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anyone have anything to say about Cleveland Clinic?
I've never been shy about being a Moffitt resident, and I'm very proud of our program. We receive an outstanding education with a large variety of cases, frequent lectures and educational opportunties, while seeing many varied and advanced cancers treated with a wide range of technologies. In addition, we are treated very well as residents, and I think our limited scut and benefits are some of the best in the nation. Anyway, I don't want to be one of those types who posts on here to sell their own program to others, but I just wanted to correct a few factual things. Nothing personal here at all there jcradonc--it's hard to really gauge these things during your limited time here, and it's entirely possible you were given some inaccurate details.
There are so many beaches in the area that it's hard to give exact numbers. It's 30-60 minutes from South Tampa to the beautiful, tourist magazine, beaches (it just depends which one...). It's less than 15 minutes to decent beaches. I run from my apartment along the waterfront all the time, and I see dolphins most of the time down there.
Research is basically required, but it doesn't feel onerous to anyone because all rotations have at least 1 academic day, and many have 2. There are so many opportunities and support mechanisms that anyone can get involved and be productive. The Total Cancer Care database has been running for years. I use it to pull gene expression data from thousands of samples and correlate it to results from our EHR and other clinical databases.
Some rotations are busy and some are light. Almost every rotation is 1:1 coverage, but some attendings are very busy and others aren't. That's all liable to change with time--i.e. we're very likely have another thoracic attending soon, they're working on hiring another head and neck faculty member, etc...
It's 9-11 months of elective currently. Essentially, there has always been 9 months of elective. There was a rads-path-dosimetry rotation, but the rads and path weren't felt to be all that helpful, so they're now optional. I think of research/elective time like what I wrote here: http://forums.studentdoctor.net/thr...-your-program-stack-up.1043268/#post-14656004.
When you take the elective time is flexible. I'm taking mine most of PGY-5 year and the end of PGY-4 year. Opinions vary on when is the best time to do research. You could take the time all as a block if you wanted or break it up. There are many more faculty than there are residents, so faculty are used to not being covered by residents. Also, there is no set schedule, other than some rotations being 1st year and others being "senior" (all other years). So you can pretty much do what you want with regards to scheduling.
Travel allowance depends on the year. It's not set in stone. My allowance this year was about $2500. I say about because the book fund is somewhat flexible as well, and I think is getting rolled into my travel funds for radium society. You could probably go to one conference a year with nothing to present. Additional conferences would require at least posters. It's very easy to put together a retrospective series and get a poster, so most of us go to 2-3 conferences a year (first years often do 1, if you get additional travel support you could do as many as 4). In addition, we get our ABR dues paid for.
Moonlighting is actually available starting PGY-3. There are only 2 residents who do it currently. This is because you need approval from the program, and there are some pros/cons to moonlighting that you have to weigh. The details are very specific to here and wouldn't be relevant unless you matched here, but it is available.
Any experience with sinkholes?
I think you're probably trolling me, but in case you're not or if anyone else is hearing about sinkholes for the first time, here's a serious reply.
I have three thoughts on sinkholes:
1. The sinkhole stories you linked to happened over a half hour from Tampa in the far out suburbs. Sinkholes almost never happen in south Tampa where most of the residents live. This map of sinkhole events in our county illustrates my point: http://fcit.usf.edu/florida/maps/pages/11100/f11131/f11131.htm. The little yellow dots are very small sinkholes. Very few of even those small sinkholes occurred in the south Tampa area. On the map south Tampa roughly corresponds to the area around the dot next to Tampa.
2. This is a relative risk issue. A google search tells me that a grand total of four people have ever died due to sinkholes in Florida. There are over 2,500 fatalities in motor vehicle collisions every year in this state. Sinkholes do not appear on my list of things to worry about.
3. There are environmental risks no matter where you live. In Florida the usual concern is hurricanes or flooding from other major storms. A major hurricane has not hit around Tampa in a LONG time, and we are relatively insulated from them based on geography. My other favorite is Archer's fear of alligators, but we haven't had an alligator death in the state in over 5 years. In the midwest there are tornadoes (5 deaths/year in Ohio, for example). Out west there are forest fires, earthquakes, and mudslides. In the northeast and much of the midwest there is snow in the winter, and all the complications that causes.
Would it be possible for people from last year to post some more interview impressions, especially of programs that don't get a lot of mention here. I will start by listing a few:
University of Kansas
CPMC- in SF, CA
Baylor
I certainly appreciate the people taking their time reviewing top programs but they have way too many reviews already and not all of us are going to be interviewing there.
Scarboost- you will most likely have better luck if you ask about specific program(s) you are interested in. Folks have been pretty good in the past about responding to specific requests, even if they don't have time to report on all of the places they interviewed.
I like the spreadsheet that these newer classes have been doing, but I think its really taken away from the impressions thread which I think will be a real detriment moving forward.
Cleveland Clinic: Tricky; this is a strong program (probably ‘over-ranked’ by Doximity, but whatever). Their residents are worked hard in terms of having a strong knowledge base, and their focus on what they think of as the Socratic method is a little excessive. Their AM conference was basically an hour-long intense roundtable of pimping (not exactly the Socratic method, but we can let it slide). The culture is a bit malignant, in that the faculty (even the Canadian ones, shockingly!) are pretty hard on the residents. The chair has pure poker-face, and seems emotionless. All I managed to glean from him was that he didn’t like the prospect of a self-motivated resident, since his practice is to call in residents to tell them to do more research, etc. Essentially, I got a very draconian sense about the place. Still, the PD is a committed to resident success, and seems bent on making his program “the best in the country” (his words). They place their residents well, and a new cancer center in two years won’t hurt. Just be are: while the residents are a really nice group of people, the culture might not float your boat...
