UTMB - galveston,texas pathology program

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Gollap234

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Hi guys,

I was wondering if anyone knew anything about the pathology program in galveston Texas. I scheduled my interview there but I am going crazy deciding on whether to cancel my interview or not. There is not a lot of information on their website. If anyone knows anything about the program, or the area, pleeease reply.

Thanks
 
You may or may not know that a hurricane (Ike) hit the island a couple of years ago. The hospital was closed for a while, followed by some big changes. The department of pathology lost both of its hematopathologists among others. Their residents have been rotating in other nearby programs in Houston, for surgical pathology, cytopathology, hemepath, etc. So the obvious suggestion is, if you don't have any other choice, you should grab this opportunity.
 
I interviewed there for SP fellowship back in 2007. I also have a friend that did residency there. It's a smaller program (3 residents per year) & kind of isolated. I had to drive over 1 hr to get there from IAH.

One thng my friend mentioned was the number of autopsies they did because they have a contract w/ the local jail.

It was appealing at the time because they had 2 DP positions.


----- Antony
 
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My wife went to UTH for medical school and a number of her classmates matched at UTMB for residency.

IMO, matching there for any program is a dicey proposition. AS mentioned above, the hurricane gutted the city, and much like Katrina, when things were somewhat back to normal, a lot of docs just didn't return to Galveston and took jobs elsewhere. Residents are farmed out to other institutions in Houston which pretty much limits where you can look for housing (the southland suburbs) and leaves one in the unenviable position of relying on other programs that have no vested interest in you for one's education.

Because of the proximity to Houston, most patients make their way there. The prisons in Texas bus prisoners to UTMB for care to provide adequate training for residents.

Finally, due to the way that Texas's population has shifted since the turn of the century, there is constant low-level rumbling about closing UTMB and opening another branch of the UT system in Central Texas. For all of these reasons, I'd judge matching at UTMB a risky proposition.
 
Hi guys,

I was wondering if anyone knew anything about the pathology program in galveston Texas. I scheduled my interview there but I am going crazy deciding on whether to cancel my interview or not. There is not a lot of information on their website. If anyone knows anything about the program, or the area, pleeease reply.

Thanks

Hi Gollap234,

Hopefully you received the information you needed from the individuals commenting above. Just in case you are still considering an interview, I did actually interview there and was very glad that I did. So it might help to share a few things from that and other experience:

(a) The website is under construction. You should have found a link to their prior website under links if I recall correctly. Most if the information there is still accurate.

(b) I have seen several posts about this program on the SDN. Some of them have a "sky has fallen" type of tone. I would disagree with that assessment. The PD has been there for quite some time, the chair for much longer, and the directors of surg path/ autopsy/ and cytopath since well before Ike. These are all well-respected people in their fields whom other faculty at non-UTMB programs commented on quite favorably. That said, there were residents and faculty who left, but a good number did stay. Further, the faculty who stayed there have been affilitated with UTMB for some time and have a vested interest in resident education and in seeing the program get better. In general of the places I interviewed I'd say the morale was very high here. I expected things to be in worse shape than they were as anyone might post-Ike. Instead it seems to be coming back in a slow but steady fashion.

(c) Houston rotations: In regard to training in Houston, what I was told is that this is still ongoing for certain core months, but many of these rotations are being phased out now that the volume of cases is coming back up in Galveston. Of course if one wanted to rotate in Houston (TMC/ Harris Cnty ME) the program provides an apartment there for residents to use on some rotations. For sure if you are really wanting to stay in the Houston area and considering the Houston programs as well I wouldn't rule out visiting UTMB.

(d) Numbers/ cases: all prison autopsies south of Dallas come to UTMB. Current # was 300-325 from my notes. For surg path the standard volume pre-storm was 18 K or so and is expected to be back to this level in the not too distant future per the director of the service. Also, UTMB is opening facilities on the mainland (toward Dickinson, TX) that would provide more cases in the near future as well. It appears the residents will cover these sites as well. Lastly, you could probably check the website for other #s (cyto cases) and assume these will be back to their normal levels as the program further stabilizes post-storm. Last time I checked the TDCJ population and those of Galveston Co, SE texas, and southern-most portions of Houston hadn't fled their respective areas (especially the TDCJ group).

(e) Airport/access: someone above flew to IAH ("Bush intercontinental") and took a 1 + hour trip to Galveston. That was probably required by the airline they used. But it should also be said this is like flying in to LaGuardia for an interview in Newark so it slightly exaggerates the sense of isolation of the area. A much easier way would be to fly SWA to Hobby airport in South Houston. You are much closer in that case.

