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docrockville: Good Samaritan in MD (im)
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: Good Samaritan in MD (im)
发信站: BBS 未名空间站 (Sat Jan 10 21:18:38 2009)

The morning report was dynamic: a PGY-3 reported a case of Syphilis
nephropathy, and the PD and the chief resident facilitated the interactive
diagnosis process.

The hospital is doing very well with funding.

The pay is good, and hours are good, and lunch is provided at the noon
conference.

The location is not very good. But I felt okay.
The interns and residents have no communication problems.

Noon conference was given by intensivist and one can learn a lot about how
to read chest imaging.

40% (?) private patients, but residents are allowed to have input in
management.

The program makes sure that interns are well covered by PGY2.

PGY2 is busier than PGY1.

PGY2 will admit patients if PGY1 is overwhelmed.

It is okay to ask for help and you will not be considered "weak".

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

no need to do procedure to graduate, but you can be proactive and do
procedures.

One resident from China told me she interviewed there 2 years ago and
prematched.

We were separated into two groups and taken to tour vs interviews.

We toured ICU, wards, clinics, and ER.

Things are modern and clean. It is well kept, per the resident.

She told me that she is a PGY1 and has no complaints.

Call room clean, with one full bed in each room, linens changed everyday.

Computer access to lab and ECG results in the call room.

The interview did not include case presentation or case diagnosis.

The interviewers included 2 attendings and one PGY3 residents.

Dr. Friedman is an intensivist; Dr. Weisman is a VERY funny guy, associate
PD; and then PGy3 is from Russia, named Elena.

After interviews, we attended noon conference.

The hospital pays for PDA, insurance, and parking.

They do not have EMR system, but can read lab results, imaging and ECG.

They are planning to invest 1800000 to start a EMR in 3 years.

The residents are from China (2-3), India, Russia, Thailand, South America,
and some others.

The nurses and front desk staff are happy, nice and friendly.
The residents choose to go to rheumatology, nephro, pulmonary/ICU, and ID.

They have one month in Cards wards.

They do not have any basic research.

Residents are allowed to do bench research in electives in JHU.

They had residents winning awards in ACP, based on their original clinical
research such as a case-study on the relationship between Apache II scores
and management of Clostridium Difficile infection.

The patient population is mixed.

They have enough and good teaching attendings.

A JHU rheumatologist comes every Tuesday afternoon to do case conference
with residents.

The close tie with JHU is a bridge to fellowships.

They have nightfloat.

The hospital has a cath lab to do dignostic studies. But their cardiologists
do PCI in Union Memorial hospital.

The attendings are mostly AMGs.

The hospital has many electives in JHU and their ER training is in U of MD.

Their staff are clearly happy.

They are a program that allows residents to run the program.

PD, Chow, is Chinese AMG, graduated from UPenn, and soon will become ACP
Maryland chapter president.

Chow is an internist interested in education, ethics, and health policy.

He is very down-to-earth and well respected by everyone.

He is the vice chairman of hospital.

He left Sinai 2 years ago to come here.

The associate PD has two sons and seemed really friendly.

We joked about current events.

He asked me to tell him about myself.

He looked very excited when I told him my post residency plans.

He liked my work and clinical experience, and seemed very excited.



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※ 修改:·docrockville 於 Jan 10 21:19:46 2009 修改本文·[FROM: 98.235.]

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