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just make sure you interview at any program you like and see that it feels good and that they see a lot of material.
Also, I feel one should be very careful mentioning possible career moves and/or attacking individual attendings in a forum such as this. Without direct personal knowledge, I consider this sabotage and slander. Pathology is a very small community and gossip in rampant. In my experience, most of it is untrue. However, people seem to believe what they hear. Most of it is out of jealousy combined with poor social skills. Overall, it's a very dangerous and unprofessional practice.
This is a valuable statement. Frankly the level of character assassination and slander that prevails in academic medicine is ridiculous.
just make sure you interview at any program you like and see that it feels good and that they see a lot of material.
Everyone, please be careful as to the "gossip" that goes on in this forum. I find that this kind of talk is very juvenile and more of a penis-measuring-contest. People tend to listen to gossip and, without thinking, spread it. I guess they are attempting to seem well informed, even if they have never seen direct evidence. This is where things border on slander. Also, there tends to be a lot of "hero" worshipping in this forum. Every academic department has relative big names in something. I really don't think this will directly make you a great pathologist or make your career. The constant mention of "Big Names" seems very subjective, pretentious, and passive to me. I personally don't feel fulfilled eating scraps from the academically elite dinner table.
I'm a resident at Mt. Sinai and can say that my program is probably one of the most NYC-controversial programs. A lot of what LA DOC says about NYC having funding issues is true. I have many friends in various clinical and surgical programs here in the city and they have to do many more blood draws, medication administrations, etc. than other programs in the country. The same applies for pathology; lots of very expensive real estate and ancillary staff salaries to pay. Now add 150,000 species a year to that picture.
However, Mount Sinai has great case volume, specialized attendings, and well organized didactics. There are organizational issues with an understaffed histology lab and secretary's office. So, in sum, the average Mt. Sinai resident probably works harder than residents at other programs (educational work and some noneducational work). Lastly Mt. Sinai has a unique place in regards to its status. Its a first class medical school and medical center with over 1,500 beds and specialty clinics that encompass all of Park, Madison, and 5th Ave, as well as Jersey, other boroughs, Long Island, Upstate, and Connecticut. Its similar to Mayo or Cleveland Clinic as it has no major university backing (NYU just stamps the diploma). So, its exceptionally strong in its clinical training, but the basic science research aspect is, for some reason, confined mostly to the school of biological sciences. The attendings are involved with these projects, but the residents are mostly restricted to clinical projects (low impact factor). I have to say though that it is a superb place for diagnostic and practical training with very few rivals.
I know several path residents from Cornell and can say they are very happy. Additionally, the ones that I personally know are exceptionally trained. Also, I feel one should be very careful mentioning possible career moves and/or attacking individual attendings in a forum such as this. Without direct personal knowledge, I consider this sabotage and slander. Pathology is a very small community and gossip in rampant. In my experience, most of it is untrue. However, people seem to believe what they hear. Most of it is out of jealousy combined with poor social skills. Overall, it's a very dangerous and unprofessional practice.
Trying to elaborate on what LA Doc was getting at, I think NYC programs require their residents to troubleshoot and other cities don't impose this on their residents as much. Now, this can be viewed as a plus or a negative. I personally think this is an advantage, even though I'm pissed off about it sometimes. At the end of this rat race, I need to be able to provide top-notch patient care. Adhering to the "do no harm philosophy", the most dangerous aspect of pathology is not knowing what can go wrong. From the clinician's office to the microscope are many pitfalls that can result in "harm" done to the patient. Many "cush" programs don't bother their residents with this tedious stuff. In pathology, we must be excellent administrators as well as physician/scientists. We have to catch mistakes, understand the consequences of our diagnoses, and fully grasp the financial / billing / cost aspects of everyday practice. Unless you are content with signing out cases for someone elses's department / lab your entire career, you need to know these things if you ever want to be the captain of your own ship. In the end, I know I will appreciate my NYC-pathology training and will feel comfortable starting my own lab or division, since administration responsibilities are built into my program. Again, even though it frustrates the hell out of me sometimes, but I do go out in this great city every Friday and Saturday night.
Lastly, very few places can match MSKCC in terms of faculty, case load, research, or reputation. I don't care what anyone says, I do know that this is a nationwide consensus.
HOSTILE MY NECRCOTIC ASS
yes yes yes we know
Sinai = volume
Cornell = housing
Columbia = Harlem
Einstein = Bronx
NYU = FMG's
MSKCC = fellowship only
so boring, please add something new.
and its only slander if its not true. Look it all up on the internet. Almost everything I said is fact checkable.
by the way i happen to be a BIG fan of Sinai pathology
Hmm so are NYU's reports in Mandarin or Catonese? Or should I say Guan or Yue? I would assume Wu, Xian, Xiang, Hakka, Gan, Hindi, Tamil, Sanskrit, Urdu and Punjabi are not options, but I dont know for sure.
As a reminder, please keep things civil. If they deteriorate, we close threads.
As a reminder, please keep things civil. If they deteriorate, we close threads.
