Official 2015-2016 Pulm/CCM Fellowship Application Cycle

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No, they have 1/2 day clinic a week. But in addition, out of the 36 months, 6 months is outpatient pulm where you evaluate transplant patients/see referrals from other pulmonologist, referral from the community.

So it's not a sub-sub-specialty clinic?? You really need that.

It doesn't sound that bad though. But remember you do want to be really busy in fellowship. Because coming out you will only be as good as the cases you've already seen.

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So it's not a sub-sub-specialty clinic?? You really need that.

It doesn't sound that bad though. But remember you do want to be really busy in fellowship. Because coming out you will only be as good as the cases you've already seen.

Well, you seen patients based on who your attending is. So, its kind of a subspecialty clinic, but not really marked out like that. You usually end up seeing subspecialty patients, given that most referrals are like that.

yes, it doesn't sound bad, only worrying thing is lack of exposure to bread and butter. Which has me in 2 minds.
 
Well, you seen patients based on who your attending is. So, its kind of a subspecialty clinic, but not really marked out like that. You usually end up seeing subspecialty patients, given that most referrals are like that.

yes, it doesn't sound bad, only worrying thing is lack of exposure to bread and butter. Which has me in 2 minds.

That extra 6 months of clinic is supposed to be access to sub-sub specialists. Like ILD or transplant.

Your half a day clinic is supposed to be a fellows continuity clinic and should get you bread and butter. You might want to clarify this with fellows at the program.
 
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Depends on how many current interviews you currently have.
They must be really trigger happy to send out rejection early and then send an interview. Which place is this? Also, it depends on the number of your interviews. It does increase your chances of getting matched theoretically if none of the other candidates they ranked, ranked them or match at other places. If you have a satisfactory number then tell them to eff off. If not, and its a place you would like to end up at, I think you should make the trip. :) I have known people in the past match at places where they were originally waitlisted, or invited because of cancellations.


Well thank you guys for reply.
I do have decent numbers of interviews, [11], however, this program can potentially be 3rd or 4th on my ROL, depending what I find out on interview [as I have really been surprised by some program before], and it would offer some geographical benefits to my wife, but again nothing exclusive that other program cannot. Just I find it weird to be invited after being rejected. Definitely poor planning on program's side, at least they should have waitlisted me than rejection. So, was wondering whether it would be worth spending 500+ dollars and time?. I am thinking if giving it a shot though. May be its even better program than what it looks. They do have some big name people there.
 
Any personal perspectives on Mayo Florida?

I visited the place. Seemed absolutely great. Beautiful hospital. Great faculty, a lot of it. Opportunity to pursue clinical research. Great mentor to fellow ratio. Relatively light schedules. Lung transplant. Recently accredited PH center. Center for ARDSNET, LIPS trials. Exposure to lung and all other kind of transplant patients. All fellows get enough procedures. But then during the tour of the hospital I realized that they barely get any patients. The average number of consults they see are 3-4 with the list being 4-5 patient long as they sign of most patients immediately after a branch as its mostly for pre-transplant eval. Most procedure are for surveillance. Intensivists in the ICU even during the day change every 2-3 days, sometime even daily. Average number of patients seen in the outpatient clinic rotation which is a total of 6 months out of 36 is 3-4. 1-2 being new patients/referral from pulm people who have failed to diagnose. Average census in MICU is 8-9. So all in all, not a lot of common pathology in the pulm or ccm training but great subspecialty exposure.

So I wasn't sure what to make of it. Let me know if anyone has other experiences or inputs.

They do make you wear suits every day to work. :=|:-):
Hm. You only have 6 months of clinic??


I have mixed feeling about Mayo Florida.

I don't think just naming the subspecialty clinics, is going to make huge difference. It does offer exposure to all subspecialty outpatient cases , [except for adult CF, as they send us to Ped CF clinic] [In all fairness, they are planning to send fellow to UF Gainesville for CF Adult]. In fact, chief of Pulmonology is very proud of their Pulmonology experience, and thinks it their biggest strength. I had the same feeling from fellows as well, that they are very happy with Pulmonology and experience both inpatient, and outpatient.

For me, worrisome was the inpatient critical care experience, with census from 4 - 12 patients, that sounded scary low. In fact, one of the fellow did mentioned that, sometimes she feels she needs more patients in ICU. I asked about that to chair, and her response was that they have just about the right number of patients, to have enough exposure to critical care, at the same time, allows ample of time for education as well. So they do take pride in it that their fellows have enough time for education.

