Malignant internal medicine residency programs reddit. If anyone knows anything about these programs please share.
Malignant internal medicine residency programs reddit My friend scrambled into a NY program. I’m using search engines like Residency explorer and FRIEDA so I know about the whole façade of “IMG friendliness” I say this in the nicest way possible as someone who just went through the IM interview season: most programs are more or less the same. You round with an attending, there's 3. 4 Nymc metropolitan. Need a day off? no questions asked. 5 Advocate masonic. Especially something like EM where a big name program in a smaller, less populated area isn't going to give you the same robust training as a lesser known hospital in a dense urban area. You are less replaceable. Need some advice. It's in San Francisco. These were all cases from my own internal medicine residency. Since nurses are unionized here in NY, a lot of them just don’t care. I feel like most of those are possible for you but still not “safe”, you need more upper mid tier and mid tier academic programs. They seemed to take it like "Look, these techs are great, we can even teach them to be residents!", but it could have also been taken like "The training we give our residents is so poor that we can train a community college graduate to perform better than our residents in 6 months. K. Someone explained this to me last week. Very malignant program, minorities are not supported. However a lot of it is program dependent. Would greatly appreciate any advice especialy from residents who know inside situation. It’s a shit tier program, but beggars can’t be choosers. Funny enough though, these HCA programs are all listed as being under “USF Morsani college of medicine”, even on ERAS. I attribute this to the rural-ness of the program, but also the PD is from one of those countries I mentioned. Goal: Good QOL, non malignant program The internal medicine spreadsheet here on Reddit has loose rankings and tier ranking. You just lose all your rights and everything becomes your responsibility. DO here, matched at an IMG-heavy Internal Medicine program (60-70%, mostly US IMG from Caribbean) that is in a desirable location (South Florida) and not malignant at all. I used to call this the intern shield. Internal Medicine residency isn't the hardest but also isn't the easiest. It's a diamond in the rough. Long hours seeing a lot of patients, pay isnt the greatest compared to programs in other cities. Great attendings everywhere but the NICU and hospitalist team, but otherwise the program itself was the absolute worst. It is designed for candidates to get info about the ERAS application and components along with info about the Match and SOAP. Future goals : endocrinology fellowship. It is affiliated with Columbia University. The community's focus is on I plan on having 3/4 of my statement being standardized, with some space for personalization in the final paragraph, i. My advice is, keep it as your last option. That being said, a program struggling to stay accredited, one that constantly loses residents, residents are consistently violating work hours, no perks of any kind like parking/cafeteria food, being consistently denigrated by attendings or colleagues, not enough cases or patient exposure, etc are things I The Emory internal medicine program has been known to be malignant for a really long time and it lives up to this reputation. Programs I was really impressed with on the trail: Casper, WY; Apr 17, 2016 · Mayo (Rochester) - depends where you place it, it is certainly not a top 5 residency program as suggested by Doximity Cleveland Clinic Emory Chicago programs UPMC Bayview Most underrated: Yale - lots of negativity on SDN, great program, incredibly supportive, research top 3 UAB (hurt by location) - agree University of Iowa (top 30) - agree The IM residency program is the butt of every joke in this hospital. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. I am hoping to go into primary care. In india residents are mentally harrased by their seniors and consultants. On inpatient rotations you should expect to work 60-70 hours a week, 6 days on with an average of 1 day off per week. GI/cards/HO/PCC as well as AI/rheum as well are competitive to various degrees but USMDs coming from solid academic programs have very high match rates. Most residents at my program actually feel super supported and happy. Your experiences will vary tremendously depending on which program you are in. However, I understand that this is one of the most competitive IM residencies in the country. ) Can anyone shed some light on why Cleveland Clinic has residencies with a good number of DOs and FMGs? I've looked into pediatrics and internal medicine and this rings true for at least those two. Call is busy, and you have more responsibility than the average medicine intern. I can speak to the internal medicine program if you were interested. Wait no, there's one American dude from the state med school. I have worked at a 3-year and a 4-year FM residency. Is this valid? If so, I am screwed. Jun 22, 2020 · Faculty who aren't directly involved with leadership can also provide guidance to new residents about how to navigate a toxic environment. Internal Medicine: Mountain Vista Medical Center in Mesa, AZ During interviews, one of the faculty left their microphone on, so each applicant heard what they were saying about the upcoming interviewee when we were all in the break room (the coordinator