Wash U. -- GREAT PROGRAM!

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Clark Griswold

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Hey everyone,

Long time reader, first time poster...

Recently interviewed at Wash U. and was VERY impressed. I haven't read much chatter this year about their program and am curious to get some feedback.

As I see it:

PROS:

1) Massive clinical center -- residents see a huge variety of pathology and leave that program with vast clinical experience.

2) Huge critical care presence. The anesthesia department exclusively runs the Cardio-thoracic ICU and has about half of the SICU attendings.

3) Almost any fellowship imaginable and plenty of volume so the fellows don't take cases from the residents.

4) Seems to be a very well organized program. Dr Cox (PD) and Dr. Evers (Chair) both seem genuine, clear (and consistent) in their vision for resident training and Dr. Evers appears to have a good deal of political power in the hospital.

5) Categorical program, very reasonable intern year with 2 ER months, an anesthesia simulator month and other variety.

6) No call for the first 3 months of CA-1 year

7) No problem for CA-3 to get choice jobs (from what they told us -- but I believe them). They all say they are VERY well trained.

8) Second highest NIH grant total ($) of any department in the country. Not a big deal for me becuase I'm not into research, but ompressive, nonetheless.

9) This is always listed as a con, but it shouldn't be! St. Louis appears to be a pretty cool town with a pretty cool personality. 3 major sports teams, great blues and jazz bars and AWESOME soul food. Let's face it, wherever we end up will become home and we'll adjust (and hopefully grow to like it)

10) Strong pediatric presence among the faculty with a peds hospital that is attached to the main hospital. The PD is a pedi anesthesiologist.

11) Reasonable number of residents (15 - 18 per class). Not too big.


Cons:

1) Longer work hours. This is both a pro and a con: a pro because longer work hours means greater clinical experience but it also means more time in the house.

2) Regional. Who isn't weak in regional? They are actively recruiting big names in the field and should have a dedicated rotation by this July.

3) Large hospitals can sometimes be difficult to work in. Surgeons can be ego maniacs, everyone is too busy, nurses can be difficult, etc... The benefits of a large place from a training standpoint outwiegh the cons, in my opinion.


As you can see, the pros out weight the cons and they'll likely be #1 on my list unless something changes. The only thing I didn't get there was a pina colada when they greeted us for the interviews!

Let me hear yout thoughts!! Thanks.

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I will be interviewing at Wash U next week. I too am very interested in what you all have to say about this program.
 
As a CA-1 @ Wash U I agree with everything from the above poster. If you guys have any additional questions buzz me. I am overall very happy with the program. I obviously have a long way to go but as I work with the upper levels I have total confidence that when I am done will be I will trained. I did my internship in Denver so I can't really comment on ours but if I can help with anything else let me know. Also I was really worried about St Louis but its actually a great city and very livable for a resident. It will be hard for us to leave. Good luck guys

Mario
 
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Thanks for your thoughts. Hopefully they haven't filled all their interview slots yet...😀
 
Why does no one seem to have an opinion about this program? Do people just not know anything about it? Seems strange that a program this well regarded hasn't generated more interest... Am I missing something?
 
Yep. Its called St. Louis.

...I wonder if VentdependenT has ever been to St. Louis.....


First off, let me explain my biases. I trained at WashU, and am currently a CT-anesthesia fellow at WashU...

That being said, I can admit that St. Louis is not for everybody, but I certainly don't understand the east-coast / chicago bias on this message board.

True, we may not have the same amount of night-life as some other cities, but there are perks here also...for instance, 87% of our residents (PGY1 - CA3) own their homes.

While St. Louis could not compete with a NYC, Boston, Chicago, LA, or San Francisco, I don't understand why it gets such a bad rap while cities the same size or smaller than St. Louis seem to get a pass in this forum.

Realistically, St. Louis probably has the ame number of shopping, dining, and entertainment options as Pittsburgh, Cleveland, Cincinnati, or Minneapolis, yet, nobody seems to bad mouth them...

