Utsw Im

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Boondahgle

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Does anyone have any thoughts on or personal experience with UTSW's IM program in regards to comraderie, mentoring, happiness, flexibility of schedule, involvement of residents in research, living in Dallas, diversity, work hours etc?

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Does anyone have any thoughts on or personal experience with UTSW's IM program in regards to comraderie, mentoring, happiness, flexibility of schedule, involvement of residents in research, living in Dallas, diversity, work hours etc?

As a med student there, here was my take...

Comraderie- Very good. It's a big program, so there will probably be little clicks in each class. But, residents always seemed to really get along well. Potpourri (the lunch time thing they had at interview day) is always a lot of fun and I think having liver rounds (drinking at the Faculty Club at least once a month) helps things.

Mentoring- Upper level residents are some of the sharpest I have seen throughout all IM programs, so you learn a ton from them. Faculty as a whole loves to teach, but more through each case rather than having lectures during rounds. With such a big place there will always be on or two bad apples, but that will probably happen anywhere in programs of comprable size.

Happiness- I think residents are generally happy. They work hard and work a lot, but they are all such confident and competent physicians when it is all said and done. If you don't see yourself putting in the hours and working your butt off, then you might not be happy here. But, if you know what you are getting in to, a place where you are the DOCTOR, then you will love it.

Flexibility of Schedule- They're making the schedule more flexible than it used to be. There is an elective month during intern year now so you can do research. Also, they've added some consult and specialty months during intern year, which means less wards than there used to be.

Research- During med school, faculty made a real effort to involve med students in research, so they definitely like having residents/students work on projects. Much easier to do now with the elective time during intern year and during other years. I think pretty much everyone now does some type of research to help with fellowship.

Dallas- It's no NYC, Chicago or San Fran. It's a really big city, though, with anything you would want. It can be a bit of a pompous city at times. Nightlife is good. Lots of young 20 somethings live in uptown. It's a really spread out city with a gagillion suburbs. Cost of living is great. Good food. A bit of a concrete and highway jungle at times. Public transportation is a big work in progress.

Diversity- Patient population is fantastic at Parkland. Probably 1/3 African-American, 1/3 Hispanic, 1/3 White.

Work Hours- They work hard. Probably right at 80 hours on all ICU months & close to that on wards. Sometimes more. I've met some residents who have never broken the hour rule and others who do all the time, so I'm convinced it's all about your efficiency. That said, the volume is high. Your team will cap every night on call. Cross-cover is busy and ICU months are absolutely crazy. But, when it's all said and done, there will not be a better trained resident in the U.S. Parkland=Autonomy. As a med student, I probably worked like an intern, and interns like residents. Faculty is there to help, but ultimately the residents run the show. It can be daunting at first, but once you get used to it, you wouldn't be able to imagine it any other way. The cases are phenomenal. If you've read about it, you will see it. Not much in the way of complex transplant stuff, but that's what fellowships are for. You do get some exposure at St. Paul, but not a ton.

Fellowships- Placement is really really good. A lot of the faculty were housestaff who went somewhere else for fellowship and then came back. This helps a lot when you need people to make calls, etc. for you.

Let me know if you have any other questions.
 
Thank you for the comments-they reiterate a lot of what I've heard about the place. It's always helpful to get an opinion from someone who was a med student there.
 
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The resident's are very sharp and the clinical training is second to none; however, I question if such a high level of pain is necessary for good training. Additionally, GI match was not strong last year, and the PD who left was the key to great cards fellowships.
 
it seems to be a great program...but you're right about the GI matches..having one elective in intern year does not help a single bit.
 
Anyone know what the GI match stats were?
 
Anyone know what the GI match stats were?

Here's a link to the match list for the past few years...

http://www8.utsouthwestern.edu/utsw/cda/dept26481/files/90666.html

Not sure what the actual GI match stats were last year, but I do know there were 2 or 3 who didn't match. If you are considering UTSW, talk to the PD about changes they've made regarding the GI match list. All other specialties seem to match pretty well, so I'm not completely sure what the deal with GI is...I think a few of the residents didn't interview at enough places. I think Cards will still continue to match really well, as many of the faculty are well connected and there has been a natural pipeline to Duke, Wash U and others. Also, if you are interested in a specific field, I'm pretty sure you can request that field for subspecialty wards and consult months, which you have a few of in your first 2 years.
 
