CAREER INSIGHTS MD · 2018-06-30 · z2 months - Pediatrics z2 months - Cardiology z1 month - ER (140 hours required) z1 month - Surgery z1 month - Radiology and Rehabilitation (combined

PROFILESIn-Depth Descriptions of Residency Programs

ARTICLESCurrent Residents and Fellows Share Their Insights

The Print Companion to the CareerMD.com Website

CAREER INSIGHTS MDT H E M E D I C A L S T U D E N T ’ S G U I D E T O R E S I D E N C I E S

SUMMER/FALL 2004

T H E M E D I C A L S T U D E N T ’ S G U I D E T O R E S I D E N C I E S

PUBLISHING INFORMATION: Volume IIX, 2004. Career Insights MD is published by GradExchange, Inc., PO Box 706, New Haven, CT 06503, (203)787-2828, www.CareerMD.com. Copyright (c) 2004 by GradExchange, Inc. All rights reserved. REPRODUCTION: No part of this publication may bereproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, Internet or digitized reproduction, or any information retrieval system, without written permission. When necessary, permission will be granted by GradExchange, Inc.

Family Practice.................................................

Internal Medicine..............................................

Obstetrics & Gynecology...................................

Orthopaedic Surgery.........................................

Pathology.........................................................

Pediatrics.........................................................

Physical Medicine & Rehabilitation.....................

Preventive Medicine - Occupational Medicine......

Psychiatry........................................................

Radiology........................................................

Surgery............................................................

Thoracic Surgery...............................................

Urology...........................................................

1

9

21

25

26

28

30

32

33

38

39

43

44

CHOOSING A SPECIALTY......

Current residents, fellows andnew physicians share their thoughts on the "pros" and "cons"of the specialties they practiceand offer advice on the topic of specialty selection

WHAT I KNOW NOW...........

Current residents, fellows andnew physicians reflect on topicsof importance to medical studentsand share the benefits of what they have learned from experience

46

CAREER INSIGHTS MD

RESIDENCY PROGRAM PROFILES

ARTICLES

SUMMER/FALL 2004

56

Barberton Family Practice, Barberton, OH...............................................................................................Carolinas Medical Center, Charlotte, NC................................................................................................Doctors Hospital, Massillon, OH.............................................................................................................Greenville Hospital System, Greenville, SC..............................................................................................La Crosse-Mayo Family Medicine Residency, La Crosse, WI......................................................................Mercy/Mayo Family Medicine Residency Program, Des Moines, IA...........................................................Providence St. Peter Hospital Family Medicine Program, Olympia, WA......................................................Spartanburg Family Medicine Residency Program, Spartanburg, SC..........................................................St. Francis Hospital & Health Centers, Beech Grove, IN............................................................................St. Joseph Medical Center Traditional Rotating & Family Practice Track Internship, Reading, PA*...................St. Joseph Osteopathic Family Practice Residency, Reading, PA*................................................................St. Joseph Medical Center Sports Medicine Fellowship, Reading, PA*........................................................Saint Joseph Regional Medical Center, South Bend, IN.............................................................................University of Massachusetts Worcester Family Medicine Residency Program, Worcester, MA.........................UPMC St. Margaret Family Practice Residency Program, Pittsburgh, PA.......................................................Warren Hospital Family Practice Residency, Phillipsburg, NJ......................................................................

Carolinas Medical Center, Charlotte, NC................................................................................................Georgetown University Hospital/Washington Hospital Center, Washington, DC.......................................... Lahey Clinic, Burlington, MA.................................................................................................................. Maricopa Integrated Health System/Maricopa Medical Center, Phoenix, AZ............................................... Mercer University School of Medicine, Macon, GA..................................................................................New York College of Osteopathic Medicine & The Nassau University Medical Center Osteopathic Internal Medicine Internship & Residency Program, East Meadow, NY*....................................New York Hospital Medical Center of Queens/Cornell University Medical College Program, Flushing, NY.....Roger Williams Medical Center, Providence, RI........................................................................................SUNY Upstate Medical University, Syracuse, NY......................................................................................University of Pennsylvania, Philadelphia, PA.............................................................................................Winthrop-University Hospital, Mineola, NY..............................................................................................

East Tennessee State University, Johnson City, TN.....................................................................................Lankenau Hospital, Philadelphia, PA.......................................................................................................Lehigh Valley Hospital, Allentown, PA......................................................................................................St. Joseph Mercy Hospital, Ypsilanti, MI..................................................................................................Winthrop-University Hospital, Mineola, NY..............................................................................................York Hospital, York, PA..........................................................................................................................

The North American Spine Society (Association), La Grange, IL.................................................................The University of Vermont College of Medicine Department of Orthopaedics & Rehabilitation, Burlington, VT............

INDEX OF PART I C I PAT ING RES IDENCY PROGRAMS

FAMILY PRACTICE

INTERNAL MEDICINE

OBSTETRICS & GYNECOLOGY

ORTHOPAEDIC SURGERY

7373774145562886

919191020

12 - 131114161718

242424212223

2525

* Osteopathic Program

Academy of Clinical Laboratory Physicians and Scientists (Association), Salt Lake City, UT...........................New York Presbyterian Hospital Cornell Center, New York, NY.................................................................Winthrop-University Hospital, Mineola, NY..............................................................................................

Carolinas Medical Center, Charlotte, NC................................................................................................Tulane/Ochsner Pediatric Residency Program, New Orleans, LA...............................................................Winthrop-University Hospital, Mineola, NY..............................................................................................

American Academy of Physical Medicine and Rehabilitation (Association), Chicago, IL................................Emory University, Atlanta, GA................................................................................................................

University of Colorado Health Sciences Center Occupational & Environmental Medicine Residency Program, Denver, CO..................................................University of South Florida, Tampa, FL.....................................................................................................

The Institute of Living/Hartford Hospital, Hartford, CT...............................................................................Long Island Jewish Medical Center/Zucker Hillside Hospital, The Long Island Campus for the Albert Einstein College of Medicine, Glen Oaks, NY..................................Medical College of Wisconsin, Milwaukee, WI........................................................................................Upstate Medical University, Syracuse, NY...............................................................................................University of Massachusetts Medical School, Worcester, MA.....................................................................

Winthrop University Hospital, Mineola, NY.............................................................................................

American College of Surgeons (Association), Chicago, IL..........................................................................Baystate Medical Center, Springfield, MA...............................................................................................Huron Hospital, Cleveland, OH..............................................................................................................St. Luke’s Hospital, Bethlehem, PA...........................................................................................................SUNY Upstate Medical University, Syracuse, NY......................................................................................University of Virginia, Charlottesville, VA.................................................................................................York Hospital, York, PA..........................................................................................................................

University of Pittsburgh Medical Center Medical Education Program, Pittsburgh, PA.....................................

McGaw Medical Center of Northwestern University Program, Chicago, IL..................................................

INDEX OF PART I C I PAT ING RES IDENCY PROGRAMS

272726

292928

3031

3232

36

33343635

38

40403941414241

43

44

PATHOLOGY

PEDIATRICS

PSYCHIATRY

RADIOLOGY

THORACIC SURGERY

UROLOGY

SURGERY

PHYSICAL MEDICINE & REHABILITATION

PREVENTIVE MEDICINE - OCCUPATIONAL MEDICINE

PROFILES

CAREER INSIGHTS MD CAREER INSIGHTS MD CAREER INSIGHTS MD CAREER INSIGHTS MD



























RESIDENCY PROGRAM DESCRIPTIONS

Extremely strong quality corerotations in Pediatrics, OB,Internal Medicine and FamilyMedicine, Outpatientand Inpatient

One of the few FamilyMedicine OB Fellowships inthe Southeastern United States

A rural extension of the programis 13 miles away in ChesneeSouth Carolina

Ninety-nine plus percent boardpass rate

A friendly community near themountains and 3-4 hoursaway from the beach.

Years ago I sat where youdo today. I wondered

about where I would train,what my teachers and fellowresidents would be like, will

the program be supportive, and where Iwould live, rest, and relax. I found a won-derful program. Now this task is yours. Ihope what I share with you will help in yoursearch for your one-best-place.

I finished Spartanburg in 1980. Years ofprivate practice and teaching led me backto Spartanburg in 1990 as the programdirector. Imagine what that was like. Ireturned to where I was trained, knowingpersonally which areas needed strengthen-ing or a complete overhaul and who werethe good (and bad) teachers. With the helpof the many people that support medicaleducation here, ALL the poor teachers aregone, the old problems fixed, and a con-stantly renewing system of excellence ineducation AND patient care is in place.THIS is the program I wished I had finished!!

Our hospital is a region-leading commu-nity based tertiary care. The FamilyMedicine Program is unopposed with twoother programs. There are twelve residentsper year in family medicine and we are lit-erally king of the hill. There is a small GeneralSurgery Residency, which helps greatly withprocedural and surgical training, and a sixresident Transitional Program, which assuresmore comfortable call schedules in the firstyear. Spartanburg is an enhanced program,not an opposed one!

Right now is the peak of our 35 year his-tory. In what other community-based pro-gram will you find 27 full-time paid faculty?There are two obstetricians, five internists,four pediatricians, nine family doctors, onePhD behavioral scientist, one PharmD, onepart-time addictionologist, a part-timechild psychologist, and five surgical faculty.Many are teacher-of-the-year award win-ners. This experienced and dedicated facul-ty gives you the depth of academic trainingof a university setting AND you get thesuperb clinical exposure you expect from asolid community program. Spartanburg is“The Community-based Program With

University Strengths”. With this fulltime facultysupport, you can see why.

The core of the program is, of course, ourresidents. We are been fortunate enough toattract outstanding students from acrossthe United States. We have matched full 10of my 14 years here. The in-house boardscores are the highest in history. Our resi-dent culture is one of mutual support forthe success of all. Residents have donemuch to direct the necessary changes overthe years and have a big voice in planningand improvements.

Equally important is where you will live.This growing small city has exploded withgrowth over the last ten years. Spartanburgis friendly, clean, blessed with the bestschool districts in the State, and centered ina geographically diverse area. The moun-tains are 35 minutes away. The beaches area 3-4 hour drive. Charlotte and Asheville,NC are an hour’s drive and it is 2 ½ hoursto Atlanta. Hiking, bike riding, plays, fes-tivals, family events – you name it andSpartanburg has it.

I welcome you to look at one of the truepearls in Family Medicine education. Ourgoal is excellence in all aspects of your edu-cation and a warm, friendly, supportivethree years for you and your significantothers. This is the driving philosophy forthe constant push for quality in residenteducation and patient care that is central inthe philosophy of the Spartanburg FamilyMedicine Residency Program. Come seeone of the best programs around. Perhapsit will become yours!

FAMI LY PRACT I C E

SPARTANBURG FAMILY MEDICINERESIDENCY PROGRAMSpartanburg, SC

OTIS L. BAUGHMAN III, M.D.,Director

FOR MORE INFO, CONTACT:Otis L. Baughman III, MD, Director 853 N. Church St. Ste. 510Spartanburg, SC 29303 864 560-1558 864 560-1565 [email protected]

1CAREER INSIGHTS MD

FACTS AT A GLANCE

The People - residents who areserious about their post-graduateeducation, great faculty,receptive specialists who liketo teach, and the support staffwho keep us all on trackThe opportunities to learn proceduresThe humane call schedule andthe "real" time offThe money and the benefitsLocation, location, location

FIRST YEAR: One half day perweek in the Family Medicine Center is required

1 month - Family MedicineCenter (includes orientation)3 months - Medicine2 months - Pediatrics2 months - Cardiology1 month - ER (140 hours required)1 month - Surgery1 month - Radiology andRehabilitation (combined rotation month)- 2 week International HealthTrack (IHT) experience possibleduring this month.

SECOND YEAR: Two half daysper week in the Family MedicineCenter are required

3 months - Medicine2 months - Pediatrics2 months - Obstetrics1 month - Community Medicine1 month - ICU1 month - Gynecology (140 hours required)*1 month - Orthopedics (140 hours required)*1 month - Dermatology

THIRD YEAR: Three half days perweek in the Family Medicine Center are required

6 months - Electives (1 month can be IHT)2 weeks - Gynecology (if needed)*2 weeks - Orthopedics (if needed)*1 month - ENT/Ophthalmology(combined rotation month)1 month - Medicine chief2 weeks - Sports Medicine1 month - Surgery2 weeks - Urology2 weeks - Business Office2 weeks - GI

REQUIREDLONGITUDINALEXPERIENCES:NICU, Geriatrics, Practice Management(60 hours), Human Behavior andPsychiatry, Family Medicine Project*It is possible that Orthopedics andGynecology will require more than onemonth each to achieve the required hoursrequirement. If more time is needed to achieve this, the elective time mayneed to be used.

The Family MedicineResidency Program at

Saint Joseph is unopposed.We provide family-centered care, takinginto account the spiritual, psychological,sociological and physical needs of ourpatients. The goals of the residency are:

To provide a quality program of trainingand education with a balance betweenpatient service and the active pursuit of knowledgeTo impart to residents the knowledgeand skills necessary to demonstratecompetency in both clinical and procedural skillsTo train in family-centered care thataddresses the longitudinal health careneeds of the residents' patients, focusingon comprehensive preventive health careTo provide our residents with an environment that fosters a commitmentto providing care to the medically underservedTo foster behaviors consistent with thehigh level of professionalism expected of a family physician and to help residents balance their personal and professional livesTo provide a forum for residents todemonstrate their clinical acumen andscholarly pursuits through teaching andsupervising their colleagues To develop in residents an attitude thatfosters their maintenance of high quality medical skills after residency

100% of graduates who sit for Boards following their residency at Saint JosephMedical Center have passed.

We provide a high degree of hands-onclinical experience including obstetrics witha high-risk clinic. Workshops and trainingin procedure skills included:- ALSO- ACLS- Casting- Colposcopy- Dermatology- EKG-Stress Testing- PALS- Nasolaryngoscopy

- NRP/NALS- Ophthalmology- Practice Management- Virtual Flex Sig and Colonoscope

in Family Medicine Center

Excellent salary and benefits, including ahousing stipend. Call is every third to fifthnight while on inpatient rotations (first andsecond year); every ninth night at-homecall (third year). There are opportunities toMoonlight during residency in the 2nd and3rd years.

The Family Medicine Center, where resi-dents see their clinic patients, is moving toan Electronic Medical Records system inthe summer of 2004. Residents receive astate-of-the-art Palm Pilot when they beginemployment that is theirs to keep followingresidency. Each of the faculty teaches OB,in addition to the experience residentsobtain by working closely with dedicatedOB physicians on their high-risk OBpatients. There is a dedicated full-timePharmacist who assists in the education ofresidents and patients in the clinic. TheFamily Medicine Center sees 20,000+patient visits annually. Of those, there are5,000+ pediatric clinic visits annually. It hasa diverse clinic population and alsoincludes an optional International HealthTrack component with Third World rota-tions during all three years of residency.Also available are elective options in theSports Medicine Program as well as electiveAlternative Medicine rotations that resi-dents have arranged.

Saint Joseph Regional Medical Center is aMember of Trinity Health, the 3rd largestCatholic health system in the US. It is alsothe largest provider of charity health carein South Bend as well as being the first hospital established in South Bend (1882)

Located 80 miles east of Chicago, SouthBend is home to the University of Notre Dameand is in close proximity to Lake Michigan.

Check us out on the Web: Residency.sjmed.com

FAMI LY PRACT I C E

SAINT JOSEPH REGIONAL MEDICAL CENTERSouth Bend, IN

MARTIN WIESCHHAUS, M.D.,Program Director

FOR MORE INFO, CONTACT:Saint Joseph Regional Medical CenterFamily Medicine ResidencyMartin Wieschhaus, M.D., F.A.A.F.P. P.O. Box 1935South Bend, IN 46634574-237-7637 574-472-6088 [email protected]

CAREER INSIGHTS MD2

FACTS AT A GLANCE

ROTATION SCHEDULE

PGY-11 month Family Medicine Orientation2 months Pediatric Ward/Clinics1 month Labor Management2 months Internal Medicine Ward/Clinics2 months Obstetrics Ward/Clinics1 month General Surgery Ward/Clinics1 month Family Practice Inpatient Service2 months Emergency Medicine

PGY-22 months Family Medicine Inpatient1 month Geriatrics1 month Newborn Nursery1 month Outpatient Orthopedics/Sports Medicine1 month Gynecology1 month Ambulatory Skills 2nd year Orientation1 month Family Medicine Clinics1 month Pediatric Inpatient Supervisory Resident1 month Pediatric Clinics1 month Coronary Care Unit1 month Adult Intensive Care Unit

PGY-32 months Family Medicine Inpatient1 month Ophthalmology/Otolaryngology1 month Outpatient Surgery4 months Electives1 month Urology1 month Subspecialty Elective1 month Internal Medicine Inpatient/Outpatient Supervisory Resident1 month Family Medicine Clinics

CAROLINAS MEDICAL CENTERCharlotte, NC

FOR MORE INFO, CONTACT:Drusilla Weathers, Recruitment CoordinatorP.O. Box 32861Charlotte, NC 28232704-446-7701704-446-7724 faxwww.carolinas.org/education/meded/family/

The Family Practice residency program at Carolinas Medical Center offers "the best of both worlds":a community-based program that is university-affiliated and situated in a thriving academic

environment. Highlights include: A large, talented faculty with diverse interests and skills who maintain faculty appointments at the University of North Carolina; Excellent rapportwith other services' residents and faculty; Located in beautiful Charlotte, NC, an attractive met-ropolitan area with thriving urban and suburban communities; 843-bed regional referral center;History of consistently filled positions with highly qualified residents.We accept six residents per year in our Main residency program. Additionally, our Urban track

and Rural program each accept two residents annually. Our residents, while rotating on the medicine, pedi-atric, E.D. or obstetrical services, enjoy all the privileges and responsibilities of the residents training inthese specialties.

Our Family Practice Center (FPC) moved in 2003 into an expanded facility with 25,000 squarefeet. The FPC contains 20 examination rooms, a precepting room and residents' offices.Outpatient surgical procedures, stress tests and colposcopies are performed in the FPC. State-of-the-art technology is used for recording clinical encounters and interactive educational tele-conferences. Residents and faculty practice side-by-side in a private practice model, maintain-ing a vibrant and diverse practice.

Areas of special emphasis include sports medicine, behavioral medicine, geriatrics, occupa-tional medicine and procedures. Other departmental programs include medical student teaching andresearch. Our program is fully accredited and offers a very competitive salary and excellent benefits to our residents.

VANESSA MCPHERSON, M.D.,

Residency Director

ROTATION SCHEDULE

GREENVILLEHOSPITAL SYSTEMGreenville, SC

Greenville, South Carolina, is a great place to train and live. Our program will give you excel-lent training, including a variety of procedures. Second and Third year call is with our self-

contained Family Practice Inpatient Service, resulting in a close working relationship betweenthe FP faculty and the residents.

The hospital is a financially sound 700-bed teaching institution. Over two hundred full-time teaching faculty and a wide variety of pathology ensure excellent training. We have good relationships with the seven other teaching departments. We are not a medical school, so departmental political squabbles are few.

The city of Greenville is an excellent place to work, live, and have fun. The county populationis 390,000. There are many international companies in the Greenville area: Michelin, BMW,General Electric, Hitachi, and Slazenger Golf to name a few. A state of the art automotiveresearch park, a combined venture of Clemson University and BMW, is being built inGreenville. These industries attract a diverse group of highly trained professionals.

Downtown Greenville is beautiful, safe, and lively. There are over 30 restaurants on Main Streetalone, and over 450 restaurants in the Greenville area. We have a 17,000-seat Indoor Arena, anda 3000-seat Fine Arts Center. Nearby are hiking, camping, fishing, boating, huge lakes, andmountain scenery. Come join us for excellent training, with a close-knit atmosphere, in a great city!

ROBERT B. HANLIN, M.D.,

Program Director,Greenville HospitalSystem,Family Medicine

ROTATION SCHEDULEFIRST YEAR

Orientation - 4 weeksFamily Practice - 4 weeksICU - 4 weeksPulmonary - 4 weeksMedicine Wards - 8 weeksNewborn Nursery/NICU - 4 weeksPediatric Wards - 8 weeksOB - 8 weeksEmergency Medicine - 4 weeksSurgery - 4 weeks

SECOND YEARFamily Practice - 16 weeksOrthopedics - 4 weeksDermatology - 4 weeksGynecology - 4 weeksPediatric Subspecialty Clinics - 4 weeksPediatric Clinic - 4 weeksMedicine Wards - 4 weeksSurgery (Outpatient) - 4 weeksCardiology - 4 weeksPediatric ER - 4 weeks

THIRD YEARFamily Practice - 8 weeksGeriatrics - 8 weeksElectives - 24 weeksSports Medicine - 4 weeksUrology - 4 weeksOphthalmology - 2 weeksENT - 2 weeks

FOR MORE INFO, CONTACT:Robert B. Hanlin, MD, Program DirectorCenter for Family Medicine877 W. Faris RoadGreenville, SC 29605 864-455-7831 864-455-9015 [email protected]://www.ghs.org/cfm/

FAMI LY PRACT I C E

3CAREER INSIGHTS MD

16

YEAR 1:Medicine Medicine Medicine MedicineSurgery Surgery Obstetrics ObstetricsPediatrics PediatricsOrthopedicsRural Family Practice - SW Washington Sites

YEAR 2:Medicine MedicinePediatric EREmergency MedicineObstetrics ObstetricsRural FPDermatology/Behavioral Med (incl. elective time) x 2Amb. Peds (incl. elective time) x 2Elective Rotation

YEAR 3:Longitudinal Family Medicine in our office and hospital

PLUSUrology - 8-9 daysCardiology - 1 week blockENT/OPH - 1 week blockRFP - 1 month away, may be international Gynecology - 1 week blockElectives (4) - 1 week blocksOrtho/Sports Med - 1 week block

FAMI LY PRACT I C E

PROVIDENCE ST. PETERHOSPITAL FAMILYMEDICINE PROGRAMOlympia, WAFOR MORE INFO, CONTACT:Lisa A. Johnson, MD, Program DirectorProvidence St. Peter Hospital525 Lilly Road NE, PBP09Olympia, WA 98506-5166360-493-7525 360-493-5524 [email protected]/SWSA/Family_Practice_Residency/default.htm

4 CAREER INSIGHTS MD

Dear Applicant,

Iinvite you to consider training in the Providence St. Peter Hospital Family Medicine ResidencyProgram. Providence St. Peter Hospital is a 350-bed regional medical facility for Southwest

Washington, blending sophisticated specialized health facility and a community hospital setting.Our 18-resident program is the only residency in our institution. The residency program andclinical practice are housed in a beautiful and spacious building on the campus, about 200 yards fromthe main hospital.

The Providence St. Peter Hospital Family Medicine Residency Program is a member of theUniversity of Washington affiliated Family Medicine Residency Network. We focus on obstetrical andprocedural training, care of the underserved and promoting personal and professional balance.

Our program is nationally recognized for quality and innovation. We have been selected to participate in national grants and collaboratives in diabetes self management, asthma, spirituality and medicine, group visits and office redesign.

We offer excellent clinical training in family medicine in the lovely and livable community ofOlympia, Washington, located on the southern reaches of Puget Sound.

I hope that you look carefully at the materials on our website and contact us to apply: http://www.providence.org/SWSA/Family_Practice_Residency/default.htm Yours truly, Lisa A. Johnson, MD Program Director

ROTATION SCHEDULE

ST. FRANCIS HOSPITAL& HEALTH CENTERSBeech Grove, IN

The St. Francis Hospital & Health Centers Family Practice Residency Program, now 30 yearsold, continues a legacy of change and innovation while preserving the time honored char-

acteristics of community based, unopposed medical education. Located on the southeast sideof Indianapolis, St. Francis is proud of its small community and family physician dominatedfeel, while enjoying the advantage of being located in a large metropolitan area.

Ours is a program with superb faculty relationships, a caring and compassionate hospitalatmosphere, and focus on a humanistic approach to medical education that supports personalas well as professional growth. We remain as flexible as possible to meet the needs of residentsas individuals.

The opportunity to experience a high level of autonomy and responsibility is one of the pri-mary reasons medical graduates choose to train at St. Francis. Our atmosphere of warmth andinformality is one of our greatest strengths. Combined with a beautiful family practice center,high level of hospital support for the program, and first rate procedural equipment, St. Francisattracts the highest quality applicants and enjoys a tremendous track record of success. With asolid foundation, enviable history, and strong future support, St. Francis remains an outstanding residency with a regional reputation.

St. Francis Hospital is a very special place, a place of camaraderie within an institution thathas not lost sight of its mission. We invite you to visit with us and learn more about residencyopportunities.

RICHARD D. FELDMAN, M.D.,

ProgramDirector

ROTATION SCHEDULE

PGY – 12 months OB2 months Family Practice2 months ICU2 months In-Patient Pediatrics1 month Surgery1 month Cardiology1 month Wards Medicine1 month ER

PGY – 2 & 32 months Out-Patient Pediatrics1 month NICU1 month Surgery6 weeks Orthopaedics2 weeks Sports Medicine1 month Psychiatry6 weeks Gynecology1 month Out-Patient Fam. Prac.2 weeks Occupational Medicine2 weeks Ophthalmology

2 weeks Radiology2 months Chief – In-patient Service2 weeks Geri-psych2 weeks Podiatry or Plastics or Colorectal1 month Gastroenterology1 month Otolaryngology1 month Urology1 month Dermatology1 month Neurology5 months Electives

FOR MORE INFO, CONTACT:Nancy Miller, CoordinatorSt. Francis Hospital & Health CentersMedical Education Department1600 Albany St.Beech Grove, IN 46107317-783-8136 [email protected]

5CAREER INSIGHTS MD

INTERNSHIP:FPTS - 3 monthsPeds Service - 2 months

Emergency Medicine - 1 monthOB - 1 monthSurgery - 2 months

Pulmonary - 1 monthCardiology - 1 month Out Patient Family Practice - 1 month

FAMI LY PRACT I C E

ST. JOSEPH MEDICALCENTER TRADITIONALROTATING & FAMILYPRACTICE TRACK INTERNSHIPReading, PA

FOR MORE INFO, CONTACT:St. Joseph Medical CenterDale Weitzel145 N. 6th StreetReading, PA 19601610-378-2060 610-378-2434 [email protected]

“To know us is to love us.” I hear that statement a lot from the med students and residents whorotate through our program. I think the reason for this is our commitment to teaching in awarm, friendly environment and our six full-time dedicated faculty who view education as theirmission. Morning report actually happens every day in a non-threatening atmosphere and thereis a diverse schedule of noon electives. The medical staff is also committed to teaching and thehospital administration recognizes the value of medical education.

We have recently broken ground on a new hospital that will open in 2006. This facility isdesigned to emphasize technology and morph as new diagnostic and treatment modalitiesemerge. Did I mention that every intern receives a PDA during orientation?

The heart of the internship year is the refinement of the foundation of clinical medicine. St.Joe’s provides this to its interns through diversity in rotations, as well as inpatient and outpatientresponsibilities while providing supervision that adapts as the intern becomes more comfortablewith clinical decision making. Osteopathic principles and procedures are emphasized!

Intern year is hard, but we make time for fun things like game/movie nights, sampling BerksCounty’s local cuisine on monthly lunch outing with me, picnics and dinners. Having an unop-posed program affords us the opportunity to become a close-knit team.

ROTATION SCHEDULE

ST. JOSEPHOSTEOPATHIC FAMILYPRACTICE RESIDENCYReading, PA

The strength of the St. Joseph Osteopathic Family Practice Residency is the multitude oflearning opportunities offered within a diverse patient population. Our program consists of

six residents in each year in addition to eight internship slots. Our unopposed residency is partof a community hospital serving an indigent urban population. This provides our residentsextensive training, comprising every type of medical and social situation. Our residents wellbeing is an important part of their training. We constantly monitor work hours, and adjustschedules as new arrivals join our family practice family.

Our faculty is ready to teach everything from outpatient medicine, OMT, family centered OBand woman’s healthcare to office based procedures in our downtown office.

Our family practice teaching service is divided into general adult, private, and pediatric services. There isdedicated faculty to each service with the emphasis on educating the residents and exposingthem to a wide variety of cases. The specialists are readily available for consult and teaching.

Our program offers you the opportunity to become an excellent, caring, balanced physicianwho will succeed and thrive in any practice setting you might choose. Our program has led manyof our graduating residents to stay in Reading and the surrounding community.

Please come and visit or consider an elective rotation on one of our services.

MARGARET M. WILKINS, M.D.,

Program Director

ROTATION SCHEDULEPGY-2:

Internal Medicine - 1 month ICU, 2 months FPTS, 1 month Dermatology OB/GYN - 1 month GYNPediatrics - 2 month InpatientEmergency Medicin - 1 monthOrthopedics - 1 monthOccupational Medicine - 2 weeksGI - 2 weeksElectives - 2 months

PGY-3:Internal Medicine - 1 month FPTS, 2 weeks Infectious DiseaseOB/GYN - 1 month OB/GYN, 1 month GYNPediatrics - 1 month Ambulatory Peds Emergency Medicine - 1 monthOphth - 2 weeksOrthopedics - 2 weeks

ENT - 2 weeksUrology - 2 weeksCommunity Medicine - 2 weeks Electives - 4 months

FOR MORE INFO, CONTACT:St. Joseph Medical CenterFamily Practice Residency ProgramDale Weitzel145 N. 6th StreetReading, PA 19601610-378-2060 610-378-2434 [email protected]

16

FAMI LY PRACT I C E

ST. JOSEPH MEDICALCENTER SPORTS MEDICINE FELLOWSHIPReading, PA

FOR MORE INFO, CONTACT:St. Joseph Medical CenterSports Medicine FellowshipDale Weitzel145 N. 6th StreetReading, PA 19601610-378-2060 610-378-2434 [email protected]


Dear Primary Care Resident,

Please accept this invitation to join us as we initiate our Sports Medicine Fellowship. This fellowshipwill provide primary care physicians with the skills needed to expand the services they can provide their patients and the practice they join.

