hey, loved OHSU, probably will be in my top 4 for sure...
ok, ill elaborate a bit, but hope to post full impressions around xmas time. c'mon, you guys please post about the places youve been, it'll help all those people lurking around, even people next yr and beyond.
Tufts-just really didnt get a good feel at this place. most of these places are good spots to train at, so most people on the interview trail seem to be making their decisions with a good weight to just how a place felt/how they got along with people. Obviously this isn't the only important thing to consider.. i met 3 people this past week who liked Tufts, so dont cancel because of me...
I felt as though Dr.Ropper and Dr.Sabin were much more formal in their interactions with residents than most other places I applied, kinda a more old-school, i hate that term, approach to teaching, that made them feel less accessible. There was something very disjointed feeling about the program, granted there are benefits from training at 3 different sites, but it didn't seem too optimal overall..the teleconference things they did for chairman rounds, sorta introduced as a technological innovation was continually interrupted by folks at NEMC/a small voice requesting "can you move the mic? we can't hear you" it just seemed a mess, each place had its own grand rounds i think, you could be on call at one place but me on the wards some place else during the day...they tried to minimize that though.. they seemed very strong in neuromuscular and stroke, you do tons of EMG, (also 10 weeks of neuropath, havent seen that anywhere else) I'm more interested in MS and MD, which they only had a few folks for..each site seemed to be strong in some aspect, but lacking in many other aspects(sorry, too tired to elaborate).. myself and many other people were very disappointed with the interviews, after a long day, I went in 3 rooms each with 2 attendings, for 5-15min each...I was in some way on the defensive in each room at any given time, i've heard other people mention the interviews there were strangely rough, it just didnt seem very inviting, they didnt seem to know anything about me, I expected questions/interest in my application, instead there were statements like "sell yourself to us" , and so on..very kinda superficial/short interviews with a few questions each....maybe i'm looking for more of a balance between clinical and clinical research in terms of faculty..i dunno...their "master clinician" sell just didnt catch me, seemed as though they were trying to make up for lacking other aspects of training...overall i got the impression that the residents were happy, matched well for fellowships-dr.ropper apparently is well known nationally, got along well, worked a reasonable amount, and got good training, it just wasnt for me. i was impressed that they often had journal club at the houses of faculty, obviously that means there is a good relationship between faculty and house staff...
lets see, what else, 8 weeks neuropath, they are responsive to residents, just incorporated a new morning report at NEMC and neuroscience course requested by residents..high board pass rate, no night float, call is q4-4.5ish as pgy2, i dont remember all the details, not bad though, no dedicated "stroke service", i'm not sure i dont think they had anyone who did neuro-AIDS/ID, continuity clinic-they had you assigned to the same preceptor for all 3 yrs(could be good or bad i suppose)..NEMC-more indigent population, lahey is more tertiary care, st.e's apparently dr.ropper draws folks from all over for neuromuscular stuff, + its a community hospital, they had a neuroicu there with 4 beds i think..do tons of EMGs at St.Es..no shuttles between sites, one person doing MD/Parkinsons..ok im rambling, id probably have much more to say if i gave this some thought-its off the top of my head...onto Yale
Yale-ok, i was biased going into this, hearing from numerous folks where im at in NYC (granted they are biased as well) that the program wasnt very strong. It seemed as though they were very strong in basic science research, everyone except one person I interviewed with was an MD, PhD, and doing some bench research, including i think, the chair and program director..this made me wary a bit. again, i kinda wanted a good balance across the board. they are huge in epilepsy if you are interested in this, but again, im looking for more of a balance and i'm not sure they had it with the other subspecialties..yale has the advantage of a huge area they pull in people from, no competition,no community hospital in new haven, huge array /variety of cases, great place to live, seemed as though electives were very flexible, i met some who had made 25,000$ extra moonlighting, a good number moonlighted on their electives..they had a good NICU i think(dont remember) if youre interested in that..the only place i know of which does a rehab month at a neurorehab facility, which i think is a huge plus..the residents seemed to have lots of independance(maybe too much) in some ways..they all seemed to love it there, loved the teaching/faculty etc...I think maybe I just felt that neuroscience was so strong there it overshadowed the clincial aspects of the program, but who knows, i saw no didactic session while i was there(big mistake on their part IMHO)..maybe some time on the wards would convince me otherwise...but i just didnt feel as though they were strong across the board.
they did have some general neurologists, which is a plus IMHO, siince at some research0heavy institutions you wind up with someone who is your attendnig on the wards, has spent 11 months in the labs doing neuroimmunology, then is seeing patients with you out of his or her area of expertise and isnt as up to date(or interested)... it seemed as though there were a number of folks from the south training there, in some silly way i wonder if this has to do with people wanting the name "yale" etc, i'm not so interested in/worried about that, clearly folks on the east coast have always thought this program was good, but not great..i havent met many people on the interview trail who really liked their experience there..but then again, how much can you get to know about a place from one day?...
they said 85% of their residents publish somethign, very strong in epilepsy, very flexible electives, have a good neuroicu shared with neurosurg(good relationship), basic science and clinical neuro folks are in the same building(hopefullu collaborate), do a rehab month at Gaylord(good idea, sounds like it can be slow there though), good patient mix, many young faculty, people were approachable, living in new haven is cheap etc, VA can be kinda slow, you do lots of subspecialty clinics there..kinda hard to explain call schedule, call is very busy, also some night float..emphasized, very flexible in terms of accomodating interests of residents, however this made me wonder about formal didactics..no neuropath(if you care, i dont).
Brown-small program, 4 residents, but the neuro dept seemed small.. OHSU has 3 residents, but it seems, double the number of faculty(dont quote me, just seemed like more in each area of expertise).. busy hospital, nice enviroment, providence is awesome/beautiful, some really nice faculty, only a few people representing each subspecialty, often the MS guy did MS only for half the day etc, however some of these folks were involved in clinical research and so on...seemed like you could get great solid clinical training, the chair was excellent, did morning report every day(?) i think..pulmonary handles sleep there, so that may be a disadvantage for some, i dont remember about the NICU(not so important for me)...elective was at the end of training, pgy4, maybe a disadvantage if you are tryign to go into something esoteric and want earlier exposure, however they seemed flexible with electives.., though you do get plenty of exposure to everything in clinics thoughout the yrs, brown has very strong neuroscience, but i got the impression there was not much interaction with them, however over the next 2 yrs there is a huge renovation of some educational space that will foster a more collaborative effort between the two, along with folks involved in neuro-type stuff (i.e. pain)..they dont have a headache attending if that matters to anyone..again, great volume at rhode island hospital, not much traveling around needed, huge area/diversity of population mix etc etc, residents seemed very happy, worked reasonably hard (i'm essentially not looking to be worked to death so that I have no time to learn, but dont want to be sitting around on a dead service either), when on call you also always take call for peds-neuro at th hasbro childrens hospital, this keeps you fresh with neuro-peds througout training, which is great for the baords, or so they claim...overall, i think it's a solid clinical program and there are especially great opportunities there if you are the type fo seek out novel things/arrangements..
ack gotta go, someone let me know if this was helpful at all and ill post more later on..also please reciprocate and post your random thoughts for myself and others..
thanks
scm