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freenow: 交作业-肥佬(Fellowship)面经
作者:dokknife
发表时间:2011-06-16
更新时间:2011-06-16
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发信人: freenow (freenow), 信区: Physician
标 题: 交作业-肥佬面经
发信站: BBS 未名空间站 (Wed Jun 15 20:08:52 2011, 美东)

University of Minnesota


四月初的minneapolis 竟然是阳光明媚,天气非常好,不过听说我们一离开就下雪了。
it is the most organized interview I have ever attended. They are very
considerate and nice to candidates. We were
send to light rail at the end of the day by the faculty after he gave us an
introduction of the training at VA and the
tour.

The program is known for BMT. However if you are interested in solid tumor,
you can still get solid clinical training
from rotating through different hospitals if your goal is to practice.

The interview day starts with PD's introduction of the program followed by a
tour lead by PD herself. Then three
faculties gave presentations about the research projects going on there.
Then lunch with fellows, interviews after
lunch, and we were send to VA by taxi. the day finished at VA where is close
to the airport.

Fellows rotate through the university hospital, VA, regions hospital, and
Hennepin county medical center. The first
year you spend 6months at UMMC, 2months each at the rest 3 training sites.
You will attend one half day continuity
clinic per week. The second and third year you spend time on elective
rotations and research. The continuity clinic
continues throughout the 3years training. Every year in April, first year
fellows will present their career goals and
plans. Research is strong, the faculties seem to care about fellows success
and they expect you to do meaningful
research. However if you want to go for private practice, they will fully
support you too. One third year fellow I met is
going to wash U for a faculty position, one will go for practice in the
community.

Overall: great academic program, strong BMT. If BMT is your cup of tea, you
should go even it is very very cold there.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Review I collected from Internet
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Review: University of Minnesota

IV day: 8 am to 4 pm
# of interviewer: 2
Accommodation provided:No
# of applicants interviewed in one day: ~6
# of applications : 300
# interviewee: 40
# of positions: 6

Clinical: calls are from home. If I remember correctly u'll be on call Q4
but most of the work is being done by
residents, interns, PAs and NPs. usually u will come 7:30 and will leave
around 7pm. u round with ur team then
attending will join u and some times pharmacist , NPs and head nurse will be
in the round too. then u round with the
attending to discuss interesting cases in higher levels. like many programs
it has inpatient hem, inpatient onc, BMT
and consult. there are 3-4 other hospitals that you rotate but most of your
inpatient load is in the university hospital ,
the rest are outpatient.

Authority: so-so. depends on the attending.

Helping hands: NPs , PAs especially in BMT service.

Research: If you want to become BMT expert this is your place. they have 30
year database of BMTs they have
done. Basic science is pretty strong. They are working on their solid tumor
research but it's a fair statement that U of
M hem/onc is HEM plus onc.

Neighborhood: the weather is COLD. VERY COLD, VERY VERY COLD. but the
neighborhood is good. Minneapolis is
nice city with lots of day and night activities. If you are single and "
looking" this is the place u want to be! the
expenses are reasonable.

Allowance: none.

FLOWs: happy. U of M offers visa so that might biased some flows. I think it
's one of the best programs that offer
visa pretty easily.

Mentorship: strong. though I think there is no systematic mentorship. the
burden is totally on PD , Dr Burns, who does
it very well but it's just her. She asks for your career goal by April first
year and she does follow up with you to make
sure u r in good standing.

Flows destination: 50-50. like all other programs they try to train
academician but some fellows refuse. they are pretty
flexiable with your goals though. they give u more out patient clinic if u
want to go to PP.

Interviewers: very good. nothing extraordinary. after couple of interviews,
questions are being repeated. where do u
see yourself in 10 years, u r in X program, how do u see it , It seems u r
doing Y, tell me more about it, if u have
done ur med school outside of US then DO u want to go back to ur country...
they have grading sheet in front of them
and they will score u after the interview. but nothing to worry about.

PD: excellent. on top of BMT of fellows.