Our faculty is top-notch. Paul Newman, DO, an orthopedic surgeon, and I will be the ProgramDirectors. John Martin, MD, an orthopedic surgeon with Sports Medicine fellowship and PaulMarr, MD, a family physician with Sports Medicine fellowship round out the faculty. Thesephysicians provide care to 8 high schools, 2 colleges and 2 professional sports teams: the ReadingPhillies (baseball) and the Reading Royals (ice hockey).

By joining us at its inception, you will have the unique opportunity to shape this SportsMedicine Fellowship. You will have teaching responsibilities within the Family Practice residencyincluding lecturing and precepting. You will also be afforded office time to see a continuity panel of Primary Care patients.

Elective rotations are available to Osteopathic Medical Students. Please RSVP to Dale Weitzel @ 610-378-2060 or via email @ [email protected].

Sincerely,

Margaret Wilkins, DOProgram Director

MARGARET M. WILKINS, M.D.,

ProgramDirector

WARREN HOSPITALFAMILY PRACTICERESIDENCYPhillipsburg, NJ

The Family Practice Residency at Warren Hospital is a mature program that continues toenjoy growth and a sense of excitement in training physicians for the new millennium. We

have dual accreditation from both the Accreditation Council for Graduate Medical Educationand the American Osteopathic Association.

The residency is located in Phillipsburg, New Jersey along the beautiful Delaware River surroundedby rolling hills, farmland and new suburban communities. Our family practice center, CoventryFamily Practice, is state-of-the-art. It is specifically designed for the residency program andincludes treatment rooms, procedural suites, laboratory services, a conference room and an individual work area for each resident. Our residents are taught many procedures and haveextensive inpatient training allowing them to obtain privileges in intensive care as well as in thecare of sick newborns. This busy office schedules more than 26,000 patient visits a year. We arecurrently implementing an electronic medical record. During the three years of residency, youare the primary physician for a panel of Coventry Family Practice patients. You are responsible fortheir care in the office, hospital, home and nursing home settings. As a resident practitioner, attendingpreceptors are scheduled with you on every patient visit. Also, you'll be assisted by a strong sup-port team including a behaviorist, registered nurses, medical assistants, a nutritionist and admin-istrative staff.

We think you will be pleased by the training opportunities we provide.

RAYMOND BUCH, M.D.,

Program Director

ROTATION SCHEDULEPGY 1

1 - Surgery2 - Surgery/Night Float3 - Adult Medicine 14 - Adult Medicine 15 - Emergency Med.6 - Pediatrics @ Warren Hospital7 - Adult Medicine 28 - Adult Medicine 29 - Night Float10 - OB/GYN11 - OB/GYN12 - Pediatrics -St. Barnabas

13 - NICU -Morristown Memorial

PGY 21 - Sports Medicine2 - Pediatrics3 - Community Medicine4 - Surgery/Night Float5 - OB6 - Orthopedics7 - Adult Medicine 18 - Geriatrics/Developmental Med.9 - Cardiology10 - Night Float

11 - Adult Medicine 212 - ICU13 - ICU

PGY 31 - Procedural Medicine2 - Elective3 - OB4 - Adult Medicine 15 - Geriatrics6 - Adult Medicine 27 - Eye/Ear8 - Emergency Medicine

9 - Dermatology10 - Urology11 - Elective12 - Elective13 - Elective

ELECTIVES: Infectious disease,rheumatology, radiology, outpatientpediatrics, hematology, oncology, pulmonary medicine, nephrology,pain management, practice management,podiatry, and others. Please log on toour website for a full description of therotations we offer. www.warrenfp.com

FOR MORE INFO, CONTACT:Warren Hospital Family Practice Residency @ Coventry Family PracticeRaymond Buch, MD, Program Director755 Memorial Parkway -Suite 17Phillipsburg, NJ 08865908-859-6785 908-454-9889 [email protected]

FAMI LY PRACT I C E

7CAREER INSIGHTS MD

BARBERTON FAMILY PRACTICEBarberton, OH

FOR MORE INFO, CONTACT:Lisa M. Schroeder, MD Assistant Director 330-745-5008 330-848-7829 fax155 Fifth St NE Barberton, Ohio 44203 [email protected]

Barberton Family Practice is an unopposed, family-practice only, program in a 310 bed community hospital. We are located in a small city 40 min south of Cleveland. Because we are the

only residency in this hospital, the residents receive individualized, one-on-one teaching by our specialists. They also have more unrestricted access to procedures and deliveries. Our medicine rota-tions are primary care focused and run by the family practice residents and family practice attendings.Our continuity clinic is staffed by 6 faculty, a full-time behavioral scientist, as well as several commu-nity preceptors. The faculty is diverse in experience and dedicated to teaching and making the resi-dents' experience as worthwhile as possible. The residents perform pediatric rotations at nearbyChildren's Medical Center of Akron.

Barberton Citizens Hospital offers full spectrum care with a large variety of specialists. The hospi-tal is very supportive of the residency and highly respectful of family medicine. The hospital is con-tinually growing, now adding a new cardiac catheterization suite and expanding cardiothoracic sur-gery. There are also plans to build a new emergency department and cancer center.

This residency is a great place to work and learn. We encourage you to look at our website and con-tact us for more information.

DOCTORS HOSPITALMassillon, OH

FOR MORE INFO, CONTACT:Mona D. Shay, D.O., Director of Medical EducationLeonard Tamburro, D.O., Residency Director Family PracticeDoctors Hospital of Stark County400 Austin Ave., N.W.Massillon, Ohio [email protected]

Home to the nationally known Professional Football Hall of Fame, Stark County offers both theconveniences of a metropolitan area and the charm of small town living.

Enhancing the health and well-being of the community is part of the mission of Doctors Hospital,a leading 183 bed community facility. It has more than 250 staff physicians, 600 employees and a fullrange of diagnostic and treatment capabilities including open heart surgery.

Doctors Hospital offers clinical training for third and fourth year medical students, an internshipprogram and residency opportunities including: Family Practice, General Surgery, ENT, EmergencyMedicine and Orthopedic Surgery. Doctors Hospital is affiliated with the C.O.R.E. Program for the Ohio University College of Osteopathic Medicine. The Hospital is approved for intern and resident training by the American Osteopathic Association.

Our family practice residency offers a well rounded experience. A freestanding family practice cen-ter allows residents to participate in the role of primary care physicians and is supervised by a full-time faculty.Other features include daily teaching rounds, conferences, journal club and teaching responsibilitiesfrom students and interns. The program follows the ACOFP guidelines for the model program infamily practice.

Internship and residency benefits include stipend, uniforms, meals, health club membership, profes-sional liability, medical, dental and life insurance.

LA CROSSE-MAYOFAMILY MEDICINERESIDENCYLa Crosse, WI

FOR MORE INFO, CONTACT:Thomas J. Grau, M.D., Program DirectorLa Crosse-Mayo Family Medicine Residency815 S. 10th St.La Crosse, WI 54601608-791-9775 608-791-4168 [email protected]

The La Crosse-Mayo Family Medicine Residency is a community-based program affiliated with theMayo School of Graduate Medical Education. We are the only residents at Franciscan Skemp

Medical Center, a 250-bed community hospital featuring state-of-the-art technology and services. TheFamily Practice Clinic is connected to the Medical Center, which affords residents maximum opportunity for continuity care of their patients. Our program emphasizes training for rural practice.

La Crosse is in one of the more scenic areas of Wisconsin, with exceptional opportunities for out-door recreation. Because La Crosse is the meeting point of the Mississippi, Black and La Crosse Rivers, there are endless opportunities for canoeing, water skiing, fishing, sailing and sun bathing.There are also well-developed hiking trails and campsites, as well as nationally known bike trails. In 2002, La Crosse received first place in the Great American Main Street Award for historic preservation of the downtown district. The public school system is among the best in the nation andthe University of Wisconsin-La Crosse, Viterbo University, and Western Wisconsin Technical Collegeare available to those wanting to further their education. La Crosse offers the perfect balance between small-town and big-city life. Come and visit and you will see why those who live here refer itto as “God’s Country.”

MERCY/MAYOFAMILY MEDICINERESIDENCY PROGRAMDes Moines, IA

FOR MORE INFO, CONTACT:Charles Korte, M.D.250 Laurel St., Des Moines, IA 50314515-643-4624 515-643-4662 [email protected]/

Recognizing primary care as one of the most challenging medical specialties, the Mercy/MayoFamily Medicine Residency Program was developed in 1997 by the faculty and physicians at

Mercy Medical Center in Des Moines, Iowa and the world renowned Mayo Clinic in Rochester, Minnesota. Ourcomprehensive curriculum focuses on the key tenets of developing excellent family medicine doctors:providing comprehensive, evidence-based care for patients spanning the entire age spectrum.

Our residents are trained in multiple state-of-the-art facilities including the Mayo Clinic and our own22,000 square foot family medicine center. Our facility features services including on-site digital radiology,laboratory, pharmacist, social services, and most recently ultrasonography. Just steps away from ourclinic is Mercy Medical Center, a 917 bed regionally renowned tertiary care center featuring a level IItrauma center, one of the busiest labor decks in the Midwest, and access to sub specialists in multiple fields.

In addition, our program features daily case report presentations, bi-weekly Wednesday afternoonlecture series, as well as monthly video Grand Rounds with the Mayo Clinic, leaving our residents wellprepared for boards upon completion of their residency. With all of the benefits and resources of atertiary care center and the one-on-one attention of a community hospital, let Mercy/Mayo guide youinto the future of family medicine.

FAMI LY PRACT I C E

CAREER INSIGHTS MD8

UPMC ST. MARGARETFAMILY PRACTICERESIDENCYPROGRAMPittsburgh, PA

FOR MORE INFO, CONTACT:Ted C. Schaffer, MD,Program Director,UPMC St. Margaret Family Practice 815 Freeport RoadPittsburgh, PA 15215 412-784-4227 412-784-5274 [email protected] www.upmc.edu/StmFamResidency

The Family Practice Residency Program at St. Margaret was established in 1971 - one of the firstin the country. Then and now, St. Margaret's has been a leader in family medicine education. This

residency program has achieved national recognition for the quality of its' training and the caliber ofits' resident staff. Over the years our goal has been to provide a superior educational experience in astimulating and supportive environment. We recognize that the family doctor is the very center of a community'shealth care. Family medicine is the only residency at St. Margaret and a strong family medicine depart-ment (including many of our graduates) accounts for over fifty percent of all hospital admissions.

At St. Margaret we are committed to preparing each of our residents for the broad challenges offamily medicine: today's and tomorrow's. Our curriculum is highly integrated and dedicated to com-prehensive health care. St. Margaret even has post-residency fellowship opportunities in family med-icine, sports medicine and geriatrics.

Our university-affiliated community hospital is located in Aspinwall, just minutes north of the city.Our resident-run family health centers are situated in Pittsburgh's Lawrenceville Bloomfield-Garfieldand New Kensington communities so that we may serve our city's diverse populations. We believe thatthe St. Margaret's Family Practice Residency Program is a special program in a special place. We'relearning a lot and having a lot of fun - come visit!

UNIVERSITY OFMASSACHUSETTSWORCESTER FAMILYMEDICINE RESIDENCYPROGRAMWorcester, MA

FOR MORE INFO, CONTACT:UMass Memorial Medical CenterFamily Medicine Residency119 Belmont St., Jaquith 2Worcester, MA 01605508-334-6111 508-334-6404 fax

Founded in 1974, the University of Massachusetts Worcester Family Medicine Residency continues atthe forefront of Family Medicine training regionally and nationally. With more than 350

graduates to date, UMass offers one of the largest, most experienced Family Medicine Residencies inthe country and the largest in the northeast. Counted among our alumni are community and national leaders, department chairs, respected researchers and educators, and clinicians practicing thefull range of Family Medicine on all seven continents.

Experience the hands-on, front-line exposure of community-based care: one residency with separatematch numbers for three health centers, means three choices to make your best possible match; our three family health centers offer unique clinical learning opportunities – YOU choose the UMassresidency experience that best fits YOUR goals; choose from Urban/Underserved (Queen St.),Urban/Group practice model (Hahnemann), or small town New England (Barre).

The University of Massachusetts’ central location in the “Heart of the Commonwealth” makes itideal for visits to favorite New England attractions. It’s only a 45 minute drive to Boston, an hour toNewport, 90 minutes to Cape Cod, and 3 hours to New York City. Recreational activities aboundwith great skiing, biking, hiking, and running activities with easy availability. Life in Worcester andthe surrounding small towns and countryside is beautiful and affordable.

Visit our website – www.umassmed.edu/wfmr

800 bed tertiary medical centerwith large referral base fromwestern North Carolina andSouth Carolina; affiliated withUniversity of North Carolina atChapel Hill

Dedicated faculty of clinicianeducators; ratio of faculty tohouse officers nearly 1:1

Enormous amount of curricularflexibility, even during PGY-1 year;options also include researchand international electives

50% of residents chooseGeneral Internal Medicinecareers; 40% subspecialty fellowships; 10% Academicsor Hospitalist careers

100% ABIM passrate from 1996-2003 and a 30 year pass rate of 97%

30 Categorical residents6 Preliminary residents

PGY15 months Medical Wards1 month Emergency Department1 month Medical ICU5 months Electives/Subspecialtyconsults

PGY2 & PGY3 (PER YEAR)3 months Medical Wards1 month Medical ICU1 month Coronary Care Unit7 months Electives andSubspecialty Consult Blocks*All 3 year residents will rotate on10 subspecialty blocks over the 3 year period.

Medicine Consult (Perioperative)CardiologyEndocrinologyGastroenterologyHematology/OncologyInfectious DiseaseNeurologyNephrologyPulmonaryRheumatology

PROGRAM BASICS

The balance between per-sonal and professional

life is a critical cornerstoneof our Internal Medicine Residency atCarolinas Medical Center. Our wardmonths provide an unparalleled breadth ofpathology. Our housestaff are adept at notonly the rarities of disease, but also the'bread and butter' of medicine.

Several unique tenets of our programinclude: (1) Each house officer, from Internto Senior Resident, will be given as muchresponsibility as he/she desires for that levelof training. (2) Flexibility, even during theinternship year, to allow early mentoringtoward future goals - whether they are fel-lowship pursuits, hospitalist careers or gen-eral internal medicine. This includes selec-tion of early electives in fields of interest,and options including Research blocks andTravel/International Medicine. (3) Excellentespirit-de-corps (4) Dedicated faculty ofClinician Educators, with responsibilitiesrestricted to house staff/student educationand patient care.

We offer vast opportunities to becomeproficient with invasive procedures - includingcentral lines, Swan-Ganz and temporarypacemaker placement, cardiac stress test-ing, etc.

Common medical problems are the cornerstone of our outpatient experience.Our ambulatory clinics include rotations in general medicine, orthopaedics, gynecolo-gy, psychiatry, geriatrics, otolaryngology,and allergy.

EDUCATIONA full time faculty of dedicated clinicianeducators is the foundation of our pro-gram. Our inpatient attendings utilize bothbedside teaching and didactic methods, andmost of our subspecialty consult/elective monthsoffer one-on-one teaching.

Our lecture series begins in July with anAcute Care Curriculum - tailored toward"need to know early" information. Othereducational opportunities include daily NoonConference lectures and an AmbulatoryCare series. Morning Report is held dailyand focuses on differential diagnosis andquality improvement. We have a weeklyGrand Rounds, given by faculty, visitingprofessors and PGY3 residents. Our PGY2residents present at Journal Club monthly,with an Evidence Based Medicine focus

and review of the literature. We also offermonthly Morbidity/Mortality Conferences.

This balance of formal lectures, excellentfaculty-resident ratios, one-on-one educa-tion and ample time for reading has beenour recipe for success. Our ABIM pass ratefor 1996-2003 was 100%, with a 30 yearpass rate of 97%.

CAREERSGiven their broad basis of exposures, ourresidents are prepared for any pathway.Approximately 50% of our graduates enterprimary care careers. Another 40% willenter subspecialty fellowships and about10% will choose hospitalist careers orcareers in academic medicine.

PATIENTSCarolinas Medical Center has 800+ bedsand a large population base that includesmost of Western North and South Carolina.Our Emergency Department registers wellover 100,000 patient visits/year. We providecare to patients from all walks of life,including both urban and rural populations.

LIFESTYLEWe strongly believe in an equal balancebetween personal and professional life.Our overnight call schedule during wardmonths is 1 in 5, and over 90% of our con-sult/elective blocks involve no weekend call.We offer an extremely competitive salary,including an excellent benefits package. Freeparking in close proximity is offered.

Our city boasts all of the amenities ofmany larger U.S. cities, but combines themwith affordable housing, strong public schools,and low crime rates. Our Uptown area hostsa beautiful Performing Arts Center - repletewith everything from Broadway shows tothe Charlotte Symphony. It also has arenaswhich host the 2003 NFC ChampionshipCarolina Panthers and our NBA team, theCharlotte Bobcats. We also have many finedining opportunities, are a hub for USAirways, and can claim some of the mostexpansive shopping areas in the South.

SUMMARYIn summary, we have much to be proud of:a well rounded educational and clinicalexperience, a stellar faculty dedicated toresident/student teaching, and housestaff witha terrific espirit-de-corps - all set in a top-notch city. We look forward to meeting you !!

IN T ERNAL MED IC INE

CAROLINAS MEDICAL CENTERCharlotte, NC

BETH E. SUSI, M.D.,Program Director, Internal Medicine

FOR MORE INFO, CONTACT:Kimberly Greene, Residency CoordinatorP.O. Box 32861Charlotte, North Carolina 28232-2861704-355-3165704-355-7626 [email protected]/education/meded/internal/

9CAREER INSIGHTS MD

FACTS AT A GLANCE

ROTATION SCHEDULE

AFFILIATIONSMayo Clinic Scottsdale,University of Arizona

NUMBER OF INTERNS14 Categorical4 PreliminaryOver 600-Bed Facility withMedicine, Surgery, Obstetrics,Pediatrics,Psychiatry, Radiology,Medicine/Pediatrics, Orthopedics& Emergency MedicineDedication to underservedpopulationFull 5-year ACGME AccreditationConsistently among highestABIM pass rates in the Southwest

PGY-I (4-WEEK BLOCKS)6 months inpatient medicine1 month medical ICU1 month cardiac ICU1 month emergency medicine1 month ambulatory care1 month night float1 month of elective

PGY-II (4-WEEK BLOCKS)4 months inpatient medicine1 month medical ICU1month medical consults to emergency medicine1 month dermatology1 month ambulatory care4 months of electives

PGY-III (4-WEEK BLOCKS)1 month inpatient medicine1 month medical ICU1 month cardiac ICU1 month geriatrics1 month neurology1month medical consults to emergency medicine6 months of electives

The categorical internalmedicine residency

program at MaricopaIntegrated Health System(MIHS) has been approved

by the Accreditating Council for GraduateMedical Education (ACGME) since 1958.The residency program currently is fullyaccredited with a five-year cycle, the longestpossible by the ACGME. The Departmentof Medicine oversees approximately 60 res-idents in medicine and medicine/pediatrics.We also have approximately 15 medical stu-dents per month rotating in theDepartment of Medicine in multiple spe-cialties as well as the medical wards andmedical ICU.Maricopa Medical Center (MMC) has the

second largest teaching hospital in the stateof Arizona, is currently licensed for morethan 600 beds, and serves as a Level I pediatric and adult trauma center. The hospital also has the only burn center within the state of Arizona. MIHS servicesone of the state of Arizona’s AHCCCSplans (Arizona Health Care CostContainment System), the Arizona man-aged care/Medicaid system. MIHS serves apredominately underserved population atthe hospital and its ComprehensiveHealthcare Center (housing subspecialtyclinics) and 12 family healthcare centersthroughout Maricopa County. MMC rep-resents one of the largest and oldest gradu-ate medical education facilities in Arizonaand has trained over 20% of the physicianspracticing in Arizona.

The internal medicine residents at MMCare a highly dynamic, inquisitive and inter-ested group of physicians. Although theclinical faculty-to-resident ratio is essential-ly one-to-one, residents develop excellentclinical decision making skills by assumingprimary and management responsibilitiesfor all patients with direct daily supervisionand guidance from full-time qualified clini-cians/educators. These experiences trans-late into successful job or fellowship place-ment after residency. In addition, our resi-dents have consistently performed abovethe 90% on the ABIM certifying examina-tion placing the program consistentlyamong the best performers.

All residents in the program rotatethrough all specialties of medicine (we are

lucky enough to have full-time specialists inall disciplines), which is unique for trainingprograms in Arizona. In addition, resi-dents have at least 40% of their clinicaltime spent in an ambulatory setting learn-ing the nuances of general and specialtycare in the clinic setting. There is a unique,innovative night float system, which allowsresidents to excel at learning while adheringeasily to ACGME guidelines.

Finally, it should be noted that the inter-nal medicine residency training program atMIHS offers a unique blend of nationallyrecognized clinical training with the superblifestyle in 5th largest city in America.Phoenix is a rapidly growing, very dynamiccity in the Southwest, which offers manyopportunities for growth and pleasure forresidents and their families.

In summary, students seeking to be a partof a long-standing tradition of profession-al growth and excellence, true Maricopaespit de corps, and the opportunity tobecome an excellent internist we encourageyou to consider visiting MIHS and findingout for yourself. Please visit us online athttp://mihs.maricopa.gov. We encourageyou to become part of the best.


MARICOPA INTEGRATED HEALTH SYSTEM/MARICOPA MEDICAL CENTERPhoenix, AZ

FOR MORE INFO, CONTACT:David B. Wisinger, M.D., FACP, Program Director, Internal Medicine2601 E. Roosevelt St., Room #OD10Phoenix, AZ 85008602-344-5768 602-344-1488 [email protected]://mihs.maricopa.gov

CAREER INSIGHTS MD10

FACTS AT A GLANCE

ROTATION SCHEDULE

DAVID B. WISINGER, M.D., FACP,Program Director

The Department of Medicinehas 15 full-time attendings, 10 part-time attendings, and 210 voluntary attendingsEach intern carries an averageof 12 patients Fellowships are available inCardiology, Nephrology, Gastroenterology, Pulmonary,and Infectious Diseases Subsidized housing is availablewithin walking distance from the hospital The New York Hospital MedicalCenter of Queens is a 487-bedhospital. Of those: 240 aremedical beds; 13 are CCUbeds; 12 are MICU beds

PGY-17 blocks on the Floors2 blocks in the Units (CCU, ICU)1 block E.R.1 block Ambulatory Care or Elective1 block Night Float1 block Vacation

PGY-24 blocks on the Floors3 blocks in the Units1 block in the Screening Clinic3 blocks Elective1 block Night Float1 block Vacation

PGY-33 blocks on the Floors1 block Medical Consult1 block Ambulatory Care1 block Memorial SloanKettering Cancer CenterCare Facility4 blocks Electives1 block Night Float1 block Vacation

The New York HospitalMedical Center of

Queens offers both one-yearand three-year residencytraining programs in inter-

nal medicine. Training is designed to givesolid grounding to a career either as a sub-specialist or as a primary care internist.Recent graduates have received fellowshipsfrom some of the most prestigious institu-tions in the country. Others have gone on toprivate practice, after working in the officesof some of New York's most successfulpractitioners during training. Still othershave remained to do a fellowship, or toserve as chief residents. Whatever theircareer choice, New York Hospital-Queensprovides its residents with a unique "step-ping stone" to a successful career.

New York Hospital-Queens has grownover the years from a small communityhospital to a 487-bed teaching hospital andtrauma center at the hub of a full system ofhealth care services in a variety of settings.Since 1993, the hospital has been affiliatedwith The New York Hospital-CornellMedical Center, one of the nation's leadingacademic medical centers. It's now rankedamong the top 10 medical centers in NewYork City.

As befits a top medical center, we havesuperior facilities, including: one of thelargest dialysis units on the East Coast; a growing cancer center, including one ofthe nation's most advanced radiationoncology units; and an expanding programof cardiovascular services. Also of interest,computers are available to the housestaff24 hours a day on all the medical floors.

Residents receive a solid clinical educa-tion. They rotate through all the major sub-specialties and critical care areas, includingrotations in Geriatrics at Silvercrest NursingFacility; subspecialty electives are availableat The New York Hospital-Cornell MedicalCenter. As well as gaining clinical experiencein the hospital, residents rotate through pri-vate physicians' offices during their threeyears of training. Our support systems areextensive, so residents are freed to concen-trate on providing high quality care.

We encourage an innovative curriculumand take an active part in matching houses-taff's interests with electives both inside andoutside the institution. In the past, resi-dents have taken electives both at otherhospitals in the area -- such as New YorkHospital, Mt. Sinai, Albert Einstein, and

North Shore -- and out of state. Recently, aresident who was interested in critical caretook an elective at the Maryland ShockTrauma Center.

To complement its clinical strengths, thedepartment has expanded its researchefforts. The Division's of Infectious Diseaseand Nephrology have full time Ph.D.'sdoing both basic science and clinicalresearch, leading to frequent publications.

Clinical training is complemented bydidactics. We have a serious board reviewcourse, which produces an excellent passrate. Unlike programs that have boardreview only in the third year, our boardreview course is scheduled on a monthlybasis throughout the three years.

Perhaps the most unique feature of NewYork Hospital-Queens is the variety ofpathophysiology we see. We are the leadingteaching hospital in the most rapidly grow-ing borough of New York, which has a cul-turally diverse patient population ,there-fore, we see pathology that's unique toother parts of the world. Our hospital hasa much lower HIV patient population thanother urban hospitals.

The program's other distinguishing fea-ture is its family-like atmosphere. We makesure no resident ever gets lost. We listen tothem, get a feel for what their problems are,and make changes in the program to insurea quality education. Residents from eachyear also have a voice in the program asmembers of the curriculum committee. In addition, residents enjoy each other's com-pany and are always encouraged to partici-pate in department-sponsored social events.

We are particularly proud of our faculty,who pride themselves on their accessibilityand daily involvement with residents. Theyserve as both friends and advisors to theresidents -- each resident is assigned to afaculty member who follows the residentthrough all three years and gives careerguidance as well.

The hospital's location in Queens is apleasant, relaxed setting -- a quiet neighbor-hood of one-family homes. Of particularinterest to sports fans, we are located nearShea Stadium, The National Tennis Center,and Belmont and Aqueduct racetracks.We're within easy access to Manhattan andsome of the world's best cultural attractions,shops, and restaurants.

I encourage you to visit us and see first-hand how our program can help you toachieve your professional goals.


NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS/CORNELL UNIVERSITY MEDICAL COLLEGE PROGRAMFlushing, NY

TERENCE M. BRADY, M.D., Acting Chairman& Program Director

FOR MORE INFO, CONTACT:New York Hospital Med. Ctr. of Queens Dept. of Med.Terence M. Brady, MD, Program Director56-45 Main St.Flushing, NY 11355-2966 718-670-1347 718-670-2456 [email protected]

11CAREER INSIGHTS MD

FACTS AT A GLANCE

ROTATION SCHEDULE

The New York College ofOsteopathic Medicine

and the Nassau UniversityMedical Center have anongoing 20 year relationship

in providing quality medical education.

As the only medical school in NassauCounty, and as one of the largest anddiverse medical schools in the country,NYCOM has designated NUMC as a pri-mary teaching site for third and fourth yearmedical students.

Over the years, this has led to many DOschoosing NUMC for their postgraduatetraining. For many years, NUMC hasoffered a traditional rotating internship,which is extremely sought after and com-petitive. The rotating internship is current-ly approved for 18 positions, which are fullyfunded. This internship fulfills the require-ment for a preliminary year for residenciesin PM & R, radiology and anesthesia. Infact, the rotating internship provides themajority of DOs for these other NUMCresidency programs.

In addition, the Internal MedicineResidency is "dually-approved," meaning ithas met the criteria for both AOA andACGME educational excellence. DO grad-uates of the NUMC Internal MedicineProgram are therefore eligible to take both the AOBIM and ABIM BoardExaminations, and thus become board certified by both. This provides DO gradu-ates of the program maximum flexibilitywhen it comes to employment opportuni-ties and academic appointments later intheir career.

The NUMC Internal Medicine Residencyrecently completed an AOA inspection, andwas granted full three-year accreditation.

Our program offers all the elements of ahigh quality training program, whichincludes large volume of cases, wide scope,and significant "hands on" experience. Wehope you choose to become part of our team.Sincerely,

Kenneth J. Steier, DO, FACOI, FCCPAssociate Clinical ProfessorProgram Director, Osteopathic InternalMedicine ResidencyDirector of Medical EducationNassau University Medical [email protected]

ABOUT NUMCThe Nassau Health Care Corporation con-sists of a medical school affiliated TeachingHospital (the Nassau University MedicalCenter), a geriatric center and seven ambu-latory care facilities that serve the people ofNassau County, a New York City suburbancommunity of more than 1 million people.The hospital is a large, modern tower withattractive state-of-the-art inpatient servicesincluding advanced trauma and tertiarycare. Outpatient services are designed tofacilitate supervised post-graduate trainingin ambulatory specialty care. Seven free-standing healthcare offices scatteredthroughout the County serve a large unin-sured and Medicaid population that pro-vides excellent primary care experiencesupervised by faculty appointed to SUNYat Stony Brook and the New York Collegeof Osteopathic Medicine Medical Schools.

