University of Texas Health Science Center at San Antonio

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Andrew_Doan

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Currently I am a resident in the program:

Overall, I would have to say that my experience here has been excellent, from clinic to surgery, we have a complete and well rounded education.

Clinics are busy but well run so very little time is spent doing "scut" work and more time is spent learning pathology and management. All clinics are well staffed and faculty here are very approachable. First and second years take primary call which can be busy, but also offers a great time to learn and manage your own patients. Surgical experience begins early with plastics during your first years and a few cataracts as well. Second year is a more hands on year, with more cataracts, retina, and glaucoma procedures. Third year is great, with sufficient OR time to get plenty of surgical experience.

We have our own, in house pathologist as well as one of the only in house ophthalmology hospitalists in the country. He is in charge of managing all inpatient and ER consults with us. No hunting for faculty to staff your cases or difficult patients!

There are no fellows here so the surgical experience is not diluted and we spend plenty of one on one time with faculty, a huge plus IMHO.

Lectures are 7AM every weekday morning, taught by our faculty as well as faculty from the military program here in San Antonio.

After our recent sight visit by the ACGME last year, we received a full, 5 year accreditation.

In addition, San Antonio is a great city with plenty to keep you busy while your not working. Not a native of Texas, I was not sure what to expect moving here but have been very pleasantly surprised both by the area and the people.

While it may not get the attention of some of the other programs in Texas (ie. Southwestern or Baylor), our program definitely has a lot to offer and should be seriously considered.

Feel free to PM with any ??.
 
Does anyone have information about fellowship placement for residents from this program?
 
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2011: 1 plastics (ASOPRS/West virginia), will find out about others soon
2010: 3 retina (Cincinnati, UCLA and Loma Linda)
2009: 1 cornea (UC Irvine), 1 glaucoma (Oklahoma)
2008: 1 peds (Kansas city), 1 uveitis (OHSU/Casey Eye)

No one has gone unmatched in their desired specialty, at least in the past 4 years, not sure about prior to that.
 
Anyone have updated information on this program? Specifically surgical volume, resident-run clinics, and fellowship placement?
 
Curriculum:
  • PGY-2 - VA (3mos), neuro/path/consults (3mos), general/resident clinic (3mos), plastics (6wks), cornea (6wks), month-long Houston review course in February with resident responsible for housing and food
  • PGY-3 - VA (3mos), peds (3mos), glaucoma (6wks), retina (6wks), consults (3mos), orbital dissection course and week-long San Antonio review course in conjunction with military residency, attend ARVO
  • PGY-4 - VA (3mos), cornea (6wks, includes refractive training through military residency), plastics (6wks), retina (6wks), glaucoma (6wks), general/resident clinic (3mos), attend AAO and San Antonio review
  • Daily lectures in AM, weekly grand rounds on friday mornings with military residency
Numbers: 180 cataracts, every resident is certified in refractive surgery as a PGY-4. I didn't get concrete numbers in other areas but was informed by faculty member that residents usually graduate in the 70th percentile across the board.

Call: 2/3 of primary call done by first years and 1/3 by second years, so roughly q6 and q12, respectively. Call gets busy but all patients are seen at the university.

Facilities: University and VA are the two major locations, but approximately one-quarter of your time is spent at attending's private clinics on campus or at the Texas Diabetes Institute downtown.

Faculty: Mix of home-grown faculty and transplants, including PD and chair, which have both trained at Wilmer. The department is looking to expand and hopes to add three comps, two cornea and retina, and one glaucoma faculty.

Overall, UT-SA is a solid program. Good surgical numbers, unique experiences due to its relationship with the military residency, full-time inpatient attending and consult rotation, and different courses to attend each year. Didn't write down the fellowship placements, but roughly half of the residents pursued fellowship with good placements.
 
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