Residency Reviews

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Poncho

Poncho
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Yale - The evening preceding the interview, the residents took us out for dinner and drinks in New Haven. New Haven itself, despite the bad rap, has some nice areas with lots of good restaurants and cafes, 3-4 solid places to go out (according to the residents), close access to NY and Boston, and access to all the amenities of being at a major ivy league university. The residents seemed to be very friendly and happy at their program. Their only complaints were that some of the didactics, like the resident lectures weren’t the best, and that the residency is still continuing to iron out some issues with respect to the direction of major trauma resuscitations with the surgery department. They currently split time with the surgery department in who runs the trauma, but they manage all the airways. They said this is made up for in with the rotations at Bridgeport hospital, their community affiliate which they said is a gem of the program, There they do everything on their own and it has a high volume of trauma (including penetrating) since it even more inner city the New Haven. The new PD Laura Bontempo is highly respected by the residents and has some new directions for the program with the incorporation of medical simulation into the didactic sessions and applying for more residents to allow residents to have more time learn about their patients since interns typically see 1-2 patients per hour. During the presentations, the directors of EMS, research, ultrasound, Bridgeport, Trauma, critical care, and a chief resident all spoke about their respective areas. The EMS director is nationally recognized leader in the field and there is an EMS fellowship. There are several funded research projects going on in sepsis, substance abuse, EMS, and ultrasound. There is new critical care guy out of the EM/IM program at Henry Ford. The patient population at Yale has a diverse mix of underserved as well as insured patients. The ED facility is a little cramped, but there are plans under way to build a new facility in about 5 years. Interviews took place in the afternoon and consisted of one 10 minute interview with the PD, and 4 20 minute interviews with the other faculty members. This seems like a very solid academic program on the rise.

Beth Israel Deaconess – BID is situated in the Longwood medical campus of Harvard which seems almost like the NIH. It is surrounded by suburban tree lined streets of Brookline on one side and on the other side by Mission Hill a more inner city type neighborhood. The day began with breakfast and lecture by the PD. The lecture reflected all the strengths of the program including the very happy and academically productive and nationally recognized faculty, all the resources of Harvard with very good working relationships with all the other services, flexibility of pursuing academic interests in the junior attending 4th year (with a nice $100,000 salary as opposed to a resident salary), state of the art ED facilities, and the high acuity of patients seen in the main ED. There were 4 20 minute interviews with faculty and the PD, all of which were very informal. There was lunch with residents who were all extremely happy with the program. They definitely do not have the snotty ivy league fell that one might expect, and rather the program seems like it deserves the reputation of being the most west coast program in the east. This is instilled with vision of Carlo Rosen (PD) and Rich Wolfe (Chair) who are out of Denver and created the program from scratch. The only weakness (or plus for some) is the relative lack of underserved patients in the main BID ED as most of them have a PCP. The addition of St. Lukes and Brockton ED rotations in the 3rd year is supposed to make up for this, and according to the residents they do somewhat in terms of the skills needed for penetrating trauma, but this is not a focus of the residency.

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