One hundred ninety faculty members arefull time at the NHCC and, with a largevoluntary staff, provide clinical, basic sci-ence and research instruction and supervi-sion to residents and medical students. The hospital supports 15 clinical departmentsand 22 ACGME accredited ResidencyTraining Programs plus an OsteopathicInternship and Medical Residency. TheEmergency Department serves the regionincluding the famous Long Island beaches,barrier islands and its extensive highwaysystem. The Corporation, newly formed in1999 and no longer politically or fiscallydependent on the County, is heavily com-mitted to the education of medical students,residents and Continuing Medical Education.

Residents are given the option to live incampus apartments or to accept an allowanceto supplement off-campus quarters. On-campus parking is provided at no cost and


NEW YORK COLLEGE OF OSTEOPATHICMEDICINE & THE NASSAU UNIVERSITY MEDICALCENTER OSTEOPATHIC INTERNAL MEDICINEINTERNSHIP & RESIDENCY PROGRAMEast Meadow, NY

KENNETH STEIER, D.O.,Program Director

FOR MORE INFO, CONTACT:Kenneth Steier, DO, Program Director, Osteopathic Internal Medicine Residency Nassau University Medical Center2201 Hempstead TurnpikeEast Meadow NY 11554516-572-8836 516-572-0155 [email protected] website: www.numc.edu


the Hospital provides meals during dutyhours. A restaurant, gift shop and ATMare located within the Hospital. A chapeland clergy provide Christian, Jewish andMuslim religious services. Uniforms areprovided and laundered at no cost, as arewide-area pagers. A full service HealthSciences Library, open from 9AM to 9PMeach week-day, subscribes to most of themajor medical journals and houses approx-imately 10000 monographs. The HealthSciences Library is accessible to authorizedpersonnel at other times by arrangement.

CURRENT SALARY LEVELS AREAS FOLLOWS:

OPTION 1For Resident Physicians who are requiredto enroll in NHCC Health Insurance onFirst Day of Employment (Effective 7/1/04)

PGY1 - $41,309 PGY2 - $43,837 PGY3 - $46,182PGY4 - $48,303PGY5 - $50,199PGY6 - $52,081PGY7 - $55,415

OPTION 2For Resident Physicians who are notrequired to enroll in NHCC HealthInsurance on First Day of Employment(Effective 7/1/04)

PGY1 - $43,231PGY2 - $45,875PGY3 - $48,328PGY4 - $50,547PGY5 - $52,532PGY6 - $54,504PGY7 - $57,991

Residents living off-campus receive anadditional $3,424 per year (PGY1 through PGY7).

CURRENT RENTS ON-CAMPUS:

MONTH/YEARLY RATESStudio - $553/$6,636One Bdrm - $663/$7,956Two Bdrm - $774/$9,288Three Bdrm - $885/$10,620

Resident concerns, including personalissues, are addressed through the Departmentof Academic Affairs by a Resident Council,by professional counseling and by facultymentors. An excellent health insurance pro-gram provides full benefits to residents andtheir families; medical care at the hospitalis offered at no charge during the initialwait period. Residents are fully covered bya self-insured professional liability (mal-practice) policy. An orientation program isheld immediately before the July start dateto introduce important hospital servicesand staff, to describe resident rights andprivileges and address issues related to pro-fessional and personal life.

The Medical Center is located in the cen-ter of Nassau County, 30 miles fromManhattan, and is convenient to severalmajor shopping malls, superb restaurants,world famous beaches, outstanding parksand recreation facilities and our own NewYork Islander hockey team. The skyline ofManhattan, visible from our medical towerare 45 minutes away by rail or expressway.Our active Community Relations Departmentoften offers reduced rate opportunities forBroadway plays, major sporting events,concerts and opera. Each year the Hospitalsponsors a number of different familyevents on campus.

For more information please email us [email protected] or click on any ofthe residency programs at NHCC thatinterests you for more information and theapplication procedure. Also take a few minutes to explore our Web site and gain amore complete picture of the MedicalCenter- its staff, resources and opportunitiesfor professional and personal growth.

© 2002-2003 Nassau University Medical Center.All rights reserved.



42 Internal Medicine Residentswith strong subspecialty support

State's only blood and marrowtransplant program

Major teaching affiliate of theBoston University School of Medicine

Broad research base with focuson immunology/immunotherapystem cell biology

Outstanding fulltime and voluntary teaching faculty

PGY 11.5 months ICU/CCU2.5 months intern float/night float/addiction medicine3 months electives3 months general medical floors1 - 2 months no call floors1 months selective

PGY 21 month ICU1 month CCU3 months general medical floors1 month no call floors4 months of electives2 month night float(part may be completed in PGY 3 year)1 month RWMC Emergency Department(part may be completed in PGY 3 year)

PGY 31 month ICU1 month CCU2 months general medical floors1 month no call floors5 months electives1 month ambulatory clinic1 month night float(may be completed in PGY 2 year)1 month RWMC Emergency Department(part may be completed in PGY 2 year)

The primary goal of ourtraining program is to

educate broadly, to involvethe resident in high quality

teaching activities in the ambulatory, aswell as inpatient settings, and to presentdidactic material in accordance with theprogram's curriculum. This is all accom-plished in a nurturing, academic atmosphereby an outstanding faculty, where postgrad-uate education is our primary concern.

The medical service boasts a unique blendof primary, as well as tertiary care. RogerWilliams Medical Center serves as the sitefor the state's only bone marrow transplan-tation program and has a highly regardedmultidisciplinary oncology program, out-standing gerontological services, an inte-grated musculoskeletal center, board-basedclinical and basic research programs inmolecular biology, immunology, carcino-genesis and HIV-related diseases and fel-lows in all of the medical subspecialties.

We at Roger Williams Medical Center arededicated to insuring that your residencytraining is both academically stimulatingand thoroughly enjoyable.


ROGER WILLIAMS MEDICAL CENTERProvidence, RI

ALAN B. WEITBERG, M.D.,Program Director

FOR MORE INFO, CONTACT:Roger Williams HospitalInternal Medicine Residency ProgramAlan B. Weitberg, MD, Program Director825 Chalkstone AvenueProvidence, RI 02908-4735410-456-2070 410-456-2016 [email protected]/res_internal.htm


FACTS AT A GLANCE

ROTATION SCHEDULE

Rotations available in threehospitals within walking distance (private, university and VA)

LOCATION: Syracuse, NYrated 32nd by "Places RatedAlmanac" out of 343 NorthAmerican metropolitan areas

A current rolling three-yearABIM board passing rate of 97%

Ambulatory teaching experiencesin a variety of off-campus settings,including an HMO, privateoffices, a community clinic,and new medical clinic facilities

Large, public medical school affiliation with over 600 medicalstudents and graduate students

PGY 1 (12 MONTHS)6 months inpatient wards1 month emergency room1 month ICU1 month ambulatory care block1-1 1/2 months elective/consults1/2 - 1 month night float1 month vacation

PGY 2 (12 MONTHS)4 months inpatient wards2 months ICU1 month ambulatory care block1 month night float1 month vacation3 months elective/consults

PGY 3 (12 MONTHS)3 months inpatient wards4 months elective/consults1 month ambulatory care block2 months ICU1 month ER1 month vacation

The SUNY Upstate MedicalUniversity at Syracuse

Internal Medicine ResidencyTraining Program provides anexcellent and comprehensive

educational experience utilizing three diversehospital settings on one clinical campus. Ourregional medical center, a large private com-munity hospital and the central New YorkVeterans Administration Medical Center pro-vide us with a considerable variety of clinicalexposures. The geography of the Syracusemetropolitan area allows our program to drawfrom a seventeen county population of over1.5 million people while enjoying the lifestyle ofan intimate and comfortable smaller city.

Our expanding committed full-time facultyare involved in patient care, teaching and thefull spectra of medical research. As a medicalcenter, we are leaders in the development ofscientific and health care management inno-vations which are recognized across thenation. Additional motivated, voluntary fac-ulty complement our teaching abilities. Weare quite able to provide one-on-one trainingfor our residents and students--a commitmentwe are proud to make. The Department ofMedicine is organized into 9 divisions. GeneralMedicine, the largest, provides our residentswith an extensive exposure to AmbulatoryInternal Medicine, as well as maintaining alarge referral base for our consulting subspe-cialists. We have fellowship training in themajor subspecialties of Internal Medicine.

We offer two training programs within theDepartment of Medicine. Our three year cat-egorical program provides extensive trainingin both the traditional hospital setting as wellas a variety of outpatient ambulatory sites inprimary and tertiary care. Our preliminary yearprogram offers extensive exposure to medi-cine and prepares people for further trainingin other specialties. Electives in primary care,women's health and sports medicine allowparticipants more time in primary care settingswith greater exposure to topics such as pre-ventive medicine, adolescent health care,breast care, and biopyschosocial medicine.

The SUNY Upstate Medical University atSyracuse continues to grow. Our $52 millionConcentrated Care facility with comprehen-sive adult Intensive Care Units, a new EndoscopySuite, Xray, CT and MRI facilities, an operat-ing suite, and a state of the art EmergencyDepartment place us in the forefront of med-ical technology. The University has complet-ed a $14 million library which is fully wiredinto the campus mainframe computer, allow-ing PC access from each office, clinical site,and at each study carrel, as well as providingadditional library materials. Our ambulatorycare facilities, including a Joslin Diabetes

Center, are located within a three block walkor short shuttle ride of University Hospital.These major construction projects have reflectedour continued inpatient and outpatient popula-tion growth. At University Hospital alone theDepartment manages over 3,700 admissions ayear and over 45,000 ambulatory patient visits.

Reflecting the changing sociodemographicsof medicine and medical education, we pro-vide yearly ambulatory care block rotationsfor the resident physicians. Residents are giventraining in outpatient gynecology, behavioralmedicine, sports medicine, ambulatory patientmanagement techniques, and preventive med-icine such as sigmoidoscopy. This affords amuch broader experience than the traditionalexclusive inpatient focus. Third year Residentshave the choice of working in private office set-tings, as well as the traditional hospital ambu-latory care sites. Our major ambulatory carefacilities utilize the Firm system, modeled afterthe group practice. Residents work consistent-ly with teams of attendings, mid-level practi-tioners, and nurses, and develop panels ofpatients for whom they are primarily responsible.

Considerable research is ongoing in theDepartment of Medicine and the University asa whole. Large projects in retrovirology, clini-cal cancer treatment, the pathophysiology ofHelicobacter pylori, the management of chronichepatitis, the genetics of systemic lupus erythe-matosus, cellular and clinical cardiac electro-physiology, clinical AIDS trials, and renal tubu-lar membrane transport are just a few of theexamples of ongoing research projects withinthe Department of Medicine. The city of Syracuse was ranked 32nd out of

343 metropolitan areas in the Millenium edi-tion of the Prentice Hall Travel Places RatedAlmanac. It provides safe and affordable hous-ing in an urban setting, with museums, asuperb symphony orchestra, a nationally rec-ognized resident professional theater, majorcollegiate sports, minor league baseball andhockey, and easy access to both the AdirondackPark and the Finger Lakes Region. Syracusecan provide its inhabitants multiple ways ofenjoying their free time.

The SUNY Upstate Medical University atSyracuse Department of Medicine is proud ofits residency training program. It has a longtradition of educating physicians who do verywell in General Internal Medicine or go on totrain successfully in the subspecialties ofmedicine. Our graduates perform well in theBoard examinations (97% rolling 3 year averageas of 2003) and compete successfully for fellowship training. We plan to continue toprovide an excellent educational milieu as wegrow and continue to meet the challenges ofhealth care delivery, education and research inthe 21st century.


SUNY UPSTATE MEDICAL UNIVERSITY Syracuse, NY

VINCENT E. FRECHETTE, M.D.,Program Director

FOR MORE INFO, CONTACT:SUNY Upstate-SyracuseVincent E. Frechette, MD, Program Director750 East Adams St.Syracuse, NY 13210 315-464-4506- 315-464-4484 [email protected]/medicine


FACTS AT A GLANCE

ROTATION SCHEDULE

The Internal Medicine residencyprogram at the Hospital of theUniversity of Pennsylvaniaoffers the following trainingprograms: Categorical Medicine,Preliminary Medicine,Physician Scientist Program,Medicine-Pediatrics,Medicine-Dermatology

Our program integrates experiences at a Veterans hospital, a community hospitalas well as our main tertiaryhospital- all within walking distance

We have a vibrant Internationalprogram with monthly rotationsfor residents at Penn Medicinein Botswana

The University of PennsylvaniaSchool of Medicine is ranked second in the nation in NIH funding; the Department ofMedicine is ranked third in the nation

The University of Pennsylvania MedicalCenter enjoys a rich history of leadership

in academic and clinical medicine. TheUniversity of Pennsylvania School ofMedicine was established in 1765 as thenation's first school of medicine. TheHospital of the University of Pennsylvaniawas built in 1874 as the nation's first hospi-tal devoted to medical education. Our heritage is the cornerstone for our futureand the legacy that supports our pursuit ofthe highest standards in education, researchand patient care. For 230 years, theUniversity of Pennsylvania School ofMedicine and Medical Center have contin-ued to train leaders in research and clinicalmedicine. The strength of our research pro-grams is highlighted by the fact that in2003, the School of Medicine was rankedsecond in the country in NIH funding, andthe Department of Medicine was rankedthird among Departments of Medicine.The Department of Medicine at theUniversity of Pennsylvania has had a long-standing commitment to education. Thefaculty in the Department of Medicineincludes approximately 300 full-time stand-ing and 150 fellows representing all of thespecialties of Internal Medicine. The philosophy of our training program is

to provide a core curriculum designed topromote the acquisition of basic clinicalcompetencies in internal medicine withsubsequent tailoring od educational experi-ences to meet the career objectives of ourtrainees. The program is designed to fosterexcellence in clinical skills and teaching, topromote basic science and clinical research,and to develop future academic opportuni-ties for our trainees. The unique blend oftrainee excellence, well-developed clinicaland research programs in each of the sub-specialties of Internal Medicine, rich clini-cal and research resources of the MedicalCenter and University, and an attitude ofinterdisciplinary cooperation throughoutthe institution, create an overall environ-ment that fosters an exciting and enjoyablelearning experience.

The Internal Medicine Training Programis based predominantly at the Hospital ofthe University of Pennsylvania (HUP), butincludes rotations at our nearby affiliatedinstitutions, the Philadelphia VeteransAffairs Medical Center (PVAMC) and thePresbyterian Medical Center (PMC). The

Hospital of the University of Pennsylvaniaand the Philadelphia Veterans AffairsMedical Center are within easy walkingdistance of each other on the universitycampus. The Presbyterian Medical Center,at the outskirts of campus, is a 15 minutewalk or a short shuttle ride from HUP. Allof the above sites feature excellent clinicalfacilities and access to a large and diversepopulation of patients. As part of theUniversity of Pennsylvania Health System,the clinical service is sustained by a strongreferral base provided by our Clinical CareAssociates (Penn's primary care network)combined with a large local communitythat uses our teaching hospitals for primaryas well as secondary and tertiary care.

The training opportunities offered by theDepartment of Medicine include:

A three-year Categorical Program.A Physician Scientist Program designed for those pursing career paths as physi-cians scientists. It consists of two years ofintensive clinical work followed by clini-cal training in a subspecialty discipline and then three years of research. At the conclusion of the combined clinical and research training, residents are eligible to sit for the board examination inInternal Medicine and their subspecialty.This program also provides the opport-unity to obtain a graduate degree fromone of the many distinguished schools onthe Penn campus. A one-year Preliminary Program.A Primary Care Program offering additional outpatient experience with inpatient rotations that are completely integrated with the categorical program. A four year Medicine-PediatricsProgram with the Children's Hospital of Philadelphia. A 5 year Medicine-Dermatology Program. We are personally committed to working

with each of you to develop an individualtraining experience that allows you toattain your personal career objectives. Thecombination of a diverse patient popula-tion, an outstanding faculty, and a strongresearch institution provide trainees in ourprogram with the necessary ingredients fora rich and diverse educational experience.We invite you to submit an application tothe University of Pennsylvania through theNational Residency Matching Program.


UNIVERSITY OF PENNSYLVANIA Philadelphia, PA

FOR MORE INFO, CONTACT:Hospital of the University of PennsylvaniaInternal Medicine Residency ProgramMaureen Ginnane, Assistant Director3400 Spruce Street, 100 CentrexPhiladelphia, PA 19104215-662-3924 215-662-7919 [email protected]/medicine/


FACTS AT A GLANCE LISA M. BELLINI, M.D.,Program Director

591 Bed University TeachingHospital Affiliated with StonyBrook School of Medicine,State University of New York

Top Rated by US News WorldReport, Top 100 Hospitals inCardiology & Gastroenterology

Extensive Clinical and BasicResearch Opportunities forResidents with nationally recognized faculty

Located in Mineola, NY, only30 minutes from NYC withLIRR train station right at the hospital

Generous Benefits includingheavily subsidized housing forInterns, Residents, and Fellows

PGY-1 4 months General Medicine Service1.5 months ICU 1.5 months CCU 2 - 3 months Elective 1 month Night Float 1 month Ambulatory Block 1 ER/Elective 1 month Vacation

PGY-21 month CCU 1 month Night Float 5 months Elective 1 months Ambulatory Block 1 month Community BasedAmbulatory Rotation 1 month Vacation

PGY-3 2 months General Medicine Service 1 month ICU 1 month Peri-operative Consultation1 month Night Float 3 months Electives 1 months Ambulatory Block 1 month Emergency Room 1 month Community BasedAmbulatory Rotation 1 month Vacation

MESSAGE FROMTHE PROGRAMDIRECTORS

Thank you for yourinterest in Winthrop-

University Hospital's Graduate MedicalEducation (GME) programs. You are stronglyencouraged to launch your medical careerat Winthrop. Our Hospital is a multifacetedinstitution with an abiding commitment topatient care and an unparalleled determi-nation to provide the finest in medical edu-cation. It is also a teaching center keenlyaware of the future. We know that innova-tion and flexibility are vital to survival andgrowth, and we remain open to new con-cepts, new techniques and the evolution ofmedicine. The principle of "care withoutcompromise," which guides our delivery ofpatient services, also applies to our approachto medical education. Winthrop invests inand supports an academic environment withuncompromised educational programs, inwhich residents are professionally nurtured,intellectually challenged and personallyrespected for the promise that each one holds.

Choosing the right Residency Program isa key career decision. Medical students andresidents consistently state that as a studentthey want to be sure the training programthey select will provide them with excellentclinical teaching and research opportuni-ties as well as competitive Fellowships, careersupport and placement. We encourage you toconsider Winthrop's Residency TrainingProgram. Our philosophy is to set the high-est academic standards and expectationswhile providing the opportunity for resi-dents to learn in a nurturing environmentthat encourages clinical excellence andscholarship.

With a Chairman dedicated to residencyeducation, scholarship and career advance-ment, experienced Program Directorsdirectly involved on a daily basis with youreducation, and a dedicated faculty ofteachers, mentors, and supervisors, resi-dents truly find our training program"Welcoming and World Class". The dailyinteractions that take place provide person-al attention, prompt responses to clinicalquestions, and close professional relation-ships between residents and faculty.

The program, fully approved by theAccreditation Council for Graduate Medical

Education, is the major teaching affiliate inNassau County for the State University ofNew York-Health Science Center at StonyBrook, and the faculty maintains appoint-ments in the Department of Medicine atStony Brook. Medical students at everylevel rotate through the department's highquality physical diagnosis courses, advancedinterviewing programs, clerkships, subin-ternships, and elective rotations. Consistently,our faculty have been the recipients of StonyBrook's most prestigious teaching awards.

The aim of the program is to provide res-idents with a rich and rewarding education-al experience in general internal medicineand its subspecialties in a supportive learn-ing environment. Winthrop's location, 30minutes by train from NYC with the LIRRstation right at the hospital, provides hous-estaff with a diverse patient population,with a wide range of clinical conditions.Our case mix and severity of illness arecomparable to any seen in the NY metro-politan area with patients from NYC,Queens, Brooklyn, Nassau, and Suffolk.The program emphasizes direct patientcare, with residents assuming increasingresponsibility for patients as their trainingprogresses. Residents have a leading role insupervising and teaching medical studentswho are regularly assigned to Winthropduring their clinical years. This experiencefacilitates the development of leadershipand teaching skills. We've always elicited thefeedback of our residents in program plan-ning. Residents are directly involved in theongoing assessment of the program as par-ticipants in our Residency Education andPlanning Committees. This ensures regularinvolvement of the residents in shapingtheir program.

Our program is recognized for havingachieved an optimal environment for aca-demic achievement to assure that our resi-dents reach their full potential in clinicalmedicine, research, teaching, and teamleadership. Graduates of our program arewell prepared to pursue fellowship trainingin top programs, an academic career, orproceed into practice.

Mark Corapi, MD, Program DirectorMichael Ammazzalorso, MDSenior Associate Program Director


WINTHROP-UNIVERSITY HOSPITALMineola, NY

FOR MORE INFO, CONTACT:Winthrop-University Hospital, Dept. of MedicineGail Boyd, Residency Program Coordinator222 Station Plaza North, Suite 509Mineola, NY 11501 1-800-633-1455 516-663-8796 [email protected]


FACTS AT A GLANCE

ROTATION SCHEDULE

MICHAELAMMAZZALORSO,M.D.,Senior Associate Program Director &MARKCORAPI,M.D.,ProgramDirector


PGY-1: Categorical5 months Medicine Wards1 month Georgetown Wards2 months ICU/CCU2 months Ambulatory Block1 month Elective (at WHC or GUH)1 month Vacation

PGY-1: Preliminary5 months Medicine Wards3 months CCU/ICU3 months elective(at WHC or GUH) 1 month Vacation

PGY-2: Categorical2 months Medicine Wards1 month Georgetown Wards2 months ICU/CCU0.5 month Night Float1 month Ambulatory Block1 month Emergency Medicine0.5 month Neurology3 months Electives (at WHC or GUH)1 month Vacation

PGY-3: Categorical2 months Medicine Wards2 months CCU/ICU1 month Night Float1 month Medical Consultation1 month Ambulatory Block0.5 month Geriatrics1 month Outpatient Oncology at Georgetown2.5 months Electives (at WHC or GUH)1 month Vacation


GEORGETOWN UNIVERSITY HOSPITAL/WASHINGTON HOSPITAL CENTERWashington, DCFOR MORE INFO, CONTACT:Dept.of Med Washington Hospital Ctr.John Hong, M.D., Program Director110 Irving St NWWashington, DC 20010-2975 202-877-8278 202-877-6292 [email protected]

The Washington Hospital Center is a nationally recognized academic tertiary care medicalcenter and the 13th busiest hospital in the country. The Internal Medicine residency has full

affiliation with Georgetown University Hospital. Residents rotate to both institutions, with themajority of training in the region's largest and most comprehensive hospital. Fellowship programs in vir-tually all subspecialties are sponsored. Residents successfully obtain the most desirable and/or presti-gious employment and fellowship positions. Superior training is provided with extensive resources andworld-renowned programs in cardiology, cardiovascular surgery, endocrinology, and transplantation.

Our program is based on five philosophies:Residency training is optimized when expert fulltime faculty work closely with residents to care for a wide variety of patients. Due to our size and breadth, residents routinely carefor patients with a wide array of common and rare medical conditions. All residents should be well-trained in outpatient and inpatient settings. Residents rotationsinclude orthopedics, gynecology, psychiatry, ophthalmology, ENT, adolescent and geriatric medicine.of life long learning. Highly effective evidence-based medicine and medical research curricula nurture the development of our trainees.Training humane physicians requires a humane training environment. Night Float, fully-staffednonteaching service, and excellent ancillary support.Residents should be actively involved in shaping their training program. Residents participatein the development of key educational programs.

We look forward to meeting you and giving you a firsthand look at our program.

JOHN HONG, M.D.,

ProgramDirector

ROTATION SCHEDULE

LAHEY CLINIC Burlington, MA

Congratulations on achieving such a significant milestone as your final year of medical school. You arefaced with many choices this year. Paramount among them is your decision regarding a residency

program. You want to find a program that will fulfill your needs as a physician in training.The Internal Medicine program at Lahey Clinic Medical Center may be the program for you. Lahey

Clinic is a multispecialty clinic in Burlington, Massachusetts (minutes from Boston) that houses all of themedical and surgical specialties, one of the busiest level II Emergency Wards in the state, a 250 bedacute care hospital, and a 450 physician staff that will allow you to engage in cutting edge medical care.

Some of our recent highlights have been recognition by US News and World Report as a leading centerin nine categories, among them; Digestive Disorders, Geriatrics, Cardiology & Heart Surgery,Hormonal Disorders, Respiratory Disorders, and Rheumatology. Boston Magazine nominated 48Lahey physicians as the Boston area's "Top-Docs". Our Hepatology Service leads New England as thepreeminent center for liver transplantation.

Our residency program accepts twelve categorical and six preliminary candidates in the PGY1 year.The strengths of our program have been the quality of our residents, the close relationship that existsbetween attendings and residents, and the overall camaraderie that we enjoy. Our graduating residents pursueexciting positions ranging from primary care to subspecialty fellowships in some of the most competitive pro-grams in the country. We offer a wide-ranging curriculum that allows our residents to experience both pri-mary care in a community practice and critical care in an advanced intensive care unit setting. We are excit-ed about our program and it's future. Please review our many attributes and how we may be able tofit your needs as a resident in internal medicine.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.

GERRY ORFANOS, M.D.,

Program Director

ROTATION SCHEDULE

R-1: CATEGORICAL (12)5½ months - Wards1 month - MICU½ month - CCU½ month - ER1 month - Night Float (2 - ½ month blocks)1 month - Elective1½ months - Ambulatory Block1 month - Vacation

R-1: PRELIMINARY (6)5 months - Wards1 month - CCU1 month - MICU

1 months - ER1 month - Night Float (2 - ½ month blocks)2 months - Elective1 month - Vacation

R23 months - Wards1 month - CCU1 month - ICU1 month - Night Float (2 - ½ month blocks) 1 month - Geriatrics1½ months - Elective1½ months - Ambulatory Block½ month - Research

½ month - Medical Consult1 month - Vacation (2 - ½ month blocks)

R32 months - Wards1 month - CCU 1 month - ICU1 month - ER1½months - Ambulatory Block½ month - Research½ month - Medical Consult2½ months - Elective1 month - Night Float (2 - ½ month blocks)1 month - Vacation (2 - ½ month blocks)

FOR MORE INFO, CONTACT:Lahey ClinicInternal Medicine Residency ProgramGerry Orfanos, M.D., Program Director41 Mall RoadBurlington, MA 01805781-744-5700 781-744-5358 [email protected]



MERCER UNIVERSITY SCHOOL OF MEDICINEMacon, GA

FOR MORE INFO, CONTACT:MUSM/MCCG, Internal Medicine DepartmentKay Lovejoy, Residency Administrator707 Pine StreetMacon, GA [email protected]

Thank you for your interest in our residency training program! I am very pleased to have thisopportunity to introduce you to our program and to describe the attributes that make it a special

place to undertake the next stage of your medical training.

At the Internal Medicine Residency Program of Mercer University/Medical Center of CentralGeorgia, we believe that our greatest strength is combining excellence in clinical care and educationwith a "family atmosphere". Our faculty members are completely committed to the education of ourresidents. We work closely with house staff and are there every step of the way as you mature into acompetent and confident physician. We are committed to maintaining a friendly relationship betweenfaculty and house staff and are looking for individuals who enjoy working as members of a team.

Finally, a word about living in Macon. This is a beautiful city featuring great weather, easy accessto natural beauty, and warm southern hospitality. It is a terrific place to raise a family and is hometo many schools, universities, and other centers of learning. Macon cannot be beat - there is much todo here in all four seasons.

We hope that you will come to see us in Macon to learn more about our training program and to seefirst hand what we have to offer.

Independent academic centerfocused on the practice and teachingof evidence based medicineCommitment of scholarshipthrough active participation in thepursuit of knowledge and research16 residents embraced by 46faculty (12 sub-specialists) acting asmentors, teachers, advisors, and friendsSJMH in association with theUniversity of Michigan is astrong academic institutionwith a talented faculty, advancedtechnological capabilities, training environment of generations of residentsThe Ann Arbor area offersbeautiful parks, hundreds ofand some of the greatestrestaurants, galleries, and culturalevents in the country.

St. Joseph Mercy Hospitalis one of the finest teach-

ing hospitals in the Midwest.As an independent academic

medical center focused on the practice andteaching of evidence based medicine, weoffer our residents the best of all worlds.The environment of scholarship is definedby faculty active in the pursuit of knowl-edge. Teaching and research typicallyfound at a university hospital is coupledwith a large volume of gynecologic andobstetrical patients creating the programthat "has it all."

The foundation of a resident's medicalknowledge is based on a sound grasp of thebasic sciences. We focus on academicsthrough a rigorous Core Curriculum lec-ture series, weekly Grand Rounds, andmonthly Journal Clubs. Weekly protectedtime for all of these educational sessionsallows our residents to step back from thedemands of patient care.

Research within our department isfocused on answering clinical questionspertinent to a practicing obstetrician gyne-cologist. A Research Department consist-ing of three Ph.D.'s, four nurse coordina-tors and a statistician provide support tothe resident completing and publishing hisor her research project.

We know there is much more to a residencyprogram than obstetrical maneuvers andsurgical dexterity. Deciding when to do sur-gery is as important as learning how to dosurgery. Compassionate care is as importantas a competent diagnosis. Personal devel-opment is just as important as the acquisi-tion of professional skills. By emphasizingthe entire scope of learning at St.JosephMercy Hospital, our residents develop theskills to be complete physicians.

OUR FACULTYThe faculty at St. Joseph Mercy Hospitalare interested in the pursuit of academicexcellence through the practice and teach-ing of evidence-based medicine. The prac-tice of medicine in our independent aca-demic center emphasizes high quality careof patients. The subspecialties are strongly

represented with two Gyn/Oncologists, two Maternal Fetal Medicine specialists, four Neonatologists, three ReproductiveEndocrinologists and a Urologist specializ-ing in Uro/Gynecology. All of the sub spe-cialists are active in teaching, research, andadministration of the program.