Columbia: As we now know (see recent posts about Columbia in another thread), the wheels fell off the wagon for Columbia as rank lists were submitted. Loss of a chair and some of their (already few) faculty mean this tenuous program probably isn’t going upwards anytime soon (an unfortunate truth). However, the residents are both brilliant and super nice. The faculty don’t seem as productive / invested in resident success, and consequently you see the residents doing their research with other schools/departments at Columbia (where so many of their non-rad-onc departments and schools are amazing in and of themselves). The resources of Columbia as a whole are great; the rad-onc-specific resources at Columbia, however, leave something to be desired.
Ohio State: Merriam-Webster includes a picture of OSU next to “meteoric rise.” Seriously, while OSU is not a strong program historically, a $1billion+ new cancer center and tremendous recruitment of top faculty make this place a program to follow. In the coming 5-10 years, I wouldn’t be surprised to see this place breaking into the top tier of rad onc programs. Until then, its chair and PD are clearly committed to resident research, productivity, and training. Folks are amiable, and Columbus is a very nice, quaint mid-sized city.
UPMC: Murmurs on the trail kept referring to some incident here involved malignancy and a resident, but putting these aside, you can see Pitt’s culture well on the interview. It’s a strong program, though not top tier. They have some tremendous faculty (Beriwal) who publish well and promote resident success. But, it’s difficult to put into words, you can almost ‘feel’ there’s something off about this place. The residents were a fun group, but the relationship between residents and attendings appears strained. They also worked way too hard to sell Pittsburgh (replete with a long bus tour of the city at the end of the interview day, as well as a continuously running video of ‘Pittsburgh from the Air’ during break times). Pittsburgh is a lovely mid-sized city; if you’re someone who needs Manhattan or SF, you’re probably not going to come here anyway, so I thought the whole Pittsburgh pitch was a bit pointless.
Jefferson: This one is tricky. Historically a strong program, with good academic placement. The chair referred to it as a “boutique program” (still trying to figure out exactly what he means by this…). The residents seem happy and cohesive as a group, and the research done here is fairly strong, considering they compete with other big places in Philly for clinical volume. Still, the faculty were not enthusiastic about their own program, including/especially the chair. It’s not great to judge based on how good a program ‘sells’ itself to applicants, but you feel almost like the faculty don’t really care terribly much about the residents… hopefully this is just a misperception based on a single interview day.
USC: Also a bit tricky. Not a great program in most senses. They don’t place their residents well (i.e. – you’ll land a nice PP job in LA after this program, but nothing academic or outside CA, in all likelihood). And they have meager research time for residents (depends how you spin it, but the absolute MOST research time you can get here is 6 contiguous months, and it sounds like few people, if any, have gotten even that much). Yet, their chair, Dr. Chang, is a man with a vision for turning the program into a “top 20 academic program” (his words); if he wants to accomplish this, they need to parse out more research time and opportunities. They have good clinical volume, and their residents are quite well-trained as clinical oncologists. Now they need to ratchet up their research credentials if they want to be taken seriously. Otherwise, a ‘happy’ program with great residents, mostly nice faculty, and awesome facilities (the new County hospital is amazing).
Vanderbilt: A steady, strong program. Nothing glamorous or fancy, and not on some meteoric rise or slow decline. This is the spitting image of stability, it seems. They’re on the hunt for a new chair, yet the whole place felt solid in terms of resident training, research, faculty success, and job placement. Sits on the border of ‘top tier’ as a program, and Nashville is a charming city with high quality of life.
Wonderful!
Here are some anonymous reviews that I've received. Nice to see some less often reviewed programs!
HROP: Probably tied w/ MSKCC for the single best program in the country. Resources beyond your wildest dreams, and as it turns out, the folks at Harvard are (mostly) super nice and happy people. Residents get great academic jobs. Enough said.
MSKCC: As above, tied w/ HROP for best program out there. Tied w/ Stanford for ‘top program’ with the highest workload / longest hours. More streamlined program compared with HROP, and fantastic resident placement into high-power academic jobs. And if Manhattan is a place for you, what’s not to love?
MDACC: Big. That’s the best descriptor for this place. 70-ish rad onc faculty, and the Texas Medical Center itself is bigger than many cities (250k people work here daily). Despite the immensity of it all, and its ‘big 3’ status, the residents didn’t seem to be placed into as many academic jobs at strong institutions as HROP, MSKCC, or Penn. Still, an incredible place to train, with tremendous clinical research opportunities and large volume.
Penn: Despite the whole ‘big 3’ thing (which is sort of ridiculous given that most of the top 10-15 programs all provide equally amazing training), Penn is in the same league as HROP and MSKCC without a doubt. The research opportunities (basic and clinical) are unimaginably vast, and the people (residents, attendings, staff) seem to make Penn an enjoyable and exciting place to train. I’m sure the chair they get to replace Hahn will be phenomenal, as well.
WUSTL: Regardless of what you think of St. Louis as a city, Wash U is one of those programs that transcends its location in terms of how great it is as a program. The research here, particularly the imaging / physics, is arguably the best in the country. Clinical volume is manageable, and the residents work moderately-long hours to balance clinical duties with multiple research projects. Academic job placement coming from Wash U is very strong. And although Perkins (PD) was a bit standoffish in the interview, she is apparently a very strong advocate for her residents.
