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Programs in this cycle
#31
(04-07-2020, 12:47 AM)Guest Wrote: All positives for me, in no particular order. I tried to jot some notes down during my interviews and/or second looks. A lot of really great programs out there and this is in no way comprehensive.

UCSF - Amazing balance of volume/autonomy and some of the best research in the country (especially in neuro-oncology). Incredible history of producing strong academic surgeons. One of the strongest academic groups in the country, with Aghi, Chang x 2, Manley, Mummaneni, etc. Really great opportunities to collaborate with some of the best med onc and vascular biology researchers there are. I really liked the residents overall and they raved about several of the attendings there like Hervey Jumper who really go out of their way for you.

BNI - May be the best operative program in the country. PGY-2s have their own room doing small cases. PGY-4s are splitting the fissure and throwing bypass sutures. Best of all, really great group of residents (anyone who interviews here can attest). Amazing lifestyle where seniors routinely leave at 5PM and can get days off whenever they need to. All in-house call is frontloaded. All scut basically gets done for you. Neurosurg residents run the show in the hospital and have a ton of perks like their own cafeteria with free food. Have internal grants where residents essentially can get multiple $80K awards to do whatever research they want. Innovation center where residents can get a substantial part of the IP. Has its own publishing group and editors who will do all the proofreading and submissions on your papers. All residents have 18 months to go operate anywhere in the country, with all malpractice and salary paid for.

Mayo - Thought the program is incredibly similar to Barrow, except it's tundra instead of desert. Really high-volume elective practice, with minimal floor work and BS. Really nice attendings who treat the residents well. Also some of the best autonomy I've seen. Have a mentorship model, where juniors work 1 on 1 with attendings for a few months at a time and get to do most of the cases once they get comfortable with them. Saw a PGY-5 do 2 CEAs skin to skin. Chiefs get a completely autonomous transition to practice year, with their own first-start OR, nurse, and secretary. Everyone hits their minimums by PGY-4 year and most of the chiefs graduate with 2,000+ cases. 2 free, fully-funded years to go anywhere in the country (or abroad) for an enfolded fellowship or additional degree. Residents have the opportunity to move one of these years to PGY-7 in order to get a CAST approved fellowship. Amazing lifestyle, like the BNI.

Wash U - Like UCSF, really well-balanced program. Huge depth of full professors in every subspecialty (Zipfel, Dacey, Limbrick, Chicoine, Leuthardt, etc.) 9 R0-1s in the department with a real commitment to academics. I didn't Sub-I or second look here so I'm not sure about the autonomy but my friends who did said that there's high volume and good autonomy in basically everything. Ireland experience where you essentially function like an attending. Graduates get really good fellowships and academic jobs and I liked everyone I met.

Miami - Very impressed. A lot of accomplished and high-volume faculty in every field (Levi, Wang, Morcos, Komotar, Peterson) with some really great younger guys like Bobby Starke and Mike Ivan. The Sub-I is definitely challenging hours-wise, but the lifestyle as a PGY-4 and up is actually great. Really liked the residents. Loved the camaraderie and how well the attendings/chiefs treated the juniors. 6 + 1 model for every resident, which guarantees you a top notch fellowship (Morcos in skull base, Komotar tumor, Mike Wang spine, Peterson/Starke endovascular (which you can enfold and be CAST accredited in 7)). Interns get every other weekend off. Chiefs get case preference over external fellows (of which there are many). Miami has a ton of things to do even for people who aren't big partiers. While there isn't as much basic science interest among the residents, they have a clinical research machine. Residents got a ton of autonomy, especially at Jackson.

USC - Really similar to Miami for me, with the warm weather, lots of county hospital exposure, and combination of great autonomy + clinical research. Basic science is definitely underemphasized, but the program does have an R25 for the residents who are interested. Chiefs completely run the show at county, and juniors routinely do cases on call and alone. Lots of really great faculty, like Bill Mack in vascular, Zada in skull base, and Giannotta (although he is stepping down in a few years). Really great group of residents and camaraderie.

This is a really great post thanks for this!
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#32
(04-07-2020, 12:47 AM)Guest Wrote: All positives for me, in no particular order. I tried to jot some notes down during my interviews and/or second looks. A lot of really great programs out there and this is in no way comprehensive.

UCSF - Amazing balance of volume/autonomy and some of the best research in the country (especially in neuro-oncology). Incredible history of producing strong academic surgeons. One of the strongest academic groups in the country, with Aghi, Chang x 2, Manley, Mummaneni, etc. Really great opportunities to collaborate with some of the best med onc and vascular biology researchers there are. I really liked the residents overall and they raved about several of the attendings there like Hervey Jumper who really go out of their way for you.

