someone give an example of a "bad" residency.
About what score (or range) on the USMLE steps does it take to get into an internal medicine residency? Do you have to ace the test...or can you just do ok (just pass basically) ?
Also, I hear a lot of people saying you need a high score to get into a good residency program. So within a particular field, say IM, what distinguishes a ''good'' residency from a ''bad'' one ? Don't they all suck anyways? (i.e. long hours, horrible work load, crappy pay).
Finally, if you go to a so called ''bad'' residency, could that affect your job search after that ?
thanks for all the info.
"If you have a dream......just give up."
someone give an example of a "bad" residency.
there are some residencies out there where it setup as a pyramid system.
So after each year, they kick some people out of the residency program.
no, this is no longer allowed. any such program could not be accredited.Originally Posted by bevo
my take on what is meant by good vs bad program: good programs provide a good education (broad exposure, lots of patients, autonomy, support from attendings/other residents), in short they provide you with all the tools to be a good doctor, and possibly provide options to go onto fellowships. a bad program would be one that uses you as a warm body, with minimal consideration for the educational value of the work you do.
sure, all residencies generally suck for hours, pay, etc...but, what differentiates a good program from a bad one is what you get in return for these years of suffering.
A score of 75 (minimal passing) will get you a spot. The "magic number" for non-competitive residencies (IM, family, peds, neuro, psych) is a 200. Get a 200 and you'll have so many interviews you'll be cancelling them left and right. Below a 200 and you'll still easily get a job, although you won't have as many to pick from.
If you want something like surgery or ob-gyn you definitely need to score above the 215 range. Its certainly doable with scores below that, but to be safe you want to score as high as possible. Just to illustrate my example, there is an upper-level Ross resident doing surgery at one of the NYC university hospitals who flunked Step 1 the 1st time and barely passed the 2nd time, but he got surgery there because he impressed them so much when he did a sub-internship rotation there. If a program like you and your work ethic when you rotate there, they really aren't going to care what you look like on paper. Hence, the importance of 4th-year electives.
Beware of the "good" program, "bad" program label. Many people call a program "bad", simply because of its location, when in fact many inner-city community hospitals have great teaching programs, often time better than more prestigious university hospitals. Be sure and check each program out YOURSELF before labelling it. If there's one thing I've learned in medicine its that 99% of what med students spout contains a lot of **, like all the stupid, untrue rumors you always hear about on the island.
I agree with what A.H. says, but I especially agree with this above.Originally Posted by A.H.
But, I would add this: if you want to do a fellowship afterwards, I would plan on doing IM at a hospital that has a good rep for placing grads into fellowships. Some IM programs are general/primary care track. If you want to be a general internist, no probs. Pretty much any program you do will get you there. Some are definitely more IMG friendly than others, but in the end what attendings you meet during your residency - and how you impress them - will have a lot more bearing on how you do after your post-graduate years than the actual program itself.
Just my $0.02
Well, just from a lot of surfing it appears the majority of IM programs that do in fact have minimums pick the two digit score(not a percentile rank) of 82.... I think that sits at 200. Others require an 80...again for IM. Just from my hospital, Jamaica...they've accepted lower...but like mid 80's for a reasonable-good candidate. Many also don't have minimums...except require that you've passed the boards on the first attempt(freq req).... and even some have just that you've passed in three attempts. But overall...I think the most common has to be the 80-82 I've heard as a minimum or preferred score.
Since we are talking about scores, what type of performance on Step 1 can lead to a radiology residency? I have overheard some that IM can lead you into D. Rad. as well? Is that true? Your input, as usual, is appreciated. PM your answer if you like.
For IMGs a high step 1 score is a must. when your school is not much known, your only legitimate claim to be included may be your scores.