Attending physicians reside in-house 24 hours a day for resident consultation inobstetrics and gynecology as well as inneonatology and obstetrical anesthesia.

Residents, as well as medical studentsfrom the University of Michigan, play keyroles in caring for all patients, including private patients. Professional camaraderieamong residents, students, nurses, andattending physicians is the rule rather thanthe exception. A strong resident staff men-tor system and quarterly evaluations providefeedback and support for resident progress.

Mentors act as guides leading us along ourprofessional journey. The mentor/menteerelationship is an integral part of our resi-dent's professional development and social-ization into medicine. Interns choose a trustedfaculty to guide and support them duringtheir residency training, often with this rela-tionship extending years beyond training.

OBSTE TR I CS & GYNECOLOGY

ST. JOSEPH MERCY HOSPITALYpsilanti, MI

SHARON O'LEARY, M.D.,Residency Program Director

FOR MORE INFO, CONTACT:St. Joseph Mercy HospitalDepartment of Obstetrics and GynecologyNancy Durbin, Residency Program Coordinator5333 McAuley Drive, RHB-2108Ypsilanti, Michigan 48197734-712-5171durbinna@trinity-health.orgwww.stjoesannarbormeded.com


FACTS AT A GLANCE

ROTATION SCHEDULE

PG - 1Six months ObstetricsSix weeks GynecologyOne Month Emergency MedicineOne Month Internal MedicineOne Month FloatTwo weeks Family PracticeTwo weeks GeriatricsTwo weeks NICU

PG - 2Four months GynecologyThree months ObstetricsOne Month ReproductiveEndocrinologyOne Month Maternal Fetal MedicineOne Month MICUOne Month OncologyOne Month Float

PG - 3Three months GynecologyTwo months Maternal Fetal MedicineTwo months OncologyTwo months Night FloatOne month UrologyOne month ReproductiveEndocrinologyOne month Elective

PG - 4Three months ObstetricsThree months GynecologyThree months ClinicOne month ReproductiveEndocrinologyOne month OncologyOne month Night Float

An independent four year approvedresidency program where residentsattain consistent performance abovethe 70th percentile nationally in many obstetric and gynecologic procedures including: forceps delivery, vaginal birth after cesarean, multifetal deliveries, surgicalprocedures on antepartum patients,hysterectomy, major surgical proceduresfor GYN neoplasiaAn expanded Gyn OncologyDivision and Urogynecology/clinicians practice using advanceddiagnostic and therapeutic modalitiesA large and diverse patient populationwith over 5000 deliveries per yearprocedures available for resident education offering experiences thatallow for competitive placement of residents in postgraduate fellowshipsand private practiceDedicated full-time, part-time, andvoluntary faculty who are activelyinvolved in teaching and research,are well published in major peerreview journals including one as a senioreditor of a major perinatal journalClinical experiences occur in TheWomen's Contemporary Care Center,a modern private practice and TheNew Life Center, an ultra-modernlabor-delivery-recovery (LDR) facilitythat opened in 1998. It includes 16 LDRsuites, special monitoring roomsequipped with the most advancedcomputerized technology, programsfor high-risk patients and separateareas for cesarean section mothers.The center houses the new ConferenceCenter and an Ob/Gyn Resident Educational Resource Center.

PGY1Obstetrics & Gynecology - 7 blocksSono/Obstetrics & Gynecologywith Ultrasound - 1 blockAmbulatory Medicine - 2 blocksEmergency Room - 1 blockGeriatrics - 1 block

PGY2Oncology - 3 blocksObstetrics & Gynecology - 4 blocksReproductive Endocrinology & Infertility - 2 blocksGeriatrics - 1 blockMaternal/Fetal Medicine - 2 blocks

PGY3Obstetrics & Gynecology - 7 blocksReproductive Endocrinology & Infertility - 2 blocksMaternal/Fetal Medicine - 2 blocksElective/Tailored ElectiveTime - 1 block

PGY4Obstetrics & Gynecology - 3 blocksOncology - 4 blocksAmbulatory/Breast - 2 blocksUrogynecology & General Gynecology - 3 blocks

MESSAGE FROM THEPROGRAM DIRECTOR

Winthrop-UniversityHospital has had an

abiding commitment towomen's healthcare since the early part ofthis century when it became the first LongIsland hospital to establish a separate pavil-ion for women. Our Hospital is a multifac-eted institution with an abiding commit-ment to patient care and an unparalleleddetermination to provide the finest in med-ical education. It is also a teaching centerkeenly aware of the future. We know thatinnovation and flexibility are vital to sur-vival and growth, and we remain open tonew concepts, new techniques and the evo-lution of medicine. The Department ofObstetrics and Gynecology has supportedand sustained that focus. Our resolve toprovide residents with the finest educationand training experience is second only toour commitment to provide women withexceptional patient care.

The faculty and staff are dedicated to cre-ating and sustaining an optimal education-al environment for acquiring knowledge,developing and honing technical skill, andfostering sensitivity toward women andtheir families. We pride ourselves on select-ing house staff members who are energetic,enthusiastic, diligent and dedicated to pro-viding unparalleled patient care. The prin-ciple of "care without compromise," whichguides our delivery of patient services, alsoapplies to our approach to medical educa-tion. Winthrop invests in and supports anacademic environment with uncompro-mised educational programs, in which resi-dents are professionally nurtured, intellec-tually challenged and personally respectedfor the promise that each one holds.

Our goal is to train physicians to be excel-lent clinicians with the ability to continuelearning and advancing so they alwaysremain outstanding practitioners. In thisvery challenging healthcare environment,we also focus on helping them prepare for asuccessful medical practice. Our broad-scoped opportunities meet the academicand clinical needs of primary care obstetri-cians and gynecologists, as well as thosewho choose to become subspecialists.

We emphasize personal faculty mentoringand focus on the development of clinical,teaching and research skills. All clinicalexperiences are supervised by Winthrop'sfaculty members who hold appointments atthe SUNY at Stony Brook School ofMedicine. Research opportunities are avail-able with MD or PhD faculty as mentors.

The department takes a multidisciplinaryapproach to patient care in the best interestof resident education and the patient.Ob/Gyn residents regularly interact andlearn from residents in other disciplineswho, by their own right, excel in their spe-cialty areas. For example, residents in theDepartment of Radiology, who areinvolved in collaborative learning experi-ences with the Ob/Gyn Department, havegone on to many prestigious fellowships atinstitutions such as the Hospital for SpecialSurgery, Stanford University and theUniversity of California at San Francisco,to name a few.

You are strongly encouraged to launchyour medical career at Winthrop. We appre-ciate your interest in our residency trainingprogram and invite you to visit us, evaluateour program and explore the many oppor-tunities that await you at Winthrop.

Dev Maulik, MD, PhDChairman & Program Director


FOR MORE INFO, CONTACT:Winthrop-University HospitalNorth Pavilion-Lower Level, Dept. of Obstetrics & Gynecology,Dev Maulik, MD, PhD, Chairman & ResidencyProgram Director,259 First StreetMineola, NY 11501516-663-2264 516-742-7821 faxwww.winthrop.org/departments/education/gme/rt-oag.cfm

FACTS AT A GLANCE

ROTATION SCHEDULE



DEV MAULIK, M.D., PHDChairman & Program Director



EXPERIENCE THAT LASTS ALIFETIME.York Hospital's residency inobstetrics and gynecology is a

four-year categorical program approved forthree residents at each level. University affiliated, itis designed to train physicians for the generalpractice of obstetrics and gynecology, or a solidfoundation for further subspecialty training.EXPERIENCED/CREDENTIALED LEADERSHIP.The OB/GYN Residency program is organized bythe Program Director /Department Chair, Dr.Marian Damewood and Associate ProgramDirector, Dr. Leslie Robinson. The teaching staffconsists of two Perinatologists, two ReproductiveEndocrinologists, two Gynecologic Oncologists,one Obstetrician/Gynecologist with special interestand training in Urogynecology, four Neo-natologists, 21 highly trained and dedicatedObstetrician/Gynecologists, and three midwives. COMPREHENSIVE OUTPATIENT EXPERIENCE.Over 10,644 outpatient visits in the residents'clinics provide a vast range of clinical casesand resident experience. Residents are respon-sible for the ambulatory care of the houseservice patients, charged with the scheduling ofdiagnostic tests, procedures, return visits, andhospital admission as necessary. Throughoutthe four years, residents attend continuity clinics.

A full range of testing procedures is avail-able, including the most current techniques in fetal assessment, obstetrical ultrasound,Doppler and genetics.The outpatient subspecialty clinics include hi-

risk obstetrics, reproductive endocrinology, col-poscopy with LEEP, urogynecology with uro-dynamic testing, and gynecological oncology,including chemotherapy. Supervised by subspe-cialists and faculty with particular expertise,these clinics provide a multidisciplinaryapproach to patient care. DIVERSE INPATIENT EXPERIENCE.York Hospital's inpatient obstetrical servicesis housed in a new, state-of-the-art LDR/LDRPfacility which includes two Cesarean sectionrooms, one intensive care room and the latestcomputer technology.

Our annual deliveries are just under 3,000,with about 600 deliveries on the residents'service. Ob'Gyn residents manage their ownOB resident's service and assist in the Labor &Delivery management of private OB patients.Over 95% of the patients are followed by elec-tronic fetal heart monitoring during the labor.Fetal Pulse Oximetry and ultrasound areavailable on-site. Twenty-four hour anesthesiaservices, attending and neonatal coverage fur-ther enhance this environment for compre-hensive learning.

Gynecological surgical procedures exceed5,000 per year. In conjunction with the

care of house service patients, the residentsexecute the pre-operative evaluation, main-tain operative responsibilities and manage thepost-operative period for private patients underthe supervision of obstetricians/gynecologistsand subspecialists. Residents are afforded theunique opportunity to acquire considerable surgicalexpertise in vaginal, diagnostic and operativelaparoscopic, infertility and gynecological oncolog-ic surgery in the traditional hospital operativesuite and at a busy Outpatient Surgical Center.A SUPPORTIVE ENVIRONMENT.Despite its large size, York Hospital providesa friendly backdrop for your residency. Here,a feeling of community exists. Ancillary assistanceabounds, which for the resident translates intono bloods to draw, IVs to start, EKGs to run orpatients to transport. Laboratory results are prompt.A STRONG ACADEMIC FOUNDATIONENHANCES THE RESIDENT CLINICAL EXPERIENCE.Academic teaching is provided through weekly½ day Education program with Pathology,OB/GYN and subspecialty conferences(gynecology,reproductive endocrinology, and maternal-fetal medicine). A Journal Club and Morbidity andMortality Conference are held monthly. Guest lec-turers of national and international reputationare regularly invited. Residents are provided thetools and knowledge in quality management, clin-ical guidelines/pathways, and business of medicine.

Residents also attend at least one major USconference each year. York Hospital is a corehospital for Penn State Hershey and theUniversity of Pennsylvania for the teachingof OB/GYN. Basic clerkship in obstetrics andgynecology, and elective rotations are offeredthroughout the year. The presence of medicalstudents and other trainees allows residents todevelop their own teaching skills. TheDepartment of OB/GYN also conducts researchwith residents required to participate in at least one research project. York Hospital hasa relationship with Drexel University Schoolof Medicine that guarantees York residentsinterviews for fellowship in their program of interest.

In our OB/GYN program, early responsibilitygreatly aids the training process by enablingresidents to apply what has been learned. Thisapproach to education not only makes for astrong four-year program, but makes the expe-rience gained valuable throughout one's lifetime.The York Hospital Residency in Ob/Gyn is a

supportive and sophisticated learning environ-ment both in Obstetrics, Gynecology andGynecologic Surgery. We encourage your applica-tion. We look forward to meeting with youindividually to discuss your personal interestsand the opportunities available in the YorkHospital/WellSpan Health System and welcom-ing academic and community environment.

YORK HOSPITALYork, PA

MARIAND.DAMEWOOD, M.D.,Chairman

FOR MORE INFO, CONTACT:York Hospital Department of Obstetrics and Gynecology,Marian D. Damewood, M.D., Chairman, 1001 South George Street York PA 17405 717-851-2348 717-851-2426 [email protected]/EducationResearch/ob_gyn.htm

16

PGY 1 GynecologyLow Risk Obstetrics Family Practice Emergency RoomInternal Medicine

PGY 2GynecologyAmbulatory High Risk Obstetrics Kingsport GynecologyGynecologic OncologyEndocrinologyLow Risk Obstetrics

PGY 3Gynecology High Risk Obstetrics Kingsport GynecologyLow Risk Obstetrics

PGY 4GynecologyGynecologic OncologyEndocrinology


EAST TENNESSEE STATE UNIVERSITYJohnson City, TNFOR MORE INFO, CONTACT:East Tennessee State Univ Dept. of Ob/GynMartin E. Olsen, M.D., Program DirectorPO Box 70 569Johnson City, TN 37614-0569423-439-8097 423-439-6766 [email protected]/ob-gyn/resident.htm


Thank you for your interest in the Obstetrics and Gynecology Residency Program at theJames H. Quillen College of Medicine at East Tennessee State University. The OB/GYN res-

idency program is designed to offer comprehensive training in general obstetrics and gynecology aswell as the specialized areas of maternal fetal medicine, gynecologic oncology, reproductiveendocrinology and infertility, adolescent gynecology, and breast disease. Graduates of the pro-gram will be well prepared for clinical practice but will also have the skills to proceed in furthertraining and research in academic centers across the nation if they so desire.

The Johnson City Medical Center (JCMC) is adjacent to the College of Medicine, thus affordingaccess to departmental facilities, the medical college library, and the medical bookstore. Allpatient rooms are private and self-contained with charts, medications, and needed patient care itemsconveniently located outside each room. Support services are state of the art, including a 32-bed levelIII intensive care nursery, cardiac catheter labs, radiation oncology unit, hemodialysis unit, pediatricsurgery, cardiac and other surgical subspecialties, laboratory, phlebotomy and radiological services.The Center for Women's Health has been built as an extension of the hospital and indicates the

commitment to providing the region with the most advanced care in women's health and maternityservices. Individual on-call rooms for residents are located conveniently next to the labor and deliveryarea. A resident office is located within the Women's Center to provide an area for study and data collection.Please examine the contents of this brochure. You will find comprehensive information concerningour award winning faculty, the physical beauty of the area, the attractiveness of the ETSU-JCMCmedical environment, our residency training program, institutional policies and procedures anda listing of our faculty and staff.

MARTIN E. OLSEN, M.D.,

ProgramDirector

ROTATION SCHEDULE

LANKENAUHOSPITALPhiladelphia, PA

FOR MORE INFO, CONTACT:Dept of Ob/Gyn Lankenau Medical Bldg SouthAnn G. Jervis, Program Coordinator100 Lancaster Ave/Ste 301Wynnewood, PA 19096610-645-6462610-645-2422 fax [email protected]

Uniquely positioned on the outskirts of Philadelphia, the Ob/Gyn residency program at LankenauHospital began 50 years ago. Twenty-nine obstetricians/gynecologists serve on the active

medical staff, nine of whom are board -certified subspecialists. The program involves four post-doctoralyears with a total of 12 residents. It is worth noting in its half-century history, all but one Lankenaugraduate has achieved certification by the American Board of Obstetrics and Gynecology, Inc.

“Lankenau's program offers a wealth of clinical experience with more than 2,000 deliveries and morethan 3,400 gynecologic procedures per year. For example, the experience gained by a recent graduateincluded: 400 major gynecologic operations, 600 deliveries, of which 168 were Cesarean Sections. In addition, wehave very active academics and subspecialties including: gynecologic oncology, reproductive endocrinology,maternal fetal medicine and urogynecology.” - Rudolf L. Laveran, MD, Associate Director

“In my more than 30 years at Lankenau, I have not had one unfavorable response to my standardquestion to graduates of how our residency prepared them for their careers. In fact, the reactions areof overwhelming gratitude for their Lankenau training.” - Ann G. Jervis, Coordinator

LEHIGH VALLEYHOSPITALAllentown, PA

FOR MORE INFO, CONTACT:Lehigh Valley HospitalTeresa Benner, Residency Program CoordinatorPO Box 7017, Allentown, PA 18105-7017610-402-9515 610-402-9688 fax [email protected]

Dear Applicant,

Thank you for your interest in our Obstetrics and Gynecology Residency Program. Our 16-residentprogram is located in beautiful Northeastern Pennsylvania.

The Department of Obstetrics and Gynecology at Lehigh Valley Hospital proudly offers our residentsunparalleled education and experience in this rewarding field of medicine. From state-of-the-artequipment to subspecialty rotations, including Oncology, Urogynecology, Maternal-Fetal-Medicine,and Reproductive Endocrinology and Infertility, as well as Geriatrics, Ambulatory Medicine, andPrimary care, our residents receive the best medical education that can be offered. While Lehigh ValleyHospital offers the subspecialty rotations listed, it is important to note that there are no fellows at ourinstitution, which further ensures our residents receive full exposure to all surgical and educational opportunities.

Our faculty consists of 30 generalists and two boarded RE&I physicians, and we are currentlyexpanding our subspecialists to include seven MFM physicians, two Gynecologic Oncologists, andtwo Urogynecologists.

I am proud to say that our Department is fully committed and dedicated to making the programoffered at Lehigh Valley Hospital the best OB/GYN Residency in the country.

For a copy of our residency video or for further information, please see our contact info.

- Patrice M. Weiss, MD, Program Director


PGY13 months Orthopaedics9 months General Surgery

PGY24 months Trauma4 months ER2 months Reconstruction2 months Hand

PGY34 months Sports4 months Research2 months Spine2 months Hand

PGY44 months Hand4 months Pediatrics2 months Trauma2 months Spine

PGY54 months Sports4 months Reconstruction2 months Trauma2 months Spine

ORTHOPAED IC SURGERY

THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEPARTMENT OFORTHOPAEDICS &REHABILITATIONBurlington, VT

ROTATION SCHEDULE

THE NORTHAMERICAN SPINE SOCIETYLa Grange, IL

FOR MORE INFO, CONTACT:The North American Spine Society Lorie Smith, Manager of Educational Programming22 Calendar Court, 2nd FloorLa Grange, IL [email protected]

The North American Spine Society (NASS) is a multidisciplinary organization that advances qual-ity spine care through education, research and advocacy. If you are interested in furthering your

career in the area of spine, NASS would like to help. We offer a Spine Surgery Fellowship Directory(updated annually) and facilitate an annual spine surgery match. For Residents and Fellows with aninterest in spine, NASS offers In-Training membership for a minimal fee of $50, including a sub-scription to The Spine Journal. When you complete your training, accelerate your career search byposting your résumé and receive Job Alerts through the online NASS Job Connection. As anACCME-accredited organization, NASS provides top quality, relevant continuing medical educationin the latest noninvasive techniques, surgical procedures, pharmaceutical and equipment innovationsfor the care of patients with spinal disorders, as well as the latest research in basic/applied clinical science and practice management methods. NASS members (including In-Training) are entitled tospecial, discounted registration fees for all NASS-sponsored educational programs.

The Orthopaedic Surgery Residency Training Program was started at The University of Vermontin 1966. The Residency Review Committee of the American Board of Orthopaedic Surgery

and the American Medical Association have approved our program for fifteen residents in a five-year program with no citations. We accept applications for the residency program on ERAS.

Our Department successfully fulfills the clinical, research, and educational mission of the academicmedical center. Our full-time clinical faculty is comprised of subspecialists in the field of orthopaedicsurgery and in physiatry. Research efforts of the Department have garnered many prestigious honors,as well as funding from the National Institutes of Health. The residency training program is highly sought afterand produces well rounded orthopaedic surgeons who enter academia or the private sector with equal facility.TEACHING PROGRAMThe cornerstone of the teaching program is the close daily contact with the staff in the operatingroom, on the wards, in the outpatient departments, and in research laboratories. There is a com-prehensive didactic teaching schedule for residents.TEACHING CONFERENCES & TIMES HELDSpine/Trauma: Once a month at 6:30 a.m.; Orthopaedic Grand Rounds: Every Thursday at7:00 a.m. Includes: Quality Assurance Conferences, Fracture Conferences, Orthopaedic/Rheumatology Rounds, Six Visiting Professor Lecture Series per year; Resident Teaching andBasic Science Conferences: Tuesdays and Wednesdays at 6:30 a.m. Fridays at 7:00 a.m.;Journal Club: 1st Monday of each month; Radiology Conference: Every Monday morning at6:30 a.m.; Specialty Journal Clubs: Hand: Wednesdays at 12:00 p.m., Spine: Wednesdays at 7:30 a.m.,Pediatrics: Tuesdays at 12:00 p.m., Total Joint: Wednesdays at 7:30 a.m., Sports Medicine:Wednesday at 5:15 p.m.Department of Orthopaedics & Rehabilitation

McClure Musculoskeletal Research Center

FOR MORE INFO, CONTACT:The University of VermontDept. of Orthopaedics & RehabilitationMcClure Musculoskeletal Research CenterMelissa Kretmar, Residency CoordinatorRobert T. Stafford Hall, 4th FloorBurlington, VT 05405802-656-2250 802-656-4247 [email protected]


Fully accredited four-year AP/CP or three-year AP residency program with a focus on research projectsand publications with senior staff membersTwo fellowship positions in surgicalpathology available for residentscompleting their pathology residencytraining - priority given to residentswho require a fifth year for board eligibilityMajor Teaching Affiliate of theHealth Sciences Center of the StateUniversity of New York, Stony Brook State-of-the-art equipment, includingmulti-headed microscopy, telepathology,Internet/Medline link and laser discteaching collection; Kodachrometeaching collections also availableGenerous benefits, including on-site subsidized housing; convenient toManhattan, as well as Long Island's beaches

YEAR 1:ANATOMIC PATHOLOGY (9 MONTHS)Surgical Pathology (5 Months)Autopsy Pathology (3 Months)Cytopathology (1 Month)

CLINICAL PATHOLOGY (3 MONTHS)Microbiology (3 Months)

YEAR 2: CLINICAL PATHOLOGY (6 MONTHS)Clinical Chemistry (2 Months)Hematology (2 Months)Blood Banking (2 Months)

ANATOMIC PATHOLOGY (6 MONTHS)Surgical Pathology (3 Months)Autopsy Pathology (1 Month)Forensic Pathology (1 Month)FNA Cytology (1 Month)

YEAR 3: ANATOMIC PATHOLOGY (6 MONTHS)Surgical Pathology (2.5 Months)Autopsy Pathology (1 Month)Cytopathology (0.5 Month)IC, FC& IA (1 Month)Electron Microscopy

CLINICAL PATHOLOGY (6 MONTHS)Cytogenetics (1 Month)Molecular Pathology (01 Month)Supervision of Blood Bank,Immunology & Hermatology (2 Months)Immunology (2 months)

YEAR 4:ANATOMICAL PATHOLOGY (5 MONTHS)Autopsy Pathology (1 Month)Surgical Pathology (2.5 Months)Cytopathology (1 Month)Forensic Pathology (1 month)

CLINCAL PATHOLOGY (3 MONTHS)Supervision of Chemistry, Microbiology& Medical Informatics (2 Months)Vivology

ELECTIVES (4 MONTHS) - CHOICES:Clinical Pathology (1 Month) minimum in any special areaAnatomic Pathology (1 Month) in any special areaAP/CP Research (2 Months) minimum in AP/CP researchImmunohistochemistry, Flow Cytometry & Image Analysis


With a total of 10 resi-dency positions and

11 full-time attending pathol-ogists, the Pathology Training Program atWinthrop-University Hospital provides res-idents with an optimal learning experiencethrough teaching and supervision. They areexposed to a wide range of unusual andchallenging tertiary care cases, as well asmore commonly encountered conditions.The Department processes 18,000 surgicalpathology and 3.1 million clinical pathologyspecimens annually. The principle of "carewithout compromise," which guides ourdelivery of patient services, also applies toour approach to medical education. Winthropinvests in and supports an academic envi-ronment with uncompromised educationalprograms, in which residents are professionallynurtured, intellectually challenged and personallyrespected for the promise that each one holds.

The surgical services are enhanced by astrong regional referral base and include veryactive cardiothoracic and gynecologic oncolo-gy components. What's more, Winthrop has aneminent regional Poison Control Center onsite.

Proximity and convenient access to NewYork City ensure abundant exposure topathology conferences of national andinternational caliber, and the local NassauCounty Society of Pathologists provides edu-cational opportunities of equal quality. Thecombination of on- and offsite learning providesresidents with a comprehensive educationalopportunity of superb quality and intensity.

In the Anatomic Pathology Program, anoptimal pathologist-to-resident ratio providesan excellent learning opportunity. Usingdouble-headed microscopes, residents fullyparticipate with their attending pathologist.

Active learning, across the full spectrumof disease, is enhanced by regularly sched-uled, consultant-conducted slide seminarsin pediatric pathology, pulmonary patholo-gy, renal pathology, orthopaedic pathologyand dermatopathology. Similar in-houseinstruction covers neuropathology, cytopatholo-gy, Ob/Gyn pathology and routine diagnos-tic gross and microscopic surgical pathology,as well as autopsy pathology. Pathologists'assistants ensure that residents are notoverburdened with service commitments.

Invited experts participate in a year-roundseminar series providing updates on currenttopics in pathology. Complex and difficultcases are regularly reviewed at multi-head-ed slide conferences, which increase the res-idents' exposure to case material. A liberalconference and elective rotation policyencourages residents to pursue areas ofspecial interest.

The comprehensive Clinical PathologyProgram is supported by a full-service hos-pital laboratory that processes over 3 mil-lion specimens annually. With an impres-sive MD and PhD faculty, expert instruc-tion in all aspects of clinical pathology isoffered, and didactic lectures enhanceexposure to an enormous amount of clini-cal material in the lab and at the bedside.Residents participate in on-call decision-making. Quality improvement and labmanagement strategies are incorporatedinto the curriculum, and a wide variety ofinterdisciplinary activities round out thetotal learning experience. Subspecialty lab-oratory rotations include cytogenetics,virology and molecular pathology.

Residents present seminars on chosen top-ics and participate in all levels of depart-mental research activity. The majority ofWinthrop's pathology residents publish inrefereed journals during their training period,and the success rate in passing the patholo-gy boards has been high in recent years andthe residents' ability to obtain competitivefellowships has been outstanding.

I thank you for your interest in Winthrop-University Hospital's Pathology residency.I strongly encourage you to launch yourmedical career at Winthrop. Our Hospitalis a multifaceted institution with an abidingcommitment to patient care and an unpar-alleled determination to provide the finestin medical education. It is also a teachingcenter keenly aware of the future. We knowthat innovation and flexibility are vital tosurvival and growth, and we remain opento new concepts, new techniques and theevolution of medicine.

Virginia Donovan, MDChairman and Program Director

PATHOLOGY


VIRGINIA DONOVAN, M.D.,Chairman

FOR MORE INFO, CONTACT:Winthrop-University HospitalDepartment of PathologyVirginia Donovan, MD, Chairman259 First StreetMineola, NY 11501516-663-2450 516-663-4584 [email protected] www.winthrop.org/departments/education/gme/rt-pa.cfm

FACTS AT A GLANCE

ROTATION SCHEDULE


5 KEY FACTS:Laboratory medicine (clinicalpathology) encompasses alllaboratory disciplines appliedto health care, education, and research.

Laboratory medicine continuesto grow in importance.

ACLPS is an organization of

academic laboratory medicineprofessionals committed tolaboratory medicine educationand practice.

Board certification in clinicalpathology and various subspecialtycertifications are available.

Subspecialties include ClinicalChemistry, Coagulation,Cytogenetics, Hematology,

Hematopathology,Immunology, LaboratoryManagement, MedicalInformatics, Microbiology,Molecular Diagnostics,Mycology, Toxicology,Transfusion Medicine, and Virology.

PATHOLOGY

ACADEMY OF CLINICAL LABORATORYPHYSICIANS AND SCIENTISTS(ACLPS)Salt Lake City, UT

FOR MORE INFO, CONTACT:ACLPSWilliam L. Roberts, M.D., Ph.D., Secretary-Treasurer,500 Chipeta WaySalt Lake City, UT 84108800-242-2787 ext. 2086 801-584-5207 [email protected]

The purpose of ACLPS is to advance education in the field of laboratory medicine.Laboratory medicine, also termed 'clinical pathology,’ is a field of medical science that

encompasses all laboratory disciplines applied to health care, education and research. Individuals maybecome board certified in clinical pathology and practice as generalists or they may complete asubspecialty fellowship, have a focused clinical practice, and pursue their research interests.

The members of the Academy of Clinical Laboratory Physicians and Scientists firmly believethat the role of laboratory medicine will continue to grow in importance. It is a field in whichprofessional competence, dedication, and scholarship are required. The promise and importance ofthis field in the realm of medical education are so great that the best abilities and talents mustbe attracted to it in order that its potential may be fully realized.

THE OBJECTIVES OF THE ACADEMY ARE:To encourage and advance the highest standards of education in laboratory medicine inmedical school and related curricula.To encourage and promote the highest standards of resident training and post-graduateeducation of physicians and scientists in clinical pathology at universities and medical schools.To encourage and promote the highest standards of service, education and research in academic laboratory medicine.

Our website, www.aclps.org, provides additional information about clinical pathology as a specialty and contact information for current officers of ACLPS.

NEW YORK PRESBYTERIAN HOSPITALCORNELL CENTERNew York, NY

Thank you for your interest in our residency program! I am very pleased to introduce you toour program and to describe the attributes that make it a special place to undertake the next

stage of your medical training.

