I'm a little surprised no one's mentioned any Texas programs yet, so I'll start it off with Baylor/Texas Children's Hospital. First of all, let me say that Houston has a draw for me in terms of friends/family/community, but I do feel conflicted about this program. I would very much welcome your input.
PROS:
- very impressive in terms of physical environment and resources
- TCH pays well, so draws top-notch nursing and ancillary staff
- Dr. Feigin seems to genuinely care about the residents and is quite influential
- often granted a lot of autonomy in decision-making
- lots of volume and broad exposure
- ER-admit system well-managed, so patients often come up "pre-packaged"
- largest Pedi ER in US and pretty new and high-tech
- in spite of obvious fatigue, all residents I met were happy with choice, with a few from my own school that I trust
- focus on acute care in program (important for me)
- all subspecialties well-represented, no gaps in coverage
- schedule gets considerably lighter from years 1--> 3
- so crazy-busy that seniors aren't scared of anything
- great salary for Houston ($47,000)
- Houston has pretty accesible real estate- could buy a house or condo
- peds residents get many perks at Baylor(lounge, retreats, tickets, salary bonus)
- parking is paid for (if you've ever been to the Texas Medical Center, you know this is HUGE)
CONS:
- no ER time in 1st year
- 10 months q4 in 1st year
- county hosp Ben Taub(1/3 of your time) has notoriously bad ancillary staff
- in addition to the seriously crappy call schedule, there is no form of night float or overflow coverage - you keep admitting till rounds
- no online notes or orders
- no specific procedures training
- residents admitted sometimes can feel like a secretary for the many private docs
- has "sink or swim" philosophy, minimal formal teaching/education
- also a side note is that in my interview travels, it has occured to me that Texas seems to have a sharper divide between the "haves" and the "have-nots." Nowhere is this more evident than than between TCH and Ben Taub. In theory, the level of care should be the same, but
{makes wishy-washy hand gestures}
So in summary, I think its important to note that I've been harder on this program simply because I know the most about it. After all, after any interview day, it's hard to come to come up with a list of anything
but PROS, because that's what you been fed all day. The hardest part is figuring out what they
aren't telling you, so that's what I tried to do. Hope it helps. I think that in spite the downsides I mentioned, Baylor has an extremely solid program that I will be ranking quite highly.
Would welcome any comments and/or corrections. Cheers!