Texas Cardiology Programs

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bigj626

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With regards to Houston my impression of the major 3 cards programs are Baylor college of medicine and Baylor/St. Lukes, and methodist. Is St. Lukes the same place as the Texas heart Institute? Also what are peoples thoughts on Baylors college of medicine program and do they rotate at St. Lukes/THI?

Thoughts on methodist hospital cardiology program...

Also in Dallas UTSW and Baylor Dallas. Thoughts on these programs...

Thanks

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The Houston medical center has 4 cardiology programs. Texas Heart (Baylor/St Luke's), Baylor, UT-Houston, and Methodist.

In regards to program strength, they are ranked Texas Heart >> Baylor > UT-Houston >> Methodist. Texas Heart is one of the best programs in the country. In regards to Texas, UTSW probably falls between Texas Heart and Baylor. Texas Heart is far more clinical than UTSW; whereas UTSW is geared more towards the "research" type.

Texas Heart is a clinical powerhouse. I interviewed there and loved it, but had to move closer to home due to family constraints. I do have a friend there, though, and he says he's very happy and is getting an insane amount of numbers. You also rotate through MD Anderson and Texas Childrens.

Baylor rotates through St. Luke's for approximately two months. However, they are on a Baylor consult service and my friend says they are not allowed to scrub in the cath lab with Texas Heart attendings which limits their numbers significantly. They rotate through Ben Taub (a county hospital) and the VA. I also hear the program director isn't a very nice person and rumor has it "he fires fellows occasionally". I can't personally back that up, but it's what I heard.

UT-Houston is a pretty standard academic cardiology program, although not highly sought after due to Texas Heart and Baylor being right next door. I would say it's average when compared nationally. You rotate through Memorial Hermann and MD Anderson.

Methodist is a good hospital with a good cardiology department, but their cardiology fellowship is only a few years old and it's by far the weakest on the Houston medical campus. Filled with mainly IMG's and in-house "hospitalists" apparently.

UTSW is geared more towards the research type. If that's your thing, then go for it. But lets be honest, most cardiologists don't want to spend their career in a lab.
 
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The Houston medical center has 4 cardiology programs. Texas Heart (Baylor/St Luke's), Baylor, UT-Houston, and Methodist.

In regards to program strength, they are ranked Texas Heart >> Baylor > UT-Houston >> Methodist. Texas Heart is one of the best programs in the country. In regards to Texas, UTSW probably falls between Texas Heart and Baylor. Texas Heart is far more clinical than UTSW; whereas UTSW is geared more towards the "research" type.

Texas Heart is a clinical powerhouse. I interviewed there and loved it, but had to move closer to home due to family constraints. I do have a friend there, though, and he says he's very happy and is getting an insane amount of numbers. You also rotate through MD Anderson and Texas Childrens.

Baylor rotates through St. Luke's for approximately two months. However, they are on a Baylor consult service and my friend says they are not allowed to scrub in the cath lab with Texas Heart attendings which limits their numbers significantly. They rotate through Ben Taub (a county hospital) and the VA. I also hear the program director isn't a very nice person and rumor has it "he fires fellows occasionally". I can't personally back that up, but it's what I heard.

UT-Houston is a pretty standard academic cardiology program, although not highly sought after due to Texas Heart and Baylor being right next door. I would say it's average when compared nationally. You rotate through Memorial Hermann and MD Anderson.

Methodist is a good hospital with a good cardiology department, but their cardiology fellowship is only a few years old and it's by far the weakest on the Houston medical campus. Filled with mainly IMG's and in-house "hospitalists" apparently.

UTSW is geared more towards the research type. If that's your thing, then go for it. But lets be honest, most cardiologists don't want to spend their career in a lab.



Any opinion on Texas Tech in El Paso?
 
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Current fellow at Texas heart. I absolutely love the program. I interviewed at Texas heart, Baylor, and utsw. Texas heart was by far and away my favorite. Feel free to ask me any questions.
 
Current fellow at Texas heart. I absolutely love the program. I interviewed at Texas heart, Baylor, and utsw. Texas heart was by far and away my favorite. Feel free to ask me any questions.

Opportunities for clinical research?
 
Lots of clinical research. All the latest and greatest devices/procedures roll through THI, lots of clinical trials, and a very active stem cell research program. I guess some examples are the ABSORB trial which we started a few months ago (bioabsorbable stents), the EXCEL trial, a massive community screening program THI is running with cardiac MRI in high school students (approx 20,000) to study coronary anomalies, structural heart disease, etc. Again just a few examples over the few months, plenty of other things going on.
 
