Does anyone have any opinions on these programs:
Memorial Southwest Houston
Baylor Dallas
Baylor Houston
Memorial Southwest Houston
Baylor Dallas
Baylor Houston
Does anyone have any opinions on these programs:
Memorial Southwest Houston
Baylor Dallas
Baylor Houston
Thanks for the response! I am looking for a more outpatient care focused program, unfortunate to hear that it has heavy amount of call. Is the hospital FM opposed or unopposed? Any suggestions on FM programs in TX that have minimal call/are opposed?
What's wrong with UT Southwestern? It's quite an academic program isn't it?Remember that my knowledge of their call system was before the new rules that mandated no more than 24 hours for interns down from 32 hours (or something like that). To my knowledge, there's no more full 24 hour call as an FM resident/intern.
Hospital where the program is located is unopposed -- small community hospital right across the parking lot from the residency clinic building. Down at BUMC, there's other programs that you rotate through and will have to be agressive to get your experiences. I would definitely give it strong consideration for a good outpatient experience.
As far as call goes, you'll have to do a certain amount per ACGME requirements -- just a fact of life.
Piece of advice worth just what you're paying for it --- do NOT select your residency based on what your ideal job is --- this is the only time you can get supervised training and get your hands dirty. Go to the best training locale you can get -- lots of procedures, high acuity patients, good attendings and good environment -- because you never know what you'll wind up doing and the skills you'll need in the future. For example -- I'm trying to start working small EDs to moonlight or some urgent care work -- never removed toenails on live patients (just cadavers) and only have 1 intubation to my credit. That's rather limiting when you want to work ED or urgent care...so now, I'm fighting to get those procedures on the outside.
You may want to seriously look at the best kept secret in Texas as far as FM residency programs go -- UT Tyler Family Medicine. Lots of procedures, good environment, attendings who actually can teach and care about the residents, real team atmosphere. I almost switched it to #1 the night prior to lock in of choices but the schools for my kids left a bit to be desired. The week I interviewed, a middle schooler had stabbed a teacher with a pencil in the public schools which was a non-starter for me. There are private schools but I didn't know they had scholarships at the time and the tuition was $11K a year for 2 kids. Can't cry over missed opportunities but I serioulsy regret not going there.
again, stay away from UTSouthwestern.
Bill just told you, THEY DON"T TEACH YOU HOW TO BE A DOCTOR. Go where you will get good training.What's wrong with UT Southwestern? It's quite an academic program isn't it?
All he said was, "Do yourself a favor and stay away from UTSouthwestern Family Medicine....". He didn't go into detail why (malignant, etc.)Bill just told you, THEY DON"T TEACH YOU HOW TO BE A DOCTOR. Go where you will get good training.
Umm, ok. I thought this statement of his was pretty clear about having bad training. [ For example -- I'm trying to start working small EDs to moonlight or some urgent care work -- never removed toenails on live patients (just cadavers) and only have 1 intubation to my credit. That's rather limiting when you want to work ED or urgent care...so now, I'm fighting to get those procedures on the outside.]All he said was, "Do yourself a favor and stay away from UTSouthwestern Family Medicine....". He didn't go into detail why (malignant, etc.)
Legitimate question -- Yes, UTSW is VERY academic .... and that's part of the problem --- it is also sounds very malignant and cliquish -- if one of the attendings decides they don't like you, no matter what you do, you cannot redeem yourself. They have a reputation of picking a resident from each class and trying to fire them or get them to quit. To my understanding, they have been known to put interns on probation (reportable to the state medical board, thus affecting your license) for lacking clinical judgement -- hello, earth to UTSW -- interns by definition lack clinical judgement and that's what they're here to learn.What's wrong with UT Southwestern? It's quite an academic program isn't it?
Wow, thank you for answering, that's terrible but not surprising. I've heard UTSW tends to value IM (and its subspecialties) anyways and tends to overall be hardcore academic, with associated malignancy in general. They probably only have a Family Medicine program so that they can tell the state that they care about primary care.Legitimate question -- Yes, UTSW is VERY academic .... and that's part of the problem --- it is also sounds very malignant and cliquish -- if one of the attendings decides they don't like you, no matter what you do, you cannot redeem yourself. They have a reputation of picking a resident from each class and trying to fire them or get them to quit. To my understanding, they have been known to put interns on probation (reportable to the state medical board, thus affecting your license) for lacking clinical judgement -- hello, earth to UTSW -- interns by definition lack clinical judgement and that's what they're here to learn.
