"top tier" frontloaded, high autonomy university programs

[nasdr]

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it may be too early to do this, and i realize some people just apply and try to determine where they fit later, based on the feel they get from an interview day, but i'd like to hear what people think....

is it (relatively) accurate to characterize the following IM programs as "top tier" IM programs that are frontloaded and expect a high level of autonomy from their interns:

hopkins
penn
columbia
u washington
utsw
ucsf
ucla

i ask b/c i'm not sure what type of program i'd fit best with.

thanks for any insight

 

[Yachtclub]

I don't know how much autonomy Hopkins gives to their interns- I mean, they don't even trust them to wear full length white coats.

UPenn however I've heard is pretty good about letting the interns do their thing. Don't know about the west coast programs

 

[lankysudanese]

I don't know how much autonomy Hopkins gives to their interns- I mean, they don't even trust them to wear full length white coats.

UPenn however I've heard is pretty good about letting the interns do their thing. Don't know about the west coast programs

Hopkins interns take call on their own. They admit 7 patients per night, and cover an entire service (~25-30). There is NO handholding.

 

[viostorm]

I don't know how much autonomy Hopkins gives to their interns- I mean, they don't even trust them to wear full length white coats.

LMFAO. Yay for a 5th year of medical school.

Do their patients call them doctor?

 

[sacrament]

Hopkins interns take call on their own. They admit 7 patients per night, and cover an entire service (~25-30). There is NO handholding.

If Hopkins interns actually admit seven new patients a night I doubt anybody associated with the program would want to advertise it, as this would put them in violation of the ACGME. An intern can only admit five new patients each call night, in addition to accepting two intra-hospital transfers.

Personally, if I were a patient I would strongly consider driving across town (doubled over with pancreatitis or hemorrhaging blood freely from my rectum, or whatever was going on) to a different hospital rather than be admitted to one where the interns are flying solo.

 

[Dazeo]

Hopkins interns can admit 5 new patients and accept 2 transfers each call. there is a 1:1 on call intern to senior ratio for the first 2 months, then 2:1 for 1 month and then 3:1 for the rest of the year, with back up from the micu and ccu resident on call. Interns admit from 1PM to 1AM and seniors admit from 1AM to 7AM. It is a highly autonomous program, but interns have help when they need it.

I would agree that penn and columbia are highly autonomous as well, but I don't know the other programs well.