would state who was going next with which group, so we all knew who the next applicant was). View community ranking In the Top 5% of largest communities on Reddit. Then, I panicked last minute and threw on another 15 programs for a total of 35. Visa- requiring IMG for Internal Medicine residency. Much like the city, this forum is a dusty old jewel of Puget Sound. . Just curious if programs are well known to be malignant consistently or if it changes from year… There is a residency program in a rural-ish part of my state that is all IMGs (Pakistan, India, Caribbean, China, and others). DMC Huron Valley-Sinai Hospital (Commerce Township, MI) Henry Ford Macomb Hospital (Clinton Township, MI) I'm IMG, and I need some advice to rank the IM residency programs. Hey guys so I started looking into programs to apply to for Internal Medicine and I was wondering are there any “must apply” internal medicine… Looking for some insight about these programs. Assuming step scores are not a limiting factor, anyone have any experience with NYC programs? I am looking for all-around good, non-malignant residencies in NYC, both academic and community. The interns and students end up doing their job Please tell us a story about the most malignant residency program you’ve ever heard. In small-ish cities that draw on a larger area. Applying to surgical subspecialty, but assuming it’s similar to IM - everyone knows the training is top tier and you come out amazing c Residency: I did internal medicine residency, just like every other cardiology fellow. I’ve heard that most of the NY IM programs are either malignant or really bad because of the sub-par ancillary staff. The residents and the PD and the program coordinator are really nice The sub will be back up tomorrow night. Now the good parts about this program. These three programs have national recognition in nearly all subspecialties: UCSF is one of the top 3-4 academic programs in the country, on par with MGH, Hopkins, Brigham. 8 Marshall University. Based on reputation, complexity of cases, and opportunities available there, I would think it would be filled with Harvard/Penn/etc. and the programs you listed are dominated by DOs and foreign grads, which means they will treat you terribly. But take this: they pay a shitty salary which is out of sync with the extremely high cost of living in DC, and this is a huge red flag which their residents keep complaining about. Maybe add 10 more higher mid tier programs to be safe It’s a Miami residency program locate in Hialeah, FL. He told me it's really a malignant program and gave me all the details involved. I also will add a bit more at the end for the programs with a personal connection (i. e. FM/IM/EM/Peds/etc. You’ll learn when applying that there are no rules that apply broadly, everything is “it depends on the context” so this is just another data point that can help paint a The sub will be back up tomorrow night. Public - good sweldo, dami cases, pero for me parang di by the guidelines kasi walang resources patients and super daming patients dito. I would only consider mid tier academic programs to be “safe” for you. Like medicine, sometimes it takes weeks or even months to even get an appointment with a lawyer. Def wasn’t meant to be a commentary on whether PC or research is more important. I want to avoid malignant programs. A place to share about interviews during the first part of the year, discuss projects, or anything else pharmacy residency. I've been in at least 6-7 codes so far this year and have done each role before (compressor, ACLS leader, establishing access, chart review, and time keeper). That being said, everyone is just honestly nice and supportive. 6 Ascension St Francis. Same es every NY program. Other programs actually seem to prefer Non-US IMG's, over US-IMG's. I think BIDMC not same caliber and just getting float from Harvard name. Gratitude doesn’t have to be a measurable outcome after an acute surgery. I have a good impression about the program. And last year 2 resident positions out of 8 were not filled which makes me confused about the program. Finally, many fellowship programs take candidates from their in-house internal medicine residency program. physical and verbal abuse is very much common than it gets out in news and media. The program seemed super mission-driven in terms of caring for the underserved, so I asked what happens when there's disagreement between residents or faculty in terms of carrying out the mission, like how they handle disagreement or internal conflict. In the U. So guys, I’m currently working on my program list to apply for IM residency. lived nearby, went there for undergrad, have family in the same city, etc. What’s malignant for some is either tolerable or not even a problem for others. " any NYC program will over-work you because nurses in NY are notorious for having residents/interns do things that nurses should really be doing (eg, EKGs and drawing labswhich add up and make your > 80 hour work week that much worse). At least in Romania, the quality of the residency is really low, in some places you work 30 hours a week, in other specialties you work 65 work, but the main point is the quality, no one really teaching you Many of the out of the way programs. And it’s easy to flex at different points of your career. This community is for residency candidates applying through ERAS in 2024 for the 2025 Match. I focused my prelim search in Baltimore & in Boston and found many of the Baltimore based prelims