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  1. #1
    SurgeonIN10years's Avatar
    SurgeonIN10years is offline Permanently Banned 510 points
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    University Residency Program VS Community Hospital....

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    Last edited by SurgeonIN10years; 06-18-2006 at 01:17 PM.

  2. #2
    nyphys1 is offline Member
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    In general University programs are more desirable because the volume and complexity of the cases treated are superior to most community hospitals. In addition teaching at an academic institution is usually better.However this is not always true as many larger community hospitals are just as good if not better than some University program.So the individual program matters.I see plenty of University programs on match lists from Caribbean schools so its not true they dont match there,although competition will be stiffer at the better known hospitals.The particular specialty is also an issue.. primary care residencies at University hospitals are very available howvever other specialties will be much more difficult to match.

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    teratos's Avatar
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    Depends on what you want to do. If you look at match lists from many of the schools, you will ifind that a lot match into University programs. University programs are beneficial if you want to do a [competitive] fellowship. Being at the university program offers you the opportunity to impress the pants of the program directors of the fellowships (hopefully), and may improve your chances of getting in. Universities often, not always, offer more research opportunities, which allow you to pad your CV with publications.

    Let's say you just want to be a surgeon (I assume by your user name) and don't really want to do a fellowship and aren't interested in academia very much. Community programs often provide more of a hands on environment. Where there are fellowships, there are fellows. Often the fellows hog the good cases and procedures. In a community program there are no fellows, typically, and this allows the residents to function in the capacity at times. For example. When I was a resident, I got to do cardiac caths when I was on the CCU or cardiology service. The attending cardiologist was standing behind me, but after a while I did the whole thing. If I had been in a university program, I would have been watching from the control room as a fellow scrubbed in on the case. Again, it depends on what you want to do. G
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  4. #4
    tRmedic21 is offline Elite Member 510 points
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    Also University hospitals typically have more indigent cases, which often have very complex pathologies. Sometimes you'll get to see things coming out of the homeless or immigrant populations that you'd never ever see at a community program.

    This is obviously not a rule, as there is much overlap in medicine, but this is my experience.
    bleh

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    AUCMD2006's Avatar
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    it is HIGHLY dependant on the location and size of the hospital and the population it serves. St John Medical Center for example is in detroit and about the only thing it sends out to Wayne are complex burn cases because they don't have a full burn unit and complex hip fractures because they don't have an ortho that does them anymore but were looking...

    it is a level II trauma center and i saw much more volume and complex cases there in 3 months than i did at the University of Illinois Medical Center in 3 years because Cook was next door and we just got overflow of their bad cases......

    so you shouldn't really ask wether a university or community programs are better but focus on finding the good programs in each tier that will give you the best chance. we as img's aren't really looked at to fill residencies at yale or harvard but you can find an excellent community program that is overlooked by US grads or a decent university program without the ivy league rep...

    just look at individual programs, they vary widely in acceptance of imgs not only by hospitals but by individual departments
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    teratos's Avatar
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    Quote Originally Posted by nyphys1
    In general University programs are more desirable because the volume and complexity of the cases treated are superior to most community hospitals. In addition teaching at an academic institution is usually better.However this is not always true as many larger community hospitals are just as good if not better than some University program.So the individual program matters.I see plenty of University programs on match lists from Caribbean schools so its not true they dont match there,although competition will be stiffer at the better known hospitals.The particular specialty is also an issue.. primary care residencies at University hospitals are very available howvever other specialties will be much more difficult to match.
    I don't believe that is the case at all. Most of these complex cases are diagnosed at community hospitals, and then sent on to the University programs. Also, if you want to do primary care of general surgery, you are better off seeing the bread and butter stuff rather than having a service full of wierd stuff. G
    AUC Class of '99
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    I may be a jerk, but I'm a Jedi jerk like my father.

    Some say I look like Buzz Lightyear....
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    DISCLAIMER: I have no financial stake in ValueMD, or any medical school.

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