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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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