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"Huge name in anesthesia, residents were very proud to train there. Strong peds experience, lots of penetrating trauma (thanks to location). Innovative "College Day" didactics (non-clinical day every other Thursday) well-liked by residents. New towers going up in 2011 with 3 floors of new OR's (cardiac/peds/GOR). Start subspecialty rotations 4-6 months into CA-1 year. Good exposure to OR running as a CA-3. Dr. Pronovost was one of the most impressive people I met along the interview trail."
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"If you like Baltimore, this is easily one of the best programs in the country. Happy residents, good call system, reasonable work hours - all big changes from some of the earlier reviews you may see on here or scutwork (PD changed 3 years ago and improved lifestyle considerably). Hospital is unreal with new buildings opening by the time you'll start and there are several very influential faculty members. Great fellowship placement. Program has basically everything you could want casewise and has top-notch ICUs (birthplace of CCM). Regional still a relative weakness but the HSS rotation is still going and extremely popular with residents, plus despite the lack of blocks there are some big regional names here. Scheduled didactic days where everybody gets out of the OR to learn in their college that includes residents of all levels and fellows."
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"TONS OF CASES AND RESEARCH! Residents have manageable hours. LOTS OF CONNECTIONS ALL OVER THE U.S. Famous anesthesiology leaders and chairmen are from Hopkins."
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"see below"
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"Begin day w/bagels and muffins paired w/about an hour of program review by the residency director. They have good grasp of where program currently, where it needs to be, and how they are planning (or at least want) to get there. I expected malignancy and arrogance, but was met with the exact opposite. Residents seemed happy, and admit to working very hard. Seems like at least two golden weekends guaranteed, although you're gonna bust your ass for all three years during the week. Chairman down to earth, and program director seems genuine and caring. Residents report good interactions between anesthesia and surgery, but it is clearly (thru resident admission) a surgery run hospital. VERY strong critical care, all the fancy-pants transplants, tons and tons of peds, great sim center."
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"Regional a definite weakness, only real exposure is a month @HSS as a CA-3 because surgeons are seemingly wary of regional techniques. Baltimore? The Inner Harbor area was nice (which is where the hotel was located), but you quickly realize that the area surrounding the hospital is pretty bad on the shuttle trip in the AM. Having never visited the city before, there wasn't anything endearing about it that I saw, besides a crabcake or 2. Residents commute from the suburbs. Thought there was a very snooty vibe permeating around this place and I didn't see myself gelling with the resident group at all. This and the fact that I hated Baltimore led me to rank them last, although the reputation of the program is solid and I'm sure the training is as well."
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"There isn't much I can say about Baltimore that hasn't already been said. There are some really nice pockets but anyone coming here needs to be comfortable with rough neighborhoods. Lots of CRNAs and I got the impression they have a fair bit of clout. No moonlighting (JHH policy)."
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"see below"
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"Old hospital is dark - in fact, the call it "The dark side"; that said the new hospital plans look incredible, and the Weinberger (or whatever the newer side of the existing hospital is called) part looks like all the nice, open, glassy, new hospitals do.
Regional weak, but "we're working on it"
If you want regular, organized, planned didactics and out at 5 pm regularly, this is NOT your place. They will also tell you this.
No moonlighting, and no extra money for staying late (although prog director is trying to get the residents a little extra cash for being there late)"
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"4 interviews (PD/chair/2 faculty), one of which was composed entirely of "form" questions. Tour, lunch, out early afternoon (did not stay for internship interviews)."
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"Put up at a great hotel with nice dinner night before. Residents took us on a tour of the nice parts of Baltimore after dinner, a nice touch as you won't see them on the drive in. Interview day starts at 8 with PD talk, 4 chill interviews, tour, lunch with residents, out around 1."
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"Very laid back interviews with standard questions. Stress-free, really! Look, you only one chance to train. You cannot go wrong with JHU. "
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"rogram: 25 residents/yr, with mixed advanced and categorical; you're (supposedly) a shoo-in for one of the Hopkins prelim years if you match your advanced spot at Hopkins Anesthesia.
