03-18-2018, 11:06 AM
Sameer sheth is at BCM now and is a bigger name than tandon
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Baylor vs. UT Houston
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03-18-2018, 11:16 AM
(03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's). Very informative. Thanks for the information.
03-18-2018, 05:29 PM
(03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's).Thanks for the comprehensive post; really clears things up. Do you have any input on the subI at UT Houston/resident experience?
03-18-2018, 05:38 PM
(03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's).Thanks - we need more informed posts like this on this board.
03-18-2018, 10:21 PM
(03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's). To respond to some of your points- UTH does have more trauma, but Baylor has more than enough clinically. Baylor trauma research is superior (see: Claudia Robertson). MDACC has enough first start cases that there is no double scrubbing. There are 10+ staff neurosurgeons. Chiefs gets first pick. On a given day you could see 6+ first starts for real open tumor neurosurgery (in addition to LITT, ommayya, etc). TCH is pretty fellow driven. Baylor is far superior to UTH in research opportunity available to residents both within the department and as an institution. The 12/13 ranking does NOT include MD Anderson funding which accounts for MILLIONS of dollars. Similarly, Dr. Sheth recently brought over about a million in funding that was not included in those tabulations. As an institution, Baylor has the 21st highest funding from NIH and UTH is not even in the top 50. Baylor also has an R25 for residents. As a reflection of this, Baylor residents have been much more productive. Given that the main advantage of UTH over baylor is open vascular, not really sure how you can characterize UTH as new wave. Open vascular is greatly diminished relative to the past. I do agree that both programs are undersold, but would assert that BCM offers a significant advantage to those inclined to pursue academics. I would only pick UTH if my interest was open vascular.
03-18-2018, 10:24 PM
(03-18-2018, 05:29 PM)Guest Wrote: Thanks for the comprehensive post; really clears things up.Subis go through a week on each major service: vascular, cranial and spine. There's a week of "clinic" that let's you get face time with chair and PD without having to go through the pain of scheduling something separate. The vascular service is pretty much what you expect and is mostly run by Day (the PD). There are 75-100 clippings a year and at least that many coilings. Most extra-axial tumors are also covered by the vascular service. Cranial week consists of going to the epilepsy cases (with Tandon), most of the intra-axial tumor cases, and the chairman's (Kim) OR - he does 2-4 MVDs/wk as well as Chiari's, p fossa lesions and unruptured clippings. The spine is split between trauma service and the elective practice. There is a deformity attending who trained at UVA and HSS (Quinn), as well as Dan Kim's elective spine and peripheral nerve (he is Kline's primary acolyte). Spine trauma goes hand in hand with cranial trauma, so it can be very busy. Call is done on a night float system - you're invited to spend a weekend night or two with the poor soul who's in house. Check out is at 530am, you'll generally pre-round on a couple of patients depending on what your resident wants. There is conference most mornings at 7am, the most important of which is Day's Tuesday conference (expect some light grilling). The residents are a benign lot. It's a clinically demanding program. Mix is 70% cranial to 30% spine. Research is hit or miss (like almost every other program). My primary advice: 1) Find a place that gives you a decent sampling of everything. Your own interests are going to change as you learn about the field. If your residency doesn't have what you want, you'll have to do a fellowship - not the end of the world. 2) Every place is going to fudge the case numbers to make themselves look good (as in - "hey, gamma knife and EVDs are cases, too!!!"). Programs can be broadly classified by volume (<150cases/resident/yr, 150-300 or >300). Anything in the first is way too light. Anything in the third is going to be clinically brutal - decide if that's for you. Cases really don't count unless you're the lead resident surgeon. 3) Try not to go to a place where you want to train mostly with one person or in one area (that is what fellowship is for) - ask the people at Columbia who wanted to work with Sheth or the UCSD residents that liked Carter how that worked out. Academics is constantly changing, and staff tend to shuffle every 5-10yrs. The focus and culture of a place stays relatively stable as those are ingrained in the hospital and handed down between generations of house staff, respectively. I hope everyone got what they wanted last week.
