same as previous; anesthesia rank list

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brownman

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Want everyone's opinion on this anesthesia rank list:

Hopkins
Brigham
Penn
Stanford
UCSD
Columbia
University of Washington
University of Michigan

How would you rank these respective programs? I know this may seem like a stupid question, but any assistance would be appreciated.

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All awesome programs, but I don't know much about Penn since I'm from down south but it must be up there if hopkins and the like compare themselves to them during interviews. I don't think you'll go wrong anywhere you listed. Just a quick question (hopefully answered before the deadline tomorrow!), what did you think of UCSD? Is it considered one of the better west coast programs??? :confused: They didn't tour us around too much on the interview day. And I would also add cornell to your list if available, I would put them slightly ahead of columbia if NYC is your destination. :clap:
 
Hi,

I think ur rankings sound pretty good in the order u put them down.

The only other thing is if u have a stong preference for pain anesthesia, U. of Washington should be put higher on ur list.

Other then that, I don't think u can do wrong at any of these "name" places!! Just pick where u would like to live, because there is a lot of difference in ur programs as to the cities they lie in.

Good luck.
 
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Hey guys,

Thanks for the input. That was not necessarily my order of programs; it's just the way I wrote them down. I was looking for assistance on the order. I'm not infactuated with baltimore or philadelphia vs. boston....but I grew up in detroit..so baltimore or philly are in general more attractive to me. That said, where should I put the respective programs?

Ok, on the UCSD thing...I didn't really care that I never saw the OR or anything. That was really not a big deal to me....I like the program for the size that it was...10 people, and it's very well known...especially here on the west coast (it's up there with UCLA, Stanford, and U of W...only UCSF is a cusp above or anything). And of course the location is sick....San Diego...please. My only neg with it was that the program totally puts you out there naked. They basically throw you into the OR...never done a AAA before...ok...well you can do it on your own. Good luck! And they made no bones about that being the fact...so I just wasn't sure if that was something I was a huge fan of..

Penn is a great program, and the residents genuinely seemed to like being there...but I could say that about hopkins and brigham and stanford. The only place I couldn't say that about was u of washington...I don't know if it's because they were the most honest or what...but the residents just wanted to get the hell out. It was actually kind of funny....one of the residents was like..."I'm basically becoming an anesthesiologist to pay the bills, but I hope to be doing other things with my life"...uhh...ok....

So, if you guys have any suggestions as to exact order of the list that would help. I'll say this much...I got a letter from Hopkins, saying they thought highly of me or whatever...and they hooked me up with internship opporutinities...but I got multiple e-mails from brigham, penn and stanford. I got this feeling that hopkins sent that kind of letter to everybody who interviews...but I talked to one of the residents and he said that Jeff Kirsch doesn't send out form letters, etc. So we'll see...I think putting Hopkins first is a risk, just because Brigham has sent me multiple e-mails telling me how much they like me, etc. Maybe in the end it's all a house of cards that falls over itself....who knows....

thanks for all of your help guys...totally appreciated. Anyone else get the whole you guys rule letters or e-mails from program directors?
 
This would be my order and why:

1) STANFORD
Academic powerhouse. I would say a top 5 program. They have a ton of oral board examiners (Krane, Mangano, Mihm, Rosenthal, Saidman, Sarnquist, Scott). Beautiful location, beautiful facilities. They do every case imaginable. You will love life here and come out strong.

2) HOPKINS
Considered a top 2 or 3 program. Program director is very involved. They have a great regional rotation where you are in the PACU doing thoracic epidurals and peripheral nerve blocks all day. Their residents are damn smart, and they see the sickest and most complicated patients. Strong alumni network (2nd only to Mass General), job and fellowship opportunities limitless. Cons are no oral board examiners, Baltimore isn't very exciting (although very affordable).

3) PENN
Another academic powerhouse, with big names like Longnecker and David S. Smith (neuro). A top 10 program. Like Hopkins, you'll get comfortable with very sick patients. Strong resident camaraderie. Also have a great program director who's a strong proponent of education. The sweetest and lightest call schedule among the top programs. Philly is affordable on a resident's salary.

