Having just finished the UCDavis program, I would, without a doubt choose to go to another program if I were able to do it again. The inpatient experience is very disjointed with three different attendings "covering" the floor patients every week. Monday through Wednesday, Thursday – Friday, and Weekend all have a different attendings. On the inpatient service you also cover pediatric patients which has a separate attending. The consult attending is also a different attending every day so there is not any sort of continuity between consults and admissions in terms of attending presence. During my entire time at UCDavis, the attendings never once attended a family conference. Even when first year Residents and Interns asked the attendings to attend a family conference to provide feedback and/or show them how a family conference should run – they refused. The pediatric attending went to family conferences only because it was required by CCS (the payor for pediatric services). The inpatient gym is in the basement 6 floors down from the inpatient floor so your chances to actually see your patients doing therapy is limited. We never once did therapy rounds to see the patients doing therapy with the attendings in my four years there (including the 2 months my intern year) which is mind boggling. In terms of getting fellowships, myself and another resident both applied to pain fellowships and did not get into a single one. We both applied to the UCDavis program which has six positions a year and did not get in. One of the attendings (who blogs on this sight) in our program approached me to write a letter when he heard that I was applying. A couple of days later at the end of year graduation two of the secretaries in the PM&R office told me that they were sorry that this attending had not given me a strong recommendation. When I discussed the matter with the attending, he said that he thought I was a great candidate and that he did give me a strong recommendation – only to boast (as described by the resident) to another resident months later that they did not feel that I really wanted to do the fellowship and, as a result did not give me a strong recommendation. UCDavis started a sports medicine fellowship this year that one of the graduating residents landed, but the attending that runs the fellowship was not even asked by the resident to write her a letter of recommendation for application to other programs that she applied to. When the residency director was asked about this issue she told myself and the head of graduate medical education that this had happened before. The resident who applied to the pain fellowship this year was actually told during his interviews that the UCDavis pain program did not prefer internal PM&R candidates. The residency director also informed me, after myself and the other resident were not offered a spot, that the last UCDavis PM&R candidate did not work out well and that the pain program here was reluctant to take another UCDavis PM&R graduate. Something that I don't imagine happens at other programs. In terms of getting a job, there were five local jobs four of which were being offered by alumni. For 2 of the jobs myself and the other candidate, who were looking to stay locally, did not even get an interview. When I asked the department chair how that could have happened he only said that he never got a call from them. This was after he had been asked and agreed to make a call 2 months prior. For the other two positions – the department chairman could not even make a call to the alumnus – he sent an email. When asked why he played such a passive role he informed me that the last resident he had recommended did not work out and was not sure how much an endorsement from him would be valued by the hiring alumnus. Information that would have been helpful upfront. The unbelievable part is that yet another attending let me know, FYI, that he told several prospective employers that I suffered from a medical condition. When I told the residency director about it – nothing was done. Only after having to go to the head of graduate education did the residency director tell the attending to stop divulging this information. Most of the local jobs and a lot of the Northern California jobs went to graduates of programs with a stronger reputation. That being said – the support of attendings to get jobs out this program can only get better, because in my estimation it cannot get any worse. If you have any questions feel free to contact me at [email protected]. I relied on contacts outside of UCDavis and relied heavily on a UW alumnus to help me land an academic job at UCSF. Although I had reservations for months in posting the warts of the program, the way in which the department handled my future and culmination of over 12 years of hardwork left me with no ther choice but to bring this to light so it does not happen to anyone else.