25 min away and I feel your inpt training would be fantastic. Lots of research (#11 in NIH funding), including in my specific area of interest. Residents seem happy and down to earth, and Chapel Hill is a great college town less than 30 min away from a major city. It has pretty much everything I was looking for in a program.
2)WPIC/UPMC: hands down the national leader in psychiatric research funding, incredible free standing psych hospital with 300+ beds and specialty units in pretty much everything, first hand evidence of very positive faculty resident interaction. I'm not sure the merits people use when judging the 'best residencies', but i would argue that WPIC deserves to be on short list of top programs in the country. Would have been my number 1, but the combination of heavy focus on IM (including what I consider medicine call) and the terrible weather dropped it to number 2. Would still love to match here though.
3)MUSC: Of all the places i interviewed, MUSC had the best feel. Beautiful campus with 2 separate dedicated psych only buildings. All resources, including the VA are located on campus. Free standing psych hospital with some specialty units (but not to the degrees of UNC or WPIC). Lots of reach, top 10 NIH funding, but none in my specific area of interest. Cool residents who seemed very happy. Didactics certainly on the lighter side. Charleston is a fantastic city. I considered this to be as high as #1, dropped to 3 though, with lack of my specific research interests being one of the big reasons. Would still absolutely love to match here. As I said,from the moment I walked onto campus the place felt right.
4)UNM: another place I absolutely loved. Kind of a dark horse as I ranked it ahead of a number of bigger 'name' places. I thought this was a strong program from top to bottom. Great faculty, including an awesome PD, strong inpt training, research in my areas of interest, good didactics, some special things including top notch rural psych, interesting opportunities in native American psych, cool IDEAS in psychiatry series. I loved this place, and similar to MUSC, it had a great feel. Main drawback was Albuquerque. Personally, I liked the city, but it's not terribly exciting, and its pretty isolated (I would have liked a major city to at least be in driving distance). Overall, a strong program though, and I would by no means be disappointed if I were to match there.
5)UC Denver- Denver, what a place. Far and away my favorite city that I encountered on the interview trail. The program itself, I see as a strong academic program. Great research track which dedicates time all 4 years including a month elective in PGY1. Was slightly underwhelmed by the inpt facilities (wasn't really excited that University Howpital no longer has a psych unit), but I do think pathology would be fine with Denver Health (the county program) and the VA. Lots of rumors, both on here and the interview trail, about malignancy in the program which I did NOT see on my interview day, but they do work harder than most programs, including what appears to be a pretty brutal PGY1. Denver and UNM for number 4 was the spot I most debated but in the end I gave it to UNM, which was my intitial gut feeling. I felt UNM had stronger inpt resources, a more welcoming feel, and another big thing being that I did not meet the Denver PD at all during my interview day. Apparently she and the assistant PD rotate which days they interview, but I found it really bizarre that she didn't even come to say hi. Certainly not a deal breaker, I would still be very happy to match here, but if I would have met her there is a good chance I would have moved it ahead of UNM.
6)Duke- probably the most 'prestigious' place I interviewed. Fantastic PD and great department chair. Tons of research, top 10 NIH, in pretty much every field of psych. University inpt unit lacking, but supplemented with state hospital (25 min away) and on campus VA. World class psychotherapy training, including tons of live supervision. Really an impressive place (calling it a place to AVOID,see other thread, is an absolute joke), however it does have some flaws. I couldn't get past the work schedule, topping 70hours a week the first two years with many, if not most, rotations being 6days/week. That is just not me. Duke was actually significantly lower on my list for quite some time, then I got my bearings and realized how strong of a program it actually is, and that although residents work very hard, the work is in a supportive and generally positive environment. I also have had multiple attendings, albeit ones who were therapy oriented, tell me they believed Duke was one of, if not THE, best psychiatry training programs in the county. This may be a stretch, but those are opinions from current attendings working in the field, neither of which actually trained at Duke. Certainly a good place to be, if you are willing to work hard, and I am.
7) HSS- one of the most (IMO unjustly) criticized residency programs on sdn. We get that it is not MGH, but to the general public, and honestly likely the vast majority of those in medicine, the Harvard name does carry a great degree of merit. The name, and the accompanying resources, combined with a reasonable (albeit not cake) work schedule made it appealing to me. There are a number of research opportunities, utilizing both VA and Harvard resources. Plus, it had the best didactic schedule of any place I interviewed, with one full day a week dedicated to didactics, during which you don't even have to report to your rotation on that day. Certainly came off as more education as opposed to service. Would likely have been higher on my list, but I couldn't get past the fact that it is a 'VA Residency'. I don't think it would negatively affect the inpt training, as you utilize multiple sites for diversity, however, the entire third year being with solely VA pts was a perceived negative in my book. Still, a place where I think I would be quite happy.