Hopkins: You couldn’t ask for a better chair than DeWeese, and the PD (Terezakis) is also clearly enthusiastic and committed to resident success. Hopkins, with its name and resources, is both a top tier program and is rising in terms of prestige and visibility within the field. Those at ASTRO this year heard their resident research presented at a full-scale plenary session. While the area around Hopkins warrants a Kevlar vest, there are plenty of nicer parts of Baltimore too.
Yale: Like Hopkins, this is a top tier program that is also rising in terms of its status in the field. New faculty hires are doing cutting-edge research (cliché, but accurate). And the widespread impression that the Yale residents are happiest is no doubt true. They work good hours, have decent clinical volume, are highly productive with research, and get great jobs afterwards, often within the Yale system (at Yale / Yale satellites). Decker and Wilson seem like a great PD / PD emeritus combo, and have phenomenal rapport with the residents.
Stanford: The birthplace of rad onc, Stanford lives up to its name. Research opportunities that make your head spin. Clinical volume seems to run a little low, but the residents still manage to work VERY long hours (as above, I think Stanford and MSK are tied for longest hours among the top programs). There are hints of malignancy, but it seems more likely that it’s just an intense place with well-meaning but hard-working people. The residents and faculty seemed like really great folks, as a group. Palo Alto is expensive as sin, but so is most of the Bay Area… it’s just the reality of living there.
UCSF: Tragic that Roach is stepping down as chair and Haas-Kogan left for Harvard (silver lining: Roach is still around as faculty). But this is an incredible place, with a fast-growing department, plus a whole new cancer facility that just opened now / is opening now. Residents and faculty are both awesome, fun people, and the training you’ll get here will be exceptional. Research opportunities were there, but they did seem a bit ‘scattered’ (essentially it looks like you need to find your own way in the research world to get good projects as a resident). I could be wrong about that, though; hard to tell from one interview day. Overall, amazing place, unbeatable city, and things are looking up for this program, despite the admin changes.
U. Chicago: Top-tier program, but probably more in decline than others (vs. ascendant programs like Yale or Hopkins). Malignant is probably the wrong word for this place… maybe weird? After all, the popular motto of U of C is “where fun goes to die.” Somehow, this permeates even to the rad onc department. Overall, the faculty and residents are nice, if somewhat odd. The research there is tremendous, and they’ve hired some young, high-power faculty (i.e. – Spiotto). However, the chair, while a legend in the field, is aggressive with AM conference ‘pimping’ of residents. And the PD, while a very nice fellow, is a bit aloof (which could be a plus, depending on your personality). Clearly a great program, but your style has to fit theirs if you want to excel here, it seems.
I agree with Scarboost and Sheldor above - this is a great thread and I hope more people contribute! I will try to do my part in the coming weeks, but thought I would chime in real quick about Cleveland Clinic after reading the review above, since I rotated there. They definitely have a more intense conference style than most, but I would not at all describe it as malignant. In fact, all the faculty were very collegial and engaged in education, and I really enjoyed my time there. Yes, the chair is fairly stoic but he was very supportive of the residency program. Someone described him as a stereotypical Asian dad, which I think is fairly apt. I didn't understand the anonymous comment above about him not liking a self-motivated resident, because that seemed to be his ideal resident. Speaking of the residents, they are all super smart and friendly. Per their PD (who is very passionate about the residency program btw), they rock the exams, have ramped up their research productivity, and have had a very high academic job placement rate. Bottom line, if you don't mind being pimped (which I don't), then this place provides some fantastic training. And Cleveland was a pleasant surprise as a place to live.
Alright everyone, keep the reviews coming! And good luck on match day!
I decided to give back some impressions to SDN after spending the last year perusing the generally useful and always highly entertaining threads in this forum.
Loyola- Overall solid clinical program, with a relative strength in physics research. People here are great to work with, PD is just an awesome guy overall who cares a lot about residents. I think new chair (Dr. Small) brings a tremendous amount of energy to the program and a lot of opportunities for both faculty and trainees (and even med students) in research; even looks out to mentor med students which I think says a great deal; does have (reasonably) high expectations of everyone in the department. One lacking aspect is translational/basic research w/one biologist and one ENT faculty who does radio sensitizer work I think, and I don't think that will change anytime in the near future (just not an emphasis here); there is a new 300 million dollar research building opening next year so I'm sure you'll be able to work outside the dept w/some great cancer biologists if basic science is your passion (Holman is allowed here for qualified candidates). That being said motivated residents have recently gotten oral presentations at ASTRO, RSNA in clinical/physics work, and can easily graduate with a few high impact papers. With clinical faculty now at 8, a possible rotation at ProCure, and a strong VA experience, you will have solid clinical training at this program if you match here and no worries about passing boards/having weaknesses in training or finding a decent job (even in academics).
Northwestern - I think its easy to write off NW since its a stable program in a sea of programs that are up and coming. However, I think all the pieces are there for it to be a top notch program. There's a good variety of experiences from top notch referring doctors at arguably the premier academic medical institution in Chicago. In addition, they have some great basic science faculty involved in productive research, including a premier radiobiologist (Dr. Woloschak). My overall impression (admittedly based on one day) is that despite being a solid program where I would be happy to train, it should be even better given all the pieces that are there (I don't see why it shouldn't be the best in Chicago). Perhaps this is due to an emphasis on clinical training rather than focusing on academic productivity (although I didn't really get the sense that residents were clinically overworked). Great group of residents and faculty. Bottom line is that again you will get solid clinical training, and perhaps protons as well. Oh, and Dr. Gius and his house are both awesome (and I guess so are his two pet poodles, one of whom is recovering from IMRT for SCC of the paranasal sinus I think, but I'm not much of a dog lover); everyone should try to interview at NW if only for that pre-interview dinner experience.