03-18-2018, 11:05 PM
(03-18-2018, 10:15 AM)Guest Wrote: First, clearly never cited MDA as part of UTH. Second, who are you talking about at Baylor in functional - Yoshor? $80k in NIH funding of his own. Their DBS guy, Viswanathan, doesn't have NIH funding and barely publishes anything in functional (go do a pubmed search). This versus, NIH brain initiative grant and an RO1 by a neurosurgery PI (total: ~$1m/yr, Nitin Tandon) plus a more active DBS program that is actually publishing (pubmed Fenoy AJ). Clearly you are misinformed. NIH reporter is a free service to check your facts. Yoshor has an R01, Michael Beauchamp the head of research in the department has an R01 and Sameer Sheth who just joined has an R01 and a UH3 grant. These three individuals are brining in over 1.7 million dollars in NIH funding annually. Thanks for the reply. I rotated at Baylor last year and it was a great experience. They do a variety of cases and the residents get a lot of autonomy and early exposure to the OR. The chief residents graduate having good comfort level doing complex cases. Guest (03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's). To respond to some of your points- UTH does have more trauma, but Baylor has more than enough clinically. Baylor trauma research is superior (see: Claudia Robertson). MDACC has enough first start cases that there is no double scrubbing. There are 10+ staff neurosurgeons. Chiefs gets first pick. On a given day you could see 6+ first starts for real open tumor neurosurgery (in addition to LITT, ommayya, etc). TCH is pretty fellow driven. Baylor is far superior to UTH in research opportunity available to residents both within the department and as an institution. The 12/13 ranking does NOT include MD Anderson funding which accounts for MILLIONS of dollars. Similarly, Dr. Sheth recently brought over about a million in funding that was not included in those tabulations. As an institution, Baylor has the 21st highest funding from NIH and UTH is not even in the top 50. Baylor also has an R25 for residents. As a reflection of this, Baylor residents have been much more productive. Given that the main advantage of UTH over baylor is open vascular, not really sure how you can characterize UTH as new wave. Open vascular is greatly diminished relative to the past. I do agree that both programs are undersold, but would assert that BCM offers a significant advantage to those inclined to pursue academics. I would only pick UTH if my interest was open vascular. Guest (03-18-2018, 09:46 AM)Guest Wrote: Briefly, UTH has the busiest trauma program in the country and the lion's share of the vascular in town. All the training is currently done at one location. Baylor has better tumor and peds training, but is a more fellow dependent program (MDA alone has 3-5 fellows/yr). Residents go to a ton of hospitals (Texas Children's, MDA, Ben Taub, St Luke's). To respond to some of your points- UTH does have more trauma, but Baylor has more than enough clinically. Baylor trauma research is superior (see: Claudia Robertson). MDACC has enough first start cases that there is no double scrubbing. There are 10+ staff neurosurgeons. Chiefs gets first pick. On a given day you could see 6+ first starts for real open tumor neurosurgery (in addition to LITT, ommayya, etc). TCH is pretty fellow driven. Baylor is far superior to UTH in research opportunity available to residents both within the department and as an institution. The 12/13 ranking does NOT include MD Anderson funding which accounts for MILLIONS of dollars. Similarly, Dr. Sheth recently brought over about a million in funding that was not included in those tabulations. As an institution, Baylor has the 21st highest funding from NIH and UTH is not even in the top 50. Baylor also has an R25 for residents. As a reflection of this, Baylor residents have been much more productive. Given that the main advantage of UTH over baylor is open vascular, not really sure how you can characterize UTH as new wave. Open vascular is greatly diminished relative to the past. I do agree that both programs are undersold, but would assert that BCM offers a significant advantage to those inclined to pursue academics. I would only pick UTH if my interest was open vascular.
03-19-2018, 02:52 PM
Yoshor's RO1 was only funded through FY2016. There is no funding for 2017 and (per the NIH site) has not be renewed. His total current funding consists of the R25 which is at $80k/yr. Beauchamp has ONE grant with <$400k in direct costs. Also from NIH: Sheth FY2017 funding totals ~$1.1m, Tandon FY2017 ~$1.4m. Again, directly from NIH site that you reference.
Clinically, many of the Hermann system hospitals are/will be stroke centers, the majority of endovascular in Houston is already taken care of by UTH. The difference in vascular is not limit to open only but all cerebrovascular diseases and treatemetns. An MDACC fellow told me that most trainees will scrub on a case per day. The main BCM hospital (the "crown jewel" per their own interview day tour) will have 18 operating rooms of which only 12 can be used (https://www.houstonchronicle.com/news/ho...382438.php). That's for all specialities. Per rotators, they typically run one room there. Unclear to me how total institution funding affects the neurosurgery department specifically. Congratulations to BCM for being ranked #21. The only funding that matters to a trainee is the funding for their own lab. If your department has $5m in funding, all of which is in tumors but you want to do epilepsy - then you're out of luck.
04-05-2019, 12:33 AM
Been almost a year. Any updates from people who recently rotated there?
10-03-2020, 02:45 PM
Any recent thoughts on how UTH, Methodist, and Baylor compare?
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