to be nice programs work-life balance wise. The administration does not care about its residents and uses their residents as workhorses. Universally you will work very hard, the city is expensive, and the patients are difficult. It's our most dreaded rotation. Internal medicine (random order) 1 Jacobi/AECOM. For top 10-15 IM programs the average step 1 is at least low 250s. Sometimes it takes a while to adapt to an entirely different culture and hospital. If it continues, programs will push residents to accept pretty shitty remedial clauses or resign rather than be fired. For Internal medicine residency which one should I choose? Considering malignant severity, fellowship opportunities, safe living conditions around, research and in general. There is no way on earth someone who spends half their time doing internal medicine is ever going to be as good of a pediatrician as a full time pediatrician. If anyone knows anything about these programs please share. If there are more than 3 or 4 residencies there, you won't get to do anything. We talk to patients so there's at least 2 players. ) While in med school I got to do 10+ supervised Intubations, Art lines, some central lines, etc. The question is if you're learning and if they give you time to learn, how much work you do is scut vs. What happens when ACGME… Maraming factors for residency like kung malapit ba sa family or not, do you need the good salary or ifufund ka pa parents mo, gusto mo ba mas toxic or ayaw mo nun. Within the medical field I feel like this is the most true for IM, but it can really vary who the "top" programs are in other specialties. kinda like how tufts peds program lost their accreditation and had to shut down their program. HCA is a corporation that buys up hospitals. Ranking it #1 will depend on what other programs you have in your list. New-York Presbyterian Queens Flushing Hospital Mount Sinai South Nassau Hackensack Palisades SUNY downstate Primary Care St. Most residents specialize in fellowship so the training does not end despite the 7 years for residency. Birthplace of hospital medicine. Any general field of medicine is hard AF. They included a large warning about how you "must be truthful and saying you didn't understand is not acceptable if there are problems with this form when you match here. Malignant programs will usually throw residents under the magnifying glass and intentionally try to build a case to remediate or fire them. Minimal opportunity to do research and match competitive fellowships. I got an IV This post will miss the mark for a lot of people, and I do feel bad complaining about this— but I’m concerned that my residency program has not been challenging enough. Same with patient population. Would appreciate the help. More malignant programs and ICU rotations may have you hitting your 80 hour cap from time to time. But from what I saw, the malignant programs give more dependence for their residents. Malignant is when a program is outright abusive of its residents or else has no supervision or support of them to a point where residents pose a danger to patients. It's honestly very scummy. I interviewed with the Stamford Hospital IM residency program in Connecticut. You chose a few strange programs to list as malignant. The difference between the ED and their service is night and day. My program certainly isn’t malignant and there are definitely some measures that help cut down on work hours (floors sign out at 3, 11a on weekends). Seek programs with great leadership, good happy resident vibes. -Medicine is a team sport especially internal med. At first, it kept getting unsustainably larger and larger, then it made smaller programs in the liver and bone before killing the resident outright. Also, all the UC's are state programs. Understaffed, not enough competent providers. University of Maryland midtown has a nice TY, but I'd argue you Mercy's internal medicine prelim will leave you with the most free time. General surgery is the internal medicine of surgery. ROL in order of preference: 1)McLaren Flint- FM The remaining are IM programs 2) Sinai Grace 3) Kern Medical 4) Rosalind North Chicago Please share valuable insight about the program. Icahn School of Medicine at Mount Sinai/Valley Health Program Internal medicine . The is doesn’t occur as often since vast majority of us don’t put much thought into what happens after residency during medical school. Eg, Lincoln Hospital in NYC. Don't abuse it though. If I do not get into 3 year IM program, is a preliminary worth considering as a potential gateway to a 3 year program? What we call 'malignant programs' in the US are still A LOT better than the residency programs in some of our countries, change my mind. UAB Internal Medicine "Program director and leadership made it a huge priority to put us first through the whole pandemic. This subreddit is designed for fashion enthusiasts who are interested in finding high-quality replicas of their favorite designer clothing, accessories, and footwear. Make sure to ask the residents about their schedule and find out what they like or don't like about it so you can determine if this specific program style is right for you. But as an attending, you can be a hospitalist at a place with good ancillary resources (you do your own rounds, SW/CM deals with dispo), you can do primary care (more paperwork but great continuity Well, I don't know about the specific one you matched, but I know about both a malignant and a non-malignant program in my