The "Best" residencies

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Apollyon

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I was just thinking of something tonight...

If a student was looking for the "best residency", and the sum total of their research was consulting an anonymous, subjective internet bulletin board, maybe that is evidence that the person asking the question isn't "best residency" material - after all, showing industry and resourcefulness is an hallmark of a good physician (especially an emergency physician). In that "uses system resources efficiently" is one of the core competencies, any of the shmuck lurkers that might pop up and bitch don't have a leg to stand on (for those not initiated, it is a core competency to be able to effectively use computers in your practice, along with other technology).

Now, before any zeroes get all angry, what I refer to is the antithesis of the threads started by people who've done even 2 minutes of research, and have a specific, clear question - "Why do people say that Denver and Cincinnati are the best?" or "What do you know about Wake, UNC, and Duke?" or "I've heard ___ isn't the best place". That is much more reasonable, and those get more more sincere responses (obviously).

Of course, the alternate hypothesis is that these "newbies" intentionally flame-bait, asking the blatantly repetitive, bland, open-ended questions.
 
Apollyon said:
I was just thinking of something tonight...

If a student was looking for the "best residency", and the sum total of their research was consulting an anonymous, subjective internet bulletin board, maybe that is evidence that the person asking the question isn't "best residency" material - after all, showing industry and resourcefulness is an hallmark of a good physician (especially an emergency physician). In that "uses system resources efficiently" is one of the core competencies, any of the shmuck lurkers that might pop up and bitch don't have a leg to stand on (for those not initiated, it is a core competency to be able to effectively use computers in your practice, along with other technology).

Now, before any zeroes get all angry, what I refer to is the antithesis of the threads started by people who've done even 2 minutes of research, and have a specific, clear question - "Why do people say that Denver and Cincinnati are the best?" or "What do you know about Wake, UNC, and Duke?" or "I've heard ___ isn't the best place". That is much more reasonable, and those get more more sincere responses (obviously).

Of course, the alternate hypothesis is that these "newbies" intentionally flame-bait, asking the blatantly repetitive, bland, open-ended questions.
It's just medstudent nature (note I didn't say human nature because med students are not really human. I know I wasn't) to continually obsess over the question of "How competitive am I?" and "What's the best residency?" and the inevitable marriage of the two, "Am I competitive for the best residency?" Obsession makes people lousy researchers because they want the quick answer that reaffirms thier gaurenteed place in the program of their choice. Those who do search the board want a answer customized for them rather than that other guy who was 2 whole percentiles below them on Step 2. Many of us know that all of these question become totally irrelevent 1 millisecond after the match and you never want to think about it agin. Still we have to humor those still in the throws of panic. For that reason I occasionally poke gentel fun at those posts. But I try to keep it gentel.
 
docB said:
They are the word leaders in cardiac and trauma research with a world renowned faculty made up of all nobel laureates. That and the fries.
I would humbly beg to differ in that I have heard many times on the news of late that the McDonald's residency is by far the worlds leader in cardiac trauma research. There are even successful books and a film about all the cardiac trauma research that place has done. I personally have almost NO interest in cardiac trauma but I still try and do audition rotations there at least once a week. Oh wait a minute you said cardiac AND trauma. In and Out might win then but if it's straight trauma to your heart you can't beat the Mcdonalds residency.
 
Anyone here anything about that new online EM residency? Sounds pretty good!
 
I was the med student looking for the big name last year and I am now the happiest resident I know. I went out on a limb and chose a program that has always had a fantastic name in emergency medicine but unknown in any other field of medicine. This allows prestige amongst my ED peers but my parents questioned why I veered away from the traditional ivy league route. I wanted clinical experience rather than research. I wanted a heavy concentration on ER rather than a program run by the surgery department. And, I found myself most comfortable with the residents in this particular program. Therefore, you can continue to ask what are the best programs, and you will probably receive a million different answers, or you can continue with the process open-minded and sit down in january and ask yourself: "self, where do I feel I will be the happiest?!" Keep in mind, you will be spending a considerable amount of time with your fellow residents- do you want to see these people you interviewed with at 3am when all formality is lost?! Also, do you really want to do research?- (or have you convinced yourself you do so you can get into that fabulous ivy league program?!) Last consideration, ER physicians have fantastic lives- more free time than most interns (at least at my program), therefore, will you enjoy the city you have chosen as home for the next 3-4 years?! These are the questions I considered. It was a hard decision but, like marriage, it comes down to your gut feeling- you'll receive a fantastic education no matter where you are, it's just a matter of what you're looking for. Good luck to all and know it will all work out as it should!
 
In-N-Out's fry fellowship really is the pinnacle of training, which puts it far and away above the McDonald's program. Duh. 🙂

And I LOVE that this is a thread that is over 4 years old. 🙂
 
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