Case Western - definitely the biggest surprise of the trail for me, although looking back on this forum, perhaps shouldn't be. Another great group of faculty and happy residents. Didn't get the best sense of breadth of training (perhaps due to some extenuating circumstances my interview day) but given their technology (cybernife, gamma knife, linac SRS, tomo, trubeam, protons in a couple years, MRI sim in dept) and affiliation with the children's hospital I highly doubt its lacking despite the Cleveland Clinic being down the street. They also are seemingly flexible to give up to a year of protected research to residents, and they definitely have the labs/technology (including animal irradiator) to make good use of that year (although I may not be the best person to judge that). Also have great clinical research from what I can tell (I'm sure that's a given w/Dr. Machtay as chair). There is some cross-pollination with the Clinic for visiting professors/didactics/aways (maybe even research?) as well if you are interested. I'm actually even more excited about possibly matching here now that I wrote this review, so yeah, overall its a hidden gem whose reputation and academic productivity will eventually catch up the great people and resources that are now present here.
Beaumont - firstly, let me say I was both excited and worried about this interview. Excited because it obvious has a great history and I spend some time growing up in michigan so I actually kind of like detroit. I was worried because I didn't now what impact the whole 21st century saga left on the dept (even though that was a few years ago now), and many applicants on the trail were as well. Well, I was very impressed during my interview day, and I think Dr. Stevens (new chair) is already close to returning Beaumont to its former glory and actually has a good chance of improving it even beyond its prior stature. They still have all the funding and resources and now Dr. Stevens has recruited a variety of strong senior and junior faculty (dr. guerrero, dr chinnaiyan, and others) and importantly they are all from outside Beaumont (cause otherwise I feel it was a little too inbred). They still have great brachy experience (strongest of all places I interviewed at), great biology/biophysics/physics research and a full year to do research, and another wonderful group of faculty and residents. Clinically, you don't just get the rich kid experience since residents do rotate a lot at Oakwood (is that the name of the hospital?), which has a lot of advanced, more urban pathology. The only weakness (or maybe it's just a weakness in my head) is that the other depts here are weak, esp med onc, which isn't really an academic at all. It probably bothered me more than it should but I feel that wanted to go to a place where I could learn to work with ALL the best minds in cancer not just the best in rad onc. Speaking of which...
Mayo (rochester) - I don't know if they ensnared me with their early interview day (which I actually had to leave an away rotation for), but I was pretty blown away. Mostly because the toilet paper was made of currency (just kidding). Unfortunately I didn't take very organized notes on this day but like Stephen Colbert (RIP) I'm trusting my gut on this one. First, the negatives. For many that starts and ends with Rochester, MN; of all people I think I would be least bothered by it, but somehow I was a still a little bothered. Secondly, the (more senior) faculty are somewhat inbred (mayo-trained residents hired as faculty), but there's a good variety of junior faculty. Thirdly, for those of you who are academic superstars (not me) and are seriously looking to do the whole 80/20 thing this may not be the best program for you. You won't have the strongest basic science mentorship or opportunity here (really the only reason I think people are saying Mayo is "over-ranked" on Doximity whatever that means). That being said, translational research is something I am at least going to make a concerted effort to try for during my early career and I think you can still have great opportunities in that regard, which are possible in the time (9months I believe) they give for dedicated research. They are also a clinical research machine (obviously). They have two interesting aspects to the program; one is their didactic style where residents pimp each other in front of attendings who occasionally chime in (I actually thought it would work well to help me not be lazy and it did not seem malicious), and second, they have something akin to a surgical "chief's service" where you get to see pts somewhat independently for 6 months which I thought was awesome. I am curious about their job placement record, which I would suppose is strong but am actually not sure, because I didn't realize such things were as important early in the trail (or I got distracted by the proton facility opening soon that could fit a decent community hospital inside). I also suppose on my wish list would be that they had an MR sim in the dept since I feel that will be a large part of rad onc in the future (already is for gyn), but I'm sure they'll eventually just get an MR linac or whatever in the future. Clinically, people think that not a lot of pts would stay in Rochester for treatment, but I don't think that a very big problem since all residents seem to hit their numbers pretty easily (though maybe lot of second opinion consults). My bottom line is impressed, but def curious as to other people's thoughts about this program (right now my thoughts are "MAYO, oh wait how come nobody talks about this program").
UNC - for some reason, this place kept creeping up on my rank list as time went on, and I think it's because they just do everything well. And in a sense they are one of the most "academic" programs I interviewed at least in terms of culture if not resident productivity. (In fact some fellow interviewees had not so bubbly interview sessions but I didn't mind any of the interviewers in the least). They have great, well-respected faculty from top to bottom with a nice variety of interests and Dr. Chen (PD) is great asset to the program. They have up to twelve months of research, most technology (other than protons), and some of the most self-motivated residents I've seen on the trail (or maybe it was just this one resident who somehow got ASCO oral presentations in back to back years, has a few grand of his own research funding, and also has an oncology app that he developed). The residents are all guys (I don't know why I noticed that) but they're a solid bunch. Great job placement track record including a recent grad (who I actually met at an away and is also an awesome guy) who went on to fellowship and then 80/20 career (prob won't be me in 10 years but whatever). Great new cancer hospital. I seriously can't think of a single significant negative to the program (maybe a bit in Duke's shadow?). I've heard they interview a more candidates per position than other programs, so I may not have much luck matching here, but one can hope?