Something I have not seen in any other programs [i have been to] is their critical care service is fellow independant. There is 24X7 attending in house, they do their own check out and all., SO whether fellow is there or not, service will go on. They say it allows fellows to focus on education. I really don't know how it is going to impact my training. Somebody can share first hand experience, would be very helpful.

So, point is, it depends on what kind of learner you are. I need to get my hands dirty during my fellowship training, So I would rather be at place which keeps me busy, and expose me to all the variety out there. Bottom line is, it's not going high on ROL.

FYI, they have very specific patient population, most of them insured. They dont have those typical training uninsured/underinsured patients that allows great learning. They dont have much HIV patients. 2nd year fellow has not seen a single PCP case in 1 year [not a good sign]. Their immunocompromised patient are post organ transplant.
 
I have mixed feeling about Mayo Florida.

I don't think just naming the subspecialty clinics, is going to make huge difference. It does offer exposure to all subspecialty outpatient cases , [except for adult CF, as they send us to Ped CF clinic] [In all fairness, they are planning to send fellow to UF Gainesville for CF Adult]. In fact, chief of Pulmonology is very proud of their Pulmonology experience, and thinks it their biggest strength. I had the same feeling from fellows as well, that they are very happy with Pulmonology and experience both inpatient, and outpatient.

For me, worrisome was the inpatient critical care experience, with census from 4 - 12 patients, that sounded scary low. In fact, one of the fellow did mentioned that, sometimes she feels she needs more patients in ICU. I asked about that to chair, and her response was that they have just about the right number of patients, to have enough exposure to critical care, at the same time, allows ample of time for education as well. So they do take pride in it that their fellows have enough time for education.

Something I have not seen in any other programs [i have been to] is their critical care service is fellow independant. There is 24X7 attending in house, they do their own check out and all., SO whether fellow is there or not, service will go on. They say it allows fellows to focus on education. I really don't know how it is going to impact my training. Somebody can share first hand experience, would be very helpful.

So, point is, it depends on what kind of learner you are. I need to get my hands dirty during my fellowship training, So I would rather be at place which keeps me busy, and expose me to all the variety out there. Bottom line is, it's not going high on ROL.

FYI, they have very specific patient population, most of them insured. They dont have those typical training uninsured/underinsured patients that allows great learning. They dont have much HIV patients. 2nd year fellow has not seen a single PCP case in 1 year [not a good sign]. Their immunocompromised patient are post organ transplant.

These are the problems with any Mayo program.
 
Any personal perspectives on Mayo Florida?

I visited the place. Seemed absolutely great. Beautiful hospital. Great faculty, a lot of it. Opportunity to pursue clinical research. Great mentor to fellow ratio. Relatively light schedules. Lung transplant. Recently accredited PH center. Center for ARDSNET, LIPS trials. Exposure to lung and all other kind of transplant patients. All fellows get enough procedures. But then during the tour of the hospital I realized that they barely get any patients. The average number of consults they see are 3-4 with the list being 4-5 patient long as they sign of most patients immediately after a branch as its mostly for pre-transplant eval. Most procedure are for surveillance. Intensivists in the ICU even during the day change every 2-3 days, sometime even daily. Average number of patients seen in the outpatient clinic rotation which is a total of 6 months out of 36 is 3-4. 1-2 being new patients/referral from pulm people who have failed to diagnose. Average census in MICU is 8-9. So all in all, not a lot of common pathology in the pulm or ccm training but great subspecialty exposure.

So I wasn't sure what to make of it. Let me know if anyone has other experiences or inputs.

They do make you wear suits every day to work. :=|:-):
I think all Mayo s
These are the problems with any Mayo program.

I strongly agree. I felt the exposure was too low in Mayo Crit care- on the day I interviewed, all patients seemed like IMC level care patients in my home program. Plus the Crit care fellow said that they barely get to see any bread butter cases.
 
Congratulations on taking some time off and getting a refresher course in biostatistics, not that it seems to have helped you much.

To REINFORCE my point, let me present to you numbers rather than percentage for last years match data because you do not seem to get that concept. Also, it is nothing like ARR or RRR.

Pulm/Crit:

Applicants Preferring this Specialty: * 728

Matched to this Specialty: 504 69%

Matched to Different Specialty: 16 2%

Did not Match to any Program: 208 29%

So, I CAN deduce that less people applied for pulm/crit than cardiology, because despite you example with 2 and 5 spots, the spots for pulm/crit are fixed and thus the percentage of matched candidates can give you an accurate data of the total number of applicants.

Cardiology:

Applicants Preferring this Specialty: * 1,134

Matched to this Specialty: 823 73%

Matched to Different: Specialty 13 1%

Did not Match to any Program: 298 26%.

