training differences by state/region

[milosavljevic]

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I'm wondering if there's any difference in the way that medical students on the east cost vs. west coast vs. everything in between are trained/educated? For example, the OB/GYN I worked for constantly talked about how west-coast OB/GYNs treat menopause/hormone therapy differently (in his opinion: better) than east coast-trained OB/GYNs. I also remember a Vivelle-Dot drug rep saying how she has tried for years to convince an east-coast trained OB/GYN to use her products but he refused and cited his schooling as the reason. I have no idea if this is true, since I've never read any articles about it. But if this is true, would it be the case for where you go to medical school, or would it maybe be more of a where you do your residency type of effect?

The reason I ask is because although I would love to stay in CA, I feel my chances are slim to none for being accepted to any of the schools here. I'm expecting and prepared to leave CA to go anywhere if I am accepted. But I'm just wondering about any longer-term "effects" if I should decide to return and practice in CA? I hope my question makes sense.

 

[costales]

No, there are no training differences by state/region. The accrediting agencies make sure of that.

 

[milosavljevic]

No, there are no training differences by state/region. The accrediting agencies make sure of that.

I guess I'm asking more about philosophies in treating certain conditions (like the hormone replacement example).

 

[MedPR]

I guess I'm asking more about philosophies in treating certain conditions (like the hormone replacement example).

The only thing that might vary state to state (as opposed to program to program or attending to attending) is the types and frequency of cases you see.

 

[COMedic2Doc]

The only thing that might vary state to state (as opposed to program to program or attending to attending) is the types and frequency of cases you see.

+1. This is absolutely true, i.e. you wouldn't see cases of HAPE (High Altitude Pulmonary Edema) in Florida but here in Colorado they happen every season. I do agree that there are standards that each program must uphold in order to be recognized. After that, it's completely up to the program's directors as to what happens for call schedules, teaching methods, etc as well as the program's budget.

 

[Bacchus]

Medicine is a regional thing. The east coast, especially where I did my OB rotation, loves the convenience of C-sections. Out west buys into the lovey dovey feelgoodiness of hormone replacement therapy that matches your body's natural composition. Regions lets some docs do more than other regions.