MCW - this place is pretty straightforward, they have tremendously talented and welcoming clinical faculty (even with Dr. Wilson stepping down in near future) and an emphasis on clinical training (including VA exp) and they make that clear. Def hard working residents clinically, but have time for clinical research. They do have a couple people who they reluctantly have allowed to Holman in recent years so that oppt is there but a bit of teeth pulling is involved it seems (not doing Holman myself so doesn't matter to me much). Good job placement, didn't get great sense of didactics but I think they are pretty good. They are also one of two pilot centers for MR-linac (w/MD anderson) which is going to be the next big thing after proton frenzy settles out I think, and with any pilot center the resident who takes advantage can get their names on some good papers. Again, would be very happy to train here if only to work with all the tremendous people (residents, staff, junior and senior faculty).
OHSU - The view is breathtaking and extremely distracting when trying to focus on getting good notes from the interview day. My biggest concern here is that they are a small program/dept, but they are definitely pound for pound an incredibly good program. The chair here really works for the residents and wants you to have the entire resources of the hospital at your disposal (not just rad onc dept) and the proof that he delivers is in the incredibly productive residents (including a surprising high number of Holman) who work in cancer biology labs outside of rad onc. Best chair interview on trail for me, very personable guy, makes you feel that you will have something special to offer in your future career. They seem to have great clinical training, decent technology, although by this time in the interview trail (February) it was hard to focus on the pedantic. Would be very happy training here; actually would be even happier to work here so I scheming of ways to snag a junior faculty spot here and get one of those offices overlooking the sky tram w/Mt Hood on the horizon (seriously the sun rising over Mt Hood brought tears to my eyes - and yes I'm a dude). Sadly, their most recent hire is a Harvard-trained mudphud who somehow also has a great personality and is already very productive academically so I have a steep uphill battle (one can always dream though).
Iowa - very interesting place in the middle of nowhere, but somehow seems to have one of the strongest rad bio programs in the nation. Again smallish dept but great pound for pound and if you are set on holman w/radbio research career this would be a great fit. Also a great fit if you just want to get great clinical training, and they have a very nicely laid out newish dept with decent technology including MR sim. Great group of faculty and residents. Despite swearing I would not take into account location, I can't help but feel if this program was in Chicago, I would have ranked it higher, if only because I was somewhat concerned that so many grads end up in smallish areas in Iowa/SD (I'm sure its a matter of choice, but while I would be perfectly fine training here for four years, I'm not excited about living in such a small town for much longer than that). If I end up here, though, I will probably consider myself lucky in the long run. (And who knows, apparently by the time I graduate anyone who isn't a harvard or msk grad will have to work in some remote location untouched by civilization anyways).
That's it for now, I know they got more sparse towards the end but I kind of ran out of things to say. As you prob guessed, I'm not an academic superstar (esp in terms of research), but I'm very happy with the interviews I got (despite not getting an interview at either of my away rotations) and I'd be happy (and lucky) to train at any of the above places. I looked at faculty teaching ability/personality, reputation, technology, research opps, and resident accomplishments to make my rank list (things like didactics, hours, call schedule, vacation I didn't really care about too much). Hopefully, future rad oncers find this useful and I for one can't wait to dive in headfirst to the next stage of my training.
Cleveland Clinic: I rotated and interviewed so I am able to offer some insight over my month there
Interview Day: I really appreciated that everyone had read my file (something that wasn’t the case at many other places), so there was no need to talk about things that were already there. All interviewers wanted to get to know me as an individual and they were all incredibly nice; I really appreciated the friendliness and quality of the residents and staff. The atmosphere at CCF is very collegial and everyone is in a first name basis; no toxic sense of competition among the faculty or residents. The PD here is the best one I met on the trail and he is very involved in the program and truly cares about the residents. I was very impressed with the chair’s vision for the program. Dr. Suh is an incredibly ambitious hard working chair tirelessly working to make CCF a top program. He is a huge advocate for the residents and will have your back, always. He has a stone face and is very formal and business-like but he warmed up over the interview; if you stare at the corner of his lip you may even catch a hint of a smile, but you may miss it if you don’t pay attention because it happens quick. I got the impression that he really values hard work, humility, commitment to family and teamwork and a self-starter resident that will come to work very hard. The residents get very good jobs and are heavily recruited by multiple top institutions. They have excellent academic placement. Look throughout the nation and multiple program directors trained at CCF. This was undoubtedly hands down the best group of people I met on the trail.
Research: 9 months. The databases are there. The residents get excellent top journal publications. New MD PhD hires from Harvard and UCSF with labs. There are excellent basic science and clinical research opportunities. A current resident did a basic science project and gave a presentation during grand rounds of his unpublished data. Everyone was left with their mouths open because of how potentially impactful the results were in the management of that particular cancer. Bottom-line, if you are hungry and thirsty, work hard, you can be a rockstar here. All the residents were impressive.