(f) Houston in general: Just food for thought, but in the mid-90s, the "leading edge" of souther, suburban development in Houston was somewhere near Clear Lake, Tx. Past that it was pretty undeveloped and League City and Dickinson were certainly considered small towns then. Now this ever expanding front is somewhere probably between League City and Dickinson, Tx about 10-15 miles further south. If you ever lived or grew up in Houston, you'll understand what the expansion there is like. But it is worth noting that the city of Dickinson, Tx mentioned above is a 20 minute drive from the parking garage of Sealy hospital at UTMB. I would encourage you to use the simle GoogleMaps tool to see what this distance is like for yourself and then compare it against the Texas Medical Center/ downtown Houston. So assuming that Houston continues the drive to become a "coastal" town in the not too distant future (scary but realistic), I seriously doubt the Texas state legislature is going to close a tertiary care hospital close to what are essentially the ever growing southern suburbs of greater Houston. As evidence of this, the news here of late has reported a recent inflow of cash into UTMB. I doubt that was solely a kind-hearted gesture by the TX legislature to save Galveston county as much as it was a gesture toward the future of what will essentially be greater Houston. So I wouldn't be planning on the facility being replaced by UTMB-Austin any time soon.

(g) General manners: I'd say it would not be a good idea to cancel an interview so obviously late in the game (based on your post date). Pathology is a small world and without a few weeks of notice that just doesn't seem to be a sound plan.
 
(e) Airport/access: someone above flew to IAH ("Bush intercontinental") and took a 1 + hour trip to Galveston. That was probably required by the airline they used. But it should also be said this is like flying in to LaGuardia for an interview in Newark so it slightly exaggerates the sense of isolation of the area. A much easier way would be to fly SWA to Hobby airport in South Houston. You are much closer in that case.

I'd say it was a combination of factors (cost, convenience, etc). Hobby is a regional airport, so it's not the easiest place to get a non-stop flight into even w/ Southwest. (I fly SWA frequently since they have pretty good coverage of CA.)

Also, I don't know if this is true for residents. Fellows only got 2 weeks of vacation per year.


----- Antony
 
does anyone know how many pgy-1's they are accepting this year?
 
I don't know if I'd call myself qualified to comment on this, but I am a UTMB medical student and I am applying path and I did interview here (what can I say, the travel time was short =) Yeah, the hurricane sucked, especially as a third year doing rotations, we (and the residents) got shipped out all over the state. So, is the program what it used to be? No. Will it ever be exactly like it used to be? Probably not. What I can say is that Dr. Walker is well prepared and has an opportunity of sorts to reshape the department, and I know he will do great things. He is well known all over the country and brings a lot of respect and such to UTMB as an institution. Of course with the Galveston National Lab there is some amazing micro research going on here, and that's not going to leave. There is always speculation about moving the school, but if nothing else I think Hurricane Ike proved that the state is not going to do that anytime in the forseeable future. They have really invested a lot of money in keeping UTMB here on the island and expanding it to make it even better than it was before.

Also, doing rotations in Houston can be a good thing, since they are doing some of their rotations at MD Anderson, which normally doesn't even take residents. That's a pretty great opportunity.

And to my knowledge they are taking 2 PGY-1's this year.

Feel free to PM me with questions about UTMB or Galveston, I've been here awhile =)
 
Hey, Guys if you have strong reasons to stay in Houston then having UTMB as a back-up makes sense,but not otherwise .
Here's what I know-
1) The Surgical specimens are in the range of 10-11000 per annum at present(which is less than many/most community programs).
2)The residents are barely able to keep up their atuopsy numbers.
3) Atleast for 2 rotations you have to go to Houston(since the volume for these services are still very poor) and be at the mercy of their faculty members to let you do anything.
4)Some divisions lack good faculty, as many were laid off and do not want to come back.
5)Most employers/fellowship programs in near future will have the impression that there was not much to learn at this program after the hurricane(I was actually asked this by many),so you may have to face this bias in future jobs/fellowship interviews. You won't want this additional drawback especially when people are talking about not having jobs after multiple fellowships.
My suggestion- if you have family reasons or a bad CV, keep UTMB as a backup. Choose carefully you will be known by the name of the place you train for initial few years in your career.
 
Hey, Guys if you have strong reasons to stay in Houston then having UTMB as a back-up makes sense,but not otherwise .
Here's what I know-
1) The Surgical specimens are in the range of 10-11000 per annum at present(which is less than many/most community programs).
2)The residents are barely able to keep up their atuopsy numbers.
3) Atleast for 2 rotations you have to go to Houston(since the volume for these services are still very poor) and be at the mercy of their faculty members to let you do anything.
4)Some divisions lack good faculty, as many were laid off and do not want to come back.
5)Most employers/fellowship programs in near future will have the impression that there was not much to learn at this program after the hurricane(I was actually asked this by many),so you may have to face this bias in future jobs/fellowship interviews. You won't want this additional drawback especially when people are talking about not having jobs after multiple fellowships.
My suggestion- if you have family reasons or a bad CV, keep UTMB as a backup. Choose carefully you will be known by the name of the place you train for initial few years in your career.

This is a lot of "inside" info! But from other official news threads, the school has received near $1 bil for recovering, new construction and recruiting. That's a lot of money. For any place, one-tenth of that amount would mean a big deal. If they would use only $200 mil for faculty recruitment, the place can come back in less than 6 month. So why can't they build up a strong program? I think there is hope. Maybe we should treat this like a stock market. You get in when no one else want to get in. In a couple of years, you cash in big? Plus I bet houses are cheap there, too.
 
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