Update from resident perspective:
Clinical experience: Time 60/40 UNC/WakeMed
- WakeMed is awesome; busy, well run community hospital which used to be county hospital for Wake. Acuity is great, 120+k/yr, one resident per bay (one trauma, one in the sick medical bays, one in peds) with a 1:1 or 1:2 resident:attending ratio. Small knife/gun club with multiple penetrating traumas/week, good scene trauma.
- Wake Peds ED is busy (busiest in state). 20+ beds, which flexes to patients also being seen in triage and hallway beds. Inconsistent fellow coverage ==> dibs on procedures.
- UNC ED is good. As others noted, not stellar acuity, but still solid; it's better than I expected showing up, and better than other primary ED's I've experienced for residencies. Exposures to zebras, cancer, transplant, psych. 70+k/yr. Trauma mainly blunt and transfers. Penetrating happens, but not frequently (it's Chapel Hill). Don't do peds ED here which works well (slow and other residents go here so we have Wake to ourselves).
- Freestanding ED experience is what you would expect and most feel beneficial.
- Moonlighting starts latter portion of second year with internal moonlighting and Wakebook. More places as third year (external), with a few staying where they moonlight. Most residents moonlight.
Faculty:
Well retained senior staff blended with some fresher out grads. Shifts with Tintinalli are awesome, and she manages to stay up-to-date. Chair Brice is strong and involved. Waller cares, is approachable, funny, and fights for us. Shenvi APD is a boss (does conference & GEMCast). Stahmer is amazing and continues to ramp up U/S (prior PD at Cooper/Duke). Manning is still around. Weppa APDs and group (staff WakeMed) are fun, smart, and provide different perspectives.
Curriculum:
Conference is strong and entertaining with good food/coffee like breakfast burritos or Panera (errbody likes food). Time well protected on off-service. Good blend of resident talks, attendings, specialists, great guest speakers like Jeff Kline, small group sessions, ultrasound and procedure sessions. First of each month at Wakemed where sim is done, discuss latest EM:RAP topics, have peds EM lectures. Given reading suggestions out of Tintinalli which isn't strictly enforced. Research opportunities numerous, not pushed on us. Journal club is fun, and often occurs at attendings' houses.
Academic Resources:
We have AccessEM. We get EM:RAP. We all get a full Tintinalli textbook, and Judy writes a personal message in each. We also received Levitan’s airway book and Mattu’s ECG book. There are more textbooks available at the physician office buildings of both hospitals. We get access to UNC’s online library associated with the medical school. For ultrasound resources, we get EMSono by Robert Jones out of Metro. Each year we get a board review resource, which has been rotating… last two years have been HippoEM and Rosh Review.
Benefits:
Salary for upcoming academic year will be ~51,800 53,600 55,400 for PGY-1 PGY2 PGY3, respectively. Health and dental not free, provided basic life/disability insurance. Pretty much unlimited free food/coffee at WakeMed by getting tickets for cafeteria with spares always available in office. Get FreedomPay for UNC which works at Starbucks and all cafeterias in UNC except the one by med school; provides a fair amount, with deposits monthly. Pay for parking only @ UNC, which sucks but happens elsewhere. On the weaker side of benefits relative to other places nearby like CMC.
Residents/Life:
The Triangle is fun; pick your flavor. ~3 hrs to beach/mountains. Lots of trails, parks, climbing gyms, and lakes locally. Many breweries and food places/trucks. Rent/mortgage from $900-1300. People buy and make out well in 3 years if done right. Blend of single/married/family with resulting mix of activities. A bunch of white dudes if you look at the classes at this time; trying to change that.
Overall Pros:
-Good autonomy with good diversity in experiences. Strong peds exposure, faculty, and off-service months (ICUs and OB)
-Dual hospital system spreads 10 residents and all of the residency programs thinner so there are more patients/procedures to be had.
-Good res life balance in a good location. Leadership listens and changes based on feedback.
-No issues getting jobs across country
Overall Cons:
-No huge knife/gun club so no guarantees on graduating with a thoracotomy if that matters to you or walking away with 20+ chest tubes. Not being trauma captain at UNC at this time, which is being worked on (currently always manage head/airway)
-Yes, you commute more than peeps elsewhere. Thankfully, most shifts are scheduled to dodge traffic. Podcasts...
-Peeps on here seem to care about being senior in an ICU setting. Will never experience such, but don't think we miss out on anything? Still get to be independent on second year ICU months
-Just lost our pig lab due to animal rights groups. Working on obtaining cadaveric experiences.
Is the program perfect? Nope
Am I happy? Overall, very happy and confident I will leave well trained
Would I be happy if I matched here again? Yes
Feel free to PM