Choosing Clin Center wrt residency

[genericusername]

so i'm in the process of choosing a clinical center, and have a couple questions. if anyone could provide input, i'd really appreciate it.

how important would you say it is to do your cores and elective rotation for a field you want to go into (possibly) in the same place?
For example. If i want to do ER, should i try to do both my cores and EM elective at the same clinical center so i have a track record there and they might look favorably upon me when it comes time for residency? and possibly even pre-match (how often does that happen, anyway?).

with so many med students rotating in so many different departments in the hospital, by the time i get around to ER, does it even matter to them that i've been rotating at the same hospital before getting to the ED? do they only care about how i did in the ED if they're going to consider me for a residency there?

i don't know if these questions make any sense, but i'm getting a lot of info from people who i think have no clue what they're talking about

thanks

[stephew]

one nice thing about doing a rotation at a place you might want for residency is that you might get offered a pre match contract. but unless that's your goal i dont think it matters where you do it. I personalyl was rather surprised to hear from an sgu conf call recently that 50% of students prematch. (Which is why you dont see them ont he match data on the sgu web site).

BTW there is no EM core. The cores are surg/psych/obsgyne/im/peds

they care how you did in everything. Someone who's good in one field and mediocre in others looks like someone with bad ethics. Someone who only puts an effort itno what interests them and who doesnt have the concept of pride in their work as part of their make up. think about it ; what would you think if an applciation came across your desk from a guy with great comments in surgery but tepid comments in every other field (and its the comments more than grade that matter).

[stephew]

btw see if you really want to prematch when the time comes. I think a lot of people settle.

[Nima]

What is "University based Residency vs Non University based Residency"

Does it matter for Fellowship in future?

Can anybody rank between Hanehman, Temple, Luthern and Long Island College Hospital _? which place better education for Residency.

Thanks

[RussianJoo]

What is "University based Residency vs Non University based Residency"

Does it matter for Fellowship in future?

Can anybody rank between Hanehman, Temple, Luthern and Long Island College Hospital _? which place better education for Residency.

Thanks

in general university programs are known for better education and better chance at getting a fellowship later on but that's not always the case. non-university based residencies are at community hospitals and are not affiliated with a medical school, so less research is done there and thus are less competitive, because less news breaking procedures will be developed at those hospitals. however someone told me that unless you want to go into academia it really doesn't matter if you do your residency at a university based program or community. but of course it's always better to shoot for the university programs.

As for ranking those hospitals it all depends on what residency program you're going into, and also greatly depends on the attendings and PGY2's 3's 4's that are in that program because other residents will be the once who teach you the most, and who you'll have the most contact with, and since those residents change often one program might have had an excellent resident that took time to teach everyone one year and he might not be there next year. Also I think technically speaking all residency programs are supposed to be equal they're all monitored by the government to make sure they all teach the same material and that a resident at one program can do the same things as that same year resident at another program.

[RussianJoo]

so i'm in the process of choosing a clinical center, and have a couple questions. if anyone could provide input, i'd really appreciate it.

how important would you say it is to do your cores and elective rotation for a field you want to go into (possibly) in the same place?
For example. If i want to do ER, should i try to do both my cores and EM elective at the same clinical center so i have a track record there and they might look favorably upon me when it comes time for residency? and possibly even pre-match (how often does that happen, anyway?).

with so many med students rotating in so many different departments in the hospital, by the time i get around to ER, does it even matter to them that i've been rotating at the same hospital before getting to the ED? do they only care about how i did in the ED if they're going to consider me for a residency there?

i don't know if these questions make any sense, but i'm getting a lot of info from people who i think have no clue what they're talking about

thanks


I was told that PD's don't care if you did all your cores at their hospital or not, they don't call up dr. smith from another department to ask how you did in their rotation, they'll simply read dr. smith's letter of recommendation or comments on your performance at their rotation. what really matters to the PD is how well you do during their rotation. And while getting good grades at all your cores is important it's especially important to kick butt during the rotation in whatever field you want to go into. So don't stress about doing your cores at a place where you want to do your residency. Just try to do away rotations at those places and bust your butt during those rotations so that the PD can get to know you and your work ethic. As far as prematching into ER... I don't know how often that happens, from what I heard it's a pretty competitive field to go into. for example Dr. J.M. (just like the famous football announcer who has a few nfl games made after him) works for the school and is an ER doc or even a program director but he said that his program has an application filter set at 225 for step 1, meaning if your step1 score is below 225 they will not even see that you applied to their program because the computer will automatically filter out your application. This tells me that ER is very competitive which would mean that they don't offer too many prematches unless you have pretty high stats and fit in and work really well with everyone else.

[stephew]

What is "University based Residency vs Non University based Residency"

Does it matter for Fellowship in future?

Can anybody rank between Hanehman, Temple, Luthern and Long Island College Hospital _? which place better education for Residency.

Thanks
no one can rank these things. Because each program will rank differently. That is at Uni A, ortho is may be #1 and surgery #10 but at Uni B surgery will be #1 and ortho #5.

See US News and world report best hospitals guide.

[Nima]

I was asking in IM residency in general & how is teaching etc so that after 3 yrs you have areasonable chances to get in fellowship assuming you are at par with step 3 scores

Thanks very much for info.