residency experience outside of the US. The longer one seemed so nice at first, but ultimately was secretly malignant and 4th year was quite scammy. I think residents can give excellent insight on malignant qualities in their program, poor QOL, rules violations, and hours. Residency programs should be inherently resident-focused. For instance, some residents in academic programs finish their IM residency not comfortable doing any procedures, independent in making decisions. UMH is the private hospital, Jackson memorial is the community. I don’t think it’s a great program to get training at. Welcome to r/neurology home of science-based neurology for physicians, neuroscientists, and fans of neurology. They definitely wouldn't say or portray it at interview sessions. Main takeaway is to ask residents at each program what the scutwork looks like and to assess how the residents feel about the scutwork. The most common reason I hear is “I wanna do adult congenital heart disease” Well, cardiology programs don’t really care that you learned how to do well baby exams. I literally just met a fellowship PD who was saying they are bringing in two fellows from USF “insert HCA program”. People want help but you're not going to get meaningful answers by throwing up vague Reddit posts. I would highly recommend reading the IM spreadsheet on /medicalschool. Honestly that makes me kinda open for those community hospital despite their toxicity. in some of the govt institutes pgy1s have to spend their entire stipend paying bills of their seniors and consultant. I read somewhere it might be a malign program but no explanation. It provides a great base for cardiac knowledge, though 3 years of IM residency is a little painful, and probably the biggest negative of this pathway. That is to say, being IMG friendly doesn’t necessarily mean program will be malignant but having a high proportion of IMGs might allow the program to be more malignant. This program has one of the lowest graduation rate of any NY program, the PD actively sabotages the careers of competitive applications for fellowships, they do not renew the Prelims for other than the PDs community people, nepotism is huge and half the program is the pds commmunity and relatives, the You typically see it at IMG-heavy programs. So there's a chance my program has a "malignant" problem. DMC Huron Valley-Sinai Hospital (Commerce Township, MI) Henry Ford Macomb Hospital (Clinton Township, MI) HMH Palisades Medical Center (North Bergen, NJ) The Brookyln Hospital Center (Brooklyn, NY) Honestly if the only comment was "get work as a slaves" then 99% of IM programs would be considered malignant. Actual assessment, diagnoses, and procedures, and how supportive the other residents and faculty are. Maybe this is just our program, but I hear similar things from friends who are in pediatrics residency elsewhere. i've had my fair share of over-keen profs over the years and its annoying but not the end of the world. I am a mom to a toddler, and moving for residency means my husband will be without employment for some time. Don't shut out an entire class of programs just because there are some crappy ones. ) Ive seen it happen in some malignant programs when I did work in the med ed space before residency. Residency is already hard enough as it is, not having a supportive program/environment makes it unbearable. This is IM in NY. It helps that residency applicants avoid the NY area because of COL and perceived malignant training. Can be any residency program. I'm a medicine intern, so just recently went through this. Everyone on the interview had read my application, knew it inside and out, including super small details and made sure to pair me with faculty interested in my career goals. It's how these programs secure applicants who may otherwise go elsewhere through the match process (typically the programs that offer pre-match positions as a whole are the types of programs that people would rank lowly if they had the option). IMO first year ophtho is harder than internal medicine’s intern year. it’s usually the doctors who are responsible for phlebotomy but even in places where we have nurses and a phlebotomy service, they sometimes make excuses for not doing it because there no repercussions for them but only the doctor because ultimately the doctor is held responsible rather than provide training to nursing staff 45 votes, 46 comments. In my two short years in private practice “traditional” internal medicine where I am my primary care patients’ hospitalists and intensivists, I have countless more types of these stories. It’d be great if you guys could help me to filter out programs based on toxic work environment, shady neighborhoods etc. We even have a month we’re we admit for icu and do procedure. Sure, IM residency (which is skewed to academic institutions) has a reputation for long rounds and dealing with dispo. Often overlooked point: don’t pick a specialty solely based on residency. I am an Internal Medicine resident and completely agree with you. Currently, I'm interested in pul & critical care fellowship after the residency. ) Are you leaving due to issues in your current residency or is your residency profile untainted and it's more for personal/family reasons that you need a location change or something? 