What do you mean by "changes theyve made to their GI match list"?
According to their website, for GI, they matched:
5 in 2004
4 in 2005
6 in 2006
3 in 2007

However, I'm wondering if their lists are complete. I know of one person who matched into GI who is not on the list!
 
When did their PD leave b/c they still matched great in Cards for 07? It seems hard to believe that the loss of a PD would mean now they will be matching any different. They still have great faculty and are known for great training. Anyone with any thoughts on this? Please tell me if someone knows when their PD left. tks.

Also, I am not interested in GI, but one of their 3 last yr did go to MGH, which aint too bad. Maybe not too many people there want to go into GI.
 
Hey All- I am a resident at UTSW and I love it. Agree with everything our med student said. He/she hit the nail on the head on just about everything from my perspective. Anyways, about the PD, he stopped as PD in November. We were all sad and will miss him as he was great, but our new one is also great and he was not the only outstanding faculty member in the cards department.

Our cards program is phenomenal. The faculty members all trained at the top academic cardiology centers in the country and are VERY well connected all over. Most of our cardiology applicants never asked our PD for a letter in the past because he was very honest about each applicant (for better or worse) so the cardiology match has been very strong without his LOR's for a long time. Our cards dept is huge and their CV's are online so take a look. The department is also VERY supportive of the cards applicants as a whole and make tons of phone calls for you at match time to places you want to be. Dr. De Lemos the PD for cards is a great guy and super easy to get along with. Also a brilliant clinician.

Best of luck all. Hope this helps!
 
jitterbug..any comment on the relatively poor GI matches? i really wanted to like this program but the GI matches turned me off a little (especially in comparison to the top notch cardiology matches)
 
Yes - I think in the past the GI dept at UTSW has been less supportive of its applicants than the cards department. Not sure why, but I know for a fact that our medicine chairman (who has a GI background) has discussed this issue with them since last year's match and that things have changed. 2 of my good friends are applying in GI and they have said the dept has become much more supportive now and they have received top notch interviews. I am confident things will go much better this year.
 
The resident's are very sharp and the clinical training is second to none; however, I question if such a high level of pain is necessary for good training. Additionally, GI match was not strong last year, and the PD who left was the key to great cards fellowships.
Can you elaborate on what you mean by "high level of pain?"
 
"High level of pain" is probably a bit dramatic. Basically, the resident's work really hard because there is a lot to do (large / busy county hospital plus large / low quality nursing VA).

The program is expanding it's hospitalist service to off load some cases, but the I have heard several residents and faculty complaining that this might be taking away some of the "good cases". My impression is that the heavy work load might make extensive research and quality reading time difficult.
 
I'm also a resident here at UTSW. A few things, some wome of which reiterate what was posted earlier:

-Dr. Hillis, the previous IM PD, was really atypical as far as residency program PDs go. He was not as visible on a daily basis. And I agree with Jitterbug that he has a reputation for writing blunt LORs and so some people feared using his letter on applications. Many of the cards applicants that matched last year did not use his letter. However, a positive letter from him obviously carried a lot of weight and helped get some people top-notch interviews. I wouldn't expect the cards match to suffer horribly though.

-The GI match is a product of the GI dept not being nearly as enthusiastic about support as cards is, and partially the preparedness of some of the applicants given the more competitive match. I think five people matched last year, though if i'm not mistaken two of them scrambled in. There were a couple others who did not match.

-If you want to read, you'll have time to read. Under the 80-hr week, we work less now than residents did in the past. I think camaraderie is pretty good here - it's a big program and a lot of people here are surprisingly laid back considering the circumstances sometimes ("inefficiencies" of being at a county or va hospital, for example). Work hours are fine. I don't allow my interns to violate work hours. That said, some have been motivated (internally) to stay a little over the 30 hours. Clinical research can be done, but I think the program is a little too time consuming if you want to try to do benchwork.

All in all, though I griped about it at times, I'm definitely satisfied with coming here. I saw some crazy **** that I'm pretty confident not many other residents see. Every call day at Parkland brings the potential for a CPC-grade case, and I really find caring for the indigent really rewarding.
 
I know it is way off topic, but what kind of application needed to match in IM at UTSW coming from an unranked state school? I only ask because all we ever hear is that IM isn't competitive, but obviously that is very institution dependent. Is there step 1 cutoff anyone might know of and be willing to share? I like Dallas a lot and I am interested in cards, so I am interetested in utsw.
 
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