The Pathology Residency Training Program of New York Presbyterian Hospital-CornellCampus, consists of a large, diversified faculty and individually tailored programs. Our facultymembers are completely committed to the education of our residents; they work closely with housestaff and are there every step of the way to help you become a competent, confident pathologist. Our programs are tailored for those interested in an academic career in pathology, or in the prac-tice of modern general pathology in the community. In addition, a training program in experi-mental pathology is available for those individuals who desire a career in scientific investigation.The experimental pathology training program is especially suited for graduates of combinedMD/PhD programs. The training program is associated with Weill Medical College of CornellUniversity as well as with Memorial Sloan-Kettering Cancer Center and Rockefeller University.

The Medical Center is located along the East River in Manhattan within walking distance ofCentral Park and the midtown entertainment and shopping areas, major museums, concert hallsand the opera house is close by.

We hope that you will come see us in New York to learn more about our training program andto see first hand what we have to offer.

AMY CHADBURN, M.D.,Director, Residency Training Program

ROTATION SCHEDULE

PGY 15 - 6 blocks Surgical Pathology5 - 6 blocks Autopsy/Clinical Pathology1 block Gynecologic Pathology1 block Elective (cytology/hem path/derm)

PGY 26 - 9 blocks Clinical Pathology2 - 3 blocks Surgical Pathology

3 - 4 blocks Electives1 - 2 blocks Gynecologic Pathology

PGY-31 - 2 blocks Gynecologic Pathology4 - 6 blocks Clinical Pathology1 - 2 blocks Surgical Pathology3 - 6 blocks Elective

PGY 4Combination of Clinical Pathology, SurgicalPathology & electives to finish 18/18requirements

FOR MORE INFO, CONTACT:New York Presbyterian Hospital-Cornell CenterDonna M. Galvin, Residency Coordinator525 E. 68th Street, Room C-302New York, NY [email protected]

48 pediatric residents, 16 per year Strong rotations through ambulatoryoffices, general pediatrics floor,newborn nursery, neonatal and pediatric intensive care, pediatricemergency, poison control and elective subspecialty rotations Cohesiveness between attendingsand residents, with strong teamapproach to patient careRotations to affiliated hospitals(Good Samaritan and South Nassau Communities Hospital), provide further experiences in community pediatrics, pediatric emergency services and pediatric cardiology Video taping of ambulatorysessions to enhance patient/doctor communication skills

PL 1Pediatric Floor (2 blocks)Neonatal ICU (2 blocks)Pediatric ICU (1 block)Ambulatory Pediatrics (3 blocks)Neurology (1 block)Emergency Room (1 block)Behavioral Pediatrics (1 block)Vacation (1 block)Good Samaritan (1 block)

PL 2Pediatric Floor (1 block)Neonatal ICU (1 block)Pediatric ICU (1 block)Ambulatory Pediatrics (1.5 block)Emergency Room (1 block)Vacation (1 block)Regular Nursery (1 block)Cardiology (1 block)Adolescent Medicine (1 block)Endocrine (1 block)Elective (2 blocks)

PL 3Pediatric Floor (1 block)Ambulatory Pediatrics (1 block)Neurology (1 block)Emergency Room (1 block)Vacation (1 block)Elective (6 blocks)South Nassau (1 block)


Winthrop-UniversityHospital, a major teach-

ing hospital and tertiarycenter for Long Island, has establishedexcellent resident education as a fundamen-tal goal. Our commitment to teaching iswell recognized. Winthrop has been hon-ored nationally as the Outstanding PediatricTraining Program by the Ambulatory PediatricAssociation for its innovative educationalprogram which has served as a nationalmodel of excellence. We are a New YorkState Designated Priority Program (DPP),emphasizing longitudinal and comprehen-sive patient care in a variety of primarycare settings. The Department has beenawarded over $2,000,000 in NationalResidency Training Grants and presentlyhas over $3,000,000 in NIH research grants.Our faculty holds many offices in nationalorganizations and has been recognized as aleader in pediatric education, faculty devel-opment and research. The stellar reputa-tion of our program and the high caliber ofour residents have enabled our graduates toobtain excellent fellowship and practicepositions.

We strongly believe that pediatric residen-cy training is the time to build a foundationin pediatrics. Continuity experiences inambulatory pediatrics have been ratedhighly and may be based in ourAmbulatory Care Center, private pediatricpractices (all practitioners have participat-ed in our Faculty Development Program)or Winthrop Pediatrics at Hempstead (pre-cepted by fulltime Winthrop faculty). Practicemanagement and community pediatrics arealso addressed during training.

A brand new facility housing the pediatricinpatient center is evidence of the growthof our department thanks to the commit-ment of our faculty, residents and institu-tion. Our state of the art facility has tripledthe amount of space currently allocated toinpatient Pediatrics, a 10 bed PICU, a 34bed pediatric floor with designated residentteaching space, resident on-call rooms anda computer learning center.

While residents are exposed to extensiveprimary care pediatric experiences, oursophisticated tertiary care hospital sees abroad spectrum of patients. Therefore, rota-

tions include all pediatric subspecialty serv-ices. Both residents and students have rec-ognized our excellence in neonatology, pul-monology, hematology/oncology, pediatricneurology, endocrinology, gastroenterology,genetics, critical care, behavioral pediatrics,poison control, emergency medicine andinfectious disease.

The cohesiveness between attendings andand residents is Winthrop's most distin-guishing feature. Attendings are alwaysavailable to consult with residents, and westrive to create a relationship that is bothcollegial and supervisory. Attendings act aspreceptors, and their primary purpose is toteach. We tailor the program to meet theindividual needs of our residents and we letthem know that they are important to us asphysicians and people. The principle of"care without compromise," which guidesour delivery of patient services, also appliesto our approach to medical education.Winthrop invests in and supports an aca-demic environment with uncompromisededucational programs, in which residentsare professionally nurtured, intellectuallychallenged and personally respected for thepromise that each one holds.

Winthrop-University Hospital offers anorganized and stimulating teaching pro-gram in a hospital setting conducive tolearning. We prepare our residents for thefuture. Our graduates have excelled in allareas including private practice, fellowshipsand academic positions. I strongly encour-age you to launch your medical career atWinthrop. Our Hospital is a multifacetedinstitution with an abiding commitment topatient care and an unparalleled determi-nation to provide the finest in medical edu-cation. It is also a teaching center keenlyaware of the future. We know that innova-tion and flexibility are vital to survival andgrowth, and we remain open to new con-cepts, new techniques and the evolution ofmedicine.

Warren Rosenfeld, MDChairman and Program Director,Department of Pediatrics

PED IATR I CS


WARREN ROSENFELD, M.D.,Chairman

FOR MORE INFO, CONTACT:Winthrop-University HospitalDepartment of PediatricsVeronica NapoliResidency Program Coordinator259 First StreetMineola, New York 11501 516-663-8443 516-663-8955 [email protected] www.winthrop.org/departments/education/gme/rt-pe.cfm


FACTS AT A GLANCE

ROTATION SCHEDULE


PGY-13 months inpatient3 months ambulatory2 months NICN1 month term nursery1 month pediatric emergency medicine1 month behavior-development1 month adolescent medicine

PGY-23 months inpatient (1 as night float)2 months ambulatory2 months NICN1 month PICU1 month progressive care1 month pediatric emergency/acute care medicine2 months electives

PGY-31 - 2 months inpatient1 - 2 months ambulatory1 month PICU1 month pediatric emergency/acute care medicine1 month term nurseryone-half month inpatient float5 ½ months electives

PED IATR I CS

CAROLINASMEDICAL CENTERCharlotte, NC

Letter from the Program Director:

Dedicated to exposing residents to the depth and breadth of pediatrics, our program developswell-rounded general pediatricians, ready to confidently step into fellowship or primary care practice.

Looking for the best of both worlds? As the regional pediatric referral center for twenty-sevensurrounding counties, CMC provides breadth of exposure to all aspects of primary and tertiarypediatrics. And Charlotte, as the largest city in the Carolinas, offers a large patient populationseeking primary care, providing trainees with the depth of exposure necessary to appreciate variations and nuances in presentation. With virtually every pediatric medical or surgical sub-specialty represented on our faculty, a rich variety of diagnoses and experiences await ourtrainees. Pediatrics at CMC is enjoying a time of unprecedented growth. A new Pediatric ERwill open its doors this summer. The Levine Children's Hospital is expected to be completed inearly 2007, pending state approval.

While there is significant research taking place at CMC, the emphasis remains on education.Most of our faculty chose CMC because it offers the opportunity to practice in a rich academ-ic environment that focuses on teaching.

I hope you'll visit our website to learn more, but most importantly I hope you'll have the opportunityto visit us. Only then can you fully appreciate the comraderie of the housestaff, the dedicationto teaching and the stimulating learning environment found at CMC.

SUZETTE CAUDLE, M.D.,

Program Director

ROTATION SCHEDULE

TULANE/OCHSNERPEDIATRIC RESIDENCYPROGRAMNew Orleans, LA

Welcome to the Tulane/Ochsner Pediatric Residency Program! We offer a balanced programof tertiary, subspecialty, and general pediatric experiences to prepare you for a successful

career in private practice or specialty training. Tulane's Pediatric Program utilizes a uniqueblend of training sites: Tulane University Hospital for Children, a tertiary facility; a large public hospital(Charity Hospital); and Ochsner Clinic Foundation, the fifth largest outpatient facility in the U.S.

All of our academic centers, as well as private practice rotations, provide inpatient and outpatientcare. Charity Hospital's PER has approximately 100,000 visits per year, offering abundant emergency and routine care. Continuity Clinics allow residents to follow discharged inpatients,sick or well newborns, adolescents, and a number of specialty patients. Eighty thousand mem-bers of Ochsner's HMO provide residents with exposure to medicine in managed care.

Our philosophy is that all patient care decisions are charged through the Houseofficers. Theprogram is a balance of education and service, with emphasis on the pediatrician as an advocatefor children. The faculty promotes medical care in the spirit of collegiality, friendly and mutual respect.

The enchanting city of New Orleans is filled with ample opportunities for fun. Unique cultureand traditions, including Mardi Gras, Jazz Festival, French Quarter, world-famous food and fivemajor universities, make for a charming mix of diversions. New Orleans is a great place to spendyour residency. Come join us!

HOSEA J. DOUCET, M.D.,

Program Director

ROTATION SCHEDULE

PL-1 (EMPHASIS ON PRIMARY CARE)5 Months Inpatient Services (General and Subspecialty)1 Month NICU1 Month PICU1 Month General Outpatient Clinics3 Months Emergency Medicine1 Month Normal Newborn3 Weeks Vacation

PL-2 (EMPHASIS ON SUBSPECIALTY EXPERIENCES)3 Months Inpatient Services (Subspecialty Care)1 Month NICU1 Month PICU1 Month Adolescent Medicine Clinics1 Month Developmental Clinics1 Month Emergency Medicine3 Months Electives1 Month Vacation

PL-3 (EMPHASIS IS ON SUPERVISION &OUTPATIENT EXPERIENCES)

2 Months Inpatient Services (General)1 Month NICU5 Months Outpatient Experiences (Private Practice, Subspecialty Clinics,Advocacy Experiences, Emergency Medicine)3 Months Electives1 Month Vacation

FOR MORE INFO, CONTACT:Tulane University School of Medicine, Dept.of PediatricsHosea J Doucet, MD Program Director1430 Tulane Ave. - SL-37New Orleans, LA 70112504-988-5458 504-988-6808 [email protected]

FOR MORE INFO, CONTACT:Carolinas Medical CenterDepartment of PediatricsAvis Wiener, Residency CoordinatorPO Box 32861 Charlotte, NC 28232704-355-7812 704-355-5429 [email protected]/education/meded/pediatrics

80 residency programs in U.S. in 20041,194 residency slots in U.S. in 20041,217 positions offered in U.S.in 2003-2004 (98% of these filled)

INPATIENT SERVICESMinimum one year, maximumtwo years (e.g., general rehabilitation, stroke, brain injury,spinal cord injury, pediatrics)

USUAL OUTPATIENTROTATIONS

Amputee ServiceArthritis TreatmentBack Pain ClinicBurn/Cancer/Cardiopulmonary RehabilitationChronic Pain ManagementEMGGeneral ConsultsGeriatricsHand ClinicImpairment Evaluation,Industrial RehabilitationInjection/Musculoskeletal/Pediatric ClinicsProsthetics and OrthoticsSports MedicineWork HardeningWound Care Center

RESEARCHUsually six months maximumwithin four-year program.Some programs offer ClinicalInvestigator Pathway in PM&RResidency Training, with additional12 months for research.

The American Academy ofPhysical Medicine and

Rehabilitation (AAPM&R) isthe primary membership organization repre-senting the specialty of physical medicine andrehabilitation (PM&R), or physiatry. A physia-trist (pronounced fizz ee at' trist) is a physicianspecializing in PM&R. More than 7,000physiatrist members (approximately 80% ofall Board-certified physiatrists) and 1,000 res-ident members rely on the AAPM&R for continuing medical education opportunities,communication of scientific and practicemanagement information, representation onhealth policy and regulatory issues affectingphysiatrists and their patients, and guidanceon PM&R standards and policies.

PM&R focuses on the restoration of func-tion to people with problems ranging fromsimple physical mobility issues to complexcognitive involvement. Physiatrists treat patientswith acute and chronic pain and muscu-loskeletal disorders, plus people with arthritis,tendonitis, any kind of back pain, and work-or sports-related injuries.

Physiatrists offer non-surgical interventionsand often coordinate the services of an inter-disciplinary rehabilitation team. This teamincludes medical professionals such as neurol-ogists, psychiatrists, and orthopedic surgeons,as well as allied health care professionals suchas physical therapists, occupational thera-pists, speech pathologists, and social workers.

PM&R began in earnest in the 1930s toaddress musculoskeletal and neurologicalproblems, but broadened its scope consider-ably after World War II. As thousands of vet-erans came back to the United States withserious disabilities, the task of helping torestore them to productive lives became a newdirection for the field. The Advisory Board ofMedical Specialties granted PM&R itsapproval as a specialty of medicine in 1947.In recent years, physiatry has seen an increasedfocus on musculoskeletal medicine and indus-trial medicine, pain, sports medicine, andelectromyography (EMG).

The basic requirements for entering aPM&R residency include four years of grad-uate medical education, including internship -a transitional or preliminary year for develop-ing fundamental clinical skills. Internship includessix months in family practice, internal medi-cine, pediatrics, surgery, or a combination ofthe above; the remaining six months are to bespent in a primary care or more specializedfield. Some particularly useful fields forPM&R are neurology, neurosurgery, orthope-

dic surgery, sports medicine, pediatrics, radi-ology, rheumatology, and urology.

Most PM&R residencies are three-year pro-grams offering positions at the PGY-2 level,which means that the medical student mustseek a transitional/preliminary year in addi-tion to an internship. Some residencies offer afour-year program integrating the first year ofbasic clinical training into their curriculum.

Residents are required to spend a minimumof one year and no more than two years caringfor hospitalized patients. This includes inpa-tient services such as general rehabilitation,stroke, brain injury, spinal cord injury, orpediatrics. The remainder of the residencyconsists of outpatient rotations which mayinclude amputee service, arthritis treatment,back pain clinic, burn rehabilitation, chronicpain management, EMG, general consults,geriatrics, hand clinic, impairment evaluation,industrial rehabilitation, injection clinic, mus-culoskeletal clinic, pediatric clinic, prostheticsand orthotics, sports medicine, work harden-ing, wound care center, and electives.

Research is required or encouraged at mostinstitutions. A maximum of six months within afour-year residency program is permitted forresearch, although each program has its ownrestrictions. A few programs offer positions in aClinical Investigator Pathway in PM&R ResidencyTraining which is a five-year track, allowingan extra 12 months for research.

Fellowships are available in pediatric reha-bilitation, spinal cord injury, head injury,stroke, pain management, sports medicine,musculoskeletal rehabilitation, EMG, and research.These are typically one to two years in length.

Salaries for PM&R residents in their PGY-2year range from $28,000 to $32,000. The annualsalary is highly dependent on the region ofthe country and the local cost of living. Thereis typically a $1,000 to $3,000 raise in salarywith each advancing year of residency.

In order to be Board certified, physiatristsare required to take both a written and an oralexamination, administered by the American Boardof PM&R. Part I is typically scheduled thespring of the senior year and Part II is takenin the spring of the following year. Review coursesare offered by a number of institutions.

Full-time residents in approved PM&R resi-dency programs are encouraged to join theAAPM&R as affiliate members through spe-cial membership incentives that allow them toexplore member benefits and services at a reducedcost. Many programs for residents are peer-designed and organized by the AAPM&R'sResident Physician Council.

PHYS ICAL MED IC INE & R EHAB I L I TAT ION

AMERICAN ACADEMY OF PHYSICALMEDICINE AND REHABILITATIONChicago, IL

FOR MORE INFO, CONTACT:American Academy of Physical Medicine and RehabilitationOne IBM Plaza, Suite 2500Chicago, IL 60611-3604312-464-9700 312-464-0227 faxwww.aapmr.org


FACTS AT A GLANCE

ROTATION SCHEDULE

Residency experience in ALLareas of Rehabilitation Medicineincluding Stroke, Pediatrics, SCI, BI, OutpatientMusculoskeletal Medicine, EMG,Industrial Rehab, Spinal Injections

A multi-cite learning experiencearound Greater Atlanta, includingEmory Hospital, Shepherd Center,Children's Hospital of Atlanta at Scottish Rite, Atlanta VA Medical Hospital, Emory Orthopaedics and Spine Center, and Grady Memorial Hospital

Over 15 months of outpatientexperience- compare this toother programs!!

Experience in performing epiduralsteroid injections, pain management,invasive skills, sports medicine,electro-diagnostic medicine,and the outpatient managementof chronic disabilities!

Bright, fun, motivated, energeticco-residents who enjoy their city of Atlanta!

PGY2Stroke Rehabilitation - 2 monthsGeriatric Rehabilitation - 2 monthsSpinal Cord/Brain Injury - 4 monthsBrain Injury - 2 monthsOrthopedic Rehabilitation - 2 months

PGY3Pediatrics - 2 monthsInpatient Consults - 2 monthsCardiac Rehabilitation - 1monthsVA Hospital Outpatient - 2 monthsResearch - 1 monthOrtho Outpatient - 2 monthsOutpatient Orthopedics - 2 months

PGY4VA Hospital Outpatient - 3 monthsSports Medicine - 1.5 monthsSpine Medicine - 1.5 monthsElective Time - 2 monthsResearch - 1 monthEMG Training - 3 months

Welcome to Rehabilitation at Emory.

The Department of Rehabilitation at EmoryUniversity is committed to excellence inresidency education. Upon completion ofour fully accredited residency in PhysicalMedical and Rehabilitation, I believe ourgraduates demonstrate the knowledge andskills to be excellent physiatrists and will beleaders in PM&R. We achieve our goals inresidency education through a spectrum ofclinical exposures, bedside teaching, formallectures, critical literature review in journalclub, and meaningful participation in research.Our graduates are "stem-cell" physiatristscapable of pursuing any area within thewonderful field of PM&R!

The clinical exposure at Emory is trulyimpressive. Rotations in inpatients settingsencompass the broad array of rehabilita-tion medicine including specialized pro-grams in stroke, geriatrics, pediatrics,orthopedics, brain injury, and spinal cordinjury. Likewise, residents have an impres-sive exposure to musculoskeletal medicine,pain management, invasive skills, sports med-icine, electro-diagnostic medicine, and theoutpatient management of chronic disabil-ities. And residents learn these skills in avariety of locations and are thus exposed toinsights of different practice styles and settings.

Beyond the clinical and technical skills ofcontemporary PM&R, we want our resi-dents to be thoughtful and to have the nec-essary analytical skills to be critical con-sumers of new knowledge. These analyticalskills are taught through a variety of waysincluding the regular journal clubs and par-ticipation in a clinical research project.

I am proud of our highly skilled andknowledgeable faculty. To complement therehabilitation physicians specializing in thespectrum of clinical areas, we have researchers(MDs and PhDs) doing cutting-edge reha-bilitation research in neuroscience, immunol-ogy, exercise, outcomes, and health servicesresearch. Ongoing research projects involveinnovative therapeutic interventions (suchas Tai Chi and constraint- induced training),motor control, neuropsychology, braininjury, vestibular dysfunction, quality of

life, neuroimaging, and a critical examinationof the role of the team in rehabilitation toname just a few.

We are committed to our residency educa-tion. Our residents do work hard; theylearn a lot; and we try to have fun doing it!

Joel Moorhead, MD, MPH Residency Program Director

PHYS ICAL MED IC INE & R EHAB I L I TAT ION

EMORY UNIVERSITYAtlanta, GA

JOEL MOORHEAD, M.D.,MPHResidency Program Director

FOR MORE INFO, CONTACT:Emory University, Physical Medicine and RehabilitationMiki DeJean, MA, Program Coordinator1441 Clifton Road N.E. Suite 118Atlanta, GA 30322404-712-5511 404-712-5895 [email protected]


FACTS AT A GLANCE

ROTATION SCHEDULE

16

YEAR 1 - ORIENTATIONDidactic SessionsClinicsGovernment Agencies Practicum SitesIndustry Site Visits

ACADEMIC COURSESMSPH Degree

CLINICAL PRACTICUM1 day per weekNational Jewish Occupational clinics

YEAR 2Thesis/Publishable Paper

PRACTICUM ROTATIONS - OCCUPATIONALDenver Health and HospitalsDenver International AirportOccupational Medicine Physicians of Colorado

GOVERNMENTColorado Department of HealthColorado Department of LaborNational Institute of Occupational Safety & Health

OTHERNational Jewish Medical & Research CenterAirline Pilot Association UnionMultiple speciality sites are available includingpain clinics, physiatric outpatient practices,traumatic brain injury care & others

PREVENT IVE MED IC INE - OCCUPAT IONAL MED IC INE

UNIVERSITY OFCOLORADO HEALTHSCIENCES CENTEROCCUPATIONAL &ENVIRONMENTALMEDICINE RESIDENCYPROGRAMDenver, COFOR MORE INFO, CONTACT:Kathryn Mueller, MD, MPH, FACEP, FACEOM,Occupational & Environmental Medicine Residency Program,UCHSCPreventive Medicine & Biometrics, 4200 East 9th Avenue, B - 119 Denver, CO [email protected]

Bioterrorism, toxic agents, environmental hazards - are these areas of expertise you wish toinclude in your future medical practice? If so, you should consider becoming a boarded cer-

tified Occupational Medicine Physician. Our specialty is devoted to the prevention and man-agement of occupational and environmental injury, illness and disability, and promotion of thehealth and productivity of workers, their families and communities.

The University of Colorado Health Sciences Center Occupational and EnvrionmentalMedicine Residency Program is accredited as a two-year program to train physicians inOccupational and Environmental Medicine. Our faculty includes nationally known experts onberyllium, asbestos, heavy metals and musculoskeletal treatment guidelines.

The first year of the program is primarily focused on the Master of Science in Public Health,beginning with a seven week orientation course in July and followed by three quarters of academiccoursework, including the MSPH core courses and a yearlong course in Occupational and EnvironmentalMedicine with a problem-based approach. One day per week, clinical occupational and environmentalcases are seen in the outpatient clinic at National Jewish Medical and Research Center (NJMRC), with mul-tidisciplinary follow-up of worksite conditions, as appropriate. These experiences provide expo-sure to industrial hygiene and complex occupational and environmental medicine cases.

The second year focuses on practicum training and the completion of a thesis or publishablepaper. Four months are spent at one to three occupational practicum sites. Additional practicumexperiences are tailored to each resident's particular goals and usually include a government practicum.Practicum options change depending upon emerging problems and training needs. Toxicology,psychiatry, chronic pain management and labor union sites are always available.

We prefer applicants with prior Internal Medicine and Family Practice Training.KATHRYN MUELLER, M.D., MPH,Program Director

ROTATION SCHEDULE

UNIVERSITY OFSOUTH FLORIDATampa, FL

FOR MORE INFO, CONTACT:University of South FloridaJames McCluskey, MD, MPHDeputy Director, USF Occupational Medicine Residency13201 Bruce B. Downs Boulevard,MDC 56Tampa, FL 33612813-974-6634

The mission of our residency is to prepare physicians for the challenges of an Occupational Medicinecareer in the 21st century. We are a part of the USF Health Sciences Center, which is located ~25miles from sunny Clearwater beach. There is no night call; however, residents take academic classesleading to a Masters of Science in Public Health (MSPH) degree during evening hours. As part oftheir training, residents conduct research in the "Breath Lab", a state-of-the-art facility for studyingacute lung injury with non-invasive methods. Residents rotate at various clinical and industrial sites,where they are trained to recognize, control and prevent occupational safety and health hazards. Therotations emphasize the health of workers and their ability to perform work, as well as, the physicaland social aspects of the workplace. We encourage residents to explore and fully develop their med-ical interests while at USF, so that they meet their individual career goals.

Please visit our website for further information: http://publichealth.usf.edu/eohmedical.html


Tertiary-care medical center withthree specialty hospital divisions

AFFILIATION: Long IslandCampus for the Albert EinsteinCollege of Medicine

NUMBER OF PSYCHIATRYRESIDENTS: 48 (12 positionsoffered at the R-1 level)

National Institute of Mental HealthSponsored Clinical Research Center

LOCATION: 15 miles fromManhattan, suburban environmentwith excellent schools, and beautiful beaches

The psychiatry residencytraining program at Long

Island Jewish Medical Center/Zucker Hillside Hospitalprovides residents with a

comprehensive educational experience encom-passing the most current treatment approachesto clinical care. Focusing on the integratedpsychodynamic, neurobiologic, social andfamily systems approach to the under-standing of human behavior residents haveexperience treating patients who requireinpatient or day hospital treatment, crisisintervention, brief therapy, chronic medicationmaintenance, supportive therapy, behavior/cognitive therapy and in-depth dynamicallyoriented exploratory psychotherapy.

Long Island Jewish Medical Center (LIJ),located 15 miles east of Manhattan, is theLong Island Campus for the AlbertEinstein College of Medicine. LIJ is an 829bed voluntary, non-profit, tertiary careteaching hospital encompassing three divi-sions - Long Island Jewish Hospital,Zucker Hillside Hospital, and SchneiderChildren's Hospital - as well as community-based clinics and day programs throughoutQueens and Nassau counties. ZuckerHillside Hospital, the 223 bed psychiatricdivision, has 2,000 admissions and 250,000outpatient visits each year. There are spe-cialty inpatient units for children, adoles-cents, geriatric patients and adults suffer-ing from schizophrenia and mood disor-ders. Four separate Day Hospital pro-grams focus on the treatment of childrenand adolescents, adults and geriatricpatients. A new one hundred million dollarstate of the art facility is under construc-tion. The first phase, an 80,000 square footAmbulatory Care Pavilion, opened in June2004.Ground breaking for a new 112-bedinpatient building will begin at the end of2004. The on-campus Ambulatory CareService is comprised of specialty clinics(Schizophrenia, Mood Disorders, Phobiaand Anxiety Disorders, Geriatrics, and thePsychotherapy Center which focuses ondynamically oriented exploratory psy-chotherapy). Residents treat patients fromeach of these clinics and receive supervisionfrom psychiatrists with expertise in each ofthese areas. As part of their training incommunity psychiatry residents each havea rotation in two off campus clinics special-izing in addiction treatment.

Throughout their training residentsreceive a broad clinical experience treating

patients from diverse racial, cultural andsocioeconomic backgrounds. Continuity ofcare is stressed on all clinical services. Residentsare able to follow many of their patientsfrom the acute phase of their illness to long-termmaintenance care when appropriate. Inaddition, residents have the opportunity totreat outpatients with both short term ther-apies and longer term exploratory psychotherapy.

Hillside residents are exposed to the mostcurrent endeavors in clinical research. Thisis fostered by the nature of the patient pop-ulation who are available for long term fol-low-up care as well as the number of inves-tigators and grants that are available. In additionto being a federally funded Clinical ResearchCenter for the Study of Schizophrenia, Hillside iscurrently conducting research in manyareas ranging from child psychiatry to geri-atric disorders.

The quality of resident life at Hillside isenhanced by a faculty and administrationthat tries to be responsive to resident con-cerns. Residents are represented on alldepartmental committees. The ResidentCouncil plans two Resident Retreats peryear which promote inter-class cohesive-ness and education about group process.The R-1 Support Group and the R-2 andR-3 Experiential Groups afford a confiden-tial setting for discussion of resident issues.

The Department of Psychiatry offers fel-lowships in Child and Adolescent Psychiatry,Clinical Research, Neuropsychiatry Research,Geropsychiatry, Consultation-Liaison, andConsultation-Liaison/Primary Care Psychiatry.

As the Long Island Campus for The AlbertEinstein College of Medicine, we provide thirdand fourth year clerkships for AECOMmedical students as well as students seekingelectives from other medical schools throughoutthe United States. We also offer researchelectives and summer fellowships, both withstipends, to medical students at all levels oftraining. I encourage medical students tocontact us concerning summer fellowshipsand fourth year electives. This will give youthe opportunity to spend time at ourMedical Center and get to know ourdepartment first hand.

For Medical Student Electives contact:Laura A. Herman, MD, Director, MedicalStudent Education, The Zucker HillsideHospital, Glen Oaks, New York 11004,(718) 470-8384.

