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docrockville: NYHMC of Queens
作者:USMedEdu
发表时间:2009-02-10
更新时间:2009-02-10
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发信人: docrockville (docrockville), 信区: MedicalCareer
标 题: NYHMC of Queens
发信站: BBS 未名空间站 (Sat Feb 7 13:18:48 2009)

New York Hospital Medical Center of Queens (56-45 Main St, Flushing, NY
11355), affiliated with Weill
Medical College of Cornell University


Most categorical interns are DOs, AMGs, and Carribean students. Maybe one or
two IMGs from non-carribean schools.

They work close to 80 hours each week there. Efficiency is the key.

The hospital is near Flushing (15 minutes by bus Q44 from Main St & Roosevelt)and less expensive than flushing area.

I stayed in Howard Johnson in Queens, very nice hotel for the money spent (73 dollars)

Wake up at 7am, get ready and left hotel at 7:45am.

Took Q44 bus to hospital (the NYC buses do not take cash, though; coins only).

The hospital did not provide breakfast or coffee. Good thing I purchased breakfast and coffee across from hospital in a deli.

The Departemnt of medicine is on the same floor as main entrance.

5 people inlcuding me were interviewing for categorical spots, two DO students, 2 Caribbean students, and me. The 6th person, a DO student, was there for 2nd look.

The day started with a brief presentation by the PD. he said he interviewed 500 people this season and Jan 26-30 is the last week of interview. This program only goes through match (15 categorical spots).

Program gives residents lots of autonomy. 1/3 uninsured patients, and 2/3 private patients. Lots of hands-on experience, and lots of procedures.

Patients are diverse, Asians (lots of Chinese, so Mandarin & Cantonese skills help!), Jewish, Latinos.No scut work. Enough acillary staff. They have 128 slice CT scanner for cardiology research usage.ID is famous for West Nile research, and antibiotic resistance research. 2 rheumatology attendings, no rheu fellowships. Their endocrine and rheumatology are weaker than other depts.They have in house Cards (2 spots), GI (1 spot),pulmonary/critical care, nephrology fellowships. Their cardiology give 1 out
of 2 spots to inhouse residents who either stood out by doing research or by doing chief residency (highly valued by this program).

50% of residents going into fellowships.

Hospital is growing and doing well, and may take some residents from other programs recently closed in NYC.
---------------------------------------------
Then we were taken to morning report: a PGY3 rotating in ID reporting 2 cases of strep infection followed by EBM literature review. Well done. An ID specialist was in the conference to comment. The atmosphere was friendly.
-----------------------------------------------

Then we were taken on a tour.

The tour included floor, cafeteria, ICU, CCU, ER, library, auditorium, and lounge. Everything was well kept. They did not show us the call room. Their libary has access to Cornell's online library. They have locker for each residents, and their white coats laundry done by hospital.

The work day starts at 7;15am, but the resident who gave us tour said she prefers to come in at 6am/6:30am to know more information about what happened overnight and to get started early.

She said she does not have enough time to read after work, because she is too tired after work (5pm) to read. She says this is a tough program, but you learn a lot.

They have a rapid response team.

Hem/onc and ID rotation very busy, quick turnover, large volume.

When you work on the floor, you admit patients between 3pm to 5pm each day.
There is a Medicine-ER team admitting between 7am till 3pm.


The call schedule is Q4 (7am till 9pm, but you stop admitting at 8pm) with Friday overnight call, if you are on the floor ( 6 months for first year). Q3 or Q4 in ICU/CCU, with some of the weekends off, if there are enough residents who are doing electives and able to cover calls on the weekends.

Intenrs do not attend morning reports.

Good teaching.

0.5 day per week off site continuity clinic. There is shuttle to and fro for free.

No teaching for billing or future practice.

Each year, half of cats are chosen by PD to go through Primary Care track, which means working with one private attending for 0.5 day each week. So you are spending 2 half-days in continuity clinics. This track is decided at the beginning of residency by PD. This track mean more work ( you have the same floor responsibility), but more
exposure to primary care, good for future.

night-float system runs from 9 pm-7am: 1 month (pgy1), 1month (pgy2), 1 month (pgy3).

electives: 1 for pgy1, taken in house. In 2nd year you can do local area away electives. In 3rd year you can do long-distance away electives.

The program has had residents who transferred from other programs, and also some residents leaving the program due to "family reasons".

Lots of procedures so that even their interns have chances to get certified for board requirements.