Overall score: 8.4/10

--


UPMC

They have a new division chief and new director. the new change will be
emphasis more on fellows research. At
UPMC there are 3 and half spore programs, lung, melanoma, head and neck,
prostate (the half one) out of the total
60 in the country. The program director is the one who first cloned the t(5;
17) variant of APL. There are 18 months for
research and minimal 1 publication is required. However I heard 7/7 fellows
went to PP in a recent year.

The service is busy. At shadyside hospital, there are three inpatient
oncology services. We were told the inpatient onc
service will be cut down to 1 with 2 given to hospitalist service. Inpatient
leukemia and BMT are separated rotations.
On consult months, you see inpatient consult in the main university hospital
which is 1 mile away from the shadyside
hospital. Out patient rotation happens at hillman cancer center and VA. The
continuity clinics are structured as 6
month blocks, you can decide to stay at the same clinic or change to an
other one at the end of each six month. The
subspecialty clinics are structured in 3month blocks, where fellows are
primary care givers with more autonomy.

Calls: your home call is once every month. You will also have in-house call
once every three months when you need
to take admissions over the intern's cap. This is the only program that I
know fellows take in-house call. However you
are paid as moonlight when you take in-house calls. And there are always
young, energetic fellows willing to take your
call for extra bucks if you do not want to take it.

The faculties are nice, the interview is well organized and you have chance
to talk to a fellow on one to one basis.
Pittsburg is not so big, not so small so it is a good place to live. In
winter it could be cold and snowy though.


Overall, it is a great program to train. The workload is front loaded. Once
you survive your first year, it should be OK.
You will be well prepared for either an academic career or PP. &
#160;
--


FCCC

The Fox Chase heme/onc fellowship program is listed as Temple university
heme/onc program by ERAS but it really is
Fox Chase's program.

Fox Chase Cancer Center is a small place but is world known. It was formed
in 1974 by the merger of the institute of
cancer research and the American Oncologic Hospital, which was the
first cancer hospital in the United States. In
Fox Chase's history, there are numerous notable achievements by Fox Chase
researchers. To name a few: Baruch
Blumberg, "prevented more cancer deaths than any person who’s ever
lived". He won Nobel Prize in Physiology or
Medicine in 1976 for his discovery of Hepatitis B and the Hepatitis B
vaccine. Irwin Rose, Nobel Prize in Chemistry for
discovery of ubiquitin-mediated protein degradation. Alfred Knudson, Kyoto
prize, the "two-hit" theory. David
Hungerford, discovery of Philadelphia chromosome in 1960. Melvin
Bosma, Discovery of the SCID mouse. V. Craig
Jordan, "Father of Tamoxifen". Arthur Lindo Patterson, the Patterson
function........

~~~~~~~~~~~~~~~~~~~~~~~

The clinical training is phenomenal at Fox Chase. In order to facilitate the
fellows choosing research project and
selecting the right mentor during their 1st year, for the 2012 incoming
class, everybody will start at Fox Chase. you
only attend 4-half-day clinics, GI, breast and lung plus the fourth one with
one of GU, sarcoma, hematology, head
and neck, or gyn malignancies per week. On some occasion, you may
have a fifth-half-day clinic. You don't have any
other clinical obligations the rest of the time but attending conferences,
journal clubs etc. it is said the clinics are
busy. You will have your own patients and see about 50 to 55 patients per
week.

For the second year at Temple, there are inpatient heme consult for four
months and onc consult for two months. You
also rotate through BMT for three months at Jeanes hospital during the
second year. There are two months for
research in the second Year. It is said the second year is much lighter than
the first year. Fellows do not take calls
when rotating through BMT at Jeanes hospital. At Janes hospital, average of
80 transplants are performed per year.
Temple is in a not so nice neighborhood, but you will work there for only
six months if you take out your three months
BMT rotation at jeanes hospital which is closed to FCCC, two months research
, and about one months vacation time
from your second year.

The third year is protected for research. You will have only one half day
clinic though out your third year. You have
option to choose onc only if you prefer to spend two years on research. &#
160;

People at Fox Chase are nice. PD and associate PD are making a lot of
efforts to make the program even better.
Fellows are very happy. We did not attend the conference at Fox Chase but
attended the temple heme noon
conference. It was un-formal. There was no ppt. One of the fellows just
presented the interesting cases he
encountered in the morning clinics and all the attending and fellows
participate the discussion. Very practical and
clinical oriented.

Translational and clinical research are strong. There are also plenty
resources for basic research. If you are not sure
what you are going to do with your training yet, this is probably the right
place for you.


Overall: great program, you won't go wrong with Fox Chase for any career
pathway.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Review quoted from Internet
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FOX CHASE CANCER CENTER
IV day: 9 am to 4:30 pm
Day starts at Temple, where they give an overview of the program followed by
1 interview and then a tour(for which
they couldn't find a fellow, and director himself had to show around). Then
applicant expected to drive/take cab over
to FCCC where they spend rest of the day. At FCCC, starts with noon
conference/lunch, followed by program
overview by one of the fellows and then interviews. At the end, another
fellow takes applicants on tour.
# of interviewer: 1 at Temple, 4 at FCCC (including PD)
Accommodation provided: no
# of applicants interviewed in one day: 4
# of positions: 6
Clinical: fellow starts either at Temple or FCCC and spends entire yr there,
and reverse during second yr(selection
done randomly). At Temple- all heme, inpatient, outpatient and some
transplant. At FCCC, all outpatient, and
transplant at nearby Jeanes hospital. At FCCC, phenomenal clinic training as
fellows only do various subspeciality onc
clinics throughout the yr.
3rd yr for research or more clinics if going into practice.
Research: good opportunity for translational and clinical research. This is
a great place for solid tumors, not as much
for transplant, Temple has a strong heme division.
Neighborhood: good around FCCC, bad around Temple.
Fellows: friendly. 50/50 into practice/academia. this yr, 1 staying at FCCC,
2 joining Jefferson on staff.
Mentorship: The fellowship program director will help/guide you to find the
best mentor for you. But a lot depends
where fellow starts in first yr. If one starts at Temple but interested in
solid tumor research, may not get enough
exposure at FCCC until second yr and vice versa with heme.
Interviewers: all nice and friendly.