Texas Heart and UTSW are considered the top programs in Texas right now, but Baylor would be next. UTSW and to some extent Baylor are probably more traditionallyl "academic". My impression is Texas Heart is more on a busy private practice model..their fellows would be/will be extremely well prepared for an interventional career. If you don't want to do that, or be a CHF specialist who takes care of LVAD patients, it might be "overkill" in terms of the fellowship being sort of a beat-down. I talked with one of their fellows last year and though I could tell he was getting great clinical experience in terms of "numbers" I wasn't sure how collegial the environment would be and I got the impression they work a tremendous number of hours - comparable to how much I worked on busy medical student rotations and how much I worked as an intern, before there was much enforcement of work hours. If you do to/went to a residency where you were pushing the 80 hours frequently, and you are OK with working the long hours for another 3 years to get a lot of interventional training, and ou can get into the program, I think it would be good to get that "volume". But I am not sure how good Texas Heart would be for someone who wants to do cardiac imaging and/or perhaps noninvasive cardiology or a more academic type of future. I think it is probably important to understand the culture of the place for sure, before you consider going there, but that is something you can probably find out about at the interview.

Baylor - my impression was they had some damage, in terms of clinical training, a few years ago when they lost their affiliation with the Methodist hospital, but they still have their own U Hospital and the public hospital, Ben Taub, and the VA to rotate through. I was not sure about the vibe I got from the PD when I visited there - I think that he definitely gave off the vibe that he has standards, which is good, if it involves working hard and that fellows be committed to lifelong learning, but the other person's comment about about fired fellows is a little scary, given they had/have a pretty decent caliber of applicants applying there. They had some shakeups in their faculty a few years back, but that happens periodically at most major academic medical centers. I interviewed there a few years back and I was most impressed with the fellows - they seemed like really great, nice people, and the type I would want to work with. My impression was Baylor has a fair amount of basic science stuff going on,. at least as of 3 or so years ago, but not sure about now - they lost their dept. chair around then, and he was a big basic science researcher type.
 
I work no where near 80 hours. Our first year is very busy and there are a few rotations where you probably push it, but most rotations you are averaging 50-60 hours/week. We also have zero weekend responsibility starting our second year, no joke ZERO. I agree, though, Texas Heart is geared towards those going into interventional or EP due to the sheer volume and exposure. Although I hit my echo level 2 numbers my first year (with exception of TEE because we start those our second year). Weakness probably is imaging. Again, everybody is happy here. If all the fellows disappeared, Texas Heart would run just fine. The goal of the fellowship is to make you a badass cardiologist; the attendings are there to teach us, not make us do their scut work. We don't consent, we don't pull sheaths (unless they are giant) as the cath lab and nursing staff are trained to do so, and while you are required to complete the requirements for cardiology fellowship - the rest of your schedule can be made to achieve what you want to do as a cardiologist. An additional bonus is that once you are in the general fellowship, you won't have to reapply for an interventional/ep/heart failure year.

Baylor does not have a university hospital. They ran out of money and its been an empty shell for years now. It is a good program though.
 
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Thanks for the thread. I'm applying this year and hope to end up back in Houston leaving for residency. I will be interviewing at THI, BCM, and Methodist, having declined UT-Houston as a result of scheduling issues. I am very surprised to hear that Methodist is considered the weakest program in Houston. Most of the powerhouse faculty who left BCM several years ago ended up at Methodist and it boasts the current President of ACC as faculty. Sure, it's not a primarily academic institution, but is the clinical training really that bad? I would imagine Methodist performs fancier procedures than BCM (ie TAVR, AF ablation, etc), which really just has a county hospital and a VA. My concerns would be volume and autonomy. Can anyone shed some light?
By the way, I selected to decline UT-HOuston after reading it was a malignant program and that the interview day was pathetic (thread can be found on this site). Not sure if that's the case, anymore, but I believe their first date is in a few days, so I'll look forward to finding out.
 
