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ericusa: Preliminary Impression on Yale Surgery
作者:USMedEdu
发表时间:2010-01-13
更新时间:2010-01-13
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发信人: ericusa (eric), 信区: MedicalCareer
标 题: Preliminary Impression on Yale Surgery
发信站: BBS 未名空间站 (Wed Jan 13 16:17:06 2010, 美东)

Went to 24 interviews and found this one is IMG-friendly. CMGs with strong
credentials may give it a try next year.


Program:
Yale - General Surgery

Location:
New Haven, the second-largest municipality in Connecticut, after Bridgeport
and just ahead of Hartford, with a core population of about 124,000 people.
Travel to other nearby big cities: about 1.5 hours to NYC and 2.5 hours to
Boston.

Travel:
By car: I-95; by air: Tweed New Haven Regional Airport; by train: Metro-
North from Grand Central if you come from NYC.

The Hospitals and Surroundings:
The Yale University School of Medicine/Yale New Haven Medical Center is
located next to the Yale University campus. Yale has some cool, ancient-
style buildings but the campus is pretty crowded. It's an old urban college
and it lacks some open spaces found in other younger college towns. There
are many small stores and restaurants near the campus.

The surgical trainings are conducted at three sites: Yale New Haven Medical
Center (Yale-New Haven Hospital has 944 beds and serves as the primary
teaching hospital for the Yale University School of Medicine), Veterans
Administration Medical Center (New Haven, 179 beds), and Bridgeport Hospital
(Bridgeport, 425 beds, level 2 trauma center and the only dedicated burn
center in Connecticut). I visited Yale New Haven Medical Center and
Bridgeport Hospital (these two are about a half-hour apart).

The Residency Application:
For the six categorical general surgery positions Yale received more than
800 applications. Seventy people were invited for interview. I was amazed by
some of the incredible applicants (someone got 282 on USMLE Step 1).

The Interview:
The interview was scheduled from 7:00 am to 2:00 pm. Each applicant had to
meet seven interviewers. It's interesting that we only met three of them for
five minutes each, kind of like the first time you visit your future spouse
's home and the relatives just come over to “look at” you. We then spent
30 minutes each for other four faculties. Three of the four faculties know
my attending personally (the attending wrote a recommendation letter for me)
so we talked about him. The interview was in a free-chat format and we
discussed my research and volunteer experiences, my school, and of course,
sports.

Didactics/Conferences/Other Teaching:
The surgery program offers Basic and Clinical Science Conference on Tuesday
(7-8 am), Grand Rounds on Wednesday (7-8 am), Morbidity and Mortality
Conference on Wednesday (8-9 am), and other Sectional Conferences (didactic
lectures, case presentations and discussion, and teaching rounds).

Most rotations are carried out at the New Haven site (GI, Oncology, Breast,
Temple GI, Plastic, Thoracic, Trauma, Vascular, Transplant, SICU, Pediatric,
Urology, ENT), additional trainings are at Bridgeport site (General and
Vascular, Thoracic, Endoscopy, Trauma/SICU, Burn Unit) and VA site (General
and Vascular, CT).

Residents/Staff/Attendings:
There are 70+ full-time general surgery faculties, including women (21%) and
minorities (19%). Yale in general, not just the surgery department, is IMG-
friendly. They employ some outstanding IMGs.

Resident Satisfaction with Program:
They seemed happy. Night call is every fourth night on most rotations,
residents are assured at least one full day without clinical
responsibilities, and residents usually work about 75 hours per week.

Special or unusually good aspects:
* Yale is not intended to produce private-practice physicians; instead, they
prepare residents/fellows to be the surgical leaders and educators of the
future. The message for us during interview is clear: “Don't rank us if you
don't want to be a leader and to shape up surgical science's future”. Some
of Yale's graduates become department chairs and PDs. (This could be a
drawback for people who are only interested in private practice).

* World-class resources and faculty; great clinical trainings and research
opportunities. Research is encouraged but not mandatory.

* Outstanding fellowship placement - Nearly 90% pursue fellowships, with 70%
accepted in their first choice program. The vast majority of Yale surgery
graduates have entered academic careers in prestigious institutes throughout
the country.

* Yale's commitment to serve diverse population. Some Yale faculties also
work at Bridgeport site.

* I heard that two IMG interns in surgery-preliminary program were admitted
to categorical surgery program later.

Red flags:
* New Haven has been going through gentrification for a while now, and Yale'
s surrounding isn't an upscale neighborhood. The campus security is tight
though with a lot security cameras installed. I needed a security badger to
enter the building.

* Bridgeport is a “run-down” city and the surrounding of Bridgeport
Hospital seems even worse (One strange thing is that the streets near the
hospital are pretty narrow but parking on both sides of street is allowed).
Most Bridgeport Hospital's residents don't live in Bridgeport.



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