BNI - May be the best operative program in the country. PGY-2s have their own room doing small cases. PGY-4s are splitting the fissure and throwing bypass sutures. Best of all, really great group of residents (anyone who interviews here can attest). Amazing lifestyle where seniors routinely leave at 5PM and can get days off whenever they need to. All in-house call is frontloaded. All scut basically gets done for you. Neurosurg residents run the show in the hospital and have a ton of perks like their own cafeteria with free food. Have internal grants where residents essentially can get multiple $80K awards to do whatever research they want. Innovation center where residents can get a substantial part of the IP. Has its own publishing group and editors who will do all the proofreading and submissions on your papers. All residents have 18 months to go operate anywhere in the country, with all malpractice and salary paid for.

Mayo - Thought the program is incredibly similar to Barrow, except it's tundra instead of desert. Really high-volume elective practice, with minimal floor work and BS. Really nice attendings who treat the residents well. Also some of the best autonomy I've seen. Have a mentorship model, where juniors work 1 on 1 with attendings for a few months at a time and get to do most of the cases once they get comfortable with them. Saw a PGY-5 do 2 CEAs skin to skin. Chiefs get a completely autonomous transition to practice year, with their own first-start OR, nurse, and secretary. Everyone hits their minimums by PGY-4 year and most of the chiefs graduate with 2,000+ cases. 2 free, fully-funded years to go anywhere in the country (or abroad) for an enfolded fellowship or additional degree. Residents have the opportunity to move one of these years to PGY-7 in order to get a CAST approved fellowship. Amazing lifestyle, like the BNI.

Wash U - Like UCSF, really well-balanced program. Huge depth of full professors in every subspecialty (Zipfel, Dacey, Limbrick, Chicoine, Leuthardt, etc.) 9 R0-1s in the department with a real commitment to academics. I didn't Sub-I or second look here so I'm not sure about the autonomy but my friends who did said that there's high volume and good autonomy in basically everything. Ireland experience where you essentially function like an attending. Graduates get really good fellowships and academic jobs and I liked everyone I met.

Miami - Very impressed. A lot of accomplished and high-volume faculty in every field (Levi, Wang, Morcos, Komotar, Peterson) with some really great younger guys like Bobby Starke and Mike Ivan. The Sub-I is definitely challenging hours-wise, but the lifestyle as a PGY-4 and up is actually great. Really liked the residents. Loved the camaraderie and how well the attendings/chiefs treated the juniors. 6 + 1 model for every resident, which guarantees you a top notch fellowship (Morcos in skull base, Komotar tumor, Mike Wang spine, Peterson/Starke endovascular (which you can enfold and be CAST accredited in 7)). Interns get every other weekend off. Chiefs get case preference over external fellows (of which there are many). Miami has a ton of things to do even for people who aren't big partiers. While there isn't as much basic science interest among the residents, they have a clinical research machine. Residents got a ton of autonomy, especially at Jackson.

USC - Really similar to Miami for me, with the warm weather, lots of county hospital exposure, and combination of great autonomy + clinical research. Basic science is definitely underemphasized, but the program does have an R25 for the residents who are interested. Chiefs completely run the show at county, and juniors routinely do cases on call and alone. Lots of really great faculty, like Bill Mack in vascular, Zada in skull base, and Giannotta (although he is stepping down in a few years). Really great group of residents and camaraderie.

Forum needs more of this. Thanks for your time
Reply
#33
(04-07-2020, 01:32 AM)Guest Wrote:
(04-07-2020, 12:47 AM)Guest Wrote: All positives for me, in no particular order. I tried to jot some notes down during my interviews and/or second looks. A lot of really great programs out there and this is in no way comprehensive.

UCSF - Amazing balance of volume/autonomy and some of the best research in the country (especially in neuro-oncology). Incredible history of producing strong academic surgeons. One of the strongest academic groups in the country, with Aghi, Chang x 2, Manley, Mummaneni, etc. Really great opportunities to collaborate with some of the best med onc and vascular biology researchers there are. I really liked the residents overall and they raved about several of the attendings there like Hervey Jumper who really go out of their way for you.