I work no where near 80 hours. Our first year is very busy and there are a few rotations where you probably push it, but most rotations you are averaging 50-60 hours/week. We also have zero weekend responsibility starting our second year, no joke ZERO. I agree, though, Texas Heart is geared towards those going into interventional or EP due to the sheer volume and exposure. Although I hit my echo level 2 numbers my first year (with exception of TEE because we start those our second year). Weakness probably is imaging. Again, everybody is happy here. If all the fellows disappeared, Texas Heart would run just fine. The goal of the fellowship is to make you a badass cardiologist; the attendings are there to teach us, not make us do their scut work. We don't consent, we don't pull sheaths (unless they are giant) as the cath lab and nursing staff are trained to do so, and while you are required to complete the requirements for cardiology fellowship - the rest of your schedule can be made to achieve what you want to do as a cardiologist. An additional bonus is that once you are in the general fellowship, you won't have to reapply for an interventional/ep/heart failure year.

Baylor does not have a university hospital. They ran out of money and its been an empty shell for years now. It is a good program though.

I will second nstemi's opinion. I have rotated through THI as a resident. Have done research and published papers from there. Ranked it number 2 on my match list (ended up matching my first choice though).

Its a stellar clinical program. The opportunities for clinical research are more than several academic programs for people who are interested. First year is definitely front loaded and has lot of call. Second years and Third year fellows do moonlighting shifts to earn >100,000 per year. Yes, the nurses call you for issues directly. There may be scut work but realize that holding groins for 20 minutes is more painful scut work. Holding groins is often a cardiac fellow's job at several major academic cardiology programs.
 
I work no where near 80 hours. Our first year is very busy and there are a few rotations where you probably push it, but most rotations you are averaging 50-60 hours/week. We also have zero weekend responsibility starting our second year, no joke ZERO. I agree, though, Texas Heart is geared towards those going into interventional or EP due to the sheer volume and exposure. Although I hit my echo level 2 numbers my first year (with exception of TEE because we start those our second year). Weakness probably is imaging. Again, everybody is happy here. If all the fellows disappeared, Texas Heart would run just fine. The goal of the fellowship is to make you a badass cardiologist; the attendings are there to teach us, not make us do their scut work. We don't consent, we don't pull sheaths (unless they are giant) as the cath lab and nursing staff are trained to do so, and while you are required to complete the requirements for cardiology fellowship - the rest of your schedule can be made to achieve what you want to do as a cardiologist. An additional bonus is that once you are in the general fellowship, you won't have to reapply for an interventional/ep/heart failure year.

Baylor does not have a university hospital. They ran out of money and its been an empty shell for years now. It is a good program though.

Could you expand on this a bit more? Do all advanced fellowships come from internal applicants? Is that decided when you're applying for general?
 
Could you expand on this a bit more? Do all advanced fellowships come from internal applicants? Is that decided when you're applying for general?

No you don't have to be decided at all when applying, but they will tell you during your interview that "if you're good enough to get into the general fellowship, you are good enough for the advanced fellowships". Internal applicants supercede external applicants before they enter the match (if they need to enter the match, which I don't think they've needed to in quite some time).
 
From personal experience as well as friends at nearly all the Texas programs:

Academic: UTSW>>BCM>>THI> UT San Antonio/ Texas A&M- Scott & White> Baylor Dallas/ UT- Houston> UTMB (cannot assess the Methodist program)

Private: THI>>BCM>> UT- Houston> UT San Antonio/ Texas A&M- Scott & White/ Baylor Dallas/ UTSW (cannot assess the Methodist and UTMB programs)

I agree that the BCM program is more of a hybrid between the traditional "academic" program and the clinically focused/ private practice oriented program. The University hospital is set to slowly open up over the next couple of years. (Note: The fellows also cover Baylor Clinic (echo), the new TCH Woman's Pavilion and share TCH Adult Congenital with the THI program).

Bottom line: know the culture of the program you choose (from someone who has been around the Houston TMC for several years).
 
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From personal experience as well as friends at nearly all the Texas programs:

Academic: UTSW>>BCM>>THI> UT San Antonio/ Texas A&M- Scott & White> Baylor Dallas/ UT- Houston> UTMB (cannot assess the Methodist program)

Private: THI>>BCM>> UT- Houston> UT San Antonio/ Texas A&M- Scott & White/ Baylor Dallas/ UTSW (cannot assess the Methodist and UTMB programs)

I agree that the BCM program is more of a hybrid between the traditional "academic" program and the clinically focused/ private practice oriented program. The University hospital is set to slowly open up over the next couple of years. (Note: The fellows also cover Baylor Clinic (echo), the new TCH Woman's Pavilion and share TCH Adult Congenital with the THI program).

