this is my home institution.
dinner the night before.
Early start. .. they'd like you to see a bit of how their residents work throughout the day, so you meet at 6:15 am after the shuttle takes all of you from the hotel to the hospital.
Morning conference with a light breakfast, then you're treated to a brief talk by the PD, Dr. Robotham, and then the rest of the time is mixed between doing two interviews and hanging around with the residents in the OR's until a casual lunch at abot noon-ish.
The interviews were very relaxed, a few questions about you personally, and a couple actual questions about you and anesthesia.
They were all very congenial, took the time to answer questions, and for the most part we're rreally just tryig to see if your personality fit what they're looking for.
A side note: they put you up at the holiday inn by the airport, which unfortunately makes rochester seem like a giant parking lot if all you see is the hotel and the hospital. Rochester does have some fun and funky areas, so take some time to check it out if you've got the opportunity.
Here's my impressions (as an insider):
Teaching: rocks. . . the attendings here really like working with the residents, and there's a huge amount of cases. There's a decent amount of autonomy that goes on, but not so much that you're feeling abandoned. Talking with friends that have graduated they all echo the same sentiment: finishing here and transitioning into the role of being an attending only takes a couple days becuse of how well they're trained. Simulator. . . loved this. Yeah, schools talk about having a simulator, but I love what they do with theirs. You spend a few weeks doing crisis management, where they plop you in the simulator and throw scenarios at you till you're able to handle emergencies in your sleep. For anyone ever caught in the middle of a code, or have someone try and die on you on the table, this is an invaluable experience that you'd much rather learn this way than waiting to learn by experience first-hand.
Clinical: Rochester used to be liver transplant central, but their main transplant surgeon flew off a year or so ago. But, they've just started things going again so you're bound to get some good liver cases. Thing is, there used to be so many livers people started viewing them like whipples: long and painful, but now there seems to be a perfect amount to get you the teaching and experience but without sending you into convulsions when you find out you're scheduled for one.
Cardiac, peds, pain, regional, OB: they've got a good solid mix of it all.
Atmposphere: very friendly,esidents all get along and have a great relationship with the attendings.
Work: The ORs are numerous, and they've just added another dozen or so in the last two years, which are amazing. The hours are very well structured, with a night float team taking care of you, CRNA's there to make sure you're out when you need to be, but they never take the complicated cases away from you. Call is very reasonable, and I'm not sure if I was dreaming this or not, but I believe they have this funky system where, if you're in an OR past a certain time, then you're automatically given the next day off. . . I just can't remember what time is the cutoff.
Living: here's the upside/downside: Rochester is a great place if you're in famiily mode. They give you a great salary, with which you can EASILY buy a house and a car, never have to worry about traffic on a commute if you decide to live farther away, has five of the top public high schools in the nation, and a very reasonable standard of living.
The downside is that it's Rochester, which has lots of snow, long, grey winters, and if you're single, the main redeeming factor is that Toronto is only a three hour drive away.
Rochester gives you the chance to be excellently trained, and have a great life. . . you've just got to decide if the kind of life available in Rochester is what you want.
Overall: a very solid program that will leave you well trained, well supported by the administration, and ready to hit the clinical world without concern.