4) BRIGHAM
Harvard name is a plus. Strong resident camaraderie. Definitely top 10. Ob experience is unparalleled. Strong peds at Boston Children's. Since they're owned by the same organization as Mass General, they lose some cases to them (ex/ liver transplant, VAD). Sometimes CA-1s are paired with CA-3s because there aren't enough cases. Some residents complained about the lack of intraop teaching. No oral board examiners. Don't have a new chair yet (may cause faculty turnover).

5) U WASHINGTON
Considered top 5 in academic circles. Don't know much about it except that their call schedule is brutal.

6) COLUMBIA
Strongest academically in New York. A top 15 program. Owned by the same organization as Cornell, but in this case Columbia gets the better and more complicated cases (neuro, transplants, trauma). Cost of living is high.

7) MICHIGAN
Don't know much about it, but the reputation is strong.

8) UCSD
4th best program in California (after UCSF, Stanford, UCLA). Considered 2nd tier nationally. No peripheral nerve block experience at all. Attendings seemed more interested in efficiency than teaching. Former chair (Lawrence Saidman) who is very highly regarded is now at Stanford. Hospital does not do well financially (most patients with insurance go to Scripps). Positives are San Diego, 4 oral board examiners, small and intimate class size, free lunch every day.

****
In the end Navs is probably right though - the city you're most comfortable in is most important.
 
To Yogi,

That was a in depth view on those programs!!

Enjoyed reading that.

If u don't mind, what were the programs u looked at or heard about that really impressed u and why??

Thanks.
 
As mentioned above, those are all good programs.
I only interviewed at half of those programs so here is my two cents. (sorry brownman can't really help you with ranking them. I have come to the conclusion that there is no such thing as the perfect program. I really did not come across any program that offered all of the following: good clinical experience in all fields,great residents, lifestyle, reputation, city,weather.

1) Hopkins - i too received a letter from Kirsch, it sounds like a form letter. i really liked their new regional guy, Chris Wu, sounds like he will turn that part of their program around. They see everything clinically and they do a ton a research. things that i didn't like: residents were relived about 50% of the time for didactics, they were q2 in the unit-but they were consultants the whole time so basically surgery's floor scut and fact that they never did any "ambulatory surg", important if you are considering a career in private practice.

2) Stanford - great name, thats about it. talking with fellow med students who did away rotations their, they all said they did not even bother to interview there. They felt that Stanford had a chip on their shoulder for not being as good as UCSF. Compete with UCSF for some surg spec such as pedi hearts/neuro. Stanford has a policy of placing residents on probation for doing poorly on inservice exams moreover their didactics are poor. Apparently your standing as a resident was based on how you did on that exam and not how you did clinically. Some residents were also "held over for a few months" ie did not graduate from residency in July just because they were not liked by staff. also top heavy in terms of attendings with many senior and few junior attns as no new staff can afford to live there.

3)Michigan - Tremper the chair is a very dynamic person and very involved with residents.
The absolute best didactics of any program i saw.
Very strong in ICU and Peds also. See every type of surg there as well. big class size can be a negative. ann arbor is a great place to live.

4) San Diego - I agree with the above posts that SD does not provide any real guidance and expects one to learn a lot on their own. their prog dir, while a superb guy, really seemed to care more about going fishing and golfing than what was going on with the residents. If you like autonomy this is the program vor you. They do their peds at SD Childrens with a private Anes group and apparently are treated like med students in terms of their responsibilites. their regional experience was also somewhat limited. their facilities were very sub par. if this program had been in kansas, i would not have even ranked them <img border="0" title="" alt="[Eek!]" src="eek.gif" />

hope that helps.
Yogi, anyone else, what do you think of UNC or UVA? thanks.
 
Hey guys..thanks for the input,

UVA is a great program, but charlottesville is truly in the middle of nowhere...NOWHERE!!! And the call schedule is a little whacked...you can get hammered or get nothing. They never really elucidated that...didn't rank them highly as you can tell...something about the program just didn't seem right for me.

