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- Sep 19, 2005
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UT San Antonio
Overall, my experience was very positive here. There were a lot of people interviewing; the program secretary told me they had received 450+ applications and were interviewing 130 total for 8 categorical slots over 5 total dates. Half of us interviewed in the morning, the other half in the afternoon. The mixer the night before was nice although its not a real dinner, so dont come very hungry. There were several residents that turned out and everyone I talked to seemed very happy and would be willing to come here again if given the opportunity. All stressed the varied caseload, resident camaraderie, and city of San Antonio as the programs strengths. Weaknesses were a little harder to coax out, but some said post-call pre-ops (off by 7am, but have to come back to the hospital after 3pm to see your pts for the next day), friction with surgeons, and didactics were at least somewhat problematic. The residents said they have no problems getting their numbers and all rotations are now able to be completed in San Antonio. Previously, to get their neuro and peds case requirements, they were sent to Baylor and Texas Childrens in Houston, but no longer. UTSAs neurosurg program reopened this year so there are PLENTY of cranis, etc to go around and residents are now rotating at Santa Rosa Childrens in downtown San Antonio for additional peds.
Like I said, caseload is greatwas told youll see just about everything there is here. Transplants are particularly numerous, especially livers. Apparently, your experience with such things can begin early Dr. Hickey, the program director, told us one CA-1 did a liver transplant during his first week in the OR! Regional experience sounds pretty strong with dedicated block months and a busy acute pain servicewas told you can easily do over a 100 blocks when on a regional month. For SICU, you rotate through the VA where the unit is run by anesthesia. There are several CRNAs on staff who take lower-yield cases and help relieve residents. No student RNA program so no competition for cases.
Lots of ICU experience: during your CBY, youll do 1 month of SICU, MICU, PICU, and NICU each and 2 additional SICU months during the CA-2 year. Other rotations during your CBY include 3 months of surgery (trauma w/ q3 call, cardiothoracic, and general), 2 months medicine (wards and geriatrics), 1 month pedi wards, 1 month OR anesthesia, and 1 month of the perioperative medicine clinic. The three months of surgery sound like a beatdown with you basically chained to the floors doing paperwork all day/night.
The two interviews with faculty are very relaxed and conversational. Basically just get to know you questions and stuff pertaining to your CV. They also want to know if you have any compelling reasons to move to San Antonio (both asked if I had any family in the area). Only saw the interim chair, Dr. Bracken, at the mixer the night before for a few minutes as he was unable to attend the interview day. Everyone said he is a real asset to the program. A search for a permanent chair is underway. The faculty is stable and nobody is planning on leaving apparently. Both the chair and PD claim to be strong resident advocates and meet monthly with the residents to discuss how the program is going and if there are any grievances. One thing that struck me was that Dr. Hickey and Dr. Allen (Assistant PD) themselves took us on a tour of the facilitiesnice touch.
I think board pass rates have been on the low side recently, although when asked, the PD really did not provide an actual number. I heard from a resident that it was somewhere in the neighborhood of 80% at some point and the faculty responded by beefing up the didactics and things are improving. There is a generous educational allowance of $5000 distributed over years CA-1 to CA-3 to pay for books, computers, and board exams. One nice perk is a $1000 bonus for passing the intraining exam during your first two years. CA-2s and 3s can sign up for backup call which pays 200 bucks a pop whether you get called in or not this is their version of in-house moonlightingsounds good.
Well, this is too long. Ill try and make things more concise next week. Bottom line, UTSA sounds like a strong program with very friendly, competent people think I could be happy and trained well here.
Overall, my experience was very positive here. There were a lot of people interviewing; the program secretary told me they had received 450+ applications and were interviewing 130 total for 8 categorical slots over 5 total dates. Half of us interviewed in the morning, the other half in the afternoon. The mixer the night before was nice although its not a real dinner, so dont come very hungry. There were several residents that turned out and everyone I talked to seemed very happy and would be willing to come here again if given the opportunity. All stressed the varied caseload, resident camaraderie, and city of San Antonio as the programs strengths. Weaknesses were a little harder to coax out, but some said post-call pre-ops (off by 7am, but have to come back to the hospital after 3pm to see your pts for the next day), friction with surgeons, and didactics were at least somewhat problematic. The residents said they have no problems getting their numbers and all rotations are now able to be completed in San Antonio. Previously, to get their neuro and peds case requirements, they were sent to Baylor and Texas Childrens in Houston, but no longer. UTSAs neurosurg program reopened this year so there are PLENTY of cranis, etc to go around and residents are now rotating at Santa Rosa Childrens in downtown San Antonio for additional peds.
Like I said, caseload is greatwas told youll see just about everything there is here. Transplants are particularly numerous, especially livers. Apparently, your experience with such things can begin early Dr. Hickey, the program director, told us one CA-1 did a liver transplant during his first week in the OR! Regional experience sounds pretty strong with dedicated block months and a busy acute pain servicewas told you can easily do over a 100 blocks when on a regional month. For SICU, you rotate through the VA where the unit is run by anesthesia. There are several CRNAs on staff who take lower-yield cases and help relieve residents. No student RNA program so no competition for cases.
Lots of ICU experience: during your CBY, youll do 1 month of SICU, MICU, PICU, and NICU each and 2 additional SICU months during the CA-2 year. Other rotations during your CBY include 3 months of surgery (trauma w/ q3 call, cardiothoracic, and general), 2 months medicine (wards and geriatrics), 1 month pedi wards, 1 month OR anesthesia, and 1 month of the perioperative medicine clinic. The three months of surgery sound like a beatdown with you basically chained to the floors doing paperwork all day/night.
The two interviews with faculty are very relaxed and conversational. Basically just get to know you questions and stuff pertaining to your CV. They also want to know if you have any compelling reasons to move to San Antonio (both asked if I had any family in the area). Only saw the interim chair, Dr. Bracken, at the mixer the night before for a few minutes as he was unable to attend the interview day. Everyone said he is a real asset to the program. A search for a permanent chair is underway. The faculty is stable and nobody is planning on leaving apparently. Both the chair and PD claim to be strong resident advocates and meet monthly with the residents to discuss how the program is going and if there are any grievances. One thing that struck me was that Dr. Hickey and Dr. Allen (Assistant PD) themselves took us on a tour of the facilitiesnice touch.
I think board pass rates have been on the low side recently, although when asked, the PD really did not provide an actual number. I heard from a resident that it was somewhere in the neighborhood of 80% at some point and the faculty responded by beefing up the didactics and things are improving. There is a generous educational allowance of $5000 distributed over years CA-1 to CA-3 to pay for books, computers, and board exams. One nice perk is a $1000 bonus for passing the intraining exam during your first two years. CA-2s and 3s can sign up for backup call which pays 200 bucks a pop whether you get called in or not this is their version of in-house moonlightingsounds good.
Well, this is too long. Ill try and make things more concise next week. Bottom line, UTSA sounds like a strong program with very friendly, competent people think I could be happy and trained well here.