Bottom line: know the culture of the program you choose (from someone who has been around the Houston TMC for several years).

Any discussion of the culture at the aforementioned programs that you care to share?
 
I can chime in on Baylor experience and a little of THI experience. My background - baylor resident now baylor fellow. Aspirations - applying for a career of clinical ep.

First and foremost - in the last 4 1/2 years I've been at Baylor, I have not heard or known any fellow who was fired by our program director. Our director is an amazing person and has your back, probably to a fault. He has burned some bridges in past as far as affiliations due to protecting us. There have been fellows in the past who have had personal issues, have had to take extended leave and were able to return to training without retaliation. An honest, though probably biased opinion, of our program:

Strengths - volume. Though most our procedural vol is va and ben taub, There hasn't been an issue with numbers, especially cath. Our director is interventional and as a result, Ben Taub where he is at is geared towards that. Examples, when you're on cath at va, average 6 caths a day, intermittently up to 8 diagnostics. Ben Taub, Weds and Thurs are the heaviest from 8-12. Mon-Tues-Fri probably in the range of 6 on ave. Given we are 1 of 2 county hospitals in houston with LBJ having no interveentional capability, all cath patients and stemi's get shuttled to us. EP vol at VA has been sky rocketing in the last 1-2 years. Ave device implants 3-4 per day, except tues where we generally do a.fib ablations. SVT ablations probably ave 2/wk at the va. EP vol at Ben Taub, due to having 2 cath labs only, Tues are the main ep day with 4 sometimes 5 devices. Fridays are our secondary days with 1-2 devices. Ablations unfortunately are limited at ben taub, not due to vol but due to lab time given we have to share with interventional. Echo, ave inpatient echo vol both at va and ben taub probably 40 studies - tte's. Do you as the fellow read all of them? No, because the attendings don't wanna stay till 8 pm so they do chip in, which I feel is not a bad thing. As a second year, I am probably on ave reading myself 12 studies a day, in addition to performing TEE's and DSE's.

From my personal experience inregards to EP, i think from a general fellow, EP is wonderful for devices. Dr Makkar and Afshar allow us to implant. Just came off of EP Bentaub/St Lukes and by the end, I'm doing everything. Incision, extrathoracic excess, making pocket, cannulating CS os and feeding CS lead for BiV, suturing, the whole shabang. Ablation experience is not as robust.

Weaknesses - hightech stuff. We have limited impella support cases at the va, occasional tandem's. We have TAVR cases on thurs but as a diagnostic fellow, you basically just scrub in and not do much, given you have the CT surgeon, interventional fellow, at least 2 interventional attendings ahead of you. Hightech EP stuff - rare VT ablations, haven't heard of impella assisted vt ablations, vol of a.fib is not something like Michigan, UPenn where we ablate a.fib everyday.

Inregards to THI, our vol there is low given our baylor services include consult, cath and a hybrid rotation of BenTaub and Luke's Ep. Cath is low, probably 2 cases on ave. However, the situation is we're an academic group rotating in a 1) Private hospital with multiple private groups and 2) A hospital with it's own fellowship. As a result, we scrub in only on cases where Baylor consult or attendings have been seeing the patient. As a rule, our director has stated we don't jump into cases where THI fellows or attendings have been seeing the patient, and vice versa is true.
CT/MRI - very limited experience. 1 month for exposure. Given traditionally most of us are either interventional or ep bound, minority are noninvasive. The noninvasives who want CT/MRI experience will probably have to do an additional fellowship.

Call schedule - home call, resident see's CCU consult and admits. When you're on ccu as fellow, you have 1 resident, 3-4 interns. 1st year, 1-2 weekends/month on call, split holidays. 2nd year - 1 weekend a month, no holidays. 3rd year - no weekends and no holiday coverage.

Quick run down of our program - is everyone happy? heck yes. Most people who do interventional stay and basically get the spot. Most ep guys leave given they want to go to other programs and get more ablation experience. Previous EP matches - UCSD, Mass Gen, Beth Israel, Michigan, last year and this year's EP fellow are from here.
 
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I can comment on the EP program at THI and BCM as I have spoken with multiple fellows recently from BCM regarding their EP program.