UNC is too good to be true. The get catered meals, the residents are treated well, the moonlight like mad donkeys...and they make a ton of cash through it too. And you get jobs in the greater tri cities area. Not really a you can write your ticket anywhere program...but not a bad one nonetheless.

So that's my overall opinion...one question...and this can be answered by anybody...DID ANYONE GET ANYTHING EXCEPT A FORM LETTER FROM JOHNS HOPKINS?

Just curiosity more than anything...
 
I have to agree with the statements about Brigham and Johns Hopkins mentioned above. The hours at Brigham seemed to long and the residents did admit they had little time to read "we try to read a page or two a night and over three years that adds up" according to one resident. The board failure rate has been rather high the past two years at at the Brigham and they are not exposed to certain type of cases (trama and liver transplants) which is a somewhat of a surprise for a highly "ranked" program. Of course the Harvard name is the biggest plus.
Johns Hopkins biggest drawback appeared to be location. In fact the PD's intro to the program centered on Baltimore's positive aspects. Overall, the program seemed very strong with some weakness in the ICU experience and in regional.

The programs I am most strongly considering are
Emory, U.of Alabama, or Florida (I wanted to stay in the southeast). I especially liked UAB-thought it was one of the best balanced programs with location being the biggest drawback. Any others hear any positives or negatives about these programs?
 
ok,

I have a certified list in...now the final question is if you had to choose between these two programs which would you choose:

U Penn or Brigham and Women's/

Penn I think is a great program with phenomenal research opportunities, and their residents get great private practice jobs...but those jobs all seem to be on the east coast or in the south (never on the west coast).

Brigham seems like you can get a job anywhere...because the alumni network is just so expansive.

What are some people's thoughts...I have until 6 PM tomorrow afternoon (my personal deadline) to make any changes. Comments are welcome, and just know that I take them seriously.

Oh by the way...if you want to stay in the south take UAB. Everyone who interviewed there said they were very happy. If you want to have the option to go anywhere in the country go to u of florida..the program has more national exposure.

Thanks again everybody...
 
Hey I also need help with ranking. I want to stay in the south and really like Florida, UAB, Vandie, and Wake Forest. Can anyone give me their perspectives of these programs? Anything you noticed good or bad about these places. I am having a hard time finding the perfect fit. Plus I eventually want to do a fellowship in peds.

PS. I also received a generic form letter from Hopkins, very impressed with your credentials, etc, etc.

Thanks for any input.
 
I'm not an Anesthesia applicant, but know many Anesthesiologists and friends who applied. Brigham is a very highly regarded program and almost everyone I know would pick it over Penn.
 
Thanks Brownman for your input. Just wondering about any opinions out there about Emory? I liked Atlanta a lot but was curious because I have not heard much out there about Emory. Any last minute input would be greatly appreciated!
 
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I am also looking at Michigan and U of Chicago. I am leaning towards U of Chicago mainly because of the city. Does anyone have any thoughts on U of Chicago. I thought the faculty was excellent, residents are exposed to a variety of cases and the hospital is one of the best in the country. I am not sure how their graduates do however. Do they have a strong alumni network? Any feedback would be appreciated.
 
Here are my two cents again, hope it helps!

1) Florida - they have the best simulator program in the country. very strong in neuro and adult/ped ICU. Faculty nationally known. Loved Gainesville. My one big concern was that they were decreasing their class size by about 20% and not really hiring any CRNA's which can only mean that their hard working residents will only work that much harder.

2) Wake Forest - Roy the chairmen is very nationally prominent. very solid overall program. Residents treated very well. they are currently a little weak in peds but with the addition of their brand new peds hospital, i was told their volume would pick up. they also do not do any livers and have few off pump, and little trauma. major drawback (if single) is winston salem.

3) Vandy - one of the up and coming programs. Surgery is still very dominent there and it seemed like anes suffered for it. great faculty/residents.

4) did not interview at UAB, but heard from many that it was an oustanding program, very similiar to wake.