Lifestyle: Cleveland is an underrated city and I’ve heard it described as a “mini-Chicago”. It has a great brewery scene, good areas of nightlife, all the major sports (don’t ever say anything bad about the Dawg pound or someone may knock you out), a casino (no free drinks though), and pretty good foodie scene. The city offers neighborhoods for all the likes from the hipster bohemians to the pretentious highrise condos, where NBA players live. The cost of living is incredibly cheap. You can certainly own a house or get a pretty decent apartment with a lot of space without breaking the bank. It gets cold during the winter with a good strong wind chill to tickle your bones but just put in a few layers and you should be real good.
Clinical: One of the top strengths of the program. It offers amazing clinical training in one of the best hospitals in the country which is often used as a model for top healthcare delivery; The CEO is frequently called one of the best in the country and Obama has tried multiple times to poach him away to run the VA. Simply look up where all their programs rank and they are usually in the top 10 if not top 5 (or 1!!!), which means you will learn and interact with the best of the best in every field. The tumor boards had a very collegial atmosphere of mutual respect among all the disciplines. There is a new incredible cancer center being built to open in 2017, where the department will move. They have all major technology except protons. Pediatrics is done at St. Judes, where they are building the first proton center designed for pediatrics in the nation; pediatrics training with Thomas Merchant who is heavily involved in the COG. The residents have no trouble meeting all the requirements for cases. There is PLENTY of brachytherapy which includes GYN, prostate, eye and some thoracic, head and neck. No weak points, whatsoever.
Didactics: Daily morning conference that some reviewers have described as “intense” or “malignant” but I strongly disagree with these characterizations. I rotated so I got a pretty good sense for the whole month of attending them every morning. It is not intense or malignant, at all. The expectations are high but the environment is incredibly collegial and friendly (people laughing and smiling while sitting around a table). You know the topic in advance and have plenty of time to prepare. A resident is in charge of creating a sheet with all the relevant information. These sheets are eventually put together to create the book that is sold to alumni, containing all the updated literature citations for every disease site (essentially “blue book” that is actually useful). One or multiple of the faculty leads the discussion and asks questions about it. The level of difficulty of the questions was adequate for each level of training and if you don’t know the answer they move up (no shaming if you don’t know, truly nice environment). There is a very strong focus on education in this program which everyone takes very seriously. The residents here are extremely knowledgeable. It is very impressive to listen to the upper levels speak. They could pass their boards in their sleep, it seems. I was truly impressed with the quality of the residents.
Bottom Line: Top place to train on the rise. Limitless research opportunities and resources of The Clinic. Amazing co-workers who are very nice people and incredible clinicians who you will enjoy working with every day. The excitement in the department is palpable daily, which makes for a great work environment. Excellent academic placement with a very wide strong alumni network throughout the nation in academics and private practice. You will leave this place being able to rock your boards without any doubt and positioned to get an academics or a top private practice job. Cleveland is an underrated city on the rise that allows a nice Midwest quality of life. This is a place where you will work hard, be very productive, not one where you will lay low and cruise but it will be very rewarded at the end. I would make sure to check this place out for an away rotation or an interview.
The University of Oklahoma, Stephenson Cancer Center.
Interview Day: very well organized day with one of the nicest coordinators I met on the trail. Everything ran very smoothly. They had a very tasty dinner at a fancy pizza place the night before though they did not pay for drinks. The residents were very enthusiastic about the program and the entire faculty were incredibly nice and kind. The majority of the residents are married with families. One of the attendings has been around for a long time and is responsible for creating all the billing codes for radiation oncology (thank Dr. Bogardus for the competitiveness of the specialty; he is the gatekeeper godfather). Dr. Bogardus also wrote the patient record software used in the cancer center and has commercialized it. He told me the key to a long good life is lots of Oreos and milk. You will see a giant ceramic stack of Oreos in his office (apparently the guy can’t get enough). He seemed like a very solid gentleman.
The place is a hidden gem in every definition of the word. It completely takes you by surprise how nice the Stephenson Cancer center looks inside and out. I am talking about one of the NICEST cancer centers I have ever seen. Two words: oil money (and LOTS of it). One day they decided to get protons and they put the money together by snapping their fingers (more to come on this).
Research: 3-5 months. The place is more clinically focused at the moment but there is a lot of potential to get things done due to the opportunities and quality of life. The EMR software made by Dr. Bogardus is designed so you can pull up every single patient ever treated for a specific disease, which means it takes a few minutes to create a research database.
The entire faculty are very enthusiastic about the program. The chair is heme onc and rad onc trained and he still works as both in the hospital (only chair to my knowledge to still do this). He received a call about a PEG tube in the middle of the interview, so he is a very busy clinician. You will get the potential chance to work under him during the hem onc rotation, which I think would provide excellent, educational and research opportunities. He seemed very committed to the residency program and supportive of research. OU is a huge wealthy state university with lots of funding for research (and sports). There is a lot of potential to get things done here if you go after it (heme onc, surg onc, gyn onc and rad onc research). The Gyn Onc group is very involved in GOG and does a lot of research. Basic science opportunities are there as well and the chair was supportive if you wanted to do lab work as well. There is a lab researcher who works with the department in abscopal effect research, though I did not get to meet him. One of the faculty, who graduated from the program, got 12+ publications during his residency, so plenty of low hanging fruit to be productive academically, if you are hungry. You can also lay low here if research isn’t your thing.
The head of physics was originally at CERN. He was recruited to Texas to run the CERN-like facility before the plan was shut down by the Texas legislature. His research interest is in finding ways to use proton therapy to make radiation more effective at killing cancer. Lots of physics research opportunities as well. He was very modest but he was actually quite accomplished.