Thus, of the the total number of people that applied for cardiology, a higher percentage matched (73%) as compared to Pulm/Crit and GI,

I shall give you GI's example, unless you are telling me GI is less competitive than cardio and pulm crit because there absolute numbers are actually lesser than pulm/crit and cardio but overall, they have a lower match percentage making them the most competitive field last year, and a few preceding years.

Gastroenterology:

Applicants Preferring this Specialty * 710

Matched to this Specialty 457 64%

Matched to Different Specialty 8 1%

Did not Match to any Program 245 35%


P.S. Btw, I did miss that class along with a few others since I was never a fan of biostatistics. I do get simple math right though. :)


So you posted stats that proved my point?????? dude you really and I mean really don't get it. Plus you are extra confident that you do. I would try to explain it but you would post more dumb things and turn this into an internet flame war....t. I really don't like flame wars. especially internet flame talk. So continue and carry on....
 
Has anyone been to harbor-UCLA? Thoughts? I'm at 13 interviews and am wondering if I should go to this one?
 
Doing the interview thing now and finding that in several programs the ICU team is required to consult/call Anesthesia when doing any intubations.

Standard at my residency was ICU attending/fellow only, but how common is this really?
 
Doing the interview thing now and finding that in several programs the ICU team is required to consult/call Anesthesia when doing any intubations.

Standard at my residency was ICU attending/fellow only, but how common is this really?
Seems to be very common along the eastern seaboard, less common elsewhere though every place has its own practices.
 
Doing the interview thing now and finding that in several programs the ICU team is required to consult/call Anesthesia when doing any intubations.

Standard at my residency was ICU attending/fellow only, but how common is this really?

I'm EM going into CCM. I would lose my mind if I had to call anesthesia for intubations. I interviewed at a program that does that, needless to say I won't be going there.
 
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I cancelled 5 interviews in the mid-west, you guys might be getting some calls.
 
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Seems to be very common along the eastern seaboard, less common elsewhere though every place has its own practices.

Doing the interview thing now and finding that in several programs the ICU team is required to consult/call Anesthesia when doing any intubations.

Standard at my residency was ICU attending/fellow only, but how common is this really?

I agree. Nobody seems to be doing their own airways! That's really disappointing...
 
2 programs that I have been to in New York do their own intubation. 1 actually runs the airway team for the entire hospital and rapid responses.

Though, in general, in the north east, anesthesia is the primary go to.
 
2 programs that I have been to in New York do their own intubation. 1 actually runs the airway team for the entire hospital and rapid responses.

Though, in general, in the north east, anesthesia is the primary go to.

One of my interviews in NYC, they said they "do all the intubations" but have to page anesthesia and have them at bedside....
 
Any thoughts about stanford critical care program?
 
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I am interviewing in Wayne state DMC soon, but they haven't send itinerary yet. Any one interviewed there? any one knows what time interview starts there?
 
edit: missed the part about asking for info on the CCM program only...no idea about that one, sorry!
 
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Anyone have input on Mayo vs Cleveland Clinic - for the Florida programs?
 
One of my interviews in NYC, they said they "do all the intubations" but have to page anesthesia and have them at bedside....

It's really bread and butter for critical care medicine, and it's a shame they do not train fellows for that. But at least some programs do their own airways before calling anesthesia. I know UPMC pccm does that at least. Their fellows get to do at least >50 emergent & elective intubations in 1st year.
 
Any thoughts about Tufts? Is it considered a mid-tier or top tier program? I used to think that it is a top tier program but I got the feeling from few people that it is not that good. any input is appreciated
 
Winthrop last week.

Uni of Rochester today.

2nd wave I guess.
 
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Any thoughts about Tufts? Is it considered a mid-tier or top tier program? I used to think that it is a top tier program but I got the feeling from few people that it is not that good. any input is appreciated

It's Mid. Nothing wrong with it. At all. It's just not some kind of academic powerhouse for Pulm.
 
please help me rank these programs because I have no concept of what is a renown pulm crit program, clearly.

USC
UCIrvine
CedarsSinai
UCLA-harbor
Cornell
MtSinai
Beth Israel-MtSinai
NYU
Albert Einstein Monterfiore

I would like to pursue an academic career so I supposed where I do my fellowship and how productive I am would matter, especially considering my IM residency is not from a brand name institution.

thank you
 
whats the latest to get the NRMP token, does that influence ranking?
 
please help me rank these programs because I have no concept of what is a renown pulm crit program, clearly.

