BrainPlumber
Unregistered
What are the most reputable endovascular fellowships around the US?
Looking for hands-on training, high volume... don't want to wipe wire for 2 years.
Thanks
Really depends on the exact balance you're looking to strike between knocking out a high tempo of cases, the blend of diagnostic, elective intervention, urgent/emergent/stroke intervention; if you want some open included, combined, or pure endovascular; how much publishing and political connections matter to you; etc. CAST/ACGME approval basically denotes they've met a minimum training standard and submitted the paperwork for approval but its still phasing in so a number of excellent fellowships aren't necessarily CAST-approved yet. If you're a senior resident, the Memphis course is a great way to meet a lot of the fellowship directors but often the spots fill up 2 years in advance (or more at some places). Every list is biased, the following are generally held in pretty high regard but the list is by no means exhaustive, hope that helps.
Albany, Barrow, Buffalo, Columbia, Duke, Florida, Jefferson, Jacksonville (the one with Hanel, I think its at Baptist), Memphis, Miami, Pittsburgh, Rush, Toronto, UCSD, UT-Houston.
Top 5: Buffalo, Jefferson, Barrow, Miami, USC.
Buffalo far and away top
Then comes Jeff, Barrow, Emory.
After that maybe NyU, Memphis.
The rest mentioned above may have programs, you may get well trained, but they are not the best of the best.
What makes these top programs so much better than the rest?
Volume? Autonomy? Lack of competition from other residents/chiefs? Reputation? Political connections?
All fellowships should be moving soon to CAST accreditation - training should start becoming standardized.
Would also like to know the criterion for the aforementioned programs as "best of the best." Obviously their reputation precedes them.
Buffalo, Barrow, Emory, Jefferson, Miami, Pitt, UT Houston all seem like top in terms of both bleeds and ischemic stroke by sheer volume alone.
Be wary of some of the bigger programs, because they are chief resident dependent services, ie the chief resident is expecting to do the case and the fellow is there to teach the resident, or in some cases the chief resident can "kick" the fellow out of the case.
Some of the fellowships, you get trained by the other fellows. ie you are going to be watching early on
Some of the other fellowships are 2 years plus plus ie they'll keep you longer if they don't feel you're adequately trained at the end of two years.
Take a look at the Miami Baptist fellowship with Hanel. There are no residents, and it's strictly 1on1 time with attendings.
Any opinions on Mount Sinai (NYC) vs. Cleveland Clinic?