UMiami / Jackson Memorial - any input?

[AGenericUserName]

Right now the University of Miami is my #1 program for location (close to family/and its Miami). I also like that I will see everything there (trauma and peds being most important to me). The cons I see which I hope someone can speak about:

1. I will get lost in the shuffle since there are so many residents
2. Regional exposure is terrible until CA3 year
3. Long work weeks 60s CA1, 70s, CA2, 60s CA3
4. Didn't seem like the program was tight knit since there were so many people
5. Cost of living - being able to afford a 1BR on one salary (i'm single)
6. 8 different hospitals we would rotate at
7. I don't know spanish

These are the main reasons why I am considering ranking it lower but I really want to be in Miami.

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[deleted171991]

2. Regional exposure is terrible until CA3 year

Just this one is enough not to choose them. It's 2015, for God's sake.

I trained in a similar program, and that's my weak spot to the day.

 

[Planktonmd]

Right now the University of Miami is my #1 program for location (close to family/and its Miami). I also like that I will see everything there (trauma and peds being most important to me). The cons I see which I hope someone can speak about:

1. I will get lost in the shuffle since there are so many residents
2. Regional exposure is terrible until CA3 year
3. Long work weeks 60s CA1, 70s, CA2, 60s CA3
4. Didn't seem like the program was tight knit since there were so many people
5. Cost of living - being able to afford a 1BR on one salary (i'm single)
6. 8 different hospitals we would rotate at
7. I don't know spanish

These are the main reasons why I am considering ranking it lower but I really want to be in Miami.

The clinical exposure is excellent but the leadership is not the greatest... they just opened a CRNA program.

 

[chmd]

Training side by side with student nurses would be a deal breaker for me. Also aren't all Miami jobs controlled by AMC? So that would be your reward for training in Miami?

 

[AGenericUserName]

All th programs in my top five train SRNAs but all the programs assert residents get first pick at cases. That's not really a worry for me.

 

[R-35]

Right now the University of Miami is my #1 program for location (close to family/and its Miami). I also like that I will see everything there (trauma and peds being most important to me). The cons I see which I hope someone can speak about:

1. I will get lost in the shuffle since there are so many residents
2. Regional exposure is terrible until CA3 year
3. Long work weeks 60s CA1, 70s, CA2, 60s CA3
4. Didn't seem like the program was tight knit since there were so many people
5. Cost of living - being able to afford a 1BR on one salary (i'm single)
6. 8 different hospitals we would rotate at
7. I don't know spanish

These are the main reasons why I am considering ranking it lower but I really want to be in Miami.

Generic,

I'm a current resident at UM. I'll try to address a few of your questions. Yes we are probably the biggest residency program in the US, I think this provides more advantages than not. Experience across different practice sites (private, federal, county etc), schedule flexibility etc. We know everybody in our own classes and most residents in the other classes, and by the second year we've pretty much know most of our attendings.

Yes our formal regional rotations are in our third year, and I agree it would be nicer to have more exposure in the first few years. However when we rotate through regional service we cover UM Hospital and Jackson performing all blocks including catheter placements. The recent graduates in PP that I've talked to all perform their own blocks.

While knowing Spanish is very useful, plenty of residents and staffs know Spanish and can help out, and there is always the translation service. You will pick up some Spanish.

SRNA program has 15 students, we rarely interact with them, as they are spread out different sites. Boards are run by MDs and residents get all high acuity cases. No sharing of subspecialty cases with them.

Our work hours vary per rotation but are generally lower than quoted. You have three years to become an excellent anesthesiologist, and sometimes call provide the highest yield emergency cases/airways. This is not the place to train if you want no call, no weekends. Call is not more frequent than Q4, and we've almost eliminated all 24 hour calls except for some weekend coverage.

Feel free to PM with any questions

 

[nimbus]

The recent graduates in PP that I've talked to all perform their own blocks.


Feel free to PM with any questions

That's a silly thing to say. Who else would perform them? The surgeon? The CRNA?

 

[deleted171991]

That's a silly thing to say. Who else would perform them? The surgeon? The CRNA?

I think s/he wanted to answer my concern that regional training was not good enough.

 

[BLADEMDA]

Miami is a solid program. It is NOT a lifestyle program by an means which is kind of ironic because it is in Miami. I may get blasted for this statement buy so what: Miami offers the best overall clinical training in the State of Florida.

 

[deleted171991]

Miami is a solid program. It is NOT a lifestyle program by an means which is kind of ironic because it is in Miami. I may get blasted for this statement buy so what: Miami offers the best overall clinical training in the State of Florida.

It seems you don't want that UF-Jacksonville faculty job anymore. 😛

 

[BLADEMDA]

It seems you don't want that UF-Jacksonville faculty job anymore. 😛

I actually do want the faculty job at UF-Jax but as of 2015 my statement stands. Lubarsky may be an arse but he built a solid program at UM. Kudos to him.

 

[Sirach38]

How does UM compare to somewhere like UTSW, UTH or UCSD?

 

[Planktonmd]

I actually do want the faculty job at UF-Jax but as of 2015 my statement stands. Lubarsky may be an arse but he built a solid program at UM. Kudos to him.

The program was solid before he got there and it was the best program in Florida only without a CRNA school.

 

[R-35]

I think s/he wanted to answer my concern that regional training was not good enough.

Yes, while I agree our formal acute pain rotation should start earlier, we do have great block numbers, and grads go out and do blocks without additional training after residency.

 

[deleted171991]

Yes, while I agree our formal acute pain rotation should start earlier, we do have great block numbers, and grads go out and do blocks without additional training after residency.

What are those numbers, specifically?

 

[R-35]

CA-3's last year logged around 100-120's

 

[R-35]

So far 5 infraclav catheter, 5 fem catheters, 5 lat pop catheters, 15 fasc iliacas, 20 femoral, 15 axillary, 15 sciatic, 10 interscalenes, 5 supraclav, 2 pec blocks and 5 lumb plexus.