2. Boston is small city, residency programs and hospitals aren’t owned by Harvard, makes for a less unified overall experience for students, faculty, residents… and best patients for training, immigrants, etc go to Boston City which is not Harvard. It also just made the whole residency program look bad. University of Hawaii Internal Medicine required that you fill out the state licensing forms before you began the interview. Sounds like most HCA programs are crap, but I'm very happy at RCH and I know most if not all of my fellow residents are happy with their choice too. I did a ton of in office procedures while in med school (lac repairs, skin Bx’s, joint injections/aspirations, etc. My primary focus is on good clinical learning (NON-TOXIC), good location (SAFE), good work-life balance, and decent fellowship opportunities in the future (Cardio/Pum-crit). Seeing this stuff made me want to talk about my experience. For my specialty (PM&R), I get a sense of how much the residents might be used as scut labor, how much attendings actually like to teach, whether current residents speak highly of the program, procedure heavy vs not, whether resident feedback is taken into consideration, any administrative red flags, call schedule, etc. so when you apply to their programs Drexel etc unless they fix up this next year they run the chance of losing that residency and residents having to find somewhere else to go. Woodhull and Bronx Lebanon are possibly the most malignant programs in the country whereas NYU, Cornell, LIJ and others are much less so. Even if a program is well-intentioned, the hospital takes advantage of you for another year. Sometimes programs may not have an outright bad attitude, but their policies or work cultures may put residents or patients at needless risk. Some spend all day talking about how gritty it is, others simply think this is where trucks were invented, but Tacoma is a beautiful city filled with art, food, beer, music, nature and people. just the way it is unfortunately. Nov 2, 2023 · At least when I was going through residency applications not too long ago, Metro was a well known malignant program that had a habit of firing residents. All candidates - US MDs, US DOs, US-IMGs, non-US IMGs, and US Grads (and those interested in learning more about supporting candidates) are welcome. why I'm interested in the program. You can (potentially) make more money. no US malignant program can ever match this level of malignancy. So being a resident there results in more work and less learning from attendings That basically excludes most hospitals in the U. It is just how it is and you should probably accept that you will break work hours a few times during residency. I knew a resident (now pgy2) who was having issues acclimating to the program but not bc people were just shitting on her. These are my two most important criteria for applying to residency programs and it is just impossible to figure out how to go about selecting programs. Bronx Health Care Internal Medicine program review. It was the most toxic program, absolutely horrible. The rest are private. Unopposed programs are the way to go, or make sure you see how the dynamic is between programs at the same hospital. They are very demoralizing and there is a reason why students from top 10 medical schools don't choose Emory IM. At our program for IM we routinely do para’s and thoras as indicated. I’m not sure if all those people have trained at Hopkins, but for internal medicine and internal medicine subspecialty care I would recommend my family members be treated Generally, the internal medicine programs were compliant with the hours (80 hours averaged over 4 weeks). A lot of internal medicine is evidence based and there’s a ton of room for research if you want. they are on probation of having their accreditation revoked (for FM you should confirm if this applies for IM as well). Residents have to have a large knowledge base and the training can be long, especially if the program has built in research. You are going to have to engage with people. My two cents. Some people use it to mean you work hard. medical school University of Wisconsin EM: Sent a gift box with a nice Yeti mug, T-shirt, and Wisconsin knit beanie. Good luck. The rankings typically stay close to the same. I’ve been looking into different IM residencies, and the one that has really caught my eye is Brigham and Women’s Hospital IM program (specifically their global health and social medicine track). The other hospital in the residency, Denver Health, the admins took massive bonuses that could have paid hazard pay or 1000 dollar bonuses for pretty much everyone in the hospital. Malignant af. Welcome to r/Tacoma, The Subreddit of Destiny. Not exactly NE, but in case Baltimore is on your radar :) I’m at what’s supposed to be a moderate to chiller program. Rotate at a safety net hospital and VA. Short term goals : good qol and affordability. I have done internal medicine sub I at flushing right before Covid started. Instead of answering, my interviewer started crying. I'm an IM intern at a university hospital. Posted by u/Scary-Recording-497 - 3 votes and 12 comments It's not a malignant program. Need some extra help? It's not the IMG's faults, but if medicine is prejudiced against IMGs, and the program is full of IMGs, it suggests that there is something wrong with them. Plus, I have some questions: Virtually all the NYC metro programs have Freida profiles that show minimum of 225 boards. As a new resident, your voice can help make this a consistent reality. You have great This is the unofficial subreddit for all things concerning the International Baccalaureate, an academic credential accorded to