Lifestyle: One of the best quality of life I saw on the trail. Hours and volume are not overwhelming and very adequate. One of the few programs I visited where residents have the opportunity and time to moonlight. The residents said you could make pretty good money moonlighting (the figure cited was high, Ka-Ching!!). They have few physician assistants in the department so the level of scut is minimal.
The cost of living in OKC is incredibly cheap. You can own a great house for cheap or rent a spacious apartment without breaking the bank. OKC is a great Midwest City with a river-walk (Bricktown) modeled after San Antonio and great sports (except NFL though there seemed to be a lot of Cowboy fans). There are breweries, great nightlife and some pretty cool artsy hipster neighborhoods. There are also the family oriented neighborhoods with pretty good schools in the nearby suburb. It’s the Bible belt so lots of churches and white conservatives but if you stay in the city it is more diverse and progressive (like all of the South and Midwest). However, you are still in Oklahoma, which is arguably one of the most conservative states, which is a little scary. Other things about living in the Midwest are cold and icy winters with hot summers (with hurricanes). The city is growing and is undergoing a lot of investment. There is a plan for a huge downtown park, which has already been approved by the taxpayers.
Clinical: excellent volume with everything needed including pediatrics (pediatrics hospital too). Residents meet all their cases without any problems. The majority of the patients are seen in the Stephenson Cancer center, though they have a full VA service staffed by the PD. Unique learning opportunities with the chair. All the technology including a gorgeous Mevion proton vault, which is theoretically upgradable to IMPT per physics, is ready and they will start treating pediatric and adult patients very soon in the next few months. OKC will have two proton centers, so the future is unknown about the patient volume. They offer training in all the modalities, which is great for jobs. Dr. Bogardus has been around for a very long time so he brings incredible knowledge base, perspective, experience and also the knowledge of the business aspect of medicine.
Didactics: Pretty standard set up a few days a week mostly faculty led with some resident involvement. It is composed of mostly lectures. No “socratic method” used here. It lends itself to a very relaxed time during residency but it also requires someone who is very self-motivated. The chair and one of the young faculty both said they are actively working to improve the educational experience. Excellent board passing rates.
Bottom line: Hidden gem in every sense; a true “best kept secret” and some of the happiest nicest residents I met on the trail; everyone had a huge smile and you could tell why. The most beautiful facilities in a cancer center I saw on the trail with a fountain in the middle and a patio. The program offers excellent clinical training in gorgeous facilities with all of the technology and patient population (Peds, VA et al) in a very affordable, family friendly, scut-free environment, located in a cheap Midwest City. if you are looking for a great place to train with all modalities with adequate, yet not overwhelming volume, where you can have a great quality of life, without having to live in a closet, without breaking the bank, and be positioned for a private practice or academic job (if you do research and are a self motivated individual), this would be an excellent place for you. Right now this program is surprisingly low key and very under radar but I wouldn’t be surprised if it becomes a pretty good program in the coming years. They are expanding and taking two this year. There is a lot of potential. I was very impressed with the quality of the facilities, residents and staff. This is a place where I would be very happy to do my training, without any reservations. I would make sure to check it out if you don’t mind the location.
Anybody have information on North Shore/LIJ or VCU?
Just to clarify for future applicants, regarding your comment ^^ "There was some talk about her departure to another New York program, but it may be just rumor."
Dr. Formenti has officially moved to Cornell: weill.cornell.edu/news/pr/2015/03/dr-silvia-c-formenti-appointed-chair-of-radiation-oncology-at-weill-cornell-medical-college-and-radi.html
I'll attempt to go in some type of alphabetic order over next couple weeks.
Starting with a program that pleasantly surprised me on the trail! Hadn't heard the best things about this program on the blogs over the past year, so it was nice to go visit myself and see that all the negatives about the stability of the program are just plain not true. Can't fix Detroit though
Beaumont
Location: This is obviously one of the biggest downsides of the program. While the hospital is actually in Royal Oak, which seemed nice enough, its association with Detroit is a huge bummer. Most of the residents didnt even travel into Detroit proper they said. A big perk is the lower coast of living and the ability to purchase a nice size house for a very reasonable price in a pretty nice suburb. Nightlife is probably lacking for us single folks.
Facilities/Tech: The Beaumont hospital and medical campus was very impressive. The hospital is relatively new and in great shape. The technology was definitely up to date, and it seemed like the department had a great relationship with Elekta. They also recently installed MRI simulation and are opening a new satellite campus. Plans for protons but stalled by some government issue..??...it sounded like no protons during our classes residency.
Research: 12 months protected. They were eager to boast (and rightfully so!) that they had something like 40 abstracts accepted to ASTRO this year, which put them at/near top of the list as an institution. So, surprisingly to me, the research opportunities at Beaumont seemed on par with almost every other program I visited. Dr. Wilson, their big radbio guy, was an interesting character and seemed to be involved with some neat projects. They had a scaled down animal image-guided linac with animal size PET/SPECT/CT and MRI scanner which seemed pretty awesome.
Faculty: Another issue (that was possibly addressed too many times by faculty during interviews) was the loss of the chair and other faculty members a couple? years back. Personally, what happened in the past doesnt bother me presently since they seemed to have recovered very well and are currently interviewing some really big names for the new chair. Additionally, the faculty there now seemed great, particularly the PD.
Residents: Take 3 every year. Super laid-back group of residents that seemed very happy. I think most the residents were from the mid-west and Michigan with a couple random schools thrown in there.