THI averages roughly 5-8 ablations a day, all types of ablations, all the technology you would want to train with. We also probably average 10-12 devices a day and 1-2 lariats a week (apparently watchman is coming soon). There are clearly way more cases than you could possibly do. You will hit your numbers in the first half of your third year (if you decide to do EP, you will be an EP fellow your third year of gen cards plus one additional year). The EP attendings are wonderful. We also have a very good relationship with the med device industry and have access to all of their training programs, etc.

As for BCM, the fellows applying for EP this year are planning on leaving the program due to low volume of ablations. They state that there are a good amount of devices at the VA, but that ablation volume is extremely low and that they get that experience while rotating through Methodist. There is a rumor that Methodist is going to establish their own EP fellowship and nobody is clear as to what will happen to the BCM fellow.

Now as for research at THI, there is plenty of clinical research. We have fellows involved in clinical trials, we have fellows involved in device design with rice/ut biomed engineers, and whatever else you can think of in the clinical realm. If you want to make a career out of basic science, then you might find a better fit elsewhere. Although, we have a few fellows who also applied to the BCM clinical scientist track and are taking part in that. I think some people on the interview trail feel that the research opportunities aren't there because we talk about our clinical exposure the most. They are there, but Texas Heart tends to attract fellows who want to spend most of their time in the clinical arena.
 
thanks for the info and sorry for the confusion: volume including EP cases was clearly higher at THI c/w BCM. i was referring to the VA's EP program in relation to Ben Taub's, where EP took an obvious back-seat to interventional.
thanks for the insights regarding clinical research opportunities at THI.
 
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IThoughts on methodist hospital cardiology program...

I am a fellow at Methodist and I am very happy with the program and in my opinion Methodist is a very strong top cardiovascular training program. This is only the 3rd year taking fellows but the training program is really excellent.

The program now has approval for advanced heart failure training program and interventional. Up until now Methodist has been a training site for Baylor interventional program and also UTMB heart failure but this may change next year. As far as I know it remains a training site for the Baylor EP program but this will likely change (see above) if Methodist starts EP.

To dispel at least one myth regarding who the fellows are (ie hospitalists or internal candidates) 3/4 people in the first year class are external from very good US training institutions. All of the internal fellows are amazing / outstanding.

- Faculty are all Weill Cornell affiliated. Like other top programs there are some true leaders in cardiology here who help in development of guidelines (including last years ACC president) and I will refer readers to the website. All are really excellent. The majority were former Baylor faculty that chose to stay at Methodist after the split. Some of the experiences I have had were quite remarkable RE: interacting with leaders who have and are shaping cardiovascular care.

- Heart failure is very active with an active transplant program. There are things that Methodist does that you won't see many places like subclavian IABP as BTT (JCHF. 2013;1(5):382-388). Large LVAD program and not infrequent tandem or ECMO support. Just like THI bedside balloon pumps are also done.

- Cardiology is separate from the Department of Internal Medicine and rather part of Methodist DeBakey Heart & Vascular Center with vascular and cardiothoracic surgery.

- In my opinion interventional is amazing here. My understanding RE: TAVR is Methodist largest implanter or CoreValve in nation. The number of TAVR here is pretty unbelievable. There is nothing that I know of that can be done percutaneously that is not done here. This is also an EXCEL site. There are a large number of clinical trials enrolling in Methodist and often one of the faculty is on the steering committee. There are all the gadgets here (ie impella, watchman, tandem, devices for congenital / structural disease, et cetera).

- Methodist is really THE place for echo training and the lab is exceptionally busy. First year fellows do over 100 TEE. The quality of the echo faculty really makes the experience. Look at almost any echo guideline and there is a Methodist faculty as author.

- There are many opportunities for research and recently John Cooke moved from Stanford to direct TMH research institute (http://www.houstonmethodist.org/body.cfm?id=495&action=detail&ref=1001)

- The MITIE lab is pretty unique and I think one of 3 places in the world with the advanced simulation technologies. Methodist puts on a "fellows bootcamp" every year for fellows from Cardiology, CV surgery and Vascular surgery from around the country. As least for cards there was a TEE simulator. Cath lab simulator. Cadavers with heart dissection. TTE simulator. Vascular access station all part of MITIE. If you are interested you should look it up.

- The fellowship benefits from training at Methodist which is really a strong organization. Methodist now owns several smaller hospitals in the area and the med center serves as the referral center. Overall the hospital is in very good position financially and this does spill over some in the quality of the fellowship. Methodist really does a good job promoting themselves in the community and is the hospital for Houston Texans, Houston Astros, Houston Dynamo ... Methodist does seem very well respected in the community and people who come to Methodist typically have choices on where to go and choose to receive care at Methodist.

