Do they exist? Can you guys suggest some?
Suggestions of Strong Community Programs?
- Thread starter Unty
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maybe cedars sinai? UCSF rotates at community hospital Mount Zion but obviously no one would call them a community program.
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Orlando Regional
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Several large academic programs have community affiliation (ie with a county or VA hospital). Mt Zion is where most of our tumor resection specimens come from (gyn, breast, colon, etc). They are then taken by courier to our main cutting room at Moffitt. While we do sign out with attendings who are at Mt Zion, to my knowledge no one is "rotating" there (unless you count people on Cytology), as all the specimens are taken to Moffitt.
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I will suggest William Beaumont in suburban Detroit. Posh area, >1000 bed hospital, accredited fellowships in Cyto, Heme, BB/TM, Chemistry. Higher cost of living for the midwest, but not as bad as the coasts.
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When I rotated at UCSF, surg path residents were on a 6 day schedule with a couple days spent at mt zion in that rotation. I guess that has changed.
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Ditto this one. The faculty and residents are all very approachable people and seem to work excellent together. On surg path, residents sign out every day (only until about noon on grossing days); Dr. "G," the medical examiner on the discovery channel show, has her office on their main campus where residents do a 1-month rotation in forensics; and residents get as much free food as they want from the cafeteria or Dr's lounges 😉.
Many of the residents move on to do fellowships; the 4th year there now is doing hemepath next year.
Plus you get to live with the great climate and many attractions of Orlando!
That's my plug
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I second that question...any thoughts??
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Those bike-riding couriers in San Francisco are badass. They all use track bikes with one (large) gear and take the hills like Lance Armstrong on EPO.
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Actually, its funny that you mention that. My girl and I were having a conversation with her dad (he is like 58) who only rides fixed gear bikes and races down at the Velodome in San Jose. He was saying that all the bike messengers in SF ride fixed gears, which I thought was unbelievable. On a semi-related note, a guy in my program's neighbor is friends with Puck from Real World San Francisco.
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I messengered in SF (bike and motorcycle) on and off 1989-1991.
My bud from HS started ZAP courier which had pretty sweet uniforms (Got gobbled up by a national conglom). Racing to make a TAG is a pretty sweet thannnng. Now that I have kids I probably would have kicked my own ass since I would ride on side walks.... basically anywhere to make the TAG ASAP. Our dispatcher rewarded the fastest with the most bidnessss.
I'm a resident at Evanston, and I absolutely love it. If you want more info, feel free to send me a private message.
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That actually sounds like a fun job. What do those couriers make?
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At that time my best day was around 500.00.
Not sure what they make today. I'm sure closer to 1,000 if you are working your arse off. It all depends on how many TAGS and how far.
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I'm a 4th year resident at Penrose-St. Francis in Colorado Springs. I have been very happy with the experience I have had here, and feel the case load and teaching is excellent. Please feel free to PM me if you would like me to send you some more information on the program.
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my only ? would be why???
why a community program when you can attend a top notch academic program and merely pull the "community practice" card and abstain from doing any research?
why a community program when you can attend a top notch academic program and merely pull the "community practice" card and abstain from doing any research?
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I don't know; I am actually in the Houston area, and I mentioned Dr. G to a couple of residents at my home program who are going into forensics, and they didn't mention anything about Houston. Personally I don't have cable, so I hadn't heard of the show, but the other interviewee had.
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She worked in San Antonio for a while I think
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She did her residency at St. Louis U (props to my alma mater) and the first year of her forensics fellowship in St. Louis. Due to her husband's job, she moved to San Antonio and did her second year of forensics fellowship there before becoming the Bexar County ME and then moving on to Orlando. She is an extremely nice woman and one of the few instances where the actual demeanor matched to on-screen persona.
And on a completely unrelated note, I worked as a bike messenger in the city in the summers of '98 and '99 and the most I ever made in a day was 350.00 Granted, my company did not have an "all-call" tag system (we had a dispatcher planning routes for all of us). I quit the year before the messengers unionized and from what I heard via the grapevine, '00-'-03 were the salad days with higher wages and some benefits. Top taggers were making close to a grand on good days. Then, software improved the ability to transfer PDF files and there is not so much of a need for delivery of hard copies. My brother worked as a messenger this past summer and he said he delivered primarily architectural blueprints and briefs to the federal and state courthouses at city hall making close to 250.00 on good days.
