i LOVED this interview. i had several questions about the program before i went re: the value of the fourth year, trauma exposure, and living in ann arbor. the interview day blew me away and answered all of my questions in a positive way.
dr. kowalenko, the program director, really impressed me with his presentation -- he anticipated my questions in a way that few other directors have in my other interviews. i'm starting to get a sense of what i want in a residency, after getting some interviews out of the way. Dr. kowalenko made a great case for a 4-year program (having directed both 3 and 4 year programs), and pointed out all the teaching, elective, and research the the 4th year allows. after the day was done, i shadowed in the ED for about an hour and was very impressed with the way the 4th year ran things and taught interns; she was very confident and knowledgable in a way i haven't seen in many third years elsewhere. i thought the residents were all very nice and would be fun to work with, though at first i thought many of them were all just about sports. not so. about half of the residents are married but they still hang out as a class regularly. trauma exposure happens at Hurley Hospital in Flint 1 month per year, about 50 minutes away, but coming from NYC a 50 minute commute doesn't sound too bad, especially if it's in my own car. (Columbia to Cornell at NYPH's program, and vice versa, is at least 50 minutes by subway/bus, and that's 3.5 miles away.) the residents feel that this is more than enough trauma exposure and know procedures and know the procedures and management well without having to treat an inner-city patient population every day. i really like the fact that they rotate at 3 different sites, academic, community and inner-city. the EDs at UMich and St. Joseph's are beautiful, technologically advanced EDs with great ancillary staff and computer systems. Dr. Barsan, the department chief, is a big deal (elected to the Institute of Medicine) and can pull strings to get you a job in four years. Residents feel well-treated on off-service rotations, and the whole atmosphere at U Mich seems friendly and supportive of EM -- the program is only 12 years old, but obtained full departmental status after only 7 years (in 1999), with all the funding and facilities that entails. Other departments outstanding at a top 10 school. Amazing. Mostly 8-10 hour shifts, with 12s on weekends during third year. Really active EMS and flight program, and you can fly as the flight doc starting in your second year after riding a few shifts wit hthe flight nurses and proving yourself. When you interview, ask Brad the 3rd year about this (the big bald guy who looks like Kojak or that guy from the Shield) -- he friggin loves to fly.
Ann Arbor is very cute, small, fun, and cold. Good bars, plenty of cultural things to do on campus. Not a big city. Relatively cheap cost of living, but then again i'm coming from NYC where anything is better really. Housing is on the high side for the Midwest, I'm told. I liked the feel of being back in a college town.
Those are some of my random thoughts. I went not all that excited about it, wondering if i should've cancelled it being a younger program, four years, and in a small town. Came away loving it and it definitely jumped up way higher on my list. am wondering if other people had the same reaction as me.