- Joined
- Apr 28, 2006
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So as it stands:
Hopkins Bayview
Dartmouth
Case
UAB
Maryland
Am I crazy? Got the best vibe at Dartmouth and Case...got a good vibe at Hopkins. Really felt neutral on UAB and Maryland. Im trying to go with gut like everyone says but its hard to go just on gut. If your in a bad/good mood on an interview day it can really influence things. Am I crazy not to rank UAB higher?
First, UAB is in Alabama. I don't mean to pick on Alabama but it's not for everyone. UAB delivers excellent training and it is one of the top 4 places in the south (UTSW, Duke, Emory and UAB) but if you didn't like it, you didn't like it.
I think I ranked Maryland higher than UAB but that's because my fiance would have stabbed me if we ended up in Alabama (again, alabama is not for everyone) and I got a great vibe from maryland.
I am one who really liked bayview during the interview trail. I almost ranked it higher than Hopkins proper. As residents at my programs we do rotations in the Bayview ICUs for experience in bread and butter ICU stuff during our second year. One thing I have realized now is that the acuity is a mixed bag at Bayview. A hospitalist triages so some unit admissions are not true unit admissions. COPD on bipap= automatic ICU. Also, what you are allowed to take care of on the floor is kinda ridiculous. A-fib with RVR MUST go to either a unit bed or a step down bed even if it has recently become rate controlled. Need to do an amio drip? must go to the unit.Other hospitals would put them on a monitor either in a step down or the floor. I once had the hospitalist give me a unit admission for a GI bleeder without a crit drop, without tachycardia...really without a GI bleed. The decision in the morning was discharge or downgrade to medicine for a day.
These ridiculous admissions are mixed in with really sick patients like a massive anterior stemi that couldn't be revascularized with a balloon pump on 2 pressors with a lactate of 17. I think this minimal acuity detracts from their clinical training but overall I still think it is a good program. I have been pretty impressed with the residents overall.