Staff seem to be happy.

Intern admit up to 5 patients, with this cap rarely reached.

Interns coming in 2009 will carry 10 patients only, so the hospital needs to hire more residents to cover the work.

Faculty is supportive and their LORs work, when it comes to fellowship application.

Plenty of chance to do clinical research, such as non-ischemic cardiomyopathy, beta-blocker and beta-agonist interaction in COPD patients,

They have a strong cardiology department with fellowship and CABG backup for PCI.

They have a semi-EMR system (you still write your notes, but orders and labs are online), which is being transitioned to a real one.

Libary is very nice with usual stuff and up todate.

They have respiratory therapists covering intubation, unless you prefer to do them yourself. Even in ICU, you can call therapists for intubation.

They have IV team for IV and PICC line placement.

They have blood-drawing team working 4 times each day.

No need for residents to do IV, transporting, and blood-drawing.

Hospital has subsidised housing for interns, at 900-1000 for studio, 1100-1300 for one-bed room/2 bed room.

Parking is partly free, with shuttles.

Meal card 120 dollars for month, you can accumulate money if you cannot finish during certain months.

neighborhood decent, not dangerous, not super safe either.

They get paid well.

Residents live closeby or live in houses with family.

Residents say the program is very busy, but not crazy busy.

------------------------------------------------------

After tour, we were back to a conference room, waiting for interviews.

Some residents came in to chat with us and grab food from our table. They
are not looking too tired, and seem all decent and friendly. Almost everyone we talked to want to do fellowships. But they did say there are people who want to do hospitalist or PCP. Medical students from Cornell rotate at the program.
---------------------------------------------------------------
The interview started during lunch time. Each interviewed with 2 people: one
PD , one ID specialist.

The ID guy (Dr. Wehbeh Wehbeh) was really friendly. He asked me to introduce
myself. He asked me my future plan, my past experience with any difficult person.

He also asked what qualities an intern should have: I said mature, humble,
willing to receive feedback, and efficient.

I said when I was in China I have more time to ask patients many questions.
Now I am in the US and realized that efficiency is so important. So during USCE, I practiced how to ask important questions first, and be efficient.

We talked about evidence based medicine and how medicine is still an art.

I asked him how they help residents improve presentation skills. I asked him
what his role is when it comes to resident education.

We both agree that EBM should be used judiciously . He liked my mature
understanding of EBM.

He asked me about my postgraduate plan. I told him that I want to do bla bla bla. He was very happy that I know what I want to do.

----------------------------------------------------------------------------
---
------------------------------

The PD (Steven F. Reichert, M.D.,) is very nice.

he asked me to tell him about myself, which i gave a detailed answer.

He asked me what I look for in a residency program: I said good teaching, good mentorship, and good clinical research.

He was impressed by my work experience and USCE.

He asked what is the most uncommon case I saw in my USCE. I told him I saw a
kid with XXX disease and autoamputation of a finger. He said that he saw XXX case only once in his life, and the patient did not have this problem. I smiled.

he asked me what I do for fun. I said I teach Chinese, taking students to
Chinese food, and making extra money by tutoring them.

he asked me what I would have done in my life, if not doing medicine. I said teaching
language.

He looked at my resume and said "you speak Cantonese, right", I said I only
can understand it.

He asked if I still see patients. I said yes, but outpatient only in my USCE. He said "don't worry, I am sure you saw plenty of sick in-patients in China". I nodded.

He asked me if I have any questions.

I asked him to tell me about the EBM teaching in residency. He said morning report is now evidence based, not like before he came. He also said they have journal club, bla bla. I then told him that I am familiar with EBM and comfortable with it.

I told him I read his publication describing a resident education project he
worked on as associate PD in Englewood hospital. He said that project was fun. I asked him if he is doing similar stuff in this program. He said he is not in charge of ambulatory care, so he does not participate much in this kind projects any more. But then he smiled and said maybe he should consider doing it again.

I then said that I also read his article on IMG residents. He was amazed
that I read his articles. He was so happy that he drawed a star sign on the cover of the folder that contains my file.

We also talked about Chinese food. his favorite is Xiao Long Tang Bao. I said I can help him find good Chinese food. he laughed. I told him the food is cardiologist's nightmare.

We also talked about some doctors that we both know.

The day ended at 1:30 pm.




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※ 修改:·docrockville 於 Feb 7 13:26:55 2009 修改本文·[FROM: 98.204.]

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