University of Wisconsin

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Andrew_Doan

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Wisconsin - great location if you don't mind the cold; poor surgical volume (although very good in plastics) and little autonomy; 4 months in NM during 3rd year was probably the deal-breaker; overall - academic powerhouse, but weak clinically.
 
For NIH funding, it has been in the top 3 for years maybe even a decade. In the ophthalmology times rankings in years past (2002 or so?) it was ranked as high as #4 overall. It seems like the probationary accreditation really dropped it down on the ranking surveys. I have one of the last dates for the interview, and I'm excited to visit! Has anyone heard updated info on their accreditation?

btw is there a 2006 Ophthalmology times ranking out yet?
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Overall, the program is very strong. Ophthalmology is an awesome surgical subspecialty!

Regarding the UW Program, it is true that our sugical numbers in some areas are excellent (e.g. plastics, peds, retina) and average in others (e.g. glaucoma, cornea, comprehensive). The comprehensive / cataract numbers continue to increase. The program is no longer on probation: that was resolved back in 2006 - 2007. It has certainly become a better program. For example, residents no longer go to New Mexico. We get all our surgical numbers in Madison which is a great midsize city. Also, the variety of clinical entities encountered in clinics are quite varied given that the UW Hospital and Clinics is a big tertiary referral center. Additionally, the department has a strong commitment to international ophthalmology, and there is a division within the department completely devoted to it.

The toughest thing about the UW program is the size of each class (3 residents per year) and the call schedule. The call is front loaded, so the first year residents take all the primary call. However, that means that for the last two years of residency, second and third year residents only have to take back-up surgical call one out of every six weeks. In retrospect, it has been quite nice to have gotten all the difficult call out of the way.

I hope that if you're reading this thread you're considering the University of Wisconsin program. I look forward to meeting you when you join us for interviews.

Juan C. Nieto, M.D.
http://nieto.juan.c.googlepages.com/home
http://www.ophth.wisc.edu/
 
I knew at least two residents who trained at Wisconsin who felt that the loss of the New Mexico rotation was a bad thing...
 
Regarding the "loss" of the New Mexico rotation, the program has actually become better. Residents that trained in Madison in the past mostly relied on the New Mexico rotation for their cataract experience. They would graduate with ~140 cataracts.

Since the New Mexico rotation was stopped many of those who went through the program thought that it would not be as good. However, since residents now get all their cataract experience from the VA (~50%) and from the UW Hospital patients (50%) the cataract numbers have been going up as the faculty turn more and more cases to residents. In Madison, the first two years after New Mexico was stopped the residents averaged 125 cataracts. Last year one of the residents graduated with ~150 and this year one of our residents graduated with slightly over 180.

In summary, the "loss" of the New Mexico rotation has actually led to a general trend in increased cataract numbers over the last three years. Also, it is nice that we can get all our training in one location and not have to go to a different state to work in a different institution with different attendings while leaving our families behind.

JC Nieto, M.D.
 
Any more information on this program?

I interviewed there this year and here is my (long) recap. Loved this program. Take good notes along the interview trail!

Excellent upper-tier Midwest program in an amazing city! Madison is at it's heart a college town and thus the pulse of the campus is driven by UW athletics and the institution in general. That being said it is a wonderful city for people of all ages. Many lakes, running and biking trails. It is also the capital city of Wisconsin so it is much more cosmopolitan than a simple college town (i.e orchestra, museums, arts, hip social scene for 25-35 year olds). The program is 8th in the country in NIH research (usually ranked 3-10) and they have some big players in the retina and ophthalmologic epidemiology reaserach fields. Recently, a number of their faculty are going down the clinician-educator career path and have had major articles published regarding resident surgical education. They have reduced surgical complication rates (of their noobie residents) to lower than average private practice complication rates. The program has been rated as high as the #4 ophtho residency program in the entire country about 10 years ago via Ophtho Times. They had a probation issue shortly after their pinnacle and have dropped out of those rankings for what it is worth. Nonetheless UW is still undoubtedly a top quartile ophtho program in the country.