If you do not need to be on a coast or in a LA/NYC/Chicago, then I don't think that you could be at any better program than WashU.

It must not be that bad if 2 vice-chairmen from major academic programs in the Northwest / Southwest have joined our program in the past 2 years.
 
...I wonder if VentdependenT has ever been to St. Louis.....


First off, let me explain my biases. I trained at WashU, and am currently a CT-anesthesia fellow at WashU...

That being said, I can admit that St. Louis is not for everybody, but I certainly don't understand the east-coast / chicago bias on this message board.

True, we may not have the same amount of night-life as some other cities, but there are perks here also...for instance, 87% of our residents (PGY1 - CA3) own their homes.

While St. Louis could not compete with a NYC, Boston, Chicago, LA, or San Francisco, I don't understand why it gets such a bad rap while cities the same size or smaller than St. Louis seem to get a pass in this forum.

Realistically, St. Louis probably has the number of shopping, dining, and entertainment options as Pittsburgh, Cleveland, Cincinnati, or Minneapolis, yet, nobody seems to bad mouth them...

If you do not need to be on a coast or in a LA/NYC/Chicago, then I don't think that you could be at any better program than WashU.

It must not be that bad if 2 vice-chairmen from major academic programs in the Northwest / Southwest have joined our program in the past 2 years.

Yup.

To interview at Wash U and SLU.
 
"St. Louis last ranked as the Most Dangerous City in 2002," said Morgan. "While the city clearly struggles with crime, there is some good news: St. Louis' property crime rate has fallen 14 percent since 2001."

Trailing St. Louis on the more dangerous end of the crime rankings (in ascending order) are Detroit MI, Flint MI, Compton CA and Camden NJ.

SOme quick google search
http://www.morganquitno.com/cit07pop.htm
 
Yup.

To interview at Wash U and SLU.

...Thanks for making my point.

BTW...for all of you thinking about moving to Malaysia for the next 4 years, I spent 3 days there last year (about 48 hours longer than VentdependenT was in St. Louis), therefore I declare myself the SDN expert about living in Kuala Lumpur....
 
...Thanks for making my point.

BTW...for all of you thinking about moving to Malaysia for the next 4 years, I spent 3 days there last year (about 48 hours longer than VentdependenT was in St. Louis), therefore I declare myself the SDN expert about living in Kuala Lumpur....

How far you wanna take this?

St. Louis CONSISTENTLY gets rated MOST DANGEROUS city in the US.

Dude, come on. You wanna sell St. Louis? Go for it. Quit taking my crap so personally.

People from DETROIT don't defend it. You know why? CAUSE IT BLOWS.
 
How far you wanna take this?

St. Louis CONSISTENTLY gets rated MOST DANGEROUS city in the US.

Dude, come on. You wanna sell St. Louis? Go for it. Quit taking my crap so personally.

People from DETROIT don't defend it. You know why? CAUSE IT BLOWS.

:laugh:

I gotta say, though. That list says that Brick, N.J. is the "safest city in the country" while it remains a short drive from Trenton, N.J., which is in the top 20 of the "most dangerous".

St. Louis is a pretty terrible city from my experience.
 
I have only lived in St. Louis for a year and a half (I am an MS2 at SLU), but is a very livable city, as far as cities go (I would prefer to be near mountains where great hiking/mountain biking/camping is readily accessible...but there are no medical schools in AK). As far as the crime rankings go, its pretty simple...DON'T GO TO THE DANGEROUS PARTS OF THE CITY! Assuming that 95% of the people reading this part of SDN are medical students/physicians (and therefore are assumed to have a certain level of inherent intelligence), its not real difficult to avoid the dangerous parts of the city past 10 p.m. or so (BTW, for the OP...steer clear of north Saint Louis). Good luck.🙂
 
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St. Louis is not as bad as many people make it out to be. That said, I'd rank it way behind Cleveland, Minneapolis, Cincinnati, though maybe not Pittsburgh. The medical center is actually in a relatively decent part of town, especially for a major med center. It is a pretty easy city to live in (low cosdt of living, most amenities), provided you don't have a huge need for a coast, mountains, or a city like Chicago, New York, LA, San Francisco, Seattle, etc.