But some days I dream about being on break at the wall down on Sansome street with a warm sun, cool breeze, and a good book... the smell of pot wafting over from the congregations of messengers just living day to day. Almost made me want to make remonstrance against my bourgoise roots.
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DMS changed the business too.
http://investing.businessweek.com/research/stocks/private/snapshot.asp?privcapId=383708
Many things were couriered prior to the internet boom (airline tickets from travelling agencies, legal documents that are now PDF's). Amazing how much things can change in just a few short years. I guess thats why I keep my mind open for changes in pathology as well. Especially now that terabytes of storage, blu ray (50 GB on a disc), and increasingly faster data transfer rates (TBS) are becoming available to the hoi palloi. Who knows what better and cheaper slide scanners and compression algorithms will do for us in the next decade.
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Why attend an academic program when you can attend a top notch community program where you can learn to move slides off your desk and have a twenty-four hour turn around time😉
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What are the advantages/disadvantages to an Academic or Community practice residency?
In general I've noticed at my medical center that the staff/system are pretty inefficient and there's a ridiculous amount of down time and waste which tend to make the hours not so nice (at least on most of the services, pathology not that bad). But nearly everyone in my class who has rotated at private hospital rave about how quick and efficient everything is and how well taken care of you are.
Out of personal curiosity, is this a trend or an anomaly?
In general I've noticed at my medical center that the staff/system are pretty inefficient and there's a ridiculous amount of down time and waste which tend to make the hours not so nice (at least on most of the services, pathology not that bad). But nearly everyone in my class who has rotated at private hospital rave about how quick and efficient everything is and how well taken care of you are.
Out of personal curiosity, is this a trend or an anomaly?
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Well, many academic medical centers are known to be quite inefficient. The thing is, private medical centers are focused on profit and the bottom line, whereas to academicians, that is not often the priority (education, scholarship, etc are more important). There is no dividing line though - there are plenty of inefficient private hospitals and very efficient public institutions.
Private medical centers often have the relative "luxury" of shipping off complex and difficult cases to academic centers. Private medical centers often present themselves to patients as places to go to for "routine" medical issues. But when someone gets a rare tumor or disease or a complication, they head right to academia.
But it is odd that many have a perception that employees/residents are "treated better" at private hospitals. In my experience I think this likely varies from institution to institution and doesn't really depend on public/private affiliation. It probably depends on your perception and your career goals, to some extent. I mean, I did rotations in med school at private hospitals that were terribly inefficient, kind of old and outdated, etc, things that stereotypically are associated with public institutions.
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I for one would rather train in an environment where you are beaten on, stay up late, worked to the edge and then you when you come out the other side have private prac be cake then have it easy in training and be overwhelmed on your first few jobs.
If cakewalk training worked, wouldnt the Marines be sipping mint juleps and trying on Eddie Bauer outwear instead of getting the crap kicked out of them by drill instructors??
If cakewalk training worked, wouldnt the Marines be sipping mint juleps and trying on Eddie Bauer outwear instead of getting the crap kicked out of them by drill instructors??
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I'm pretty sure they drink appletinis...at least that's what my drill sergeants told me.
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While certain diseases are best treated at just a few hospitals it is unlikely that every person with a rare tumor heads right to academia. Moreover, the fact that they know that they have a rare tumor means the diagnosis was already made. So it might be an interesting case from surgery/rad onc/chemo stand point, but the academic pathologist reviewing the slides will simply be confirming a diagnosis that has already been made by a community pathologist and likely has been already been sent out for consultation/confirmation. Lastly, though out professors constantly say "you'll be bored in private practice", "people in private practice don't know what they are doing", "you won't see this in private practice", people that I have known go into private practice say that the difficulty and types of cases they see is no different than what they saw as a resident at the academic medical center. Moreover, the most brilliant residents with the best eyes have gone into private practice from my program. However, I strongly believe that academics is a more fun environment because it is not as much of a daily grind (though you work very very hard), plus you get the fun of residents and medical students. That's one of the main reasons I am dedicated to being an academic pathologist.
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Dont listen to this person...she's weird (i.e. wears a hoodie when she goes on FNA runs) 😛 j/k
Seriously though academic vs private is a huge first divisioin in the road to deciding which program is for you. I chose private because I wanted to learn pathology the way I'm going to practice pathology some day. Ditto what the weird dinosaur person said - learn it and be efficient at it. Community / Private practice program for me 👍
EMO
