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  1. #1
    aucguy is offline Junior Member
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    Family Medicine: Unopposed vs. Opposed Programs

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    Quick question to "those that might know"...

    I've heard that "unopposed" programs (those without other residency programs) are better in that there is no fighting for patients with other specialties, etc - therefore the training is better....

    However...

    I've also heard that "opposed" programs are better because one gets better all-around training and works with other residents.

    So, to the people who might know, which is better and why?

    Any advice/help you can provide is appreciated, thanks.

  2. #2
    Anonymous is offline Unregistered Guest
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    opposed vs unopposed

    I've talked to FP residents who did med school clinicals at an opposed institution and they told me that the FP residents didnt get as much attention as at an unopposed place. At the unopposed place, attendings allow you to do anything. Supposedly at opposed places, the internal med /surgery/ etc. residents take the cake and the FP residents many times get left out, because of pre-conceived notions that they dont really need to learn.

    I guess either way is fine, but at opposed you would have to struggle more and act more interested in order to get noticed.
    To me, I'd just take what I can get into rather than worry what kind it is, but if you actually do have a choice, weigh your options and talk to residents at opposed vs. unopposed and get a general consensus. I've only heard this from residents at an unopposed institution so it might be biased. However, these particular residents felt like they were in heaven with all the personalize attention they were getting, compared to what they have witnessed in opposed programs.

  3. #3
    MDJack is offline Junior Member
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    Re:

    As an FP, you are treated first class in unopposed programs. Why? Simply because there is no one else around. Depending on opposed programs, you may be treated as second class to no class. The few unopposed programs I know treat FP residents with utmost respect. These residents receive a very well rounded training because all cases in all fields go to them. Some programs with IM will give two patients for admit to IM floor per patient admit to FP floor. Programs with OB/GYN will allow FP residents do deliveries only, no C-section. And even with just deliveries, FP only do 1/2 compared to OB/GYN. This goes for all the other specialties as well. If given the choice, one should choose unopposed. Good luck and enjoy the FP field - "the jack of all trade and master of none"! Just my cup of tea.

  4. #4
    Anonymous is offline Unregistered Guest
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    FP

    I interviewed at 12 FP programs, both unopposed and oppossed (to a certain extent). However, there are advantages and disadvantages.

    In an unopposed program, FP residents get to do everything. So if you don't like some rotations, then you're screwed.

    I personally like to work with residents of other specialty b/c I'm a social person and I like to be in a crowd. I don't like OB that much and I hate surgery. So if I can get by (with the help of the residents in those specialty), that would just be great....

    For inpatients, you will get to follow your own pt (continuity) if they get admitted. IM gets people w/o their own doctors in most cases.

    And it's just so nice to be able to do some rotations in a big county hospital (>1000 beds) with other residents and then go back to your own "home" FP center to do outpts.

    Besides, most unopposed program are in the rural areas which isn't for me.

    I've found a program like this already and I hope they rank me high

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