Are any of you ranking both the 3 and 4 year programs at some schools, and if you are are ranking them both are you ranking them back to back or by year. Does it make any difference?
I am not sure what to do

eg)

1. UNC 3year or UNC 3 year
2. UNC 4 year Florida 3 year
3 Florida 3 year UNC 4 year
4. Florida 4 year Florida 4 year

thanks for all the help in advance
 
Thanks for the info on some of the southern programs. How did you feel about Gainesville? I thought it seemed like a fun place to live and the residents were all very outgoing and seemed to socialize quite a bit outside of work. But talking to people outside of medicine, they seemed to think that the town "sucked" for singles.

What did you think of UNC?

My only advice on ranking 3 vs 4 yr positions kind of depends on what you want. If you have your heart set on one program then I would rank them back to back to maximize your chances of ranking. But if they are close, then you might want to rank 4 yrs only if you don't want to move twice or you want to learn the hospital system. However, if you have a great intern year in some fun place then rank the 3 yrs first and then the 4. Kind of depends on your options and what you want.

However, if you are interested in UFl and like the critical care, you only get the 8 mos total experience with the 4 yr integrated program. If you do the 3 yr program I think you get 3 mos. That could be good or bad depending on if you like critical care a lot.
 
About UAB-- I have many friends in this program, so I have a good knowledge of what it's really like. I ranked them first for a variety of reasons. Here they are:
1) Outstanding Chairman: David Chestnut is a truly great chairman. VERY concerned about resident education, and has a LOT of pull within the medical center.
2) Residency Director: Dr. Andrews is simply excellent. Very proactive with respect to making changes to benefit the educational program. Recent changes include outright protection of the regional resident from being pulled into the ORs, thus bettering the regional exposure by a good bit. Great guy, too.
3)Faculty: from everywhere. Most of them truly like to teach. Strong neuroanesthesia faculty, including Susan Black. Six board examiners overall.
4)Great case load. Lots of trauma (believe me). Truly exceptional cardiac (see Al Pacifico and James Kirklin). Tons of transplants -- most in the south (except for Miami, in some fields); 300 kidneys, 100 livers per year, hearts and lungs. Few fellows. Livers are first year cases,and you get paid $50/hour to do them outside the regular workday. Lots of surg onc (Kirby Bland and others). Outstanding OB. Separate Peds hospital, but only one block away from University Hospital. And you deal with really really sick patients--diabetics and vasculopaths galore
5)ICU experience one of the best I saw while interviewing, and I interviewed on both coasts. Autonomy!! Placing Dobhoff tubes under fluoro at the bedside, bronching patients at bedside, etc. Great critical care attendings.
6) Didactics well designed and well implemented. UAB residents smoke the boards.
7)In house moonlighting at $45/hour. Although almost always broken out of a room after 3pm, you're paid extra if you you happen to get stuck. Plus there are designated moonlighting shifts you can sign up for. Not uncommon to make &gt;$50,000/year as a resident. Hours very reasonable overall, especially considering the number of cases residents do.
8)Good residents. Smart, nice.
9)Lots of research, if you want it. It's not stuck in your face, but it's certainly there for the taking. Dept. ranks anywhere from 2nd to 9th in NIH dollars over last 7-8 years.
10)Job network is extensive. I can't speak about the west or north, but the south, Texas, Oklahoma, and midwest are very very well represented. Residents here get multiple outstanding job offers-- trust me, I've talked to them and gotten specifics. Going into academics from here is easily an option; salaries are good for academia, and there is a true commitment to the mentoring/career building of junior faculty by senior faculty.
11) Medical center is fiscally sound, with excellent facilities. Outpatient facility (Kirklin Clinic) without peer, although Duke's outpatient center is close. Multi-hundred million dollar expansion being built as I write this-- 40 new ORs, new ICUs, new(and huge)ER/trauma unit.
12)Anesthesia library (I saw nothing that came close to it) with full time librarian who is VERY helpful.

In other words, I loved the program. Birmingham, despite its image nationwide, is a good place to live. No, it's not San Francisco, but few places are. Low cost of living; pretty, low-mountain countryside; warm weather. And for single guys -- lots of babes (I could go on about the bambinas...but I won't). I could literally have gone anywhere I wanted, but I chose to come here. It's a great place. :clap:
 
All outstanding programs in the south were mentioned above.