USC
UCIrvine
CedarsSinai
UCLA-harbor
Cornell
MtSinai
Beth Israel-MtSinai
NYU
Albert Einstein Monterfiore

I would like to pursue an academic career so I supposed where I do my fellowship and how productive I am would matter, especially considering my IM residency is not from a brand name institution.

thank you

Hm. I suppose Cornell and NYU at the top. The rest the way you like them. But I'd give presence to spots where they will do lung transplant.
 
As long as you get it in time, no. But why are you waiting? That's just dumb.

Just hoping to get a prematch offer from a program that I really liked for critical care! But I am also interviewing for Pulm/ Crit, at not so good places.. So a bit divided in my choices
 
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As long as you get it in time, no. But why are you waiting? That's just dumb.
I had a friend (honestly a friend) who had a program email them requesting that they get their NRMP token b/c they otherwise weren't in the system to be ranked. Not sure how common that is, especially given that the ranking system only opened last week and is open for another month...
 
What the take here in Henry Ford Defroit program?
 
Hey guys, I have a question for the ones who have already finished fellowship.. Did anyone go through a program with 24 months clinical and feel that they weren't prepared enough for treating patients?? I'm concerned to be doing research for a year and lose on the clinical side.
 
Hey guys, I have a question for the ones who have already finished fellowship.. Did anyone go through a program with 24 months clinical and feel that they weren't prepared enough for treating patients?? I'm concerned to be doing research for a year and lose on the clinical side.
Haven't been through fellowship, yet, but there's a reason why the ACGME only requires 18 clinical months. And most programs big/solid enough to offer a year or more of research have a ton of patients so you should be great clinically. But if you don't want to be an academician, by all means go to a place with 30+ clinical months. :)
 
Hey guys, I have a question for the ones who have already finished fellowship.. Did anyone go through a program with 24 months clinical and feel that they weren't prepared enough for treating patients?? I'm concerned to be doing research for a year and lose on the clinical side.

No. I did a very research heavy program and only did 18 months of clinical training. Of course not everyone is equal. And I'm not suggesting I'm some kind of "super-star" and I was appropriately nervous starting my attending job, but I didn't feel "unprepared".
 
How often do fellowship program directors call your home institution? Do they call everybody or is it an especially good sign that they really like you? A bit worried that I only got a few invites but a couple of programs did call my institution to talk to my PD.
 
Does anybody know when Tufts has their last interview date?
 
Does anybody know when Tufts has their last interview date?
 
For overall reputation (going to do academic medicine but not necessary research-oriented), any thought about the following program? Looks like they all similar but doesn't know how to rank them. Thanks

1.Cedars
2.Loma Linda
3.Baylor
4.Tufts
5.UC Irvine
6.UC Davis
7.Harbor UCLA
8.UCSF (Fresno)
 
For overall reputation (going to do academic medicine but not necessary research-oriented), any thought about the following program? Looks like they all similar but doesn't know how to rank them. Thanks



1.Cedars
2.Loma Linda
3.Baylor
4.Tufts
5.UC Irvine
6.UC Davis
7.Harbor UCLA
8.UCSF (Fresno)

From what I heard from a ucla pulm crit attending, currently
Baylor = tufts
Uc davis
All the other I am not sure but I would rank them about the same for now in terms of reputation. (loyola I am completely unaware of)
Uc Irvine very strong clinically but not research oriented. Have not gone there yet but this is what I hear from a friend who is there now. He loves it because he wants to do ip
Harbor ucla clinical research in copd and exercise physiology is well respected, and clinically strong due to community hospital setting but low pt volume is worrisome.
Cedars Sinai not well known without a university affiliation outside California, but it's expanding its research recruitment recently with well known names like Paul noble on staff. However ccm training is weaker due to the private pt population(I. E. Pt asking someone not in training to do their procedure) , especially with the loss of va to ucla, and tradition of using anesthesia for all code blues, as well as procedurist(they have two full time procedurist on staff)

I hope this is helpful
 
I would also like to hear what everyone thinks about stanford's program.
 
Has anyone interviewed at Methodist in Houston? Do they seem like they have a solid foundation?

I know they've been around for awhile but just recently launched their PCCM program. I think they the highest volume lung transplant center in Texas as well.
 
For overall reputation (going to do academic medicine but not necessary research-oriented), any thought about the following program? Looks like they all similar but doesn't know how to rank them. Thanks

1.Cedars
2.Loma Linda
3.Baylor
4.Tufts
5.UC Irvine
6.UC Davis
7.Harbor UCLA
8.UCSF (Fresno)

Baylor, Tufts, and Davis at the top. Harbor right after. Then the rest.

However, any place will have you as a low paid clinical instructor on their ICU or pulmonary service. If you don't want to do research don't worry about. Find the fellowship you like that will allow you to be BE/BC and apply for an academic job.
 
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