BNI - May be the best operative program in the country. PGY-2s have their own room doing small cases. PGY-4s are splitting the fissure and throwing bypass sutures. Best of all, really great group of residents (anyone who interviews here can attest). Amazing lifestyle where seniors routinely leave at 5PM and can get days off whenever they need to. All in-house call is frontloaded. All scut basically gets done for you. Neurosurg residents run the show in the hospital and have a ton of perks like their own cafeteria with free food. Have internal grants where residents essentially can get multiple $80K awards to do whatever research they want. Innovation center where residents can get a substantial part of the IP. Has its own publishing group and editors who will do all the proofreading and submissions on your papers. All residents have 18 months to go operate anywhere in the country, with all malpractice and salary paid for.

Mayo - Thought the program is incredibly similar to Barrow, except it's tundra instead of desert. Really high-volume elective practice, with minimal floor work and BS. Really nice attendings who treat the residents well. Also some of the best autonomy I've seen. Have a mentorship model, where juniors work 1 on 1 with attendings for a few months at a time and get to do most of the cases once they get comfortable with them. Saw a PGY-5 do 2 CEAs skin to skin. Chiefs get a completely autonomous transition to practice year, with their own first-start OR, nurse, and secretary. Everyone hits their minimums by PGY-4 year and most of the chiefs graduate with 2,000+ cases. 2 free, fully-funded years to go anywhere in the country (or abroad) for an enfolded fellowship or additional degree. Residents have the opportunity to move one of these years to PGY-7 in order to get a CAST approved fellowship. Amazing lifestyle, like the BNI.

Wash U - Like UCSF, really well-balanced program. Huge depth of full professors in every subspecialty (Zipfel, Dacey, Limbrick, Chicoine, Leuthardt, etc.) 9 R0-1s in the department with a real commitment to academics. I didn't Sub-I or second look here so I'm not sure about the autonomy but my friends who did said that there's high volume and good autonomy in basically everything. Ireland experience where you essentially function like an attending. Graduates get really good fellowships and academic jobs and I liked everyone I met.

Miami - Very impressed. A lot of accomplished and high-volume faculty in every field (Levi, Wang, Morcos, Komotar, Peterson) with some really great younger guys like Bobby Starke and Mike Ivan. The Sub-I is definitely challenging hours-wise, but the lifestyle as a PGY-4 and up is actually great. Really liked the residents. Loved the camaraderie and how well the attendings/chiefs treated the juniors. 6 + 1 model for every resident, which guarantees you a top notch fellowship (Morcos in skull base, Komotar tumor, Mike Wang spine, Peterson/Starke endovascular (which you can enfold and be CAST accredited in 7)). Interns get every other weekend off. Chiefs get case preference over external fellows (of which there are many). Miami has a ton of things to do even for people who aren't big partiers. While there isn't as much basic science interest among the residents, they have a clinical research machine. Residents got a ton of autonomy, especially at Jackson.

USC - Really similar to Miami for me, with the warm weather, lots of county hospital exposure, and combination of great autonomy + clinical research. Basic science is definitely underemphasized, but the program does have an R25 for the residents who are interested. Chiefs completely run the show at county, and juniors routinely do cases on call and alone. Lots of really great faculty, like Bill Mack in vascular, Zada in skull base, and Giannotta (although he is stepping down in a few years). Really great group of residents and camaraderie.

Forum needs more of this. Thanks for your time

This weekend post truly is magnificent! 

As a follow-up question, in order to obtain an interview at these top programs, given that your step score is beyond their cutoff (>240), how much do clinical grades/AOA matter or do faculty at these institutions put more value on research/publications? (Also under the assumption that nobody has away rotations this cycle) 

tl;dr... 250, AOA, 3 pubs vs. 245, not AOA, 20 pubs -- which holds more weight academics or research?
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#34
(04-07-2020, 10:29 AM)Guest Wrote:
(04-07-2020, 01:32 AM)Guest Wrote: Forum needs more of this. Thanks for your time

This weekend post truly is magnificent! 

As a follow-up question, in order to obtain an interview at these top programs, given that your step score is beyond their cutoff (>240), how much do clinical grades/AOA matter or do faculty at these institutions put more value on research/publications? (Also under the assumption that nobody has away rotations this cycle) 

tl;dr... 250, AOA, 3 pubs vs. 245, not AOA, 20 pubs -- which holds more weight academics or research?

