Re: UPMC*
*Disclaimer: I admit extreme bias upfront
I, of course, think that UPMC offers training that cannot be bettered by any program. There's a short list of programs that provide training similar to UPMC, but I did not encounter training that, in total, was better. When I ranked them, I felt comfortable that I would get the best training available if I matched there; I did feel pretty sure that I would get incredible training at my number two program too. So the things I felt set Pitt apart were personal preference:
- people were extremely important to me. I met incredible people all over the interview trail, and in general anesthesiology folks aren't all that tough to deal with. UPMC had, to my view, kind and earnest folks. The residents seemed VERY happy with their choice to do residency there...not just "Yup - I'd rank 'em again"; they seemed happy while working. After I began to see my rank list take shape, I emailed a bunch of residents on the trail about their opinions of their respective programs. Most responded, but the UPMC guys gave me very detailed, honest replies. I appreciated that.
- emphasis on my education was very important to me (and I suppose everyone will say that); UPMC has class-specific lectures that you are guaranteed to be broken out for. There is frequent simulation training, weekly Grand Rounds/Journal Club, and mock orals for every subspecialty rotation. Book fund of $600/yr, for each of the 3 yrs (4yrs if you do the CBY). The most important thing - the case volumes/exposures - is awesome. We might not get the "most" or the "only", but we get exposure to everything.
- emphasis on my well-being was fairly important to me. I didn't need (or even want) the world's easiest residency. But I still failed to see why I needed to be in a room at 8pm if not on call. At UPMC, the manpower exists to get you out at a reasonable hour every day. Call is 16 hrs, with post-call day off of course. For most scheduled general anesthesia months, you work two weekend days in a row (12 hrs each), and then have the other 3 weekends free. Don't get me wrong - I went past 30 hrs a coupla times on my ICU rotation, and you still have to pre-op when you leave the OR, then look up your pts for tomorrow, then call your attending. But in total, it looked like a manageable lifestyle to me, all things considered.
- location was sort of important to me. I grew up in upstate NY, where my parents, siblings, and niece and nephew still are. While I interviewed from New York to Florida, closer to home as opposed to farther would have nice. In specific regards to Pittsburgh, I too have heard that it's a deal breaker for some. Different strokes for different folks, I guess. It's a small city feel, with big city options. Very active sports scene, stuff for young and old, reasonable cultural stuff, etc. I went to school on Long Island, so I was looking for a respite from traffic and high cost of living, and perhaps even some, um, "more assertive" mannerisms. So considering all those things, Pittsburgh sat well with me. And I am extremely happy here now.
- Program name was important to me, but not overly so. And good thing. Two faculty members apologized to me on Match Day, and told me they thought I "deserved better". They were speechless when I mentioned I ranked UPMC first. I'm still considering academics as a career option, so matching at some of the programs ranked lower on my list might have improved my "pedigree", but again, it was important for me to be as happy as possible as I could in residency.
- Research rigor was not important to me. I am very interested in research, but wanted to go at my own pace - even if that was no pace at all. That said, with all of the programs I ranked in the 5, or even top 7, places on my list, offered a ton of opportunity to do research. UPMC Anesthesiology is (I think) the number 5 NIH-funded department. 6 months into INTERN YEAR, I have authored a review book chapter and am part of a group that just submitted an IRB for some airway research. There's a ton going on here if you want it - not just in Anesthesiology, but Critical Care, and the entire undergrad/grad campus of University of Pittsburgh as well.
I didn't expect perfect, and UPMC isn't. And I was blessed with an embarrassment of riches on the trail - any of my first 5 or 6 would have made me very happy. But I thought UPMC was tops. And I think it offers everything a resident in anesthesiology could want.
So, for what it's worth, there's one man's opinion on what I think is the best program in the country.
dc