Ok more about the program:

# residents per year: 3, this makes it a smaller program than many.

Rotations: They do 4 month rotations in the sub-specialties and comprehensive at the VA. The UW hospital, Children's hospital and VA are all in the same block. This is great as you don't have to drive all over town to take call.

Salary: starting is $55,000. Very high salary and cost of living in Madison is right about average for a US city.

Call: Q3 primary during your first year. Very front loaded! Weekends are covered by 1 resident 5p Friday to 8a Monday. Someone wil be on backup call. Thus 7 of the 9 residents have a "golden" weekend on any given weekend. Call is not terribly busy but being on call Q3 for a whole year makes this a tough year. It is a level 1 trauma center for a large land area and you will get plenty of drunk kids with eye lacs (big college town) but generally you will not be up all night. As a 2nd/3rd year you are Q6 back-up/surgical call (by weeks).

Didactics: Monday and Friday you have conference at 7a. Otherwise clinics start at 8a. Friday afternoon is protected lecture time (1:30-4:30) for BCSC review.

Fellowship placement: Program is most prestigious in retina and plastics but they place well into all fields. They have a large number of faculty and have faculty in every subspecialty including pathology and genetics. This year they placed cornea at UCSF, glaucoma at UTSW and retina at UW (home).

Overall, I was extremely impressed by this program! The program director was incredibly pleasant and heavily invested in improving resident education. The current chair is retiring this coming fall and a replacement has yet to be named.
 
Another excellent program. Strong faculty. Lots of one on one teaching.
 
PD and Chairman start the morning off by introducing themselves to each applicant and a handshake, great first impression of program.

It was mentioned that construction will be starting for new facilities, plan is new building. Top 3 for eye research funding, Top Public University. Structured cataract course with an emphasis on safety. New HD cameras in ORs to study game film. 2 week international elective in New Delhi that senior residents attend together with an attending, great bonding and experience with extracaps.

Call: 3 residents per year. PGY2S split Tuesday-Thursday call, One weekend every 3 weekends. PGY3's cover Monday call with goal of allowing one day a week where PGY2s can get some time to bond as residents, personal time, etc. Holidays covered by seniors.

Toolbox approach to training where you will be exposed to a wide range of surgical techniques such that when you need to do this later on in your career, you can go to your "toolbox". Great approach to training.

Dedicated research rotation and during all 3 years, formal international experience, mentoring program for residents (resident with 2nd year mentor, as 2nd year resident choose faculty member as mentor).

Structured phaco curriculum starts PGY2. At end of PGY2 will have done one complete phaco after working on numerous part of case. In PGY3 will get 15 phacos, end up averaging 200 phacos per resident. Phaco Course put on at UW with Iowa and and MCW joining in as well.

Peds OR time starting day 1. Lenses for fundus exam present in every room, no need to buy. $1,000 allowance for equipment, $1,000 per year for research conferences.

VA offers autonomy with faculty supervision present at all times. PD is chief of VA, has been here for 15 years. 50% of phacos done at VA. Dedicated low vision rotation at VA. Optometry contact lens rotation.

Great exposure to Peds (around 30 strabismus cases), Retina(450+ injections), Cornea, ASOPRS Plastics fellowship at UW.

3 year curriculum in 4 month blocks. 4 months at the VA every year. 8 months at the Univeristy Clinics.

Didactics: 7am case conference Monday mornings
Friday 7am Grand Rounds
Friday afternoon dedicated for BCSC lectures, day ends at 4:30pm and if you are not on call, the weekend begins.
Monthly service Journal clubs
8am retina workout every Friday
Every other month NeuroOp conference.

Unique: structured phaco course, orbit course where you learn anatomy of orbit in cadaver room, LASIK and Femtosecond certification, student athlete screen, community clinic,

Excellent Board pass rate, optics course before OKAPS

Overall vibe was a good one, residents were happy to be at UW, Madison is cool Midwest City.
 
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