Indeed. I would like to think our generation is above the backbiting, competitiveness, etc that characterizes a lot of people in academic medicine (although obviously there are also lots of people who don't fit this description and are clear role models), but I don't think it will ever change. There will always be people who go into academic medicine who measure success in ways that result in others being made to feel smaller. It's sad, since one main purpose of academic medicine is to teach the next generation as well as further scientific advancement (with cooperation being an important factor). Academic medicine doesn't exist to glorify one's own personality.
The criticism you will hear of this from many is that it is naivity and this is "just the way things are." Well, it doesn't necessarily have to be. You don't have to buy into it. I think every resident knows attendings at their institution who they gravitate to because of their personalities, dedication to teaching, collegiality, etc, but they also know attendings who they may have a grudging respect for but they avoid because the atmosphere around them is somewhat less pleasant. For some reason, though, many residency graduates still end up being like the latter category.
Why these threads keep reappearing is likely due to the apprehension and therefore posting needs applicants have. I dont think this is a conspiracy-driven attempt to bash NYC or NE in general.
Now if we can just get more people to post about the Texas and Florida programs (I thank those of you that are here from there that do participate) that an equal number of threads get created about!
what do you want you guys want?
Do you want people who have been through the process to contribute their thoughts OR do you only want the facts like surg path accession # that anyone can get by calling up the path offices?
As far as MSKCC, that is immaterial because AFAIK residents do not train there, only fellows. I dont think anyone would argue with the fact it is top notch world class cancer referral hospital, but that IS what it is, not more. (if that makes sense...)
Many people are not interested in training in NYC hospitals for a huge host of reasons, not limited to the following:
High cost of living
Perceived lack of job contacts outside the NY area
Perceived lack of quality interaction between trainees and high caliber faculty
Percieved lack of caring programs have for trainees
That is it, there isnt much to add. You can debate those points ad nausem. Why these threads keep reappearing is likely due to the apprehension and therefore posting needs applicants have. I dont think this is a conspiracy-driven attempt to bash NYC or NE in general.
oook
I just have one question.
ARE THERE ANY MEDICAL STUDENTS READING THIS THREAD??????
Ok, to objectively answer your questions applying them to Mt. Sinai:
1) High cost of living: True, but no worse than Boston, Chicago, LA, or SF
Texas isn't the armpit, Connecticut is the armpit.
I am. I've applied to Mt. Sinai, Cornell, Columbia and NYU. I already attended my Mt. Sinai interview and enjoyed my day. I feel like it a strong program.
Ultimately I'd like to end up in the mid-atlantic area when I'm done with residency, so a NYC program would probably help with that. I'm just not sure I want to deal with the cost of living issue, so I'm checking out some of the programs in the South as well.
oook
I just have one question.
ARE THERE ANY MEDICAL STUDENTS READING THIS THREAD??????
1. "Dr. Yantiss is leaving for private practice."
2. "…NO renal pathologist".
3. "…NO gu pathologist."
4. "NO head and neck pathologist."
5. "…only one neuropatholgist who only does autopsy brains because all the tumors are sent to Columbia."
MSKCC and Cornell are affiliated with each other in many ways (most of the residency programs at Cornell, including pathology, have electives at MSKCC).
that was AWESOME. Its good to protect the homeland. I would too
unfortunately for you I know people at both Cornell and MSKCC. I think the biggest point is that MSKCC is NOT CORNELL AND CORNELL IS NOT MSKCC and doing a Cornell residency is not the same and doing one at Cornell/MSKCC so its not really acurate to list MSKCC attendings as your attendings. I suppose Jaun Rosai is a Cornell attending too?!!? That is awesome!
I will freely admit I am not sure about a few things but its my undertstanding (because I was interested in the MSKCC GI fellowship at one point) that the Cornell and Sloan Kettering GI fellowships were never really joined. Its also my understanding that the MSKCC rotations are no longer available but that comes HEAVILY in the catagory of I just think i hear that and applicants should ask for themselves because that would be a big bonus.
I stand corrected 1) I was told the GI attending was leaving and I assumed it was Yantiss, I did not realize there was more than one. Turns out its another one who of course ONLY left for money (I would too) 2) Got some bad info in the renal pathologist, I looked it up and as the poster said they do have one. Time for a party 3) ok, only MOST of the brain tumor patients are sent to Columbia or MSKCC.
Does Dr. Rubin sign out GU? I was told that he did not. Maybe i was wrong. I happen to know the other two people you mentioned and also happen to know they are not fellowship trained GU pathologist and YES you can still be a rockin' GU pathologist (or any kind of specialist) and not have done a fellowship but most people would say it makes a difference. I happen to know Dr. Tu quite well and she is awesome but she is a GYN fellowship at Columbia NOT a GU fellowship but she rocks and does have an interest in GU (she just had a molecular GU paper in Modern Path). I have not met or heard Dr. Scognamiglio, she must be new. Where did she train? There is still no lung, liver, heart, bone, soft tissue, pediatric, lung, or head and neck patholgist there. Let's face it these are complicated and fundamental areas of pathology and you would benefit from training someplace where you could find these things. Really Cornell, no LUNG path??? LIVER??? HELLOOOO? Shame! Again applicants, the best thing to do if you are interested is apply, interview, and ask for yourself!!! By the new academic year things could be totally different. That's the way things go. I would add that I think Cornell has the stongest hemepath in NYC followed by Einstein and Columbia. They also have strong GYN/BREAST service and ok cytology. But maybe i got that wrong too.