PSYCH IATRY

BRUCE R. LEVY, M.D.,Director, Education & Training

FOR MORE INFO, CONTACT:Zucker Hillside HospitalDirector, Education and TrainingGlen Oaks, NY 11004718-470-8005718-962-7717 fax


FACTS AT A GLANCE

ROTATION SCHEDULE

LONG ISLAND JEWISH MEDICAL CENTER/ZUCKERHILLSIDE HOSPITAL, THE LONG ISLAND CAMPUSFOR THE ALBERT EINSTEIN COLLEGE OF MEDICINEGlen Oaks, NY

PGY-14 months of Adult Inpatient Psychiatry1 month of Psychiatry EmergencyEvaluation Center4 months of Medicine or Pediatrics2 months of Neurology2 weeks Emergency Medicine2 weeks Selective

PGY-210 weeks Consultation-Liaison Psychiatry6 weeks General Adult Inpatient Psychiatry6 weeks Emergency Room Psychiatry5 weeks Geriatric Inpatient Psychiatry5 weeks Adult Mood DisordersInpatient Psychiatry4 weeks Mental Illness/ ChemicalAbuse (MICA) Inpatient Psychiatry4 weeks Partial Hospital/Day Hospital Psychiatry4 weeks Child Inpatient Psychiatry4 weeks Adolescent Inpatient Psychiatry4 weeks Mental Retardation/Developmental DisabilitiesInpatient Psychiatry

PGY-3The entire year is devoted to theOutpatient Treatment of adults (includinggeriatric and substance abusing patients)and children and adolescents.Treatment modalities include dynamicallyoriented psychotherapy, supportive therapy,cognitive behavior therapy and general comprehensive care/medicationmaintenance.

PGY-460 percent of the work week isdevoted to continuing Outpatient Treatmentof adult long-term psychotherapy andmedication maintenance patients withthe addition of group therapy, couplestherapy, and brief therapy

40 percent of the work week is open for electives

No overnight on-call duringpsychiatry rotations in the PGY-I year and twice monthlyovernight call in the secondand third training

Three month blocks of rotationsin the PGY-I year permits, at most, only 3 consecutive monthsaway from psychiatry

Outpatient training in the PGY-II year, including time on one of only a handful of separate psychotherapy services nationwide

Neurology outpatient clinics forpart of the neurology requirement

Elective research opportunitiesin a department ranked 23rdin the nation among medical school affiliated psychiatry departments receiving NIH funding

PGY-I3 months primary care (family or internal medicine)3 months inpatient psychiatry1 month emergency medicine1 month addiction psychiatry1 month inpatient neurology3 months inpatient psychiatry

PGY-II12 months outpatient psychiatryincluding adult, child, and geriatric patients

PGY-III3 months inpatient psychiatry2 months child and adolescentinpatient psychiatry1 month community and walk-in clinic6 months 65% consultation-liaisonwith remainder in cognitive-behavior therapy, communitysupport, and outpatient continuity follow-up

PGY-IV12 months ½ day per weekneurology outpatient clinic and ½ day per week minimumoutpatient continuity follow-upRemainder electives

The Psychiatry ResidencyEducation Program at the

Medical College of WisconsinAffiliated Hospitals welcomesyour interest in our program.

To quote our new Chair, Laura Roberts,M.D., "Our residency program is commit-ted to producing capable and compassion-ate psychiatrists who possess the suite ofknowledge, skills, and personal strengthsneeded in providing effective and ethicalcare for persons with mental illness. Ourapproach is one that is informed by themulti-theoretical foundation of psychiatry,grounded in evidence derived from variedforms of inquiry ranging from basic neuro-science to social science, and guided by theinsights of wise and dedicated multidisci-plinary clinicians over generations.

Most importantly, we believe that tobecome a fine psychiatrist one must be awhole, self-observing, always-learning, andalways-developing person. Our commit-ment to this belief is reflected in the respectand regard we demonstrate to our residentseach day, and it is seen in the features ofour program that support sustained per-sonal and professional growth. In theseways, we endeavor to train future clinicians,teachers, scholars, and leaders in psychiatry."

We believe our program offers someunique features that make for user friendlytraining. In the PGY-I year we divide theservices into three month blocks. If a resi-dent begins the year on medicine in July, heor she will begin inpatient psychiatry inOctober and vice versa. Thus, the longesttime a resident is away from psychiatry dur-ing the first year is three months. We alsorequire no overnight on-call while on psy-chiatry rotations during this year withtraining call running from 6 pm to 10 pm.

We are one of only a few programs nation-wide which schedules its outpatient yearduring the PGY-II year. This year includessignificant time on a dedicated psychother-apy service, another rarity among psychia-try residencies. Placing the outpatient train-ing in the second year facilitates residentsfollowing and treating some patients forthree years while also permitting residentsto return to inpatient duties in the PGY-IIIyear prepared to take on a team leadership role.

We fulfill the neurology requirement withboth an inpatient rotation in the first yearand an outpatient neurology clinic through-out the fourth year. The yearlong rotationintegrates neurological assessment skills inthe residents' clinical repertoire while pro-viding a greater diversity of patients than aone month inpatient rotation can provide.

Our psychiatric emergency service is oneof the busiest in the country, with over12,000 visits annually. Two residents andone attending psychiatrist provide the in-house call, spelling each other for severalhours of sleep nightly. Residents takeovernight call twice a month during theirPGY-II and PGY-III years.

Our department ranks 23rd among medicalschool affiliated Psychiatry Departments inNIH funded research. We lead diverse sci-entific activities, encompassing psychoso-cial intervention studies, clinical research,psychopharmacology trials, neuroimagingand basic science projects, and evidence-based ethics studies. Residents may elect toparticipate in many of these projects.

Both our fully accredited child and adolescenttraining program and forensic psychiatryfellowship will soon be joined by sub-specialtytraining in psychosomatic medicine, addic-tion psychiatry and geropsychiatry.

With over 200 medical students per class,there are abundant opportunities to teach,both in small group settings and on variousclinical rotations.

Finally, Milwaukee provides an excellentquality of life including a symphony, reper-tory and other theater groups, professionalsports, and ethnic and music festivals. Areasonable cost of living permits some resi-dents to purchase their own homes.

I hope I have intrigued you sufficiently foryou to want to learn more about our pro-gram. Please contact us for more informa-tion. We would like to have you visit andsee for yourself.

PSYCH IATRY

MEDICAL COLLEGE OF WISCONSIN Milwaukee, WI

CARLYLE CHAN, M.D.,Program Director

FOR MORE INFO, CONTACT:Medical College of Wisconsin, Dept. of PsychiatryCarlyle Chan, MD, Program Director8701 Watertown Plank RdMilwaukee, WI 53226 414-456-8998 414-456-6299 [email protected]/psych


FACTS AT A GLANCE

ROTATION SCHEDULE

A mid-sized residency program(6 residents/ year) with a hugefaculty (approx 200) assuresfaculty in most psychiatric subspecialtiesPrograms of national distinctionin Neuropsychiatric Sciences,Forensic Psychiatry,Psychopharmacology Research,Public Sector Psychiatry, MentalHealth Policy, and Neuropsychiatry

Large number of sites and specialty areas for elective work

UMass residents routinely wincompetitive fellowships offeredby national psychiatry organizations

Close enough to Boston to enjoythe cultural offerings yet far enough away (45 minutes) to allow for a lower cost of living

PGY-IInternal Medicine Wards (2 blocks)Internal Medicine for Psychiatry (1 block)Medicine Subspecialty Elective (1 block)Emergency Medicine (1 block)Neurology Ward (1 block)Neurology Consult Service (1 block)Neuropsychiatry (1 block)Emergency Mental Health (1 block)Geriatric Inpatient Psychiatry (1 block)General Inpatient Psychiatry (3 blocks)

PGY-IIAddiction Psychiatry (1 block)Consultation Liaison Psychiatry (4 blocks)General Inpatient Psychiatry (4 blocks)Continuing Care Inpatient Psychiatry (2 blocks)Forensic Psychiatry (1 block)Selective Rotation (1 block)Psychodynamic Psychotherapy(2 outpatients)Seminars (8 hrs/wk)

PGY-IIIPsychodynamic Psychotherapy (4 hrs/wk)Cognitive Behavioral Therapy (4 hrs/wk)Psychopharmacology Clinic (4 hrs/wk)Community Clinic (8 hrs/wk)Child Psychiatry (8 hrs/wk)Family & Couples Therapy (2 hrs/wk)Group Psychotherapy (2 hrs/wk)Seminars (8 hrs/wk)

PGY-IVIndividual Psychotherapy (8 hrs/wk)Psychopharmacology Clinic (4 hrs/wk)Chief Residency and/or Electives(28 hrs/wk)Seminars (8 hrs/wk)

The UMASS PsychiatryDepartment regards res-

ident education as its high-est priority. Nearly 200 fac-ulty insure that our 24 resi-

dents receive intensive training in psycho-dynamic as well as cognitive-behavioral psy-chotherapies, broad experience in clinicalpsychopharmacology and neuropsychiatry,and excellent training in all of the tradi-tional aspects of clinical psychiatric prac-tice. Fellowship training is available in childpsychiatry, forensic psychiatry, neuropsy-chiatry, and psychopharmacology. We offera 5-year integrated adult/child psychiatryresidency, a 6-year combined Neuropsychiatryprogram, and specialty tracks in neuropsy-chiatry, forensic psychiatry and psychopharma-cology research. We provide ample electivetime for trainees to explore one of themany specialty areas available within ourdepartment.

Dr. Benjamin's background is in both psy-chodynamic psychiatry and behavioralneurology. Our associate training director,Nancy Pratt, M.D., is a psychotherapistand consultation-liaison psychiatrist. Wefeel strongly that UMASS residents shouldbe trained in traditional psychodynamicpsychotherapy, cognitive-behavioral thera-py, and neuroscientifically-informed bio-logical psychiatry.

Our departmental neuroscience programincludes the Brudnick NeuropsychiatricInstitute and the Center for ComparativeNeuroimaging. Paul Appelbaum, M.D.,Zeleznik Professor and Chair, directs alarge forensic psychiatry research andtraining program. Anthony Rothschild,MD, Brudnick Professor of Psychiatry,coordinates research and training in psy-chopharmacology and affective disorders.The neuropsychiatry division provides serv-ices at the Neuropsychiatry Referral Center, theComprehensive Epilepsy Center, at 2 publicsector inpatient units, and a center fordevelopmental disabilities.

The UMass Public Sector Psychiatry pro-gram, under the direction of Jeffrey Geller,M.D., M.P.H., includes several communitymental health centers and public sectorinpatient units. UMass also runs a maxi-

mum security State Hospital and providespsychiatric services at all Massachusetts prisons.

UMASS is home to 44 residency and fel-lowship programs. The UMass MemorialHealthcare complex includes the medicalschool, 400-bed tertiary referral hospital,Graduate Schools of Biomedical Sciencesand Nursing, ambulatory clinics (includinga free standing ambulatory psychiatrybuilding), and Worcester State Hospital. Inaddition to the Brudnick NeuropsychiatricInstitute, the 100 million dollar Lazare bio-medical research building opened 2 years ago.

Worcester is the second largest city in NewEngland. Only 45 minutes from Boston,Worcester is close enough to take advan-tage of Boston's cultural attractions, yet farenough away to allow for a lower cost ofliving. The Berkshires, the White Mountains,Cape Cod, and the coast of Maine are all a1 to 2 hour drive away.

We pride ourselves on our flexibility, ourwillingness to embrace diversity, and theatmosphere of mutual respect engenderedby our department.

PSYCH IATRY

UNIVERSITY OF MASSACHUSETTSMEDICAL SCHOOLWorcester, MA

SHELDON BENJAMIN, M.D.,Program Director

FOR MORE INFO, CONTACT:Univ. of Massachusetts Medical Sch., Dept. of PsychiatrySheldon Benjamin, MD, Program Director55 Lake Avenue NorthWorcester, MA 01655508-856-4087 508-856-5000 [email protected]/psychiatry/residency/


FACTS AT A GLANCE

ROTATION SCHEDULE

16

PGY-14 months primary care medicine (internal medicine/pediatrics)3 months inpatient psychiatry2 months each neurology and inpatient psychiatry (biopsychosocial concentration)1 month addictions

PGY-24 months inpatient psychiatry2 months each child and adolescent, geriatric, and consultation/liaison psychiatry1 month each emergency psychiatry/crisisintervention and inpatient psychiatry (teaching and supervisory concentration)12 months outpatient psychiatry (10%)

PGY-312 months outpatient psychiatry (80%)12 months community psychiatry (20%)

PGY-46 months service chief (90%) and outpatient psychiatry (10%)6 months electives/research (90%) and outpatient psychiatry (10%)

PSYCH IATRY

THE INSTITUTE OFLIVING/HARTFORD HOSPITALHartford, CTFOR MORE INFO, CONTACT:Institute of Living/Hartford HospitalSandy Tolisano, Residency Coordinator200 Retreat AvenueHartford, CT [email protected]


ABOUT THE PROGRAM The 180-year-old Institute of Living is a psychiatric landmark and one of the country's leadingmental health centers. The third mental health facility established in the U.S., it is today part ofa nationally recognized medical complex anchored by Hartford Hospital, the largest hospital inConnecticut. The Institute is home to the Olin Neuropsychiatry Research Center, a state-of-the-art facility conducting leading-edge research in schizophrenia and related severe psychiatric dis-orders. The Institute has a proud tradition of psychiatric education dating back to the mid-20thcentury, and our faculty and graduates are accomplished and respected figures in the profession.

PHILOSOPHY OF TRAININGOur goal is to educate residents in the full array of mental health therapies through a curriculum thatrecognizes the dynamic connection between psychotherapy and neuropsychiatry. Residents gainknowledge and experience in providing a full spectrum of services to patients of all ages andbackgrounds and with a broad array of disorders. Participants learn from nationally prominentprofessionals in a community committed to incorporating into diagnosis and treatment thefamilial, social, spiritual and cultural factors that are part of each person's mental and emo-tional experience.

ADRIENNE BENTMAN, M.D.,

Director ofResidency Training

ROTATION SCHEDULE

UPSTATE MEDICALUNIVERSITYSyracuse, NY

We are pluralistic in our approach to psychiatry, offering superior learning experiences inboth the biological and psychological approaches, believing that often these treatments

need to be integrated for the best patient care. A unique feature of our residency program is therich availability of classes and seminars. While you will experience patient care at every resi-dency program, few offer as many opportunities to study directly with faculty. In addition wehave a richly developed research program which has led to one of the highest rates of residentpublications in the country.

We have also launched an innovative new program which fully integrates a Masters in PublicAdministration degree (MPA) into our standard four year residency in Psychiatry. In thisoptional program you will be dually enrolled at Syracuse University’s Maxwell School ofCitizenship and Public Affairs which has consistently been rated as the best graduate school inthe country for public administration.

. . . And, we trace our roots to the graduation of the nation’s first woman physician, ElizabethBlackwell, M.D. in 1849!

Experience the very special warmth and excitement offered by our residency program here atthe crossroads of Central New York - Syracuse!

ROTATION SCHEDULE

PGY-15 months: Inpatient Psychiatry3 months: Internal Medicine2 months: Neurology 1 month: Emergency Medicine1 month: Emergency Psychiatry

PGY-26 months: Inpatient Psychiatry 2 months: Substance Abuse2 months: Consultation Liaison Psychiatry 2 months: Triage Psychiatry

PGY-312 months (P/T): Outpatient Clinic12 months (P/T): Child Psychiatry12 months (P/T): Electives

PGY-412 months (P/T): Outpatient Clinic12 months (P/T): Electives2 months: Geriatrics1 months: Forensics

FOR MORE INFO, CONTACT:SUNY Upstate Medical UniversityJohn Manring, MD Program Director,Noreen Lannon, Residency Coordinator,750 E Adams St.Syracuse, NY 13210315-464-3106 315-464-3163 [email protected]

JOHN MANRING, M.D.,

ProgramDirector

STATE-OF-THE-ART EQUIPMENT:3 state-of-the-art CTs (1 multidetector,2 spiral) with additional 16-slicemultidetector scanner for emergencydepartment with computer workstations

Filmless outpatient center withshort bore/5T MRI

Biplane digital angiography suite

1.5T Signa MR with latest platformupgrade

Computed radiography

Picture Archiving system being installed

State-of-the-art sonography

Breast imaging suite

Talk Technology voice recognitiondictation system

In excess of 200,000 exams/yearwith a broad mix of cases

Very active interventional/neurointerventional service covering all types of procedures

Recent Hospital expansions includingPediatric Oncology, General Pediatrics and Cardiology units

Organ system rotations -GI/GU,neuro, interventional, chest,bone/ER

Pediatric radiology, body CT/US,nuclear medicine, mammographyand women's imaging

4 - 5 months each subspecialty

Armed Forces Institute of Pathology: 6 week rotation for each resident

Cardiac radiology rotation


Thank you for your interestin Winthrop University

Hospital's Graduate MedicalEducation (GME) programs. You are strong-ly encouraged to launch your medicalcareer at Winthrop. Our Hospital is a mul-tifaceted institution with an abiding com-mitment to patient care and an unparal-leled determination to provide the finest inmedical education. It is also a teaching cen-ter keenly aware of the future. We knowthat innovation and flexibility are vital tosurvival and growth, and we remain opento new concepts, new techniques and theevolution of medicine. Our residency train-ing program has earned a favorable reputa-tion for developing well-trained radiolo-gists. Residents are exposed to a uniqueblend of institutional education, research,clinical service, and citizenship. Thestrength of our program is the one on oneeducational interaction that occursbetween radiology faculty and the resi-dents. Graduated supervision provides theframework for the development of manualprocedural skills and judgment. Residentsand faculty have been recognized for theiroutstanding presentations at both nationaland international meetings.

The principal objective of our residencyprogram is to provide four years of well-rounded education in all phases of diag-nostic imaging. At the completion of theirtraining, residents are optimally preparedin all radiologic specialties. The principle of"care without compromise," which guidesour delivery of patient services, also appliesto our approach to medical education.Winthrop invests in and supports an aca-demic environment with uncompromisededucational programs, in which residentsare professionally nurtured, intellectuallychallenged and personally respected for thepromise that each one holds.

The Department prides itself on beingable to offer a busy, academically challeng-ing residency in a supportive environmentthat fosters learning and professional devel-opment. Strong emphasis is placed on thequality of the teaching, either in daily clin-

ical film reading sessions or in conferences.The close-knit faculty-resident relationshipproduces many collaborative clinical researchprojects. This personable philosophy inher-ent in our training program reduces muchof the stress of postgraduate medical edu-cation and optimizes learning opportunities.

Our residents have been accepted to manyprestigious Fellowships in such areas asBody Imaging, Neuroradiology andMusculoskeletal Imaging at the Hospital forSpecial Surgery, Stanford University and theUniversity of California at San Francisco, toname a few. They have also had the oppor-tunity to advance their careers in some ofthe finest academic and clinical settings inthe country as a result of the optimal aca-demic and clinical environment fosteredwithin the department and the institution.

Winthrop is a tertiary care medical center,and one of the major clinical campuses forthe SUNY Stony Brook School of Medicine.Medical students rotate through our Departmentfor third-year clerkships and fourth-yearelectives. Our program, which is fullyaccredited by the Accreditation Council forGraduate Medical Education, accepts fourresidents per year, after a clinical year.Interested applicants can apply to do radi-ology and their clinical year in medicine atWinthrop through the Electronic ResidencyApplication Service (ERAS).

Arthur Fruauff, MDProgram Director, Department of Radiology

RAD IOLOGY


ARTHUR FRUAUFF, M.D.,Program Director

FOR MORE INFO, CONTACT:Winthrop-University HospitalDepartment of RadiologyArthur Fruauff, MDProgram Director259 First StreetMineola, NY 11501 516-663-3800 516-663-8172 [email protected]


FACTS AT A GLANCE

ROTATION SCHEDULE

Intensive teaching and supervisionwith daily teaching conferences

One-on-one teaching by faculty,with very high % of continuityof patient care for accountabilityand responsibility, and for gettingfeedback, essential in adultlearning

Average of 900 operationsas chief surgeon in 5 years;with 200+ during the 5th

Open system of management,from recruitment to rotations toprogram improvements, resident input is a tradition

PGY 1General surgery 6 monthsSubspecialties 6 months

PGY 24 months in Transplantation,Burns, SICU8 months in general surgery

PGY 33 months in pediatric surgery9 months in general surgery

PGY 412 months general surgery

PGY 512 months general surgery

The Huron Hospital Surgery ResidencyProgram is a fully accredited program

designed to train clinical surgeons. AlthoughHuron is one of the Cleveland Clinic's nine hospitals, the surgery program is an inde-pendent program.

Of the principal components of generalsurgery adequately covered in the program,Surgical endoscopy and trauma and criticalcare are especially strong. As a level 2 trau-ma center located in a high crime area, pen-etrating trauma averaged 30% of traumaadmissions, highest in Northeast Ohio.Clinical research exists as a culture: researchprojects are generated and pursued in thecourse of patient care, journal clubs, teach-ing conferences and ward rounds.

The program is approved for two categor-ical positions and four preliminary (non-designated, PGY 1) per year. Residentselection is exclusively through NRMP. TheSurgery Program is looking for candidateswith the best mutual fit, for which full opentruthful exchange of critical informationbetween the program and applicant is essential.The minimum qualification is strong moti-vation and high scholastic achievement.

The volume and complexity of the resi-dents' cases are constantly monitored, thegraded tasks are geared to the specific apti-tude and level of training through assign-ment by the chief resident. For the past 3 years each graduate logged about 900cases as chief surgeon, with only 200+ dur-ing the chief year, supporting the program'sclaim that residents operate at all levels, notjust the chief year.

The junior residents takes calls one nightout of four or five; while the senior notmore often than one out of three, meetingthe latest guidelines of ACGME for workhours. Daily teaching conferences are notscheduled for Saturdays to maximize thequality of week-end off-time. Salaries arecompetitive within the city of Cleveland.

The distinguishing characteristic of theprogram is that it is modeled after thehigh performance work system, with closeinvolvement of the faculty in supervisionand teaching, and the residents are activelyinvolved in program administration design,and improvement. As a result, a strongteam spirit exists in all rotations, and dailylearning and working is a joy, making theintensive training years seem short.

SURGERY

HURON HOSPITALCleveland, OH

RAPHAEL S. CHUNG, M.D.,Chairman & Program Director

FOR MORE INFO, CONTACT:Huron HospitalRaphael S. Chung, MD, Program Director13951 Terrace Rd.Cleveland, OH 44112216-761-4223216-761-3499 [email protected]


FACTS AT A GLANCE

ROTATION SCHEDULE

AMERICAN COLLEGEOF SURGEONSChicago, IL

FOR MORE INFO, CONTACT:American College of Surgeons633 N. Saint Clair St.Chicago IL 60611312-202-5268www.facs.org

Preparing for a career in surgery? Make membership in the AMERICAN COLLEGE OF SURGEONS an early priority

New! Medical Student Membership Category

Students in medical schools accredited by the Liaison Committee on Medical Education in theUnited States and in accredited Canadian medical schools are eligible to apply for Medical

Student Membership in the American College of Surgeons (ACS). A wide range of benefitsincludes free attendance at the annual ACS Clinical Congress and online access to the Journalof the American College of Surgeons.

Medical student membership requires a one-time application fee of $20. No annual dues arecharged during the duration of your medical school education. For a full list of membershipbenefits and an online application form, visit: www.facs.org/memberservices/medicalstudent.html

Visit the entire American College of Surgeons Web site now powered by a Google™ searchengine at: www.facs.org (for best results enter a search for "medical student").

The American College of Surgeons is a scientific and educational organization of surgeons thatwas founded in 1913 to raise the standards of surgical practice and to improve the care of thesurgical patient. The College is dedicated to the ethical and competent practice of surgery.

16

PGY16 months general surgery1 month vascular surgery2 months trauma2 months ICU1 month pediatric surgery

PGY23 months general surgery1 month vascular surgery2 months transplant2 months ICU

2 months pediatric surgery1 month cardiac surgery1 month minimally invasive surgery

PGY34 months general surgery1 month vascular surgery2 months trauma1 month ICU2 months plastic surgery1 month transplant1 month minimally invasive surgery

PGY44 months general surgery2 months vascular surgery1 month trauma2 months transplant1 month minimally invasive surgery1 month orthopedic surgery1 month endoscopy

PGY59 months general surgery3 months vascular surgery

SURGERY

BAYSTATEMEDICAL CENTERSpringfield, MA

FOR MORE INFO, CONTACT:Baystate Med. Ctr. Dept. of SurgeryRichard B. Wait, MD, Program Director 759 Chestnut StreetSpringfield, MA 01199413-794-5165 413-794-1835 [email protected]/education


Baystate Medical Center's Department of Surgery is proud to be at the forefront of surgicalresidency education in the United States. With over 40 years of experience, members of our

faculty frequently provide leadership on national accreditation, policy, and review boards. Thefaculty is comprised of more than 50 Board Certified or Board Eligible surgeons, representingliterally every subspecialty. Our role in charting the future course of surgical education is asimportant as our long tradition of academic excellence.

Our program services a unique niche in graduate surgical education. We offer a high volume ofcases as well as elective bench and clinical research. Many of our residents have continued theirspecialty surgical education in recognized fellowships at Mount Sinai and Yale. In 2004 all 4chief residents have secured a fellowship position.

In addition to a bi-monthly house staff business meeting our residents participate in a ResidentLeadership Group meeting every month. This group consists of the four chief residents and rep-resentatives of each training level elected by their peers (PGY1-4). Residents use this unrestrictedforum to discuss educational and service issues of concern to them and thus direct importantissues of their academic and clinical training. We acknowledge the importance of lifestyle during thisbusy time in your life.

Please visit our website www.baystatehealth.com/education for more information. We inviteyou to consider joining our team.

RICHARD B. WAIT, M.D.,

Program Director

ROTATION SCHEDULE


SURGERY

YORK HOSPITALYork, PA

York Hospital's General Surgery Residency Program is a fully accredited, five-year educa-tional program leading to eligibility for certification by the American Board of Surgery.

In addition, the program provides an excellent foundation for further subspecialty fellowshiptraining. This program is a non-pyramidal program and offers three categorical positions ateach level of training. Surgical residents receive broad training in general surgery and its surgical specialties, which enables each resident to obtain exceptionally strong experience in allaspects of general surgery. The educational environment is particularly strong and there are significant research opportunities.

TOP TEN REASONS YORK HOSPITAL SURGERY RESIDENTS HAVE CHOSEN THIS PROGRAM:1. Diversity and volume of surgery (overall 80th percentile nationwide)2. Operating room experience starts early in the program3. Five-year accreditation - 1999 (no citations for last two reviews)4. Fellowship opportunities (all residents who wanted one have obtained a fellowship)5. Few fellow or specialty residents (more time and cases for surgical residents)6. Only two outside rotations (pediatric surgery and transplant)7. Very strong educational environment for a community hospital8. Surgical Grand Rounds from national speakers9. Clinical (and some bench) research opportunities for those interested

10. Great location for easy access to cultural events and recreational opportunities and the weather is not bad either!!

L. PETER FIELDING, M.D.,

Medical Director of Surgical Services;Chairman, Department of Surgery;Director, SurgicalResidency Program

ROTATION SCHEDULE

PGY I8 months general surgery3 months surgical specialties (usually plastic surgery, trauma and critical care) 1 month emergency medicine

PGY II8 months general surgery2 months trauma and critical care2 months pediatric surgery

PGY III7 months general surgery4 months trauma and critical care1 month urologic surgery

PGY IV11 months general surgery1 month transplant surgery

PGY V12 months general surgery

FOR MORE INFO, CONTACT:York HospitalL. Peter Fielding, MD,Director of Surgical Residency Program1001 S George StYork, PA 17405717-851-2772 717-851-4513 [email protected]

ST. LUKE’S HOSPITALBethlehem, PA

FOR MORE INFO, CONTACT:St. Luke's Hospital Department of Surgery Joel C. Rosenfeld, MD, M.Ed., FACS Program Director 801 Ostrum Street Bethlehem, PA 18015 610-954-2255 [email protected]

St. Luke's Hospital is a full-service, Level I trauma center, acute-care teaching hospital in EasternPennsylvania with 436 beds. There are more than 19,000 inpatient visits, 60,000 clinic visits and

more than 15,000 surgical procedures annually. St. Luke's Hospital has fully accredited residencies ininternal medicine, obstetrics and gynecology, emergency medicine, family practice, surgery and a transitional-year internship program. The hospital is affiliated with the University of PennsylvaniaHealth System and Temple University School of Medicine in Philadelphia and has medical studentson rotation in all specialties.

The goal of the residency is to produce skillful and compassionate surgeons by providing richclinical experiences coordinated with multiple teaching conferences and lectures. The surgical faculty at St. Luke's is committed to the education of the resident.First hospital in Pennsylvania to have the daVinci Robotic Surgical SystemParamedical support personnel help increase the time available for patient interactions and educational teaching activities, and decrease the "scut work." Outstanding salary and benefits package. Residents are funded to attend conferences.

For more information, visit www.slhn-lehighvalley.org.

SUNY UPSTATEMEDICALUNIVERSITYSyracuse, NY

FOR MORE INFO, CONTACT:SUNY Upstate Medical UniversityRose G. Thomas, ResidencyProgram CoordinatorDepartment of Surgery750 East Adams St.Syracuse, NY [email protected]

The Department of Surgery at SUNY Upstate Medical University offers a traditional, compre-hensive, fully accredited general surgery residency program with a curriculum emphasizing super-

vised experience in both traditional, open surgical procedures and newer, minimally invasive techniques.Elective opportunities for basic and clinical research are also available as part of the residency program.University Hospital, a 350-bed, Level I trauma center, serves 17 counties in upstate and central NewYork. Resident teams also rotate through the general surgery teaching services of the adjacent CrouseHospital, the nearby Veterans Administration Hospital, St. Joseph's Hospital Health Center andCommunity General Hospital.

SUNY Upstate Medical University is located in downtown Syracuse, the fourth largest city in NewYork State. Syracuse itself, surrounded by breathtaking countryside, offers a rich city life with variedcultural and recreational offerings.

