Top Malignant Internal Medicine Programs?

[StudentDoctor55]

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Does anyone want to share their perception of the top 10 or 20 malignant IM programs? I hear alot about programs being malignant on this forum but I am curious how they would compare to another.

 

[dd128]

I'm not a fan of the word 'malignant.' To some it means faculty that don't teach, programs where you are more or less a slave to the bidding of the attendings, programs where residents are weeded out over the first year, where residents kick each other under the bus for various reasons or any combination of those reasons. Perhaps you should specificy...

FWIW, I've been to a few of the so called malignant programs and found it's only code for programs that are fair but expect you to work hard...a concept that is very foreign to a some people...

 

[tallash]

 

[sacrament]

I'm going to blatantly repost something I wrote just the other week.

The definition of "malignancy" in residency is definitely changing. A malignant program used to be one where the residents were actually verbally abused (sometimes physically abused), where your well-being as a person was completely disregarded, where nobody gave a **** about you, where your education was an afterthought, etc.
It really doesn't seem like places like that truly exist anymore. I'm positive somebody will jump in here to correct me, but I've now met dozens of residents and fellows from the traditional "malignant" programs (like Duke, like UTSW) and none of them report anything like that happening to them, at least not in anything like a systematic manner. I've never actually met somebody who went through a malignant training process in the last decade. It's just something you hear about, third-hand, like Bigfoot.
These days, a "malignant" program seems to be any place that actually pushes you to the 80hr limit, has anything more frequent than q4 call, any place where the residents are tired, etc. The program I'm at now, doing my fellowship, has an IM program that I would consider cushy. They complain like mad if they start to approach 80 hours, they complain that the place is becoming "malignant." Nobody seems to have perspective on this anymore.
[/old man rant]

 

[Instatewaiter]

I'm going to blatantly repost something I wrote just the other week.

The definition of "malignancy" in residency is definitely changing. A malignant program used to be one where the residents were actually verbally abused (sometimes physically abused), where your well-being as a person was completely disregarded, where nobody gave a **** about you, where your education was an afterthought, etc.
It really doesn't seem like places like that truly exist anymore. I'm positive somebody will jump in here to correct me, but I've now met dozens of residents and fellows from the traditional "malignant" programs (like Duke, like UTSW) and none of them report anything like that happening to them, at least not in anything like a systematic manner. I've never actually met somebody who went through a malignant training process in the last decade. It's just something you hear about, third-hand, like Bigfoot.
These days, a "malignant" program seems to be any place that actually pushes you to the 80hr limit, has anything more frequent than q4 call, any place where the residents are tired, etc. The program I'm at now, doing my fellowship, has an IM program that I would consider cushy. They complain like mad if they start to approach 80 hours, they complain that the place is becoming "malignant." Nobody seems to have perspective on this anymore.
[/old man rant]

Agree.

I'm at a traditionally "malignant" program that is very, very far from malignant these days

 

[ArielStar]

.

 

[tsbqb]

physically abused??? do you have an example?

 

[tartesos]

I'm going to blatantly repost something I wrote just the other week.

The definition of "malignancy" in residency is definitely changing. A malignant program used to be one where the residents were actually verbally abused (sometimes physically abused), where your well-being as a person was completely disregarded, where nobody gave a **** about you, where your education was an afterthought, etc.
It really doesn't seem like places like that truly exist anymore. I'm positive somebody will jump in here to correct me, but I've now met dozens of residents and fellows from the traditional "malignant" programs (like Duke, like UTSW) and none of them report anything like that happening to them, at least not in anything like a systematic manner. I've never actually met somebody who went through a malignant training process in the last decade. It's just something you hear about, third-hand, like Bigfoot.
These days, a "malignant" program seems to be any place that actually pushes you to the 80hr limit, has anything more frequent than q4 call, any place where the residents are tired, etc. The program I'm at now, doing my fellowship, has an IM program that I would consider cushy. They complain like mad if they start to approach 80 hours, they complain that the place is becoming "malignant." Nobody seems to have perspective on this anymore.
[/old man rant]

Agree 100% with this!
it seems though nowadays residents and fellows are more bitching more than usual because there is more protection.
Where i am doing my fellowship is an IM program that would seem a vacation compared to where i trained, and these guys bitch about everything!
It seems all they want to do is come to the hospital and get lectures all day.
oooosshhhaaaaa!!!
its all out now!

 

[black star]

I am a just a second year med student and I cannot believe what is happening to you already. Wow!! sucks for you guys!! Note to self...to watch my back.

 

[36639119]

So does anyone have an actual list or suggestions for the list?