Happy to help! I've benefitted a lot from different posts over the years. I wish I could be helpful but that's a little bit of a challenging question. As an applicant I don't really know other people's stats (outside of my close friends). I was very lucky in that I somehow managed to get AOA and ended up being productive in research pretty early on. I will say that it was clear that even among the traditionally operative heavy programs (BNI for example) they were really trying to recruit more research-oriented folks and emphasize the different types of research opportunities and funding mechanisms that were available. That being said, I always always tell younger medical students to focus on doing as well as they possibly can in school. Research is very important and something you should definitely add once you get comfortable studying. However, you can always take an additional research year if you need to. Unfortunately, you can't retake the USMLE or redo your clerkships. You should always try and make yourself as competitive as possible by being strong in as many categories as you can instead of maximizing one (e.g 250, AOA, maybe 10 papers vs. 220, all P, 60 papers or 275, all H, no research). Best of luck to you.
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#35
Given that residency interviews might be virtual this year, if graduating M4's could write some more of their experiences with different places (positive and negative) I think all of the people applying this cycle would greatly appreciate that!
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#36
(05-08-2020, 12:23 PM)Guest Wrote: Given that residency interviews might be virtual this year, if graduating M4's could write some more of their experiences with different places (positive and negative) I think all of the people applying this cycle would greatly appreciate that!

Second this^^^ Could all M4's who have graduated fill out the below form? Even if there is something already there, it could be helpful to get multiple perspectives. 

https://docs.google.com/spreadsheets/d/1...1989242160
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#37
Bump ^
https://docs.google.com/spreadsheets/d/1...1989242160
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#38
(05-08-2020, 12:23 PM)Guest Wrote: Given that residency interviews might be virtual this year, if graduating M4's could write some more of their experiences with different places (positive and negative) I think all of the people applying this cycle would greatly appreciate that!

I can give it a shot but again it depends on what you want out of a program. The "best" program is the one that has what you're looking for - in terms of operative training, culture, and location. MD/PhDs who want to have their own lab and a lot of basic science resources would favor certain programs vs. those who want the best possible operative experience. For me I wanted a more or less operative program that had a lot of resources for residents, great culture, and lots of clinical research opportunities without sacrificing reputation. My top 4 in no specific order ended up being:

Barrow: Amazing all around. Really cool group of residents who were fun to hang out and work with. Incredible OR experience - obviously the reputation is in vascular but residents were doing complex tumors skin to skin with Sanai and Smith, tons of spine with Uribe, and skull base. Felt like a family, the residents would all hang out at each other's house, even have pool parties before going to MTL rounds in the afternoon. PGY-4 and up (- chief year) you literally just come in to operate, no bullshit, no clinic, no floorwork - you just pick your case and do it from start to finish and go home. Attendings have video feeds of your scope in the OR and basically sit in their offices watching you operate. Cases get chosen based on seniority and after junior residency you basically get to do whatever you want. Chiefs get preference over any fellows. The real MTL fellowship is clearly the PGY-7 year at the BNI.

Mayo Rochester: Absolutely incredible program. Residents have every resource imaginable. Instead of a classic service where you round on a long list of 60 patients in the morning you only carry those of the 1-2 attendings you're working with. In house call is something like Q10 but you always hold the pager for your 8 patients. They're your patients from start to finish and residents PGY-3/4 and up were doing the vast majority of the cases independently (like T2-pelvis, posterior fossa tumors). Quite a bit of open vascular with Meyer/Lanzino, very strong skull base with Link/JVG, tons of complex spine - huge deformity cases, tumors, functional with Kendall Lee. Independent chief year where you have your own clinic and referrals - chiefs were doing everything from skull base tumors to carotids with no attending. Residents have 2 elective years that are completely protected. One went to work with Hugues Duffau in France (fully funded). Have the option to do any electives at Mayo Florida/Arizona. Can enfold peripheral nerve, skull base (both some of the best in the country), spine, etc. as a PGY-5, 6, or 7.

UW: Very strong and really well balanced program. Big names like Ellenbogen, Sekhar, Kim. Some of the best basic science research around, but the residents also get really awesome training in both a private hospital and Haborview experience. Amazing skull base and peds. Huge trauma experience that you can only find at a handful of places. This obviously comes with the downside of getting crushed on call, but if you want a good operative experience, you're going to be crushed at any good program apart from Barrow or Mayo -it's really not that bad. After PGY-4 year the residents have a great time and were routinely out by 7-8. Get some of the best fellowships and academic jobs at big name places. The chair really cares about the residents and goes to bat hard for them. Really fantastic group of residents.