secondary students from around the world after two vigorous years of study, culminating in challenging exams. Please recommend me on how to rank these programs. In terms of how it stacks up to the other Chicago academic programs it’s generally considered 3rd or 4th after NW, Uchicago. Jul 1, 2021 · The NYC area has something like 50 IM programs alone, so despite the echo chamber talk here and on Reddit about how all programs there are malignant you can’t paint all those programs with the same brush. So an affordable place to live is super important to me. You also don’t have the chill 30 hour outpatient months IM residents get. It would be a shame not to apply, and not have the opportunity for a great program that would suit your needs, based on misunderstanding. Your residency program tier probably is the biggest indicator of where you will match for fellowship… the lower IM program the more other stuff you will need to make up for it. i have rotated The variety in IM programs will amaze you. Here’s the link to find last years spreadsheet. have so much to manage. Confused about visa. Correct me if I'm wrong The vast majority of programs require 3 letters of recommendation - however, it is IMPERATIVE to check the requirements of the programs you apply to, as programs may require letters from specific people: usually at least 1 letter from a family medicine physician, but some may require a letter from a non-physician community member, for example. I would like to stay near Queens, New York because of my spouse, however want to avoid malignant programs. The question becomes whether the resident has any awareness of their protections. I had originally picked out 20 programs that I felt like were a good fit for me. Any input about any program will be The Repchicks subreddit is a community dedicated to discussing and sharing information about replica fashion items for women. Malignant is a nebulous term. A malignant program is not about hard work. I'm IMG (not require VISA), and I need some advice to rank the IM residency programs. 2 Albany 3 Rutgers Jersey City. The program director of an accredited internal medicine residency program must petition ABIM to grant credit in lieu of standard internal medicine training. Jan 16, 2018 · I would add that there’s a stark difference between a classically malignant program and simply one that provides less autonomy or has a more research focused outlook. Staff is all Hispanic, largely Cuban. Joseph's University Jersey Shore University Mar 26, 2014 · Schools aren't malignant programs are. Let me share with you what I have learned in the last few weeks trying to navigate this process. I wanted to take a minute to warn new general surgery residents about how malignant the program is. You can search for the new one. At the end of the day, you also have options for transferring residency programs. Treated us all like shit all the time. Does anyone have an idea if one should accept a PreMatch at Bronx health Care/ the Bronx Lebanon program? I have heard that it was a pretty malignant program a few years ago. On the same note, I totally agree with you, that some programs simply don't accept IMGs - whether US or Non-US. Great fellowship match though, probably the best training you can get as well. Many programs are going to go over work hours. lol. What I see is people who went to top programs in their desired specialty but end up job hopping because the 65% of the “other stuff”. We will do intubations, Art lines, LP’s, and central lines while in the ICU (if you want to do them). Internal Medicine, large academic program in the Northeast. Topics include multiple sclerosis, seizures/epilepsy, stroke, peripheral neurology, anatomy of the brain and nerves, parkinson's disease, huntington's disease, syncope, medical treatments, ALS, carpal tunnel syndrome, vertigo, migraines, cluster headaches, and more. Based in your options and if I were in your position I would definitely rank them last! Based on the 4 weeks rotation I had the sense that the program is malignant! But hey it’s NY after all. They create residency programs to exploit cheap labor. Throughout my training I have had the opportunity to work alongside incredible fellows and those experiences have helped form my decision to pursue subspecialty training. Residents need to be given priority for learning and they need more supportive leadership. IM is in high demand pretty much everywhere and if you’re from a good program you’ll have many job offers before you even graduate. 1. It is one of the worst programs in the country, the PD is a utter cheat and scam artist. I’m surprised by all of the people saying it’s chill. 7 Cleveland clinic Fairview. This program has potential to be a great program but the malignant environment needs to be fixed from the top down. The sub will be back up tomorrow night. I don't know that much but based on the general application advice I've seen, you should just apply to a ton of mid-range programs and you'll be competitive with a US MD and a good Step II. They have a community program vibe, very positive and non-malignant, but they also have a lot of didactics and take education very seriously. Just trying to explain how the PD rankings are set and why Sinai is ranked so much lower according to PD’s as opposed to USNWR; most people don’t realize the PD rankings are derived from the USNWR ones. Not all NYC programs are like this, but there are good programs out there. 