Work: Everyone seemed very happy with the work load. Residents were definitely not overworked and life seemed nice as a resident at Beaumont. I believe you get all of your cases here.
Wild card: The built in Transitional Year was pretty awesome. Its a cancer-structured TY year and you are one-on-one with an attending, for example ENT, where during your rotation you would only be required to see head/neck cancer cases. Same for GYN rotation, urology, etc. Seems to me like a more valuable year in terms of educational purposes, with the perks of a TY year of course. Other programs should consider this structure in my opinion!
Overall Impression: This program surprised me in a good way! If you are willing to live in Royal Oak I think program is really, really great. Has everything you would need for a productive and enjoyable 5 years without the stresses that come with some of the other big name programs. I think once the faculty stabilizes this program will return to huge name status because all of the pieces are there.
Baylor College of Medicine, Dan L. Duncan Cancer Center
Some background: This program has been around for decades and has an alumni network all over the country. IMRT was pioneered at BCM with the help of the neurosurgery department. The growth of this program has been hindered by the previous affiliation with the radiology department (the chair of the department was the radiology chair until over a year ago when they finally broke away from their grip). New faculty brought in from MD Anderson to lead BCM’s new focus in growing radiation oncology. An interim chair from MDACC is currently making great changes to the program and focusing on research. A permanent chair search is rumored to start soon. Both the chair and PD are from MDACC and they are bringing their experience and training over to lead the program.
Interview Day: Well organized with a nice coordinator, recently joining from the OBGYN service (saw the light). The interviews are split between the three main rotating sites for the program (VA medical center, Smith Clinic and Baylor St. Luke’s medical center). One is transported to each location by a resident to meet with chosen interviewers: sometimes multiple faculty, sometimes one faculty and one resident, sometimes a physicist and the PA, sometimes a nurse. Everyone was really nice and pleasant during all interviews, all are equal parts of the team. Good Tex-Mex served for lunch, of course; you better like cheese. No pre-interview dinner but they did have a post-interview wine and cheese social afterwards. The transportation between the sites made the interview go a bit longer than other interviews but nothing excessive.
Research: 6 months protected time. Both basic science and clinical research encouraged, as long as you have a plan. This is actual research time where one is expected to be productive not “research” time at the beach, per the chair. The cancer center is a fully comprehensive NCI center, meaning excellent opportunities for collaboration with heme onc, surg onc, ent, urology and translational researchers in BCM’s huge research powerhouse (the home of the human genome sequencing project). The Mecca is next door if you want to do your research with a rad onc big wig. Residents are required to do at least one project during residency; most residents have multiple publications by graduation. Encouraged to do one research project per year with funding available for meetings. Required to take a “fundamentals of clinical investigations course” through BCM’s clinical scientist training program.
Clinical: Located in the biggest medical center in the world, the Texas Medical Center. Excellent clinical training overall. Divided into 3-month rotations at primary hospital, and 3 months total at MDACC.
MD Anderson (3 months): 1 month of prostate brachytherapy, 2 months of pediatrics. Very rewarding and welcoming experience per the residents.
Michael E. Debakey VA Medical Center: this is the second largest government building in the country, only second to the pentagon. Huge volume. The facility occupies the basement of this building. It is very nice, large, has all the technology, including cyberknife, except protons. At this time, they are not doing very much breast and GYN due to the veteran population but that is expected to change in the future. A new mammography suite is being built.
Smith clinic: The newly built huge specialty clinic from Houston’s Harris Health District (the county hospital system which serves the uninsured, indigent, lower socioeconomic status population in the entire county). Facility occupies almost the entire first floor of the building, brand new spacious facility located right in front of the nice front lobby. All the technology, including cyberknife, except protons. Due to the uninsured, indigent, undocumented, underserved population, they can see very rare, sad advanced pathologies and residents get training at very complex cases, besides the usual bread and butter. GYN is still LDR, usually on Fridays TOs in the OR, get to wear scrubs.
Baylor St. Luke’s Medical Center: Brand new large facility opened a few years ago. All the technology including cyberknife, except protons. Zero scut. This is a private hospital, mostly higher socioeconomic status (total opposite of Smith Clinic). HDR brachytherapy here for GYN. They plan to open satellites throughout Houston.
Didactics: everyone passes their boards without any problems. Divided between a weekly physics, cancer/rad bio, and clinical didactics course. The clinical didactics course has standard lectures by visiting professors, faculty and also an onco-anatomy component, borrowed from Duke, taught by other onc specialties. A statistics course is also part of the curriculum through the graduate school and BCM clinical scientist-training program.
Job Placement: Alumni network all over the country from decades of the program being around (since 1980s). Most in PP, some in academics, some have stayed at BCM. Last year one resident went to PP, the other resident got an academics/private hospital job at Methodist Hospital next door, where they previously had a residency program. Previous year, residents all went into PP, one in the same place as another MDACC resident.
Lifestyle: 1:1 coverage, no cross. Pretty decent it seemed. Residents did not seem overworked. Houston is a pretty cool city, about to pass Chicago in size, just needs better public transit. Very affordable. Never heard of state income taxes. Some people need to hear that it apparently can get hot in Houston.
Bottom line: Overall pretty solid, will continue to improve with current leadership. Excellent clinical training with solid alumni network, large volume, multiple large facilities, multiple cyberknives, peds and prostate brachy at MD Anderson, great mix of social mission (care of indigent and veterans) balanced with the private hospital training. Research opportunities are there if you want them. Residents have no issues getting good jobs.