USC: Loved this place. This is what neurosurgery was probably like at most programs 30 years ago. Completely resident-driven program. You get incredible autonomy within one of the busiest hospitals in the country. At county you'll see the chiefs bouncing from room to room, junior residents doing the entire case, even Sub-Is getting to do a lot more in the OR than at most places. The culture and work atmosphere brings the residents very close together and some of the juniors would facetime us at the hospital during their post-call day just to check in. Makes for an amazing work environment where everyone really has your back. Internal R25 grant for the residents who want to take a research year. There was talk of potentially allowing a PGY-7 fellowship year, but the culture is so tight-knit that no one wanted to do it because the residents wanted to stay together in their original class. Fun, warm city and great leadership.
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#39
(05-10-2020, 01:08 PM)Guest Wrote:
(05-08-2020, 12:23 PM)Guest Wrote: Given that residency interviews might be virtual this year, if graduating M4's could write some more of their experiences with different places (positive and negative) I think all of the people applying this cycle would greatly appreciate that!

I can give it a shot but again it depends on what you want out of a program. The "best" program is the one that has what you're looking for - in terms of operative training, culture, and location. MD/PhDs who want to have their own lab and a lot of basic science resources would favor certain programs vs. those who want the best possible operative experience. For me I wanted a more or less operative program that had a lot of resources for residents, great culture, and lots of clinical research opportunities without sacrificing reputation. My top 4 in no specific order ended up being:

Barrow: Amazing all around. Really cool group of residents who were fun to hang out and work with. Incredible OR experience - obviously the reputation is in vascular but residents were doing complex tumors skin to skin with Sanai and Smith, tons of spine with Uribe, and skull base. Felt like a family, the residents would all hang out at each other's house, even have pool parties before going to MTL rounds in the afternoon. PGY-4 and up (- chief year) you literally just come in to operate, no bullshit, no clinic, no floorwork - you just pick your case and do it from start to finish and go home. Attendings have video feeds of your scope in the OR and basically sit in their offices watching you operate. Cases get chosen based on seniority and after junior residency you basically get to do whatever you want. Chiefs get preference over any fellows. The real MTL fellowship is clearly the PGY-7 year at the BNI.

Mayo Rochester: Absolutely incredible program. Residents have every resource imaginable. Instead of a classic service where you round on a long list of 60 patients in the morning you only carry those of the 1-2 attendings you're working with. In house call is something like Q10 but you always hold the pager for your 8 patients. They're your patients from start to finish and residents PGY-3/4 and up were doing the vast majority of the cases independently (like T2-pelvis, posterior fossa tumors). Quite a bit of open vascular with Meyer/Lanzino, very strong skull base with Link/JVG, tons of complex spine - huge deformity cases, tumors, functional with Kendall Lee. Independent chief year where you have your own clinic and referrals - chiefs were doing everything from skull base tumors to carotids with no attending. Residents have 2 elective years that are completely protected. One went to work with Hugues Duffau in France (fully funded). Have the option to do any electives at Mayo Florida/Arizona. Can enfold peripheral nerve, skull base (both some of the best in the country), spine, etc. as a PGY-5, 6, or 7.

UW: Very strong and really well balanced program. Big names like Ellenbogen, Sekhar, Kim. Some of the best basic science research around, but the residents also get really awesome training in both a private hospital and Haborview experience. Amazing skull base and peds. Huge trauma experience that you can only find at a handful of places. This obviously comes with the downside of getting crushed on call, but if you want a good operative experience, you're going to be crushed at any good program apart from Barrow or Mayo -it's really not that bad. After PGY-4 year the residents have a great time and were routinely out by 7-8. Get some of the best fellowships and academic jobs at big name places. The chair really cares about the residents and goes to bat hard for them. Really fantastic group of residents.

USC: Loved this place. This is what neurosurgery was probably like at most programs 30 years ago. Completely resident-driven program. You get incredible autonomy within one of the busiest hospitals in the country. At county you'll see the chiefs bouncing from room to room, junior residents doing the entire case, even Sub-Is getting to do a lot more in the OR than at most places. The culture and work atmosphere brings the residents very close together and some of the juniors would facetime us at the hospital during their post-call day just to check in. Makes for an amazing work environment where everyone really has your back. Internal R25 grant for the residents who want to take a research year. There was talk of potentially allowing a PGY-7 fellowship year, but the culture is so tight-knit that no one wanted to do it because the residents wanted to stay together in their original class. Fun, warm city and great leadership.
Great write-up, thank you so much!