Emory is great, they have always been mentioned as one of the up and comers and their interview weekend just rocked! I think the exposure to a lot of hospitals is an advantage and not a disadvantage since you get to know how a lot of systems work. Hotlanta is a cool place to be, at least for a few years and especially if you're single since it gets hectic sometimes.

UAB is not mentioned a lot it seems but everyone in the south loves it. The chair and other departments have great reputations, and their residents are friendly, smart as heck, and the facilities are stellar.

Vandy is an up and comer as well with tons of perks as a resident, nashvegas rocks as a town to live in (biased since i went to undergrad there). New chair from hopkins turning the program around and picking up better reputation after having a less than respectable one in the previous years.

UF is very solid. Very strong nationally and with a great neuro faculty. Gainesville is a college town and that's pretty much it.

UNC was too good to be true. Treats residents very well and their program is beginning to pick up steam as well. New women's/children's hospital finally finished by the time we get there. Tri city area is actually really nice with lots to do and great place to either be single or raise a family.

That's all I know, it sounds all superficial, but I guess we all can't really tell how good a program is til we wind up there. Good luck everyone!
 
I have to respectfully disagree with ambarofkotu about Stanford. The residents I spoke to there were the happiest I've seen. They get a very balanced education by also rotating through Santa Clara and the VA. Out of the 6 Stanford med students that went into anesthesia last year, half of them stayed at Stanford, and the others went to prestigious programs like Penn and Brigham. I think that says a lot.

They are one of the few places I've seen with dedicated rotations in peripheral nerve blocks and TEE. The only other curriculum that comes close is at Wake Forest. Critical care is very strong. If you are interested in business, they have a fellowship in OR management with courswork at Stanford Business School.

With the dot-com bust, cost of living is actually reasonable now, especially compared to San Fran or Boston. Regarding the inservice exams, yes they are important and Stanford residents rock the written boards. I think that on balance it's the best program in the country.
 
changed my rank list for the nteenth time at 11pm last night... yikes! thanks to everyone who contributed to this thread - your insights were very helpful. good luck to everyone. 27 days and counting...
 
I'm also curious, as Brownman is, as to what type of feedback people applicants got back from programs. These are the letters I got..

HOPKINS: "We were all very impressed with your credentials and hope that you make the decision to join our Program in 2003."

UCSD: "We greatly enjoyed your visit, and are enthusiastic about your candidacy."

PITTSBURGH: "Our Resident Selection Committee met to review and discuss your credentials, and we are pleased that you will be ranked highly on our match list."

ROCHESTER: "Based on your credentials and our meeting, we are confident that you would be a terrific addition to our program."

BRIGHAM: "Your academic record and your personality made a good impression on all of us. We definitely intend to rank you on our Match list."

I was pretty encouraged by the letters, except for Brigham (it sounds like they send personal e-mails to those they rank highly... I didn't get one).

Places I didn't hear anything from: Penn, Wake Forest, Barnes-Jewish, Vanderbilt, Columbia, Cornell.

Anybody get the same or different letters?
 
No diggity...no doubt,

Yeah...I changed my list a thousand times I think, by the time it was all said and done.

Letters I got:

Hopkins: The same as you. Great program..wish they weren't such a bunch of tools. I ranked them first.

UCSD: The same as you. Dropped some crap about deportment and not department. yada..yada..

E-mails:

Brigham: Same as yours...sounded more personal but it seemed to mention the same things your letter did. Did also mention that they have no categorical spots, and all spots are advanced and to call eileen stanford if I had any issues. I regretted not putting them second on my match list...but now that you told me that was the e-mail they sent everyone; I don't feel so bad.

Michigan: Got some lame e-mail about "I am the sun, I am the rain...that makes their lives a foolish game"...then I realized it was a lionel ritchie song...and I decided they don't give a rat's anus...

Penn: Sent me three separate e-mails from three separate attendings...the chairman and PD wrote me twice personally. They went out of their way...it was an interview I felt I smoked..and it was obvious by their response. They also have the most entreprenuerial residents (start their own companies...do stuff with the wharton business school...etc.). So I put them second after hopkins (because I know I'm not going to match at hopkins...form letter...I should kill them), and my belief that's where I'll end up. Now that I look back on it...I should have put them first.