3+1, 3+2, traditional. yes there are some exceptions but if you're a US senior you'll likely match into a program that isn't "malignant" (unfortunately a lot of IMGs get the short end of the stick during match). In Chicago, Advocate Lutheran is a decent, well known community program. program supported my change of application to a different specialty than I had planned, mid-cycle unexpectedly and almost miraculously, I matched my top choice program Not good: daily criticism and rare praise intense sleep disorder, sleep cycle super messed up grueling calls constantly sick for > 1/2 the year profound burnout Haters gonna hate. Would greatly appreciate any advice especialy from residents who know inside situation Right. Told to lie about work hours on a regular basis. The good: The hospital I work in operated without residents for decades, then a few years ago started a new medicine program. Technically should be a recipe for disaster but I really like my program. Life as an attending can be ok but I really feel like it's worth pursuing a fellowship for multiple reasons: You won't get dumped on. If you are viewing this on the new Reddit layout, please take some time and look at our wiki (/r/step1/wiki) as it has a lot of valuable information regarding advice and approaches on taking Step 1, along with analytical statistics of study resources. In residency, very, very few of my colleagues want to do procedures. This group tends to have high rate of burn out. Early on they refused to force residents on ANY service see COVID patients until there was sufficient PPE with published evidence on efficacy. Talked to my advisor who said 20 was a good number. I was not interested in surgery, so I don't know too much about their training, but I do have an anecdote. I have a friend who's a resident there. every program 30 votes, 31 comments. During my surgery rotation, one of the surgery interns worked 14 days straight (5 AM until 6-7 PM each shift). Lankenau is a great IM gem program. Also, lots of competitive fellowship spots and they match cardiology and gastroenterology very well, which is rare for a community program. he's definitely over the top but they have a good match record with 62/64 matching into the fellowships they wanted in the last 3 years especially considering their entire program is IMGs. A lot of hospitalists could be replaced with mid levels that pan-consult. Before being proposed, the candidate should have been observed by the proposer for a minimum of three months. Without a PD letter it’s nearly impossible to transfer to a new residency, no program wants a resident another PD doesn’t recommend. That notwithstanding, for many IMGs, matching at that program is still a better option than going unmatched. Basically the title. A 2 year pathway (or even 1) would be much better… Research is VERY important in cardiology. This one general surgery program I heard of was so bad. There is much more I could write but I think this is sufficient to help understand the overall environment of this program. PGY1, PGY2, and beyond accepted! Members Online Oct 18, 2016 · The description of "malignant" also often includes an implicit descriptor of the culture: program administration may minimize or completely ignore resident feedback about the program, program leadership may not support the residents within the program (which can manifest in a variety of ways), and the residents themselves may not be supportive Very little interest in family medicine —- don’t like peds or OB/GYN. It's where they treat you really really bad and that's especially horrible for IMGs who don't have any options to fight back. But it's not also a top program. " This is absurd. It’s a community program but we are well supported by the hospital and program. If other specialties don't want to take care of a patientthey will send them to IM and expect us take care of them even though it has nothing to do with medicine. Went to UTH for pedi residency. very very high volume, tons of autonomy as residents, see crazy cases (like you’ll see the shit you read in books). The residents just do scut work all day, and all the ancillary staff treat them like garbage. -You are an intern and though you may be ignorant at first, those above you will know that it isn't willful/malignant ignorance. We all have bias, and I will admit that I have a pro-Hopkins bias based on the great experience I had. A good question can be to ask the residents if they feel there’s enough residents to cover the services they staff. A lot of discrimination towards patients, especially minorities who can’t advocate for themselves This can be a 6+ 2, 4 + 1, or some other model depending on the program. Like other similar hospitals in the area it largely exists to suck as much money to the owners pockets to an extent that would make HCA blush. Start looking for a lawyer now. It doesn't mean that the IMGs deserve to be low-desirability, but a program with low-desirability residents suggests there's a reason for it. you will still have a better life in the most malignant Hi. It's about your responsibilities vs your rights. The funniest part of this exchange to me was that the PA either doesn’t know that the people running the med schools and the people running the residencies aren’t one and the same, or he assumes that med school admins are competent enough to actually read his message and make sure it gets in the hands of the intended audience. Hours are meh - maybe 60-70 on floors and ~70-80 for MICU. jjpbogqe asnzh wnvw olvqod jcotz kmgv wzt zfn ckcpw vxgt