8) LSU- ahhh, #s 8-11. Really struggled with these, and moved the order around a lot. LSU jumped a number of spots at the end to take the lead in the group. The initial turn off was lack of research and what was almost too easy a work schedule, to the degree that I felt residents weren't being pushed. But as I stepped back and really considered it, I realized it would be a fine place to be, for a couple of reasons. First, the inpt training is very strong. Lots of sick people in New Orleans, and you utilize both public and private psych hospitals. Second, as far as the research, there really is none to speak of, however, I figure if I strike out on my first 7 options, then maybe I wasn't meant to do research, and I should go to a place that is strong in my other main interest, inpt adult, that also has an amazing lifestyle. I also thought about the residents not being pushed and the possibility of 'too easy' a schedule, but then I realized my passion for psych would make it very easy to self motivate, and I could use all the time available to read and spend more time with pts, and better myself as a psychiatrist that way. Also, on a silly but somewhat true note, all the recent mardi gras stuff reminded me how much I like New Orleans, and self reflection made me realize I would be very happy at LSU.
9)UVA- on the other hand, fell a few spots late in the game. I do think it's a good place to be, lots of specialty tracks to tailor to your individual career goals, pretty academic, decent amount of research (although mostly in addictions), Charlottesville is great especially if you enjoy college towns, and I think the residency would train you well no matter what your career goals. The reasons I dropped it were first and foremost the schedule. It's brutal, of the places I interviewed, second only to Duke, and UVAs call schedule may actually be worse, particularly in PGY3. The other thing I really didn't like was the didactics. No dedicated time PGY1, and very little PGY2. This, and the lack of residents I met, made me think it was service over education. I do think I would be happy there though,even with those perceived negatives.
10)USC Palmetto- I'm actually surprised how much everyone raves about this program. I think that it is a fine place to be, but has a very community feel, and IMO is very similar to many of the DO residencies I am familiar with that people on here tend to absolutely bash (which is the reason I am surprise palmetto is so well received). My opinion of the program is that it has a great lifestyle, and they take care of their residents, but still offer good training. Call schedule is ridiculously cush, rivaled only by LSU at least at the places I interviewed, no other place was close. Medicine months also seem very cush. Psychotherapy training seems quite good, but I am not a fan of the schedule which has extended outpt time at the expensive of the inpt experience. Also, as I said, it is has a community feel. I base this on lack of research, utility of multiple small sites,particularly for inpt psych, and general attitude and feel. Not necessarily a negative thing, in fact some people may prefer this setting, however, it's not what I am looking for. That being said, I think I would be happy there. Who doesn't want a great lifestyle at a place where you are well taken care of?
11)USF- not a particularly strong program, especially in terms of inpt psych, but the location is ideal for me, I thoroughly enjoyed speaking with all the faculty I met, and residents seemed happy. They have some, but not many, research opportunities. There are many things I don't like about program, but with the location and for personal reasons I decided to rank it as I think those things would make me happy if I were to match there.
12)UCLA Harbor- strong county training and psych ER training. IMO lacks diversity in that your pt exposure is essentially ALL county. I also didn't like the schedule, which again, has increased outpt time. Decent amount of research going on at the institution but there seems to be a disconnect between the research and the residents. I was planning on not ranking this program, as an all county training program wasn't what I wanted, plus just a couple days in the greater LA area made it clear that it wasn't the place for me. But after reconsidering, I decided to rank it as I do think you would get strong training with good psychopathology, and it's certainly better than (god forbid) having to scramble.
DNR: Wake Forrest- so many deal breakers with this program. First off the call system is ridiculous, they have no night float so still do overnight call (see details in my post on the interview review thread). Apart from that, the inpt training seems weak at best. They only have one small inpt unit, which during my interview was running at half capacity. They also have no state hospital or VA to supplement the inpt training. I don't see how it is possible to have a psychiatry residency when you only have 12 active inpt beds.... baffling. To make up for this they only have a total of 6 months of inpt psych, which by itself is a deal breaker for me. Honestly, to me this program had no redeeming qualities, however, I surprisingly found Winston Salem rather charming.
I will post thorough interview reviews after the match, hopefully they will help future applicants.