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docrockville: Providence(IM program, DC)
作者:USMedEdu
发表时间:2009-01-10
更新时间:2009-01-10
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发信人: docrockville (docrockville), 信区: MedicalCareer
标 题: Providence(IM program, DC)
发信站: BBS 未名空间站 (Sat Jan 10 21:12:45 2009)

Providence IV


The hospital is doing ok with funding. 7 slots for PGY1. faculty is stable.
Services and education are equally important to them.

The hours (55-60) according to PGY1, but lunch is not provided.

The location is not very good. But I felt okay. Kind of like west Philly.

The interns and residents are IMGs from India, Iran, etc, have no
communication problems.

Noon conference was given by PGY1 IMG on lung cancer case with evidence
based analysis, and outside expert comment.

No scut work, since they have enough ancillary staff. No blood-drawing or
transporting patients.

We toured ICU (12 beds), wards, clinics, and ER. We were led by a PGY1 who
matched into program last year.

He said that they do 8 months on floor, 1 month in ICU, 1 month in CCU, 1
month in outpatient clinic, 1 month in cardiology.

They get off 4 days per month. There is no night float.

Morning report starts at 8:30am. During conferences, you might be
interrupted for patient care. All conferences are open to PGY1-3, without
separate conferences for interns.

Call room clean with computer access. They have 2 calls per week. The
schedule is call, post call, short call, precall. call is 30 hours. You can
leave hospital at 11am post call,

ER is okay. PGY2 and PGY3 each has one month in ER.

ICU rotation is 4-6 weeks each PGY year. You come in at 6am. ICU team
handles codes until on call team show up to help out.

The interview did not include case presentation or case diagnosis.

The interviewers included PD and one chief resident.

Dr. J Gibbons is a PCP (she told me they do not have fellowships in the
hospital; the connection with universities is norminal; a lot of pathologies
).

Chief resident is from India who recently got fellowship in hem-onc (asked
me about my weakness, and post-residency plans).

They "have EMR system". But physicians still need to write orders on paper,
and then nurses enter them into computer. PGY1 still use paper to write
their notes, but PGY2 and PGY 3 could dictate their notes.

The cap for each team is 8 patients. The team is made up of one resident and
2 interns. The relationship between PGY1 and 2 is friendly.

Radiology department is good in service and has CT and MRI.

The patient population is mostly black. Residents do not see private
patients.

Research is available, but lack funding. You can do electives in WHC.

Georgetown and Howard medical students rotate there.

Residents become hospitalists, go into fellowships (including mayo pulm/
critical care; hem-onc; but no one got into cardiology), or go into private
practice.


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