Call schedule: Varies by year. I have no idea what "late call" is, but I wrote it down. Call is the standard 24 hr overnight gig; but with a twist (see didactics below)
CA-1 yr: general ORs, then mov't into specialty rotations after 4-6 months. Two different CA1s told me the first-ever case they did alone was a Whipple, so it sounds like you get to grow a pair pretty early on here. ICU done this year too. Call: I was told "approximately 4x in 4 weeks, along with 4 "late calls".
CA2&3 yrs: more advanced cases, naturally. CA2's carry code pager. CA3s are doing mainly electives; they do 4 or 5 overnight calls/mo with 2 late calls. While on call the 3s run the board and do supervision of the juniors.
Didactics: precall, you get 3 hours of protected lecture time and discussion with faculty, then go to ORs to do lunch relief and breaks. They are trying some new "Colleges" program, in which the entire resident class is broken into groups of 18 (with members of each CA year represented), and there is teaching/lecture/article review/etc within this group. I wrote a note to myself that I couldn't foresee this working well the way it was described to me, so form your own opinion when you hear about it.
Atmosphere: I was pleasantly surprised to see it was not a malignant or arrogant environment; so much for stereotypes. That said, it is clear through direct statement and "reading between the lines" that this is a surgical hospital. The residents did seem to get along, they did seem happy. This was one of the few programs where residents really didn't quote me a number of hours worked; they just said "You'll work very hard". A couple of residents responding to my education questions by saying "If you need to be spoon-fed, this isn't your program" and "You can't learn from lectures or a book in anesthesia - you've gotta be in the rooms doing it a lot". Maybe so.
I got no feel for when they got out of the rooms each day.
New program director who seems very genuine and is ambitious.
Very strong ICU presence.
It is, um, Johns Hopkins."
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"Impression: C'mon...it's Hopkins.
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Lodging: They put you up at a sweet Hyatt in the Inner Harbor. Parking's $27 for the night, and you pay - ouch.
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Dinner: Nice restaurant a short walk across the Harbor from the hotel. 6 applicants, 6 residents, all of whom were really friendly, outgoing, positive about the program.
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Schedule: Report at 0730 - breakfast and short presentation from the PD, Dr. Schwengel. She's been at JHU for 19 years but only 1 year as PD - you can tell she's kind of getting the swing of things, and is maybe not the warmest fuzziest person you'll ever meet - a little flat and a little stilted during the interview. Her immediate plans include revamping/improving the didactics (which are apparently nonexistent) by hiring a PhD educator. That oughta do it! <br>Then, tour - on average, the facilities are average, with super-nice new OR's in one bldg and the old, brick, cramped, windowless OR's in the main OR suite. Hospital is obviously amazing w/ 920 beds, too many bldgs to count, Metro in basement of hospital, and they're working on a new ICU/OR tower that the chair was apparently pivotal in designing. <br>Then, 4 interviews (PD, chair, 2 others) 15-20 minutes, interviewers were very well-prepared and had some challenging, serious questions. Not intimidating (hostile) per se but pretty stressful when you can tell you're being evaluated/analyzed as opposed to a casual chat. Then, lunch with many of the same residents, out by 1300. Well-run day overall.
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Pros: C'mon...it's Hopkins! Halsted, Blalock, leadership of anesthesiology for decades. Clearly one of the few names that will take you ANYwhere - even your grandma knows Hopkins. It's a think tank; they have experts, and they train leaders. It's obviously a national/international referral center, so the acuity of cases is crazy. Residents talk about doing CA-1 lap choles...on ppl w/ heart transplants. Huge ICU (attendings in 5 diff. ICUs) and research programs if you're into that. Hours are awesome (55-65) all things considered, though you def get pounded in the ICU. Enough CRNAs to help w/ cases but not take the good ones. Optional regional month @ Hospital for Special Surgery in Manhattan, you stay in Hopkins-owned apt (!!!) for free. Residents are happy and do not seem overworked/maligned.
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Cons: Regional is relatively weak. Location: in Baltimore, and a bad part of Baltimore at that; could be a huge minus for you. Didactics being revamped, definitely not the program for DEpendent learners. No moonlighting. Not a huge ton of perks, pay is average. Facilities are not so good right now, but new tower supposed to be up early 2011."
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"Begins at 0730; benign interviews x 4, tour like every other place; out by 1 pm or so. Nice folks, good access to residents that seem happy."
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