~~~~~~~~~~~~~~
I am surprised you are ranking cornel over fox chase, UCSD and UAB. Cornel I
think is not the greatest place to train.
Solid tumor is seriously deficient. Not a very friendly atmosphere too. With
no doubts FOX chase is far far better and
UAB is an NCCN cancer center and excellent clinical training program with
plenty of opportunities for research. UCSD
very strong as well [it is no3 on my list].

--


UCLA

There are six spots open but they are interviewing > 80 candidates. One of
the efforts this year from the program is to
make the interview day more efficient for both the program and the
candidates. So they separate the candidates into a
morning group and an afternoon group. I was among the afternoon group. We
started with hospital tour together with
the morning group who have done the interviews. one of the afternoon
candidates was pulled for interview early while
we were still touring the hospital. After tour is the lunch with program
introduction by PD and fellowship committee
members. Then Q&A section with fellows. Afternoon candidates were pulled
early for interview again. There is a
schedule but nobody follows that. -_-

The first year is all inpatient service. I agree with one of the previous
comments i quoted below, it appeared to be
malignant, at least for the first year. one fellow left the program six
months after started. The second year will be
better.

I am trying to think the positives about this program. I think they are &#
160;there but were not presented well during the
interview. Based on my research on their website, there are all the
resources for all-aspect of cancer research. There
is also a STAR program which offers combined phD/postdoc/mph if you are
interested in. I am not sure about the
mentorship. I think if you know what you want to do, there should be all the
resources available to help you. However,
the faculties I met seems not interested in the fellows success. if you don'
t know what to do with your fellowship
training, you probably will get lost. I did not get the opportunity to
attend their conference, maybe the morning group
did, so I can't comment on it.

