(05-13-2020, 04:15 PM)guest101 Wrote: it does need mentioning that there is a drastic difference in the operative experience/autonomy/skills that a resident attains at clinical-heavy programs (i.e. BNI, Pitt, USC, UW, Miami, Mayo, etc.) in comparison to research-driven powerhouses (MGH, BWH, Cornell, Columbia, etc.)
This Catch 22 exists across the country albeit with few exceptions (BNI/Mayo being the two where you can get trained well clinically and still have enough time to pursue basic science and/or clinical opportunities - yes at BNI these are definitely limited but its worth pointing this out regardless)
Fantastic post overall, but lol @ UW and Mayo being clinically heavy - it's not 2000 anymore. This simply isn't true anymore. Putting them in a list with Pitt and USC is just farcical.
Also, BNI and basic science don't mix at all. They're 2019 NIH funding was a grand total of $0 per BRIMR. The faculty and residents (by and large) publish well in clinical journals but not outside of that.
All fine programs, but if we're telling the truth then let's be realistic.
pretty sure the above poster has never set foot at either UW or Mayo, being clinically heavy does not equate with just being inundated with trauma at all time. UW is notoriously busy beyond even just the Harborview experience and Mayo routinely has 11 first start ORs, which is a number only Barrow can match. 2000 is more in line with the number of cases their graduating residents have.
(05-15-2020, 04:30 PM)Guest Wrote: pretty sure the above poster has never set foot at either UW or Mayo, being clinically heavy does not equate with just being inundated with trauma at all time. UW is notoriously busy beyond even just the Harborview experience and Mayo routinely has 11 first start ORs, which is a number only Barrow can match. 2000 is more in line with the number of cases their graduating residents have.
This x 1000. I rotated at both Mayo and BNI + a program with a busy level 1 trauma center. Mayo was just as busy as BNI (some days they had 14 first starts). The residents did complex cases with autonomy, not 3,000 trauma cranis. Both Mayo and Barrow are ultra wealthy, resource-rich hospitals that only cover 1 site so the residents operate starting intern year because they don't need that many bodies on the floor and overnight (BNI is a little more frontloaded). All the labs and imaging are done immediately so no one wastes time tracking down random BS. They have transport and OR teams that get everything set up for you so your only job is to operate and do research. If you do an enfolded during one of the elective years they get at Mayo (or operate during the 18 months BNI gives you) you will easily hit 2,000 cases at graduation at both places.
How bad is the trauma at UW? It sounds like something that might be exciting and educational for like one year and then end up ruining your life afterwards.
(05-15-2020, 04:47 PM)Guest Wrote: (05-15-2020, 04:30 PM)Guest Wrote: pretty sure the above poster has never set foot at either UW or Mayo, being clinically heavy does not equate with just being inundated with trauma at all time. UW is notoriously busy beyond even just the Harborview experience and Mayo routinely has 11 first start ORs, which is a number only Barrow can match. 2000 is more in line with the number of cases their graduating residents have.
This x 1000. I rotated at both Mayo and BNI + a program with a busy level 1 trauma center. Mayo was just as busy as BNI (some days they had 14 first starts). The residents did complex cases with autonomy, not 3,000 trauma cranis. Both Mayo and Barrow are ultra wealthy, resource-rich hospitals that only cover 1 site so the residents operate starting intern year because they don't need that many bodies on the floor and overnight (BNI is a little more frontloaded). All the labs and imaging are done immediately so no one wastes time tracking down random BS. They have transport and OR teams that get everything set up for you so your only job is to operate and do research. If you do an enfolded during one of the elective years they get at Mayo (or operate during the 18 months BNI gives you) you will easily hit 2,000 cases at graduation at both places.
wish i had this kind of set up.
(05-15-2020, 06:40 PM)Guest Wrote: (05-15-2020, 04:47 PM)Guest Wrote: (05-15-2020, 04:30 PM)Guest Wrote: pretty sure the above poster has never set foot at either UW or Mayo, being clinically heavy does not equate with just being inundated with trauma at all time. UW is notoriously busy beyond even just the Harborview experience and Mayo routinely has 11 first start ORs, which is a number only Barrow can match. 2000 is more in line with the number of cases their graduating residents have.
This x 1000. I rotated at both Mayo and BNI + a program with a busy level 1 trauma center. Mayo was just as busy as BNI (some days they had 14 first starts). The residents did complex cases with autonomy, not 3,000 trauma cranis. Both Mayo and Barrow are ultra wealthy, resource-rich hospitals that only cover 1 site so the residents operate starting intern year because they don't need that many bodies on the floor and overnight (BNI is a little more frontloaded). All the labs and imaging are done immediately so no one wastes time tracking down random BS. They have transport and OR teams that get everything set up for you so your only job is to operate and do research. If you do an enfolded during one of the elective years they get at Mayo (or operate during the 18 months BNI gives you) you will easily hit 2,000 cases at graduation at both places.
wish i had this kind of set up.
Yea same. Don't get me wrong, places like Pitt and Emory are amazing programs. Their graduates are very, very well trained. But a lot what keeps them "clinically busy" is just inefficiencies: covering multiple different sites in house, having zero NP/PA support so you're always slammed with bullshit that has nothing to do with neurosurgery, coming in at 2:30 AM to round on a list of 80 patients that are all maximally dispersed within the hospital, managing the 1000th non-op subdural in the ICU getting crushed with dispo issues/random pages, malignant attendings who are constantly out to get you and add layers of stress. They come out well trained *despite* all these factors, because they also do a lot of cases, but this makes residency extra miserable. If you Sub-I/second look at these programs the residents will openly tell you how beat down they are. This isn't a secret. At the end of the day, what you need is a place with great attendings who do a lot of complex cases and let you operate independently. All that extra stuff detracts from the operative experience, which is why places like the BNI are so competitive. At the end of the day, just pick a place where you think you'll be happiest.
Can anyone talk more about Pitt?
(05-15-2020, 04:11 PM)Guest Wrote: (05-13-2020, 04:15 PM)guest101 Wrote: it does need mentioning that there is a drastic difference in the operative experience/autonomy/skills that a resident attains at clinical-heavy programs (i.e. BNI, Pitt, USC, UW, Miami, Mayo, etc.) in comparison to research-driven powerhouses (MGH, BWH, Cornell, Columbia, etc.)
This Catch 22 exists across the country albeit with few exceptions (BNI/Mayo being the two where you can get trained well clinically and still have enough time to pursue basic science and/or clinical opportunities - yes at BNI these are definitely limited but its worth pointing this out regardless)
Fantastic post overall, but lol @ UW and Mayo being clinically heavy - it's not 2000 anymore. This simply isn't true anymore. Putting them in a list with Pitt and USC is just farcical.
Also, BNI and basic science don't mix at all. They're 2019 NIH funding was a grand total of $0 per BRIMR. The faculty and residents (by and large) publish well in clinical journals but not outside of that.
All fine programs, but if we're telling the truth then let's be realistic.
Literally the dumbest post on this entire forum.
I am a PGY5 from east coast who was going to transfer to UCSD for personal reasons.
I just found out that they are undergoing investigation by ACGME for many violations...
(05-15-2020, 11:04 PM)ResidencySearch Wrote: What program on the east coast? PGY5 without a home here 
It can only be one program. The best of the best!
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