I'm sorry you are so hurt by these things but I think that applicants should know that in most areas Cornell is really just very average and i don't think you should pretend that the MSKCC attendings are your attendings because they clearly are not. MSKCC HAS NO RESIDENTS. ALL FELLOWS!!! Look it up! Bringing cases to MSKCC when your in house attendings can't handle it doesn't count. Sorry (sad face). And I don't care what you say, having one neuropathologist is not standard for a top program. Nooo Dr. Rosenblum doesn't count but NICE TRY CORNELL!!! I have to thank you for once again bringing up Cornell housing. You all CRACK ME UP. How's Magro working out for you? She stab anyone yet?
I never said I was at Columbia and I have had good things to say about many of the NYC programs (including Cornell).
LASTLY, are you telling us that Cornell is NOT a better training program than Lenox Hill or St. Vincent's?????????? Really? Thank Jesus for housing!
Dear Yaah,
I guess people really don't take any advice on this forum. They just like to hear themselves talk. I think this THREAD SHOULD BE CLOSED, since there are too many posts slandering individual attendings by name. It just isn't professional. It's rude, petty, dangerous, and very disgusting. Just because people go into academics doesn't mean they aren't human beings worthy of respect and dignity. Would you want your real name being discussed in an open internet forum by faceless people? I really hope not! I'm very disappointed in NYCsicko. Whatever program this person is from, I'd be terrified to be his/her co-resident. His/her posts come off as being written by a very threatened individual, willing to trash anyone by name to make themselves feel more comfortable in their own skin. Very disturbing!!!! Like I said before, "this gossip only happens because of jealousy combined with poor social skills".
I hear Mt Sinai is the greatest program in the world
In my book, Cornell has probably become the "most prestigious" NYC program.
Dear Yaah,
I guess people really don't take any advice on this forum. They just like to hear themselves talk. I think this THREAD SHOULD BE CLOSED, since there are too many posts slandering individual attendings by name. It just isn't professional. It's rude, petty, dangerous, and very disgusting. Just because people go into academics doesn't mean they aren't human beings worthy of respect and dignity. Would you want your real name being discussed in an open internet forum by faceless people? I really hope not! I'm very disappointed in NYCsicko. Whatever program this person is from, I'd be terrified to be his/her co-resident. His/her posts come off as being written by a very threatened individual, willing to trash anyone by name to make themselves feel more comfortable in their own skin. Very disturbing!!!! Like I said before, "this gossip only happens because of jealousy combined with poor social skills".
I don't know what you all are talking about. My point are and always have been
1) Cornell is average with delusions of being 'the best' and for reasons I think i have sufficently mentioned. It simply can not be the best. All of this was started when Yaah or someone said that cornell was the most prestigeous program in NYC. Again the facts prove otherwise.
2) LOOK FOR YOURSELF
3) LOOK FOR YOURSELF
4) LOOK FOR YOURSELF
5) LOOK FOR YOURSELF
You need help if you think I am committing slander. Slander by definition is not true. You also need to learn what an opinion is.
If I said P Rosen sticks pickles up his bubby during sign out, this would be SLANDER
If I say Cornell doesn't have a cardiovascular pathologist, this would be a FACT.
If I say Cornell is an average training program, this would be my opinion (i think at least an informed opinion)
see-slander-fact-slander-fact different!
I am sad for the future of pathology if you all represent how we think
I totally agree this BS should be SHUT DOWN! but any applicants should learn a lesson. People will viciously defend themselves despite all facts to the contrary so be weary of what residents tell you at Cornell or Columbia or NYU or ULCA or Utah orrrr
best of luck.
GO CORNELL HOUSING!
Let it continue I say. Although this thread has limited intellectual value now, it is highly entertaining. Would love to see actual NYC attendings come out and start dueling here.
I agree saying MSKCC is second tier is a huge joke. Those guys get consults not only from all over the states, but from all over the world.
Regarding the FMG issue, some of the best pathologists are FMGs e.g. Fletcher, Rosai , Unni, Huvos etc. Anyone who belittles there contribution to pathology is not just looking at facts.
FMG or AMG, excellence is an individual not geographic thing.
In the end, good teachers and a good institution, help a lot. But the ultimate result depends on the individual.
If you are good at what you do and more importantly enjoy what you do, you will be recognized and rewarded.
I have trained with people who came from residency programs all over the states. They included people from the top programs and people from completely unrecognized programs. I learnt one thing from my experience, the only difference between exceptional pathologists and mediocre ones was intelligence and interest. The best ones simply loved what they did.
Being a good or even great pathologist is totally upto you. And trust me , mature people recognize excellence irrespective of nationality or institutional pedigree.
Cornell, Columbia etc. are all excellent institutions. It totally depends on your effort and what you want to get out of these institutions. As long as you see a lot and keep on increasing your knowledge base, you will be a success.