Well so that's my list of letters...the rest of the programs just did the generic stuff...so maybe it's a crapshoot...I have no idea....

All I know is this...there were a few ladies on the anesthesia trail that were absolutely beautiful. One of them interviewed at Penn (jennie something or other)...she had a boyfriend but I'm hoping he dies accidently for some reason. Men..echo my sentiments...nothing more glorious than an attractive female physician...period. So, I'm hoping Penn has done equivalently outstanding recruiting efforts to garner as many attractive, intelligent women into the program. That would be killer...

That is all I have left to say....my final list:

1) Hopkins
2) Penn
3) brigham
4) michigan
5) stanford
6) columbia

And the rest who cares....if I get them...I'll just say I'm happy eventhough I'm not.

Hey good luck to all...and if Jennie is out there...please tell me that you put Penn first or second. Then I would know there is a god....
 
Hello. I'm new to this board and was wondering what board scores were needed to be considered competitive for the programs mentioned above. I understand that anesthesiology has recently become more competitive and will continue to be so in the few upcoming years. Thanks for any input.
 
Brownman,

In my opinion you will have no problem matching at Hopkins, especially considering that other top programs are drooling all over you. A faculty member at Hopkins told me that they routinely lose highly ranked applicants to slightly less prestigious programs such as Penn, Brigham, and Stanford, due to Hopkins' less desirable Baltimore location. I think that even though Hopkins sends out a form letter, they only send it out to people who they will rank highly and who can easily match there.

Congrats on all your achievements, and have fun at Hopkins... it's an awesome program.
 
I am apparently about a year behind most of you guys who are posting here. But, I do appreciate you placing your thoughts/perspectives on programs here for the rest of to glean wisdom from!!

Right now, I am favoring a collection of programs in the NE and would love to hear any scuttle-butt you may have on them.

Dartmouth
U Rochester
BayState Medical (Springfield, MA)
UConn
Penn St
UMass
UPitt

Thanks in advance to any of you who take the time to reply about any of these programs.

:D :wink: :p :D :wink: :p
 
You guys are going to hate this post, but I was putting up my rank list last year w/ similar prestigious schools and I don't remember being so darn cocky and arrogant like some of you guys. Boy, by reading some of these posts, I would thinkg that some of you are THE bombs of anesthesia. All I am saying is I know its very exciting to get all this courtship from the programs but can you guys keep it down on the bragging. I am blushing just reading all these posts about Hopkins and Penn and this and then serenading you. Unfortunately or fortunately, there are both people much smarter and much dumber than you. Incidentaly, if you ACTUALLY do match into hopkins or ucsf or some other ivory tower, just remember that in the community, very few anesthesiologists give a rat's ass as long as you do a good job. You may not think so now as 4th year medical stud "I am on top of the world", but its true. That is because those same community anesthesiologists probably did not go to the same ivory towers as yourselves and thus, do not wish to share in promoting your bragging rights.
Now, I know that the ones whose egos are hurt by these comments will say that I am probably some dope who is going off to some sorry community anesthesia program next year. But, that is not the case. I just hope that you don't end up coming to my program w/ this bombastic attitude of "I am the bomb" and "everyone wants me" b/c I am so cool and smart. Its kind of sick and immature.
Well, I will let the insults come in now.
 
gasdoc has an interesting interpretation of this thread. i happen to disagree with it. it seems to me that what is going on here is a useful *anonymous* exchange of information about feedback from anesthesiology programs. since the posts are anonymous and nobody is personally getting credit for what they write, it can hardly be construed as boasting.
i think that it is very useful for current and future applicants to know what types of form letters and personal feedback programs are giving to their interviewees. reading this thread has certainly aided me in gauging different programs' level of interest in me, and helped allay some of my insecurities about this whole gut-wrenching match process.
so gasdoc relax. none of us think we're "the bombs." if we did we'd probably be going into ortho or derm ;-)
 
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