SURGERY


UNIVERSITY OF VIRGINIACharlottesville, VA

FOR MORE INFO, CONTACT:Sally T. Miller, Residency CoordinatorDept. of Surgery, Box 800681UVA Health SystemCharlottesville, VA [email protected]

Greetings from the University of Virginia!

This has been a year of great achievement for our Residency Program in the Department of Surgery.Our November Site Visit with the Residency Review Committee of the ACGME resulted in a full 4-year reaccreditation as well as Duty Hour exceptions for Trauma, Transplant, and Chiefs.

At UVA, we stress the overall education of the complete general surgeon, with emphasison outpatient evaluation in the clinic, technical skills training in the operating room, post-operative follow-up of the surgical patient, development of good interpersonal skills withpatients and their families, and the ability to analyze data critically and carry out inves-tigative studies. We make education a product rather than a by-product of our program.

Our curriculum is particularly strong in new technology, minimally invasive procedures, flexibleendoscopy, vascular, endocrine, thoracic, hepatobiliary, and pediatric surgery in terms of case experi-ence relative to other programs. Close faculty/resident relations are a hallmark of our program as isresident empowerment to help determine curriculum and schedule changes.

Come visit the historic Grounds of Thomas Jefferson's University. Charlottesville's setting in thebeautiful piedmont of the Blue Ridge Mountains invites year-round exploration. We are eager to welcome you!

- Bruce Schirmer, M.D., Stephen H. Watts Professor of Surgery, Surgery Residency Program Director

THORAC IC SURGERY


UNIVERSITY OFPITTSBURGH MEDICALCENTER MEDICALEDUCATION PROGRAMPittsburgh, PAFOR MORE INFO, CONTACT:University of Pittsburgh MedicalCenter Presbyterian-Shadyside Cardiothoracic Surgery Robert L. Kormos, MD, Program Director 200 Lothrop Street, Suite C700 Pittsburgh, PA 15213 412-648-1946 412-648-1925 [email protected]

The Division of Cardiothoracic Surgery at the University of Pittsburgh Medical Center provides acomprehensive 2-year learning experience in the subspecialties of pediatric and adult, cardiac sur-

gery, general thoracic surgery and cardiothoracic transplantation and mechanical circulatory support.Cardiac track residents receive 14 months adult cardiac surgery, 2 months pediatric, 4 months tho-racic, and 4 months heart and lung transplantation. Thoracic track residents receive 10 months tho-racic surgery, 8 months adult cardiac, 2 months pediatric and 4 months heart and lung transplanta-tion. We offer a third clinical instructor year in advanced cardiac training, minimally invasive thoracicsurgery or thoracic transplantation. The education goals of the program are to develop a well-round-ed cardiothoracic surgeon with in-depth knowledge of cardiothoracic surgery meeting ABTS educa-tional objectives for Board certification. Surgical skills, preoperative and postoperative care are inte-grated into the duties of the resident and types of exposure are individualized according to rotation.The operating room is a major learning tool allowing residents to participate actively in the decisionmaking process as well as the technical aspects of the experience. Off-pump surgery, minimally inva-sive procedures, endoscopic and flexible esophagoscopy techniques, transplantation and ventricularassist devices also are available. Clinical research fundamentals and scholarly writing are taughtthrough involvement in ongoing clinical trials and case reports.

Northwestern offers participationin six different monthly and weekly conferences

This year, the application deadlinefor residency in Urology at Northwestern is Thursday, September 30, 2004

We have been participating in the Electronic ResidencyApplication System (ERAS) since May 2002

PGY1: INTERN8 one - month rotations in General Surgery4 months of Adult Urology at VA

PGY22 months of General Surgery2 months of Critical Care/ICU4 months of Pediatric Urology at CMH4 months of Adult Urology at NMH

PGY38 months of Adult Urology at NMH4 months of Adult Urology at VA

PGY44 Months of Urologyat NMH-Private Service4 months of Urology at Evanston Hospital4 months as Pediatric Chief at CMH

PGY5One year of laboratory research

PGY6: CHIEF RESIDENT8 months of Adult Urology at NMH4 months of Adult Urology at VA

Thank you for your interest in NorthwesternUniversity McGaw Medical Center's

Urology Residency Program. The depart-ment of Urology is proud of the diversityof its faculty and residents, the diverse andabundant patient populations it attracts,the strength of its basic science and clinicalresearch programs, and the full representa-tion of subspecialty Urology. We continueto make every effort to increase the depthof faculty and patient population. In addi-tion, we are pleased to fund external educa-tional opportunities and materials and offer astate-of-the-art facility in which our resi-dents work. Many of our residents go on tocomplete subspecialty fellowships in well-respected programs and institutions. Graduatesof our program have been quite successfulin securing favorable positions in both aca-demic and private practice settings.

The Urology training we provide is sixyears in duration. During the first twoyears of training, residents spend a total of12 months in General Surgery (8 months asPGY-1, 4 months as PGY-2), and 12 monthsin Urology (4 months in PGY-1 and 8months in PGY-2). The last four years consist of three years of clinical Urologyand a year in the investigative laboratory.The General Surgical rotations providebroad experience tailored to individualneeds and requirements. The first clinicalyears in Urology, postgraduate years(PGY) 3 and 4, consist of four-month rotations at Northwestern Memorial (NMH),Children's Memorial (CMH), EvanstonNorthwestern (ENH) and VeteransAdministration (VA) Hospitals. The researchyear is interspersed between the first andsecond or between the second and thirdyears of clinical Urology. The senior year(PGY-6) is divided among eight months atNorthwestern Memorial Hospital and fourmonths at Veterans Administration Hospitals.

Throughout the resident's clinical and lab-oratory experience, he or she has close contactwith both senior and junior faculty memberswho confine their regular clinical activity tothe McGaw Medical Center. Didactic pre-sentations, seminars, a formal pathology course,and continuous informal contact characterizethe residency experience at Northwestern.

UROLOGY

MCGAW MEDICAL CENTER OFNORTHWESTERN UNIVERSITY PROGRAMChicago, IL

J. QUENTIN CLEMENS, M.D.,Program Director

FOR MORE INFO, CONTACT:Northwestern University Feinberg School of Medicine,J. Quentin Clemens, MD, Program DirectorUrology/Tarry 16-703303 E Chicago AveChicago, IL 60611 312-908-8145 312-908-7275 [email protected]


FACTS AT A GLANCE

ROTATION SCHEDULE

ARTICLES




























Current residents, fellows and new physicians share their

thoughts on the "pros" and "cons" of the specialties they

practice and offer advice on the topic of specialty selection

CHOOSING A SPECIALTY

Current residents, fellows and new physicians reflect on topics

of importance to medical students and share the benefits of

what they have learned from experience

WHAT I KNOW NOW

T H E P R O S & C O N S

CHOOSING A SPECIALTY

Current residents, fellows and new physicians share their thoughts on the "pros" and "cons" of the specialties they practice and offer advice on the topic of specialty selection

ANESTHESIOLOGY

NORMAN WU, M.D., M.P.H.Chief Resident, University of Texas at Southwestern

ProsAnesthesiology is a very procedure ori-ented specialty. You do a variety of pro-cedures and you do a lot of them andyou become the person that can bedepended upon to perform under pres-sure. I also enjoy the fact that you seeimmediate results with your decisions.You routinely make life-saving deci-sions, give powerful medications, moni-tor and decipher the vital signs, andtreat the pathologies of each of yourpatients. At the end of a day, you knowyou have made a difference and you canleave your work at the hospital.

Lifestyle has never been an issue inanesthesiology: In practice you canwork hard or tailor your schedule to fita particular lifestyle. You do not have toround on patients unless you becomeinvolved in critical care, and you do nothave to fund and maintain a clinicunless you have an office based painmanagement clinic.

Reimbursement remains high and youcan make more if you want to work more.

Residency work hours rarely evenapproach the 80-hour workweek so youhave time to raise a family, moonlight, etc. Anesthesiology is one of the few fields

of medicine that allows you to seepathology from every field in adult andpediatric medicine.

There is a great deal of flexibility in

terms of what type of anesthesia youcould practice but at the same time youhave choices for fellowship training toaccentuate a particular skill set you maywant to possess and present.

Your skills are mobile and transferable.

You practice both practical andapplied critical care EVERY day.

Did I mention procedures?

I chose anesthesiology because itallows me to have options. I can acceptthe challenge and personal rewards ofcritical care but also enjoy a healthyincome and lifestyle that other fields ofanesthesiology provide.

Availability of jobs. That may changein the future but it certainly hasn't now.Even in heavily saturated cities like SanFrancisco, Los Angeles, Dallas, NewYork, etc., there are still plenty of posi-tions available.

Academic anesthesiology provides youwith good opportunities for clinical orbasic science research at the cost of lesscompensation compared to privatepractice anesthesiology but is still sig-nificantly higher than most of your aca-demic colleagues in other disciplines.

ConsAt times, you may have to deal withsome very rigid personalities on theother side of the drape - Paralysis andgiving blood is not the cure-all for everysituation.

Occasionally, you may get stuck doingvery long cases (12 hours plus).

Respect from other fields used to be anissue and may continue to be in somegeographic areas, but the higher qualityand quantity of residents choosinganesthesiology over the past few yearshas yielded stronger physicians that aremore actively involved in total perioper-ative care. That has led to a greateramount of respect shown by physiciansof other disciplines.

ConclusionDo not choose anesthesiology if youfaint at the sight of blood or if youronly goal is to achieve a comfortablesense of financial security. As with anyfield of medicine, your interest will dic-tate the level of competency youachieve. Do you want to be a physicianwho is borderline functional and finan-cially secure but unhappy or the physi-cian who feels challenged and contentand excels in a field but may or may notbe as well compensated as he or shewould like? If you are unsure of yourinterest, do a rotation at an institutionthat will give you the opportunity toexperience every aspect of the life of ananesthesiologist.

FAMILY PRACTICE

STEFAN MONTGOMERY, M.D.

ProsFamily Medicine is a great specialty forseveral different reasons. It does, how-ever, have drawbacks. One benefit is theability to see all age ranges. I love to seechildren but cannot see them all day, sofamily medicine is good for me com-pared to pediatrics. I also like to takecare of the elderly, but would not want


to do that all day. Family medicine givesme the ability to see all ages and givesme lots of variety. Family medicine alsoallows me to do procedures such as jointinjections, exercise stress tests, casting,circumcision, skin biopsy, cryotherapyof skin lesions, and suturing. I enjoy thewide variety of diagnoses that present.It keeps the day from becoming boring.Family medicine residency also is greatbecause you learn to deliver babies. Thisis one of the most fun times that some-one comes to the doctor for and it isgreat to be a part of this. Family medi-cine is also good because you can devel-op a special interest in an area, such assports medicine, diabetes, women'shealth, or obstetrics, and become a littlemore skilled in that area. Family medi-cine even has 3 areas where you can geta CAQ (certificate of added qualifica-tion)-geriatrics, sports medicine, andobstetrics. Finally, family medicineallows me to have continuity with mypatients, taking care of them over a longperiod of time. This gives me an insightinto their lives and helps me to developa relationship with them over time. It isgreat when someone comes in and says,"That's my family doctor!"

ConsFamily medicine does have a downside,however. The reimbursement for familymedicine is typically lower than for spe-cialists and the overall salary is lower.Since you do have to see a wide varietyof patients, you need to feel comfortablewith many diagnoses, which is some-times intimidating. Also, you can't knoweverything so you have to refer patientsto specialists, which takes some humilityto admit you don't know. Finally, familymedicine can be very taxing since youmay have to be on call and even do hos-pital work or nursing home work. Thiscan take time away from your familyand outside interests.

All in all, family medicine is a greatspecialty with many rewarding aspects.

ANONYMOUS

ProsIf you want to provide lifelong, compre-hensive healthcare, family medicine isfor you! It is so wonderful to take care ofa woman and her husband and to pro-vide her well-woman care, prenatal care,deliver her baby, then take care of the

baby as well. There is nothing like it!Also, the opportunity to be one of thefew specialties to practice preventivemedicine is really wonderful and fulfilling.

INTERNAL MEDICINE

LAURA MITTLEFEHLDT, M.D.

ProsIf you like playing detective and have avery active mind, medicine is the rightchoice. It challenges you everyday withnew puzzles and how best to solve themto improve your patients quality of life.Everyday is different, there is no monot-ony and also if you like to learn, it's afield that is ever expanding in knowl-edge in many areas as well. There is nodifficulty finding work. I couldn't believethe many opportunities offered to me sooninto my final year of residency.Medicine also allows you to open manymore doors down the road with fellow-ships in many subspecialties more sothan other fields such as ob/gyn or surgery.

ConsThe paperwork and practice of medi-cine in office can be cumbersome andtime consuming at times. The pay is notas high as many other specialties but thequality of life needs to be consideredwhen you make any choice in medicine.If financial reward is what you are driv-en by one can still earn well in manysubspecialties such as cardiology and GIafter completing medicine.

INTERNAL MEDICINE - RHEUMATOLOGY

SOHA MOUSA, M.D.Rheumatology Fellow, SUNY Upstate Medical University

ProsThe SpecialtyToday it is my belief that one needs tospecialize and even subspecialize in afield in order to "secure" oneself. Youwill be needed by the medical communityand by the community in general. Alsointernal medicine is very broad and byspecializing in a field you can begin tomaster a small part of medicine.

The PatientsIn internal medicine, the main populationthat you treat are the elderly. In rheuma-tology I see pediatric cases,


CHOOS ING A SPEC IA LTY: THE PROS & CONS


adolescents and young adults more frequently. I like the variety.

Multisystem Organ DiseaseI like rheumatology because of the complexcases that involve not just a single organsystem but multiple organ systems. Alsowe see a lot of dermatology cases andalways get consulted to treat them.

NeedThere is currently a shortage of rheuma-tologists and the need is tremendous.

Work HoursBeing a new mother and a full timephysician I can tell you life is busy!Everyday I am thankful that I choserheumatology as my specialty, becauseit is one of the more family friendly spe-cialties available.

ConsMoneyIt is a balance. I may not make as muchmoney as some of my other colleagues,but in return I have a better lifestyle.

OB/GYN

PATRICIA LEE, M.D.

Pros1. Working with female patients

(wonderful people!)

2. Involving both medical and surgicalfields

3. New mothers are really appreciativeof your help in delivery (gifts and thank you cards etc.)

4 Wide spectrum of patients (fromteenagers to postmenopausal women)

5. Opportunity for subspecialty (maternal-fetal medicine, urogynecology, reproductive endocrinology, family planning,gynecologic oncology)

6. Female empowerment

7. Respect from community

Cons1. Long hours and hard work

(but rewarding)

2. Liability (especially Obstetrics, up to 18 years after a child is born)

PATHOLOGY

CRYSTAL A. MOORE-MAXWELL, M.D.

ProsPathology is an amazingly stimulatingfield. We are involved in virtually everyaspect of medical treatment and deci-sion making, albeit behind the scenes.Every biopsy, every lab value, everyblood transfusion, every culture, etccomes through the pathology depart-ment. We are privileged to consult withall types of physicians concerning avariety of patient problems, prognosis,and treatment options. Because wepractice medicine in a consultative fash-ion to so many different specialties, weget a global view of the hospital, clinicand medical practice in the US at thistime. This makes us uniquely qualifiedto serve on medical boards, medical policymaking decisions, and to be decisionmakers on the best way to allocate funds andresources to best serve our medical commu-nities both now and in the future.

And if that were not enough, we enjoya lifestyle that is hard to come by inmedical practice. Hours tend to be veryregular. Call is usually taken fromhome. I have slept in my own bed everysingle night of my residency. As a wifeand mother with 2 very young children,time is of the essence. It is important tohave enough time to maintain a sane,stable, happy lifestyle outside of mycareer. Pathology makes this possible.While having a stimulating, excitingcareer, I can still enjoy time with my family.

ConsThere are cons for me in Pathology.Aside from performing fine needle aspi-rations, I have minimal patient contact.For many pathologists no direct patientcare is a benefit. I, however, enjoy inter-acting with patients and their familiesand still miss that aspect of medicine.Another con for pathology is that jobsare not as plentiful as with many otherspecialties. A few pathologists can covera lot of territory. It makes finding jobsin specific locations much more chal-lenging than specialties with more demand.

PEDIATRICS

RACHEL VOGT, M.D.Fellow, Women and Infants Hospitalof Rhode Island/Brown Medical School

Pros

Flexibility, opportunity to work part-time, rewarding relationships with chil-dren and families

ConsEarning potential not very high, a 40 hrwork week often extends to 60+ hrswhen paperwork, phone calls, and after-hours visits are factored in, slow pace,repetitive diagnoses (ear infections,colds, colic, behavior issues, constipa-tion) can cause burn-out, frustration ofexplaining that viral infections do notrequire antibiotics multiple times overthe course of the day, demanding par-ents. It is true when people say that it'snot the kids who wear you out in gener-al pediatrics, it's the parents!

PEDIATRICS - NEONATAL/PERINATAL MEDICINE

RACHEL VOGT, M.D.Fellow, Women and Infants Hospitalof Rhode Island/Brown MedicalSchool

ProsAcademically stimulating, option topursue research but also many opportu-nities to enter private practice, job mar-ket is extremely good, high paced andexciting, emotionally rewarding experi-ence with families of patients, excellentearning potential, autonomy, parentsgenerally do not challenge decisionsmade by critical care physicians as theydo in a general peds setting, rewardingto see premature babies many yearslater in follow up clinics.

ConsLong hours, unpredictable hours, fel-lowships are heavily weighed to researchdespite the fact that most fellows even-tually enter non-research private prac-tice positions, high malpractice insur-ance, high likelihood to be named inlawsuit at some point in career, emo-tional strain of dealing with the deathof infants.

PEDIATRICS - PEDIATRIC CARDIOLOGY

STEVE MILLER, M.D.

Pediatric cardiology is a very sub-spe-cialized area of Pediatrics. As is truewith many sub-specialties, the world ofa pediatric cardiologist is very differentthan that of a pediatrician, but in myview, much more exciting and interest-



ing. We deal specifically with all aspectsof congenital and acquired structuralheart defects, from diagnosis to treat-ment and follow-up. We obviously workvery closely with pediatric cardiovascu-lar surgeons; the best programs andresults occur when both teams workwell together.

It is relatively difficult to separate prosand cons, as many are very personalitybased. Here goes:

ProsThe "pros" of the specialty are many,including:

Cardiac defects are the most commonbirth defects, so there is a continuouspatient population

The specialty is very technologybased, relying on echocardiography, electrophysiology, angiography,MRI, excercise physiology, and other modalities to assist withdiagnosis and clinical decision making

The specialty is very procedure based,including cardiac catheterization,invasive electrophysiology studies,central line placements, etc.

There is a wide range of sub-subspe-cialties within peds cardiology: inter-ventional cath, echocardiography, excercise physiology, and cardiac MRI, to name a few. Also, there isambulatory general peds cardiologyas well. Therefore, you can tailor thescope of your practice to your interests.

There is huge potential for researchopportunities, both as a fellow and for a career. All fellows have to par-ticipate in research. Since this is a fairly young field, there is still muchto be learned and done in all aspects of the specialty.

We take care of very sick babies and children, and most of us see that asan advantage compared to general pediatrics

We have the potential of dramaticallyaltering a child's life for the better

ConsSome "cons" may include the following(realize that a lot of these may not becons, depending on your personality, etc.):

We work hard. As a fellow, I workMUCH harder than I did as a pedi-atric resident or medical student.Sick babies do not obey normal working hours; they are born in themiddle of the night, etc. and need someone in the hospital to take careof them.

If you don't like surgeons, then thisis not your specialty. We are veryclose to the surgical subspecialties, and many things that we do (cardiaccath, for example) are very surgical in nature.

Because of the surgical nature ofcardiologists, things are not as"warm and fuzzy" as in general pediatrics

We often take care of adults withcongenital heart disease, since weunderstand their physiology better than anyone else. If you really dislikeadults, then this may not be right for you.

Many of our patients die. This is not the norm in pediatrics, and it is sometimes very hard to deal with.

I feel the pros definitely outweigh thecons. In summary, people who like pedi-atric cardiology:

Like taking care of very sick children

Do not mind working hard and longhours

Often think very surgically

Like technology, computers, etc.Like invasive procedures

PHYSICAL MEDICINE & REHABILITATION

WILL MOORE, M.D.

Physical Medicine &Rehabilitation: The Field of HopeMedical school is a journey of self-dis-covery. As you progress from basic sci-ence to clinical rotations, you find thereare subjects that interest you.Orthopaedics, cardiology, pathology, toname a few. Learning the discipline'ssubject matter necessitates opening text-books and reading page after page offacts. These facts were learned throughconstant observation and experiment,at times also trial and error. A second

part of learning a discipline involvesapprenticeship. Spending a few weeks ina specialty can relay a gleam of insightinto its reality, but much of a medicalspecialty must be taken on faith. It isimpossible to truly know what the prac-tice of surgery or internal medicinewould be like based solely on a medicalschool rotation. I believe the third partof the equation is the most important.The third and final element is theapprentice. Knowledge not only ofmedical interest, but life interest, is crit-ical for a medical student. As I wentthrough medical school, I was sure Iwould become an orthopaedic surgeon.I found myself in personality clasheswith orthopaedists, preferring clinic tothe operating room. The thought ofscrubbing in on twelve-hour pelvic sur-geries was less than exhilarating. Yes, Idid love biomechanics and muscu-loskeletal anatomy, but I needed to askmyself what gave me the greatest satis-faction as a physician.

Being honest with myself, I foundpatient relationships and functionalrestoration were the answers. I regrettedthat orthopaedists did not have much todo with the rehabilitation of injury afteranatomy was fixed. They would sendpatients home for therapy, or to "reha-bilitation centers," of which I knewnothing. Connection with patients wasvery minimal, especially a trauma emer-gency at 2:30 AM. Orthopaedics didnot seem to be right for me. I consideredneurology, but the areas of the field Ienjoyed (stroke, neuromuscular disease)were ones focused on diagnosis, very lit-tle in the way of treatment. Psychiatrywas enticing due to its focus on thepatient and using conversation for med-icine. However, I felt very uncomfort-able with acute psychosis, and in manycases it seemed like psychiatry wantedto identify biological roots for condi-tions, minimalizing therapy throughwords. I wanted a synthesis, an amalga-mation of these fields in one. Howcould I do it?

It was at this point, when I seemed toknow myself, that I found another enti-ty in medicine. Physical medicine andrehabilitation, or physiatry, seemed toencompass parts of all three disciplinesI enjoy. Specialists in this field work onindividuals with traumatic brain injury,stroke, spinal cord injury, orthopaedicinjuries, and cancer. Each person's lackof function is the issue, and how their



impairments impact living. A cancerpatient for example, may be dealingwith severe fatigue and also edema fromsurgery or adjuvant therapy. A rehabili-tation specialist would prescribe medi-cine, therapy, or equipment (compres-sion stockings) to help deal with theseproblems. A physiatrist must under-stand the physical and psychologicalnature of disability, and be cognizant ofspecial needs of certain populations.For example, a traumatic brain injurypatient may need help with agitationand behavioral modification, while apatient with paraplegia may need helpwith wheelchair prescription andbowel/bladder hygiene. All interven-tions are directed toward optimizing apatient's quality of life by promotingindependence, self-reliance, and psycho-logical well being. Physiatry's strength isin its diversity. I love the fact that thereare so many varied populations that canbe helped by our interventions. Withinpatient rehabilitation, physiatristslead a team of professionals includingsocial workers, neuropsycholgists, phys-ical therapists, occupational therapists,speech therapists, and nurses. The teamapproach to a patient gives each special-ty the responsibility of one aspect ofrehabilitation. For example, physicaltherapy works on mobility and trans-fers, while nursing helps coordinatebowel and bladder hygiene. The physia-trist monitors medical concerns, such ashypertension, diabetes, and anticoagu-lation. He or she also meets once a weekwith the entire team, always beingupdated about patient progress (or lackof) in all areas. Should problems arise,the ensemble team works to overcomeadversity. Spinal cord injuries, totalknee and hip replacements, traumaticbrain injuries, and strokes are commondiagnoses, as well as neuromuscular dis-orders. As an outpatient clinician, reha-bilitation doctors help address chronicmusculoskeletal complaints. Sportsinjuries, industrial injuries, back pain,and rheumatologic diseases are com-mon entities. The physiatrist againfocuses on function and quality of life,prescribing detailed therapy programsbased upon understanding of muscu-loskeletal and neurological anatomy.Also, medicine, orthotics, and prosthet-ics are prescribed.

Physical medicine and rehabilitationhas many positives. It is an expandingfield with demand that greatly exceedssupply. It is not difficult to be gainfully

employed. Lifestyle is very controllablerelative to other specialties, and thereare very few emergencies in this field.This aspect of rehabilitation helpsphysiatrists enjoy family and avocation-al activities. Although slow, recovery isoften visible in patients, as when a 21-year-old brain injured patient begins toregain arm mobility or swallow reflex.The specialty focuses on the person as awhole, both mental and physical, whichis a change from most other medicalfields. And, given the breadth of thefield, a physiatrist has many options forpractice. A physiatrist can performinpatient work as director of a rehabili-tation unit. Outpatient physiatry can bein a group practice such as anorthopaedic or neurosurgery clinic.Also, procedures such as spinal epidu-rals or EMG could be the backbone ofa week's work in private practice. Thechoices are vast.

Rehabilitation medicine is not withoutdrawbacks, and many of them aredependent on the personality of thephysician. Change is slow and gradual,and there is no "cure" of disease. Thespecialty optimizes conditions allowingpatients to have the utmost dignity andindependence possible. Other specialtiesdo not know what physical medicinephysicians do, and may not know whichpatients to refer. Part of a physiatrist'sjob is to promote understanding ofrehabilitation to other medical fields. We must educate referring specialties asto the appropriateness of patients, sothat rehab is not thought of merely as away to discharge patients. Inpatientrehabilitation can be difficult, with onephysician needing to run a large unit oftwenty to thirty beds at a time. Timespent with the patient can be short, andthere never seems to be enough time toactively work with them in daily thera-py. In outpatient settings, dealing withthe worker's compensation system andlegal matters can be difficult and time-consuming. Lawyer depositions and tes-tifying on the stand can take much of aphysiatrist's day. As for treatment, pre-scription of therapy is only effective ifpatients perform it, and non-compliantpatients seeking merely pain reliefthrough medicine can be a challenge.And, there are some diseases whererehabilitation interventions can notimprove situations, such as ALS.Rehabilitation medicine is not for every-one. A person must enjoy forming abond with their patient, and be willing

to understand their life in its entirety.Aspiring physiatrists must be satisfiedwith small improvements over weeks tomonths, and understand that the focusis "care" and not "cure." They must becomfortable with disability, both mentaland physical, and be creative in theirmeans to achieve success. A physiatrist'srole is to optimize function, therebyrestoring quality of life to their patients.Even though the disease may be incur-able, it does not mean the person'simpairments are fixed. My greatest tri-umphs are taking those injuries thoughtirreparable, and through rehabilitationendow the greatest gift of all...hope.

MICHAEL PINCKNEY, M.D., CFTThe Fitness Physician, Chief Resident,Emory University School of Medicine

ProsBroad diversity of practice

Focus on functional improvementExtremely rewarding and fulfilling

Deals with patients in a comprehensiveand holistic manner

Great lifestyle

ConsLack of recognition by other specialties

No one "organ system" to claim as it's own

A growing demarcation between the"physical medicine" aspects and the "rehabilitative" aspects of the field

PLASTIC SURGERY

CHARLES W. PERRY, M.D.

ProsI am doing what I truly love to do

Plastics offers a variety of proceduresand areas in which to specialize, with spectacular results that are in the public eye

Lots of opportunity for research

Lots of practice opportunities

Easy to find work

ConsI am not home with my wife andtwo children



Very demanding patients and no room for failure

Money driven field, everyone (ENT,Ophth, OB/GYN, Derm, Aesth, GS) thinks they are plastic surgeons/ cosmetic surgeons and give the field a shady name that is frustrating to deal with

RENATA WEBER, M.D.

I am in the field of plastic and recon-structive surgery. I always knew I wanted todo something in surgery, but I wasn'tcompletely sure while in medical school,so I want to let med students know thatit's OK if you don't know from day onewhat you want to do. It's nice to haveyour life planed out, but it doesn'talways work out the way you plan, so beflexible and open to new ideas.

The best piece of advice I got whentrying to choose a specialty was from amedicine attending during my 3rd yearclerkship. She said to look at what thejob, lifestyle, the routine day, types ofpatients ...etc that the attending in aparticular specialty has and try to figureout which one do you think you canstand doing day in and day out. In everyfield of medicine and surgery there areexciting cases, or cool procedures, orunique outcomes... but those are theexceptions. See what the boring routineis and decide based on that. Also, don'tlook at what the residents are doing.Residency is limited, it's not the rest ofyour life, even if it may seem so (andbeing in my 10th and final year of train-ing, I know of what I speak!). An easyresidency may seem like a bonus, butyou may not like what you've trained to do.

Don't' be scared off from doing whatyou like. This is directed especially towomen going into a field traditionallymale dominated, as in surgery. Thework is hard and hours long, but withthe 80 hr work restriction, it's not thesame intensity that it used to be. Thereare many more good role model womensurgeons now than in the past.

We all spend a huge amount of time atwork. If you don't like what you do, youwill be miserable everyday, and that isnot good for your mental well being.People will not want to be around you.I know unfortunately a few surgeons

who should never have been surgeons.These individuals are miserable, makethe people who have to work with themmiserable, and ultimately the patients,the staff and colleagues suffer.

If I had to do it over again, I wouldpursue the same specialty. I love thediversity of plastic surgery as well as itsattention to detail. I treat old andyoung, men and women, no one isexcluded. I enjoy coming to work everyday.