Good luck to everyone deciding where to go. I'm exceptionally happy with Methodist
 
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My apologies all for the necrobump, but I'm a current M4 applying for residency and trying to decide on my rank list. Strongly considering cardiology right now but will also go into residency undifferentiated. I would really love to have the best shot at Texas Heart and Baylor (currently number 1) as I have my reasons for possibly relocating to Houston. Also very interested in UTSW. Needless to say, my heart is in Texas (no pun intended). For any current residents in these programs, please help me critique my ROL list as I would be really interested in having the best chances at these TX programs. Current ROL is 1. Penn, 2. Hopkins, 3/4/5/6. UCSF/UTSW/Vandy/MGH (in some undetermined order). Honestly I really like all the programs in my top 6 and could see myself being happy at any of them. Would really love some input if any of these programs stand out as particularly good feeder residencies into these programs. Thank you!!!
 
My apologies all for the necrobump, but I'm a current M4 applying for residency and trying to decide on my rank list. Strongly considering cardiology right now but will also go into residency undifferentiated. I would really love to have the best shot at Texas Heart and Baylor (currently number 1) as I have my reasons for possibly relocating to Houston. Also very interested in UTSW. Needless to say, my heart is in Texas (no pun intended). For any current residents in these programs, please help me critique my ROL list as I would be really interested in having the best chances at these TX programs. Current ROL is 1. Penn, 2. Hopkins, 3/4/5/6. UCSF/UTSW/Vandy/MGH (in some undetermined order). Honestly I really like all the programs in my top 6 and could see myself being happy at any of them. Would really love some input if any of these programs stand out as particularly good feeder residencies into these programs. Thank you!!!

None of those residencies are feeders into THI or baylor, UTSW might give you an edge for UTSW fellowship though. Those are all strong residencies and they'll all give you a good chance at any of those fellowship programs. Go to the strongest program you can, work hard, pad your resume, apply broadly for fellowship and see what happens. Your interests may change as far as what specialty you want to do or even what type of cardiology program you'd like. The training at UTSW, Baylor and THI are all different, so keep you mind and options open for now.
 
None of those residencies are feeders into THI or baylor, UTSW might give you an edge for UTSW fellowship though. Those are all strong residencies and they'll all give you a good chance at any of those fellowship programs. Go to the strongest program you can, work hard, pad your resume, apply broadly for fellowship and see what happens. Your interests may change as far as what specialty you want to do or even what type of cardiology program you'd like. The training at UTSW, Baylor and THI are all different, so keep you mind and options open for now.

Thanks for the response! I'm assuming the classic feeder residency to the Houston cards programs would be Baylor and UTH?
 
Like many fellowship programs, baylor and UTH would likely take a few internal applicants, but THI takes applicants from everywhere.
 
THI fellow here,

As mentioned earlier - UTH and Baylor take a significant amount of internal applicants. The residency programs that the THI fellows come from are from all over the place.

Nonetheless, from the local programs, Baylor residents usually have a better chance of matching at THI than UTH or Methodist residents.
 
I am a Texas resident and will be applying to Cards this year. Found the previous discussion on this thread very helpful, but I am wondering if there have been updates/changes in the past 5 years? I am interested in interventional.
Any comments on the current quality / culture of the following programs would be greatly appreciated: THI (I'm sure this remains a stellar program), Baylor Dallas, Baylor, UTH, Methodist, Scott & White Temple.
 
Interviewed at THI and Baylor. THI is still a clinical powerhouse, top program for those interested in clinical career or PP. Private practice culture in a fellow run program at a hospital that doesn't need the fellows to function, meaning less hospital scut and more freedom to focus on meaningful work. Emphasis on volume, acuity and autonomy. They do anything and everything, ton of procedures, interventional is their hallmark, but strong EP, great HF and solid echo. Very chill laid back group and culture from what I could gather, felt like a no-fuss and non-pretentious vibe. Baylor felt like your typical academic program, there's research and the clinical aspect wasn't nearly as impressive as THI, but overall wasn't terribly impressed with the fellows or the vibe of the program
 
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How is Baylor doing nowadays? I heard they had a large falling out 5-10 years ago and were essentially without a university hospital. Has that changed? What's the training like over there?
 
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