1) Would love to hear about other programs you saw and what you didn't like as much. It's just as useful for us to hear the flaws in programs (+ this is an anonymous forum and it shouldn't be a secret if programs have issues)
2) Would love to hear from any other residents
3) Is getting out by 7-8 really considered "good" as a senior? I'm sure that's still a 12-13 hour day. Is it bearable because they get better weekends off?
Reply
#40
(05-10-2020, 04:53 PM)Guest Wrote:
(05-10-2020, 01:08 PM)Guest Wrote:
(05-08-2020, 12:23 PM)Guest Wrote: Given that residency interviews might be virtual this year, if graduating M4's could write some more of their experiences with different places (positive and negative) I think all of the people applying this cycle would greatly appreciate that!

I can give it a shot but again it depends on what you want out of a program. The "best" program is the one that has what you're looking for - in terms of operative training, culture, and location. MD/PhDs who want to have their own lab and a lot of basic science resources would favor certain programs vs. those who want the best possible operative experience. For me I wanted a more or less operative program that had a lot of resources for residents, great culture, and lots of clinical research opportunities without sacrificing reputation. My top 4 in no specific order ended up being:

Barrow: Amazing all around. Really cool group of residents who were fun to hang out and work with. Incredible OR experience - obviously the reputation is in vascular but residents were doing complex tumors skin to skin with Sanai and Smith, tons of spine with Uribe, and skull base. Felt like a family, the residents would all hang out at each other's house, even have pool parties before going to MTL rounds in the afternoon. PGY-4 and up (- chief year) you literally just come in to operate, no bullshit, no clinic, no floorwork - you just pick your case and do it from start to finish and go home. Attendings have video feeds of your scope in the OR and basically sit in their offices watching you operate. Cases get chosen based on seniority and after junior residency you basically get to do whatever you want. Chiefs get preference over any fellows. The real MTL fellowship is clearly the PGY-7 year at the BNI.

Mayo Rochester: Absolutely incredible program. Residents have every resource imaginable. Instead of a classic service where you round on a long list of 60 patients in the morning you only carry those of the 1-2 attendings you're working with. In house call is something like Q10 but you always hold the pager for your 8 patients. They're your patients from start to finish and residents PGY-3/4 and up were doing the vast majority of the cases independently (like T2-pelvis, posterior fossa tumors). Quite a bit of open vascular with Meyer/Lanzino, very strong skull base with Link/JVG, tons of complex spine - huge deformity cases, tumors, functional with Kendall Lee. Independent chief year where you have your own clinic and referrals - chiefs were doing everything from skull base tumors to carotids with no attending. Residents have 2 elective years that are completely protected. One went to work with Hugues Duffau in France (fully funded). Have the option to do any electives at Mayo Florida/Arizona. Can enfold peripheral nerve, skull base (both some of the best in the country), spine, etc. as a PGY-5, 6, or 7.

UW: Very strong and really well balanced program. Big names like Ellenbogen, Sekhar, Kim. Some of the best basic science research around, but the residents also get really awesome training in both a private hospital and Haborview experience. Amazing skull base and peds. Huge trauma experience that you can only find at a handful of places. This obviously comes with the downside of getting crushed on call, but if you want a good operative experience, you're going to be crushed at any good program apart from Barrow or Mayo -it's really not that bad. After PGY-4 year the residents have a great time and were routinely out by 7-8. Get some of the best fellowships and academic jobs at big name places. The chair really cares about the residents and goes to bat hard for them. Really fantastic group of residents.

USC: Loved this place. This is what neurosurgery was probably like at most programs 30 years ago. Completely resident-driven program. You get incredible autonomy within one of the busiest hospitals in the country. At county you'll see the chiefs bouncing from room to room, junior residents doing the entire case, even Sub-Is getting to do a lot more in the OR than at most places. The culture and work atmosphere brings the residents very close together and some of the juniors would facetime us at the hospital during their post-call day just to check in. Makes for an amazing work environment where everyone really has your back. Internal R25 grant for the residents who want to take a research year. There was talk of potentially allowing a PGY-7 fellowship year, but the culture is so tight-knit that no one wanted to do it because the residents wanted to stay together in their original class. Fun, warm city and great leadership.
Great write-up, thank you so much!

1) Would love to hear about other programs you saw and what you didn't like as much. It's just as useful for us to hear the flaws in programs (+ this is an anonymous forum and it shouldn't be a secret if programs have issues)
2) Would love to hear from any other residents
3) Is getting out by 7-8 really considered "good" as a senior? I'm sure that's still a 12-13 hour day. Is it bearable because they get better weekends off?

if you have a problem with a 12-13 hour day, look elsewhere than neurosurgery. okay buddy?
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