They've only recently hired 1 attending qualified to do inpatient procedures -- prior to that, they either watched NEJM videos and muddled their way through them or asked the IM residency to have their people come do the inpatient procedures. They put their residents with the midwives, med students, EMT students on the OB delivery deck where the FM residents are regularly treated with less respect than the UTSW med students in terms of getting deliveries. The other programs that need deliveries (EM, etc.) are over with the OB/Gyn residents/attendings getting their deliveries. The ICU experience is done in PGY2 and the residents are treated as PGY1's during that experience.
The major problem to my understanding is that the attendings seem to always look for the negative in a resident and rarely, if ever, are encouraging...supposedly there are a few that are nicer to work with but in general a residents shortcoming are magnified out of proportion...the PGY3 residents are asked to see 10 patients per half day at a county hospital (i.e. high acuity/complexity) and comments are made in the evals of whether or not they could keep up with their schedule....but yet supposedly the attendings are only required to see 4 - 5 (7 was the most) and regularly comment on how busy they are in clinic.
Asking for help/asking questions regarding patient care is really not a good idea --- rather than be used as an opportunity for education, it is used as a negative on reviews in terms of lacking clinical knowledge.
Hope that answers your question....again, this is second hand info from a colleague who is going through it right now....
Likely -- they've had trouble filling during the first round of match for the last 2 years or so I'm told -- also have a high number of IMG/FMG/Carribean grads --- nothing against them but that's typically a measure used to determine the strength of a program -- by MS4s ;->Wow, thank you for answering, that's terrible but not surprising. I've heard UTSW tends to value IM (and its subspecialties) anyways and tends to overall be hardcore academic, with associated malignancy in general. They probably only have a Family Medicine program so that they can tell the state that they care about primary care.
Yes. Very telling that some of their own UTSW med school grads who go for FM, don't stay at UTSW's FM program.Likely -- they've had trouble filling during the first round of match for the last 2 years or so I'm told -- also have a high number of IMG/FMG/Carribean grads --- nothing against them but that's typically a measure used to determine the strength of a program -- by MS4s ;->
Can anyone comment on the differences between UTSW and BCM/UT Houston? All large academic institutions.
Does anyone else have any comments about UTSW-FM program? It sounds like you had a terrible expereince JustPlainBill, but that was at least 12 years ago if you were in residency before the hours restriction. I interviewed with them recently and I was very impressed with their program. I went into the interview with the stuff that I read on SDN about them in the back of my mind, and I was pleasantly surprised. I felt that they were very open about their past short comings and I got the feeling that a lot of positive changes have been made. Any recent grads or current residents care to comment?
Anyone with any info or insight into JPS' program?
I think this is pretty outdated. I have had a great experience in the program. I had rotated through some of the other FM programs in Dallas too but this one was one of the nicest. JPS and waco also have pretty strong programs too but if you want something in Dallas proper, they are a little far out. I had ranked this program because I didnt really want to be on call all the time so the schedule was really nice and despite the comments from what seem to be of one disgruntled 2nd hand information person, don't regret my decision. We did a lot of inpatient procedures (paracentesis, thoracentesis, lumbar punctures, injections). It is true we do deliveries with midwives but I honestly liked that since it gave me basic skills for the plain easy deliveries and I am not doing and never planned on doing any OB in my own practice. I also got to work with an amazing OB faculty who we did IUDs and implants with. In one half day I got 12 IUDs! I am glad we do ICU as a PGY2 so I can know more when I do the rotation. The attendings are all pretty nice and I always found them to be very encouraging.
Take it from someone who is not using 2nd hand old information from "colleagues" or "friends" but actually experienced everything 1st hand..
I do have to mention if you plan on doing rural medicine this may not be the best program, but one of my seniors went into rural medicine and they seem happy and fine and just opened their own practice there. The program is working on expanding global health program also (eventhough I didnt get to experience it) so that's pretty exciting!
Also! I have had seniors who graduated to go into all sorts of things - fellowships, private practice and out of the current graduates one third of them are going into fellowships (sports, palliative, sleep).
Does anyone have insight/opinions on the programs at Texoma Medical Center or Methodist Charlton?
Nothing recent -- my info on Charlton is about 6 years old ---
Charlton -- good program, prepares you for a community based practice, unopposed location, dual program; Residents seemed happy, worked well together and supported each other.
Texoma -- this is a new one -- I heard about it when I was in my first year in practice near Sherman, Tx. it was being developed as a rural medicine program with some help/interest from the ROME people at TCOM in Ft. Worth. TMC is a good hospital and the former Chief Medical Officer is a really nice oncologist who's easy to work with. don't know much more but it's worth a look.
You should also check out the osteopathic program in Durant, OK right across the border if you're going up in that area -- I met a few of the residents and they seemed to know their stuff.
hope it helps.