Please note that this is my opinion of St. Louis, not Wash U. Wash U is a great medical center and you can get great training there. Unfortunately, it's in a kind of cruddy city.

And yes, Dr. Chang, I'm rather familiar with St. Louis. Quite possilby lived there as long as or longer than you. I could have easily done my residency there, but chose to go somewhere I preferred to live. Just my preference.
 
how the closure of I-64/U.S. 40 will affect traffic in and around the Wash U? Just how bad do you think it will be?
 
how the closure of I-64/U.S. 40 will affect traffic in and around the Wash U? Just how bad do you think it will be?

I have to say that with the first phase of the highway 64 closure, my travel time has not been affected at all (I was anticipating much worse). I live in a suburb of St. Louis, approximately 15 miles from the hospital. I, like most of the residents here, own a house that is off of I-44, and it seems that during this first phase, most people who normally take I-64 are using the streets that run parallel to I-64, instead of using the other interstates in town (I-44, I-70, I-55).

During this first phase, the section of I-64 in front of Barnes is still open. During the next phase, the segment near Barnes will be shut down, and it probably remains to be seen what that will do to traffic.
 
St. Louis CONSISTENTLY gets rated MOST DANGEROUS city in the US.

Apart from the fact that we lost out on that superlative this year, the data is seriously flawed. It's based on a statistical quirk that puts the city of St Louis in a separate category from all its suburbs. If you took the old/bad parts of any city and calculated their crime rate alone, it would look bad too.

Not to say that St Louis is all sweetness and light - but it's no worse than any other similar city. I say that as someone who has spent many, many nights seeing every level 1 trauma that passes through the Wash U ER. We're not that busy with the knife and gun club.
 
Apart from the fact that we lost out on that superlative this year, the data is seriously flawed. It's based on a statistical quirk that puts the city of St Louis in a separate category from all its suburbs. If you took the old/bad parts of any city and calculated their crime rate alone, it would look bad too.

Not to say that St Louis is all sweetness and light - but it's no worse than any other similar city. I say that as someone who has spent many, many nights seeing every level 1 trauma that passes through the Wash U ER. We're not that busy with the knife and gun club.

I was told that most o' the stabbin's n' shootin's went over to SLU.
 
I was told that most o' the stabbin's n' shootin's went over to SLU.

That might be true for East St Louis - but comparing East St Louis to St Louis is about as informative as comparing Manhattan and Newark.

As for the city of St Louis, we split the trauma pretty evenly. The SLU ER is not infrequently on diversion; Barnes never is.
 
Hey Pilot-
Thanks for sticking up for St. Louis-I am one of the chiefs in the anesthesiology residency at Wash U. We are not lacking in trauma but I don't feel overburdened in the OR's with it, either. Plenty of everything else including transplants (3 livers, 2 lungs, 2 hearts, 5 kidneys in the past 4 days). Regional (sometimes debated as a weakness in our program): the regional resident this month has logged in about 60 blocks. Any ?'s re: the program for applicants, PM me.
 
I just wanted to point out the title of the thread - "Wash U - GREAT PROGRAM" and concur. Interviewed there recently and was extremely impressed. In my opinion easily one of the "Top 10" with only location to ding it. Put this program in Boston, NYC, Philly, or SF and, well, you'd have MGH, Columbia, Penn, and UCSF. 😀 - and the corresponding renown/competitiveness.
 
St. Louis isn't so bad, you've got great jazz, a beer centric culture, and the Cards aren't a half bad baseball team. the Blues provide some d*mn entertaining hockey. Now if the Rams could get their act together things wouldn't be half bad.
 
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