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yf: Fellowship interview 8 : Tufts medical center, Boston
作者:USMedEdu
发表时间:2010-03-06
更新时间:2010-03-06
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发信人: yf (麦地fanfan), 信区: MedicalCareer
标 题: Fellowship interview 8 : Tufts medical center, Boston
发信站: BBS 未名空间站 (Mon Feb 22 22:55:58 2010, 美东)

8. Tufts medical center
Tufts has a very good tradition. Its ex-chairman founded the first hem/onc
fellowship program in the whole nation and he was also a founder of the
magazine BLOOD. He also managed to place a lot of his trainees to different
hem/onc programs and later on they became head of these programs. In the
1970s and 1980s, it has a NCI designated comprehensive cancer center.

the hematology and BMT parts were very strong. But then it lost its NCI
designation due to the weakness of the solid tumor research. And of course,
Dana Farbar, Brigham and Women hospital, Beth Isreal Deasoness Hospital all
became very strong. A lot of competitions for patients are going on among
them. So before I went to the interview, I already got warnings from two
people who I met during my previous interviews about the program’s
disadvantages.
Tufts recruits 5 fellows each year, which is a large size comparing to its
number of faculties.

Interview started on 8:00am with a one-hour conference which was presented
by a third year fellow, followed by a brief introduction from program
director which was mainly about the conferences and the rotations. First
year is pure outpatient rotation; calls are one whole week every four weeks.
Second year, there is a 2-month BMT rotation, and one ½ day clinic
each week, and then all the rest of time is protected for research, third
year is protected time for research, only one ½ day continuity clinic
each week. In the clinic, fellows usually see their attendings’ patients,
so not 100% authority. And in the first year, fellows rotate through all
different subspecialties.

After the brief introduction, the one on one interview started. During the
interview, a lot of detailed questions were about my lab research. I was
sweating a lot trying to do the thesis defense. And one interviewer asked me
why I had only two papers during my PHD research. And she pointed out that
one of their fellows was so productive that he had had already 7 papers
published by the end of his third year. And she expected me to come to one
of the research lab in the beginning of my second year and would have as
many as papers if not more. She told me that it was a wrong place for
somebody who wanted to go to private practice after fellowship. She pushed a
lot towards basic research. The whole talking was very intimidating, and I
felt very embarrassed being questioned about my productivity during my phD.
I actually had 5-6 papers but she only counted two. And later on I met the
fellow she mentioned who had 7 papers, who is a very humble one, who told me
that all 7 papers were just case reports, and he has two peer review papers
which have not yet been published. And actually 3 out of 4 fellows who
graduated last year went to private practice. So I felt a little bit
relieved. But still, all the interviewers emphasized a lot on basic research
, leaving little space for clinical research. By talking to the fellows, I
got to know, the program didn’t have phase one trial before, and they just
hired one professor who does phase one. They have good labs for basic
research in hematology and signaling transduction on head and neck(nasal
pharyngeal cancer).

Some fellows are happy while some are not, especially those who want to do
more about clinics. It’s very hard to stay on faculties for the fellows
because it’s very competitive in Boston area. But there are some successful ones who managed to get K or T grants during their fellowship. But then these people spend little time in the patient care, they usually stay in labs dealing with mice and rats.

Boston is big city with a lot of things going on as everybody knows. Tufts locates in the China town, so there is no cafeteria in the hospital,everybody go to China town to have lunch.

So that’s it. It was not a very pleasant interview for me. I didn’t
interview with program director. The fellow told me she was a very nice lady who seemed to be intimidating, but that’s just the way she was.


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