Having said all that, it is a very competitive program to get in! My overall
impression: great location, very busy
program, if you prefer LA, go for it. after the first year everything should
be fine.

~~~~~~~~~~~~~~~~~~~~~~~~~~~
网上找到的只言片语
~~~~~~~~~~~~~~~~~~~~~~~~~~~
UCLA: yeap, moving from one hospital to the other sucks, but, you are 10
minutes from Santa Monica (priceless!).
Also, my interaction with the PDs and faculty was very productive... The
fellows that I talked were happy and a IM
residen that I met later was also happy.

UCLA - great reputation. strong faculty. However had a few reservations on
the structure of the program and
leadership. Did not sense that the fellows were very happy. Appeared
malignant with little flexibility. Also scattered
services. Not a big fan nof LA either.

-although on paper it seems UCLA should have all the resources in
place to be a great training program I didn't get
the sense the organization was there- I did come away with more of a
positive feeling than others on the board and
all the fellows I met were happy;

--



UCSD

It is a very academic program. Rotate through three hospitals: Hill crest,
Thornton and VA. Fellows see out patients at
Moores cancer center. Continuity clinics are available at both Moores and VA
. Moores is NCI-designated CCC.
Thornton hospital is a small hospital with 165 beds. BMT including heme
malignancies undergoing chemotherapy is
located in Thornton hospital. There are two fellows at all time rotating
there, you will also get inpatient heme/onc
consults from other service while rotating through Thornton hospital. At the
university hospital, hill crest, you will see
advanced diseases. The hemophilia treatment center is also located in hill
crest. I was told the VA at La Jolla is good
compared to other VAs. I didn't really get what does it mean.

The research opportunity is unlimited. UCSD is known for basic research. If
you are interested in clinical research,
CREST is available through the school of medicine but will not be paid by
program. There is a cancer therapeutics
training award available. There are 250 biotech companies in San Diego,
getting research fund from companies is an
option. All fellows are expected to engage to meaningful research.

Faculties are nice. You feel you are very welcomed and thanked for visiting
the program. I attended their Friday
morning conferences which consists of a faculty's didactic lecture followed
by a fellow's presentation on interesting
cases. This happens weekly. there is also journal clubs and research
conferences once every month.

Fellows are happy. 80% of the fellows go for dural board. 8 out 12 recent
graduates went to academia. Plenty of
moonlight opportunities at Moores during weekends, when you do not really
need to do anything but being there.
Weekend calls are every 12 weeks..

In my day of interview, there are 8 interviewees. I was the the only IMG.
There are 4 spots for year 2012, one faculty i
interviewed with told me one spot was taken for a combined fellowship/phD
candidate.

My overall impression: great training, great location, great people to work
with.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The review I found from SDN:
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Review: UCSD

IV day: 6:45 am to 4 pm
# of interviewe
Accommodation provided:No
# of applicants interviewed in one day: ~ 10 (but that day was an exception)

# of positions: 4-5
Clinical: Busy first year. You will cover 2major UCSD hospitals, Cancer
center and VA hospital. very good number of
BMT patients, excellent didactic sessions.
Authority: so-so. depends on the attending, hospital you are rotating and
yourself
Helping hands: NP.... help from attendings? weekends u just see new consults
(in 4 centers) you will be on call from
firday afternoon til monday morning though.
Research: excellent opportunities for basic science and also almost to same
degree for clinical science. both PDs are
hematologists but they welcome research project in variety of fields. for
basic science you can either work in UCSD
and cancer center or use other facilities/labs in san diego that are not
even affiliated with UCSD. For clinical research
CREST program is available too.
Neighborhood: excellent
Allowance: none.
FLOWs: extremely happy. it seems if you survive first year - which you can -
, then things get better. you can decide if
you want to do hem/onc or just onc.
Facilities: UCSD cancer center is amazing. both from inside - research
content - and outside - architecture - .
Thornton hospital is beautiful. I visited Hillcrest, it's more like
traditional hospital but still very clean. Didn't visit VA.
Mentorship: strong.
Flows destination: 50-50 PP vs. academic
Interviewers: excellent.
PDs: excellent, very calm and reassuring.
Overall score: 8.5/10

UCSD- very good faculty and facilities. In top 5 mainly because of the
location. San diego is simply awsome, I dont
think I will go wrong with UCSD, it is a strong training program and reputed
.

--

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