university vs university affiliated?

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jhug

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i haven't been able to find the answer to the question of what is different between a university and a university affiliated program. Maybe wanting to do a fellowship, i am leaning more towards university programs...i've applied to University of Illinois advocate/christ. On their web site ( http://www.advocatehealth.com/system/jobsedu/edu/residency/cmc/internal/faq.html) they say they are a "university" program but almost everywhere else says they are a community program with university affiliation...can anyone help clarify?
 
Do they have their own university hospital or does their program rotate through several community hospitals? Are their faculty University faculty or are they non-University hospital system docs?
 
I think that the significance of university vs. university affiliated is whether the hospital is the main teaching hospital associated with a medical school/university. For instance, at Columbia, Presbyterian Hospital is the University hospital, and St. Luke's and Roosevelt hospitals are university affiliated. You can't tell based on the faculty titles because attending staff at university affiliated hospitals will also have academic titles. Most (allopathic) medical schools in the US have a primary teaching hospital with whom they are affiliated, one notable exception I guess would be HMS, I have to imagine that MGH, BID, and the Brigham are all considered primary teaching hospitals. I can't think of any other good examples right now.
 
A good example of a university affliated hospital would be where I went for medical school. I went to the main campus for my first 2 years in basic science and then 2/3 of our class was shipped out to 2 different cities for our clinical years. The hospital where I went was affliliated with our medical school with on-staff faculty and residents. However, there were not any fellowships offered at the hospital and would not be considered a massive teritiary care center like you would expect to find at a large university hospital. Hope this helps.
 
i haven't been able to find the answer to the question of what is different between a university and a university affiliated program. Maybe wanting to do a fellowship, i am leaning more towards university programs...i've applied to University of Illinois advocate/christ. On their web site ( http://www.advocatehealth.com/system/jobsedu/edu/residency/cmc/internal/faq.html) they say they are a "university" program but almost everywhere else says they are a community program with university affiliation...can anyone help clarify?


I think a good example would be Grady Memorial in Atlanta, which is a major teaching affiliate of Emory and Morehouse schools of medicine and northern Georgia's only level 1 trauma center. It would be hard to call it a community hospital as such but it isn't specifically the university hospital (I suppose Emory Hospital off of Clifton Rd NE would be for Emory). Grady isn't controlled by either school but rather the deKalb-Fulton Hospital Authority.

The complete opposite of this I suppose would be TUMC for Temple, e.g.
 
From FREIDA

Community-based program

The majority of experience does not take place in a university academic medical center, or a hospital with a medical school affiliation.



Community-based university affiliated program

The majority of experience takes place in a community hospital that is affiliated with an academic medical center, but is not a primary affiliate or is geographically separate from the academic medical center.



University-based program

The majority of experience takes place in a hospital that serves as a primary affiliate of the medical school.
 
I'm sure you know that Christ/Advocate is miles and miles away from U of I Med Center. It is a community hospital located in Oak Lawn, IL. I don't know how they could be considered a "University" hospital program. I would think they are "University affiliated". But who knows why they said that. I would think that "University" programs in Chicago would be Northwestern, U of Chicago, Loyola, Rush and U of I.
 
If an attending works two days at a university hospital and 2 days an institution that is marginally affiliated to the university, then is that attending an academic attending?
 
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