PREVENTIVE MEDICINE

HEATHER LAMPEL, M.D.Occupational Medicine Resident

ProsUnderdog specialty, possibly up-and-coming. You learn the medicine of botha population and the individual.Master's of Public Health is part of thetraining. Many venues in which towork. Research opportunities are huge.Great pay, no call, no weekends-lifestyle choice is a major draw.Respected as a specialist, trained in abroad sense of medicine. Can enterafter PGY1 year. Liability is much lessthan other specialties.

ConsUnderdog specialty. Not much of adoctor-patient relationship, less proce-dures. Not many people know what theheck you do. You can refer a lot, unlessyou feel comfortable handling specifics.Sounds like you may be in some worker'scomp cases in court as expert witness(Could be a good thing if you are into that) .

NICOLE MIHALOPOULOS, M.D.Fellow in Adolescent Medicine, University of Rochester in Rochester (Completed combined Internal Medicine/Preventive Medicine residency)

ProsThe most significant pro's I can think ofregarding this career choice are the flex-ibility and the many options I will haveduring the job-hunting process. I origi-nally selected this career path as afourth year medical student with theintent of taking a job as a medical direc-tor in a small county office of publichealth. In this position, my focus wouldbe on adolescent preventive health andhealth promotion services. Now that Iam nearing the end of my training path,I am grateful for the flexibility it allowsin terms of selecting a job. I will be

board-certified in 2 specialty areas(Internal Medicine and PreventiveMedicine) and 1 sub-specialty certificate(Adolescent Medicine). With this train-ing, I can work as a general internist, inan office of public health, in a school ofpublic health, as an AdolescentMedicine sub-specialist, for the govern-ment (Centers for Disease Control, U.S.Dept of Health and Human Services,etc.) or for a medical organization, suchas the AMA and I'm sure many otheropportunities I haven't considered.

There is an enormous demand forPreventive Medicine-trained and InternalMedicine-trained physicians. Salaries inPreventive Medicine are not as substantialas those in clinical medicine, but thehours are not as demanding either. Mostjobs in Preventive Medicine are with gov-ernment agencies, so holidays are alwaysdays off and the benefits are competitive.

In Preventive Medicine, finding aprogram that will pay for the Mastersin Public Health is important, unlessone has the funds to pay for this degree(about $15,000) either through privatefunding or the military.

A combined residency program in InternalMedicine and Preventive Medicine is 4years. At my program, the first twoyears were strictly dedicated to InternalMedicine, the 3rd and 4th years werePreventive Medicine practical experiencepart-time, MPH curriculum part-time andthen 3 months of Internal Medicineelectives each year (total of 6 months),while continuing to see patients in a once-a-week Internal Medicine continuity clinic.A little thought about that schedulereveals that there was no on-call timeduring the 3rd and 4th years of the residency.There were also no weekends (peopledon't work weekends in the office of publichealth or in the administration at theVeterans Affairs hospital). So, if you arewilling to put in the extra year for a secondspecialty, the combined residency is agreat deal.

Both Preventive Medicine (residency)and Adolescent Medicine (fellowship)offer many opportunities for researchand learning how to be a better researcher.

There are a limited number of peoplein Adolescent Medicine who areInternal Medicine trained. This has itspros and cons. The biggest pro is thatInternists are better trained to handlethe adult issues that older adolescentsface. The con is that most Adolescent



Medicine programs are pediatric-basedand do not have internists on their faculty.Also, I found that several want theirtrainees to complete 3-year fellowshipsrather than the 2 years approved of bythe American Board of Internal Medicine.

ConsAs I mentioned above, the salaries inany of these areas are not as high as inother medical specialties (usually thosethat are procedure-oriented) and thereis a possibility that tuition for the MPHwould come out of personal expenses (Ihad 2 opportunities for tuition to bepaid by someone else. Unfortunately,they came at the wrong times during mytraining). The time commitment is greatfor a job that doesn't pay as much asother 6-year training paths (surgery,cardiology, pulmonology, etc.).

Am I glad I chose this career path?Definitely. Would I do it again? Most likely.

PSYCHIATRY

VAMSI GARLAPATI, M.D.Fellow in Addiction Psychiatry,Cincinnati VAMC/Univ of Cincinnati-College of Medicine

Greetings! First let me offer congratulationsto you for making it this far. Medicineis a challenging profession and offerswide variety of intellectual stimulation.I've recently completed an ACGMEaccredited residency program in generalpsychiatry and will be completing a fel-lowship in addiction psychiatry, whichis sometimes also referred to as a sub-stance abuse fellowship. I hold unrestrict-ed licenses to practice medicine in thestates of Kansas and Ohio. The purposeof my writing today is to introduce psychia-try as a medical specialty to you.

I have noticed a variety of reasons whymedical graduates choose psychiatry.These reasons include but not limited toan acceptable life-style, competitivesalaries, and ever-growing demand. AsI understand from a recruiter the ratioof graduating residents in psychiatry tothe available jobs is 1 in 10. Historicallypsychiatry progressed to an attractivelevel of sophistication in categorizingthe illnesses. Continuous explosion ofsecond-generation antidepressants andantipsychotics further reinforces thedomain of this specialty. In addition tothe psychopharmacologic inventions,there is tremendous amount of research

that is being done in the areas of neu-roimaging, neuropsychiatry and theresearch is slowly expanding into thegenetics of various psychiatric illnesses.

From my personal observation andexperience in teaching medical students,I'm fairly certain that your rotation inpsychiatry may generate a negativecountertransference due to a variety ofreasons such as the setting of the rota-tion itself and your own dynamics.Psychiatry as a specialty offers manyobjective features that are frequentlynot envisioned by the medical studentsduring their rotations in the third orfourth year of medical school. As apsychiatrist you apply the art and sci-ence of medicine in equal proportions.Patients are usually approached using abio-psycho-social model which whenappropriately used can facilitate opti-mal patient outcome. I'm particularlythrilled and satisfied when I'm able tomanipulate the brain chemistry eitherby medications or a combination ofmedications and non-pharmacologicalinterventions. I'm certain you will bethrilled as well. Best wishes for yourfuture endeavors.

SURGERY

RAMI EDWARD LUTFI, M.D.Instructor of Surgery, Minimally Invasive Surgery, Vanderbilt University, School of Medicine

Why surgery?

It has been a little more than fifteenyears when my dad's friend, an orthope-dic surgeon, got me permission to gowith him to the operating room. I neverthought that day would change my life.As a high school student doing verywell in math and physics, I alwaysthought that computer or engineeringwould be my backup plan if I don't gointo pharmacy school as mom and daddid and take over a very successful andprofitable family business.

That morning, as I walked into theoperating room, I felt as if I'm leavingreality to step into a fantasy zone. It wasa relatively crowded room, I remembereveryone talking at the same time, butsomehow the surgeon's voice wasalways clearly heard by everyone, andhe really looked like "THE MAN!!" Hewas standing in the middle; the patientwas asleep in complete confidence with

his body, and really his life lying open inbetween this man's hands. I was stand-ing in the corner afraid to touch any-thing and probably afraid to breatheafter all the warnings I had. I was star-ing at this man… and I rememberthinking to myself: this is exactly what Iwant to be.

Since then it's been a long, interesting,and yes of course sometimes-painful jour-ney. It started thousands of miles away.I left my country, my family, my friends,and came here with a dream and a fewbucks in my pocket. This journey has justcome to an end a few days ago when Ipassed my boards to finally become a BoardCertified Surgeon. I realized then morethan ever that it was worth every moment.

So why surgery, why going through allthis…everyone talks about the latenights, long hours, and the life style…isit worth it?

Surgery is different than any other pro-fession. Normally, to choose a job, itsadvantages should outweigh all the dis-advantages; surgery doesn't go thisway…it's not really "just a job:" to be agood surgeon, you really should have apassion for operating. Surgery is thefield where art and science unite togetherto cure diseases and alter lives for thebetter. To be a "doctor" and I mean in amedical specialty such as internal medi-cine, or pediatrics is a great thing sinceeach patient will pose a unique clinicalvignette or a dilemma that you have tosolve. Now the beauty of being a sur-geon is that solving these problems isnot done by asking patients to altertheir life style or take some magic med-ication; instead, the surgeon would bethe way for cure through knowledgeimplemented by the art of surgery. Inmy opinion, treating patients is great,but nothing could be more gratifyingthan being the one actively performingthis treatment through operating ratherthan depending on medications, radia-tions, or any other mean of therapy.

If you have this passion, and only then,you should start thinking of the detailsof doing this for living. Surgery overdecades has picked up a harsh reputation.Its name became associated with bigwords such as bad life style, long hours,and so forth…this was in part due tosurgeons in the past falling in love withthe art of surgery to a degree where itchanged from being a job to becoming a

hobby…this means they operated tomake a living, and for fun…they also oper-ated. In my opinion this is what reallywas the problem if we can call it so.

So can you have a happy life being asurgeon? Balance is the way for successin everything in life. Knowing your limitwould allow you to determine howmuch work or operating you can do.The more you do, the more money youmake, but again, the concept of balancecomes in the equation. Once you deter-mine that fine zone between work, life,and money, you will in my opinion be inthe comfort zone where life will beenjoyable doing the work you love, andbeing appropriately rewarded for it.

But what about the life style in trainingyears, the years of youth no one wantsto waste lost in the dark hallways ofhospitals? It is probably known to everyone reading this book the majorchanges we implemented to our trainingsystem here in the United States.Enforcing the 80 hours work rulechanged forever the face of GeneralSurgery Residency. Although, in mydays taking every other night call ontrauma had the only problem of loosinghalf the cases on our off days, this isclearly not the way to go by training theupcoming generations. The way wethink about surgical training is radicallychanging every day; there is a strongmovement to provide a healthier atmos-phere for trainees at work as well asassuring that work load would not com-promise their life outside the hospital.

These changes although still in theirearly phase, we are starting to see theirimpact in our residency programs. Afterreaching the nadir point in both thenumber of applicants to general surgeryprograms and the fillings of spots byUS graduates in the early 2000's, thesenumbers are on the rise again afterimplementing the new 80 hours workrule with more women applying, andmore spots filling to reach almost com-plete filling after the 2004 match.

Reimbursement has been historicallyone of the better aspects in surgery, withsurgeons almost invariably makingmore money than to know what to do

with. Over the last few decades reim-bursement in health care in general, andspecifically in surgical specialties, tookmany major hits, with new laws andguidelines constantly emerging to con-trol the billing process and many timeslimiting to a large degree the monetarycompensation for any operation a sur-geon can perform. And to make mattersworse, litigation is becoming more of aproblem in every doctor, particularlysurgeon, practice. This caused the costfor malpractice insurance to go sky highcausing many surgeons around thecountry to actually close their practicedue to their inability affording officeexpenses and malpractice fees in theface of a more limited income.

As horrible as this sounds, andalthough surgeons would probablynever make as much money as they didin the old days, it is still a fact that themost money making practices are theones where lots of procedures are done,and this is obviously the case of generalsurgery practice.

To summarize I would say that we aregoing into a health care crisis in thiscountry; changes are happening eachday in the way that medicine is beingpracticed, and although in the twentyfirst century being in business or in lawcan sometimes be more glamorous andprobably more profitable, being a doc-tor is still the most noble job any onecan have. It is, and it will remain the joblooked up to more than any other.

Mixing that amazing science withaction, art, and technical challengewould take this up one more step toreach in my opinion the best, mostrewarding job a human being canhave….SURGERY!!

TAHIRA F. MIRZA, M.D.Massachusetts General Hospital

From A Dot on the Map,Published with permission of the author

Most of you probably will not knowwhere Rawalpindi is, formerly known asRoyal Pindi. It is a city located between theprovince Punjab, and province Kashmir,and bordering the capital Islamabad. Thatis where I did my medical school.

I was 18 years old, reading anatomy oneevening when it occurred to me that Iwanted to become a surgeon.

In a country where the majority ofmedical students were female and rapid-ly increasing in numbers I wonderedhow strange it was that I had nevercome across a female surgeon?

I met with one of mother's uncles whohad been in the second world war, andhe told me about a woman surgeon hehad met, who had operated on someonewith a gunshot to the abdomen, and hiswords were "to that day I had neverrealized that a woman could be a sur-geon," and he told me how she had gonethrough that patient's entire abdomen,the exploratory laparotomy.

I met with the late Dr. Edward J.Beattie, (cardiothoracic surgeon) oneevening in New York, and he took meseriously when I told him I wanted tobecome a surgeon. His words on thesubject as well as answers to my ques-tions were, “You have to be deter-mined,” “do not let any one talk you outof it,” “yes women can become verygood surgeons, if you're good, you'regood, and you have small hands.”

So here I am today, completed a generalsurgery residency, from Michigan, cur-rently completing a surgical critical carefellowship, in Massachusetts, and off toa Trauma fellowship in Connecticut forthe next academic year and have neverregretted a day ever since.

The message to all of you out theredeciding on the choice of a specialty isthat, firstly chose the specialty you reallywant to do, do not let people influenceyou negatively on your choice, or talkyou out of it. If your significant other isgiving you a hard time about it, thinkabout how significant that individualreally is, would they be talking you outof something that was of significance to you?

Individuals are most productive whenthey do something they like, so use yourintellect in that particular field. Thetime will pass any way.

Good luck in your endeavors.



WHAT I KNOW NOW

Current residents, fellows and new physicians reflect on topics of importance to medical students and share the benefits of what they have learned from experience


WHAT I KNOW NOW ABOUTTHE FIRST YEAR OF RESIDENCY...

BEAU M. ANCES, M.D., PHD Neurology Resident, Hospital of theUniversity of Pennsylvania

Internship has changed greatly since Icompleted it only two years ago. Alterationshave occurred due to the implementationof an eighty-hour workweek. I believethat these changes have led to a greaterhomogenization of internship programsthroughout the country. Previously anumber of programs could sell them-selves due to their lighter call scheduleand greater flexibility. With the newchanges in place this distinction hasblurred. I believe that a medical studentthat is interested in pursing an academiccareer should now pursue a programthat allows this individual to have agood well-rounded exposure to multiplefields. This diversity will allow the futurehouse officer to have a broader depthand appreciation of multiple specialties.

The first year can be quite intimidatingto anyone. Previous exposure within acontrolled environment as a medical studentcan make the transition smoother. Internsshould realize that they are not expectedto know all the answers. If an intern iswell organized and efficient a positivelearning environment can be present. Internsshould attempt to continue to pursueinterests outside of the hospital to ensureemotional and physical well being. Bondingwith fellow interns should be attempted topromote a greater sense of community.

ANONYMOUS

It's hard work, long hours, grunt work,lot of hands on experience. You're justtrying to survive.

JENNIFER CHAPMAN, M.D.

Although having a pager seems prettycool, it becomes a burden pretty quick.

The most important thing I know nowabout the first year of residency is thatit is truly a learning experience. No oneexpects you to be a full-fledged doctoror know everything about medicine.What people from the patients to theattending physicians expect is that youwill be honest and thorough. You needto evaluate the patient every time youget a call especially in the beginning andthink of all the worst case scenarios thatcould be causing the problem i.e. fever -think pneumonia not atelectasis, tachy-cardia - think heart attack not pain etc.Then rule the worst case scenario out byevaluation - example, a 25 year femalewith tachycardia most likely is not hav-ing an MI so you can rule that differen-tial diagnosis out and try to check otherthings that might be causing the tachy-cardia, but a 55 yr. women with tachy-cardia - you need to check an EKG andtroponins and ask about cardiac symp-toms as well as look into other reasonswhy the patient has tachycardia. Myworst mistake as a 1st yr. resident wasabout 6 months into my internship Iwas called to see a 70-yr. patient whowas having mental status changes. Hehad been given some ativan earlier inthe night because he was anxious. I sawhim and attributed his confusion to theativan dose he was given. I did no fur-ther work-up and went back to sleep.The next morning the chief residentcame in and called me to see the patient.She was very mad at me because I didn'twork up the patient's confusion more -it turned out that he was still confusedand that his wbc was elevated. What Ilearned was we don't need to know theexact reason for every abnormality inour patients but as a first year you areexpected to get the ball rolling by start-ing the evaluation and then you need tocall your higher ups (sr. residents andattendings). Assumption is never goodwhen it comes to medical care and ittends to get you in trouble - always eval-uate the patient thoroughly.

During the first year, there is a lot of"scut work." If you approach your firstyear as if you are too good to do scutwork, it insults the senior residents andattendings that were in your same shoesa few years earlier. Instead if you approachthe work as just helping the medicalteam and the patient, then you will feelbetter about it and your seniors willtruly appreciate you. The more the sen-iors and attendings appreciate you, themore they let you do especially in atechnical field such as surgery.

Finally, the first year is hard -- it’s hardto be flung out from medical school allof a sudden responsible of taking careof multiple patients with multiple prob-lems that you hardly have a grasp on.Use the people around you - call phar-macy to discuss appropriate medica-tions or nutrition to help you with TPN,learn from the nurses - they can teachyou a lot about how to work up andtreat patients (especially late at nightwhen you don't have many physiciansaround you), always be friendly with theunit secretaries - they can make thingsvery easy or hard for you when you aretrying to order things for your patient,and everyone hates the ER - it's a fact oflife in medicine. However, at the end ofyour first year, you will have accom-plished a lot and you don't even realizehow hard it is to be a senior resident.

AYODELE ERINLE, M.D.Associate Chief Resident, St. AgnesHealthcare, Baltimore, MarylandLike every fresh intern, I had anticipatedstarting my first year on a flying colorwith great hopes and expectations, how-ever I soon found that the reality of thefirst year of training is often underestimated.

A first year resident is often the front-line physician in patient care and manytimes is faced with moments where theyhave to make the first decision in patientcare issues.

be a good listener and an effectiveleader. It pays to make friends with allof the hospital staff you work with -- itwill make things much easier for you. Becourteous and kind, smile, eat lunchand/or dinner, hold a patient's hand,and lend an ear to a troubled colleague.Be fair and non-judgmental. Go theextra mile for a patient in need. Learn todeal with others - medicine is a worldfilled with strong personalities. Balanceis key. Be happy in all that you do, forbefore you know it, you will be a resident!

WHAT I KNOW NOW ABOUTCHOOSING A SPECIALTY...

BEAU M. ANCES M.D., PHD Neurology Resident, Hospital of theUniversity of Pennsylvania

My choice for a final career was deter-mined by multiple factors. When I start-ed medical school I had always beeninterested in how the brain functions.Throughout the basic sciences thismotivation was strengthened. However,when I started clinical rotations I keptan open mind and explored other fields.Despite observing interesting attendingsand patients in many areas I was drawnto neurology for many reasons. Ienjoyed the camaraderie of the resi-dents and the existence of a close senseof community. What excited me was theneurological exam and how subtlenuances could assist the examiner inlocalizing a lesion. Also, I viewed neu-rology as a field having countless ques-tions that were waiting to be answered.

I have now completed over half of myresidency and have had only a greatexperience. I would suggest that medicalstudents investigate multiple fieldsbefore choosing their final career path.Students should follow not only resi-dents but also junior and senior facultyto gain a greater appreciation of possi-ble paths that can be pursued. Studentsshould try to find an advisor that theycan trust and who will assist them ontheir journey. I would also advise med-ical students to choose an area that real-ly invigorates them and constantly chal-lenges them not only now but also in thefuture. The field that they chooseshould have multiple possibilities notonly financially but also educationally.


What I know now about my specialty -general surgery...No matter what - 80-hrworkweek or no 80-hr workweek, a lifein general surgery is difficult. However,it is an incredibly rewarding field andvery stimulating. General surgery edu-cation is going through a lot of changes.It is very hard for programs to balanceformal education time with patient careand surgery. Most of the programs inthe US are working on creating moreorganized and specific times devoted toteaching core curriculum subjects. Inthe old days, there was a lot of timebetween cases, and surgeons would dotheir teaching on long ward rounds orsee consults with the residents. Nowadays with financial demands, there isnot much time for the academic surgeonto teach other than in the OR at sched-uled conferences. With the 80-hr work-week, education will also be on theshoulders of the individual residentmore and more. My advice is to reallyfocus your reading on the cases you areseeing. The first 2 years use textbooks(Sabiston, Cameron, Greenfield) andread on the common topics you are see-ing in clinic and surgery (biliary disease,hernias, breast cancer, colon cancer).After the 2nd year, start reading articlesin journals on interesting cases, look atthe atlas and memorize how to do thesurgical steps, and each time you see acancer, practice the staging and treat-ment of that stage. As a senior resident,reconfirm your work-up, staging, surgi-cal treatment, and post-op care in eachpatient. Write it down in a notebook ifyou are able to. This is the best prepa-ration for the written and oral boards.

As far as technical skills, the first 2years practice, practice, practice. I usedto take suture home and practice tyingwhenever I had a free moment (i.e.watching TV) and I would take oldinstruments (clamps, needle drivers)and practice using them just so myhands were comfortable with the instru-ments. If you do that you will lookgood and not need any further practice.The hard part is knowing all the steps ofa surgical procedure. I would writedown all the steps especially complicat-ed or unusual procedures. Include thepatient position and instruments used.This will really help you when you areout on your own.

Final word, forgive yourself --- generalsurgery residency is hard. You willwork long hard hours (even 80-hrs non-stop is tiring). You will have extremelife-threatening situations such as trau-mas or tension pneumothoraces inwhich you are the person in charge andhave to stay calm to take care of the sit-uation. You will have people be unap-preciative, disrespectful, and demand-ing. At times, you will feel like you can'ttake it or it isn't worth it. However, forthose of us who really love the field ofsurgery, we know there will always be atomorrow and there is nothing betterthan performing surgery.

ORIT OPPENHEIMER, M.D.

All throughout medical school I gravi-tated toward the surgical specialties.The operating room had an atmosphereall its own. Only our eyes to rely on forcommunication, a new language arose.It was exciting, stimulating, and elitist.And the question that I awoke withevery morning was "Do I really wantthe life of a surgeon?" Everyone wouldsay follow your heart and your life willaccommodate. So I went to an elite pro-gram my 4th year of medical school fora surgical elective. I loved it and walkedaway with honors. For back-up purpos-es (I always believed in having a plan B),I did away rotations in Pediatric inten-sive care, thinking if the surgery didn'tfollow through, I would pursue thepediatric specialty route.

I applied to both residencies. I spentnights filling out personal statementsand applications and my trips to thepost office were many. During my sur-gery interviews, the attending I hadworked with closest, who had spenthours teaching me in the operatingroom, told me he thought I was makingthe wrong decision. He told me thattoday my life is surgery, but one day Iwon't feel the same, and will regret thisdecision (needless to say, at the time Iwas single and not a parent). You canonly imagine how furious I was. Ragingwith anger. I was counting on this pro-gram, as they knew me far better thanthe other programs. I was not accepted.

I did my pediatric residency and lovedevery minute (almost every minute) ofit. I then went on to do a fellowship

WHAT I KNOW NOW



WHAT I KNOW NOW

in Pediatric Hematology/Oncology.Regrets? Not one. Today, married and aparent of 1-year-old twins, I wish Icould go back and thank him. I had the"surgery" in me, but he has probablyseen many like me, and knew the differ-ence when I didn't.

Some of you may read this and think Iwas done a disservice. Some of you maythink I was lucky. My take home mes-sage is listen to people who get to knowyou. If I really wanted surgery, trustme, I would have pursued it till the end.I didn't. Medicine is a way of life, not ajob. Choose your path wisely, becausethere is a world out there that you maywant to pursue as much as you want topursue medicine.

WHAT I KNOW NOW ABOUT THE MATCH...

BEAU M. ANCES M.D., PHD Neurology Resident, Hospital of theUniversity of Pennsylvania

I believe that the Match in its currentstate still benefits the medical student.First the student should decide whatfield to pursue. Advice should be gar-nered from pervious applicants, resi-dents, fellows, and attendings. After adecision is made applicants shoulddecide if they are interested in a resi-dency that is within an academic settingvs. a community environment. Otherfactors such as family situation or per-sonal preferences should also be includedwithin this decision. A relatively selectnumber of institutions should be chosen.The total number of applications mayvary according to the field chosen.Upon acceptance of an interview applicantsshould try to schedule a reasonable numberof interview sites as both expenses and timemay be limiting factors. Only institutionsthat applicants interviewed at should beranked. Applicants should actively try tomeet residents at the institution they visit.These individuals can be a great resourceand at some institutions are involved inthe selection process. The Match can bequite stimulating and allows the appli-cant the ability to not only meet fellowcolleagues but also meet leaders withintheir field at a number of institutions.

GHAZWAN SHARABI, M.D.Chief Resident, Anatomic and Clinical Pathology

What I know now about the Match isthat it is a stressful event that everyonehas to go through.

ANONYMOUS

What I know now about the Match - rankonly the programs you want to go to.Never settle.

WHAT I KNOW NOW ABOUTFINANCING MEDICAL SCHOOL...

SONGHAI BARCLIFT, M.D.

What I know now about financing med-ical school is that one should avoid longcommitments that may limit your careerchoices. I applied to medical schoolwith the idea that I could not pay for myeducation. I also did not want to incur alot of debt as I had loans from my pri-vate undergraduate education. BasicallyI had two choices. To attend medicalschool in my home state for only 5k ayear (tuition only) or join the military inexchange for books, salary and tuition.The caveat was that I had to specializein primary care and I would owe eightyears of service after residency.

In general if it sounds too good to betrue, it probably is. I opted to join thepublic health service. Luckily, I decidedon ob/gyn, which was considered pri-mary care. However, I would have likedto explore other specialties such as urol-ogy, which was not an option. Mindyou, you are asked to make decisionsabout the type of practice long beforeyou hit the wards. It is difficult to makean important commitment like thatwithout having first hand knowledge ofthe demands of various specialties/sub-specialties. Secondly, now that I am fin-ishing residency and will begin my payback my social situation is totally differ-ent. When I made the commitment Iwas single and without children. I hadtraveled a lot and the thought of mov-ing around the country every threeyears was acceptable. However, now Iam married with children and my hus-band has a career. So moving around isextremely inconvenient and disruptiveto my family. As a student money wasmy primary concern and source ofstress. As a doctor with a husband whohas a lucrative but demanding careermoney is no longer a concern. At thispoint in my life time is my primary con-

cern. In retrospect I think taking outloans and having more options wouldhave been a better choice.


What I know now about paying formedical school is that it is truly a nui-sance. If there is a good state medicalschool, then go to it because the privatemedical school tuition are getting to beridiculous. The majority of physicianshave moderate to large medical schoolloans. The first 2 years in residency youcan defer your loans. However, youstart getting the mailings that you aregoing to have to pay after your 2ndyear. If you can look into an economichardship deferment - this gets a defer-ment for an extra year with no interest.But then you have to face the loans. Atthat time, you can do what I did whichwas to go into forbearance - this is whenyou don't pay but your interest startsbeing charged on your loan or if you arefinished with residency, you can start apayment schedule. When you first startyour payment schedule, they give you aset schedule usually for a large paymentfor a 5 - 10 year period. However, mostof us cant afford to pay that amount rightoff the bat so just call the loan companiesand tell them you need a lower payment.They will do this with the understanding itwill take you longer to pay off your loanand you will have to pay the interest. If youhave multiple loans as I did, I recommendconsolidation. It makes life easier topay only 1 or 2 loans versus 5 or 6 loansall at once. However, when you consoli-date, you now have a larger sum throughone company to pay off and interestaccrues continuously. You just have toaccept loans as a fact of life and not letthem get to you. You will eventually paythem off. There also some opportunitiesin undeserved areas and governmentmedical positions, that will help pay offyour loans when you first start working.

WHAT I KNOW NOW ABOUTBALANCING CAREER AND FAMILY...

GHAZWAN SHARABI, M.D.Chief Resident, Anatomic and Clinical Pathology

What I know now about being balancingcareer and family is that it is a long

WHAT I KNOW NOW


process and require a fair amount ofunderstanding from the family as wellthe program director.

ANONYMOUS

What I know now about balancingcareer and family - don't have a family

WHAT I KNOW NOW ABOUTAPPLYING FOR FELLOWSHIPS...


What I know now about applying forfellowships (colon and rectal surgery)...As an applicant you need to prepare forfellowship application at least a coupleof years prior to actual interviewprocess. Depending on how competi-tive the fellowship and what you wantfor your own career, you may have a lotor little preparation to do. For fellow-ships that are very competitive such assurgical oncology or pediatric surgery,you most likely will need to have doneresearch and have a few papers or pub-lications. For a less competitive fellow-ship or a more clinical fellowship,research may not be necessary. You just

don't want to decide to apply for a fel-lowship such as surgical oncology 1-month before the application processbecause you most likely will not beaccepted. By the end of your 3rd yearin general surgery residency and proba-bly by the middle of your 2nd year inmedicine residency, you need to have agood idea of what field you like or wantto specialize in. Then you need to talkto the attendings and fellows who are init and get information on the applica-tion process at that time. There are websites for many of the organizations (i.e.Surgical oncology society, ASCRS) thathave information on both the require-ments to apply as well as details andcontacts for the various programs. Finda mentor early in the field you like andwork with them on doing research, pub-lications, and making contacts with oth-ers in the field you want to pursue.

When you do apply, only do interviewsat places you truly are interested in andwould be willing to go to. Make sureyou discuss with your family their pref-erences too. It is pointless to waste moneyand time by doing an interview in Alabamaif your wife or husband absolutely

refuse to move there. It is also a waste oftime if you are not interested in the pro-gram at all, but you are going becauseyou are worried about not matching in afellowship. You will not be happy if youdo this. Basically, all the recognized fel-lowship programs are good and you willget an excellent education at any one ofthem. When you interview, you need tofind the program that will suit you best,give you training in what you are mostinterested in, and which location suitsyour family the best.

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