Always loved that place. We need more programs to be affiliated with Level I/II trauma centers. Standalone residencies and schools are definitely not helping this profession.
Yeah, I would have to agree.
Where I trained, it was in a tiny hospital when I clerked. Huge F&A surgery volume. Tons of ASCs and hospitals. Tons of cases. But the primary location was a small hospital within the system. I loved it. Dozens and dozens of DPMs from all over the city brought cases to the small hospital since it was a foot surgery mecca (most of the older top programs were like that). The local ambulances knew there was a foot training program and would bring pretty good ER stuff for a small place.
At interviews, I was told the program sponsorship was moving to the big hospital (mothership for the system, level 2 trauma)... same attendings and cases, different resident clinic and resident room and etc. My class would be the first to do all 3yrs at the giant hospital. I was pretty against it at first - even though they already did most med/surg/ER rotations and a few cases there, inpatient rounds there sometimes. I had thought it was better to be big fish in the small pond without so much ortho politics and admins. By graduation, I learned the big hospital is a lot better
for residents... just much more interaction with the other residency programs, more to see, more to learn. There were more ortho politics, but there was much more gained than lost
for residents.
...but now, as an attending, give me small/medium facilities with easier parking and OR time and less politics any day of the week.
