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PGY3 Overall Rating: 26-Jan- 2007 Teaching: Atmosphere: Research: Schedule As third years, we work an averrage of 50 hrs /week Teaching The learning experience is common for a community hospital with all of the typical ups and downs. There are didactics everyday and you round with an atteding everyday. I think teaching can be very good if you are paying attention Atmosphere Attendigns are nice for the most part and residents are friednly. there is clearly lifw outside work and I here there is talk about changes in the night float system which should make it even better. The facilities are OK Conclusion Simply put: If you are looking for a community hospital in New York City, you'll be happy here.

PGY3 Overall Rating: 21-Jan- 2007 Teaching: Atmosphere: Research: Schedule the work load is OK and probably better than most programs in NYC. and now they are getting strict with the caps. no intern can have more than 12 patients. The floors are busy but manageable and no one really work more than 80hrs/week. you are off when post call and then you have another full day off. ambualtory and months are very easy. consult months can be busy but usually OK Teaching Most faculty are cool. although the main program director is invisible,the associate directors are very involved and care about the program. the ICU faculty are amazing and teach lots. conferences are generally good and take place daily Atmosphere majority if residents are friendly and get along fine. life after work is good and most people take advantage of living in NYC. high %FMG (very smart) Conclusion A lot of people last year got good fellowships, especially the ones that worked for it. you can do electives at other place and set up good research projoects. the teaching is good and lots of autonomy. the locations and housing are great. drawbacks are no fellowships in house but it does not appear to prevent people from getttig fellowships. i have friends in other places in NYC and think our program is better that a lot of community programs in the city. last year they disciplined a couple of residents who were been irresponsible and I think they wrote the negative comments about the program which are mostly false

PGY2 Overall Rating: 08-Nov- 2006 Teaching: Atmosphere: Research: Schedule the schedule varies from rotation. AMB is very light (9-5) and you take a couple of call a month. ICU is pretty busy(6-5) but some days you are "swing and get to go home ealy. The floors are not bad(7-5) unless you are admiting (7-9) or on-call overnight. Overall, the internship is fairly busy but nothing unusual. This year the added some elective time for categoricals interns, which is pretty cool. (you can do away elctives) Teaching The faculty is hit or miss. There are some really good and some mediocre. Overall, I think the main teaching attendings are pretty good. THere is teaching everyday. Subspecialty conference three times a weeks. grand rounds/journal clubs/ M&M/ and CPCs. The resdients also present research topics on fridaus (pretty good usually) There is also "noon report" several times a weeks and primary care lectures on wednesdays. I think the teaching in general is very good Atmosphere for the most part, resdients are very nice except for a few jercks (but the CHief Residents keep them in line) the physical facilites are excellent in some areas and OK in others. The ER and ICU are awesome. The floors are so so. There is large % of IMG There is defineltelty life outside of work and most resdients go out all the time to enjoy the city (BIG PLUS) Conclusion I am happy here and althugh the program is not perfect, I think they do a good job and they are alwas trying to make it better. the faculty are very approachable and the teaching is good. the only drawback is the lack of research opportunties, but this is a comunity hospital I would definetelty recommend the program for anyone looking for a communuty hospital in NEw York City. The housing is extremely cheap, you can do away electives and the teaching is pretty good. I dont agree with most of the negative things said by the other reviews. the program is not perfect but is pretty good for a community program

Intern Overall Rating: 11-Jan- 2006 Teaching: Atmosphere: Research: Schedule I will start by saying that although everything about the previous post is true, I will attempt to paint a more thorough depiction. My experience with the schedule as a PGY-1 is that it consistently flirts with 80hr/week, occasionally slightly above or below. This does not seem to improve for PGY-1 and 2s. Typical floor month: here by 6, round with resident at 7, attending rounds at 9, didactics/floor work until noon, 12-1 conference, 1-5 floor work. If not on call, leave between 5-7pm. Typically carry 8-14 patients per intern. Call is complicated, but basically is q4, or 7/month, 4 are overnight and 3 are late, which can keep you here until after midnight and the next day is a regular (not post-call) workday. Post-call overnight go home by "10:30 am" officially, but realistically 12-1pm. ICU schedule is much different, but the hours add up to about the same. Generally ICU is a much better experience overall. Teaching A handful of faculty are excellent teachers, approachable and friendly, and are excellent clinicians (many of these are ICU/Pulm/Cardio). Most faculty are mediocre--competent but generally uninvolved in resident education-- but an embarrasingly large percentage seem incompetent and almost dangerous. There are 2 chief residents from Cornell (this is usually the case), and although they have received some criticism, they seem to work hard to provide the residents with teaching, although almost entirely in didactic sessions rather than on the floors. The teaching in noon conferences, morning report, and intern report is usually very good and relevant, however, it is frustrating and distracting to have each intern be paged out of conference several times in a one hr period. The chiefs generally prepare very good lectures, and it is clear that they are far superior to the majority of faculty on staff. Atmosphere Although there does seem to be quite a lot of bickering behind people's backs, for the most part resident comaraderie seems very strong. I don't agree with the previous post that there are distinct social lines between classes. This may be be true outside of work, but at work people generally get along. In fact, I would say that the saving grace of this hospital is the residents. They are a diverse group of mostly fantastic people who wish they were training in a better place. Physically, this hospital is abysmal. Old computers, printers rarely with paper, a nonfunctional copier in the lounge for who knows how many yrs (making copies requires a scavenger hunt for a working machine with paper--a rare combination). As far as "scutwork," in order to get things it is very common to draw labs (and carry the blood to the lab), start IVs, transport Pts to xray/echo/ultrasound, hunt down old charts, etc. However, I would argue that this is just part of being an intern, and is not uncommon for even great residency programs, and perhaps even an important learning experience. My biggest disappointment, and my #1 reason why I cannot recommend this program to anyone, is that the residents have absolutely NO support from the so-called program director. Dr. Licht is completely uninvolved in resident education, but rather seems to enjoy the position of hospital dictator. He is unapproachable, and the only time he engages the residents is to criticize, blame, or ridicule. He is frequently unnecessarily rude and demeaning to individual residents, even in front of other residents and faculty. Therefore, there is no true resident advocate on the faculty--at least not one with any power to do anything. Conclusion Overall, the learning experience here is adequate. There is enough learning here on and off the wards to prepare residents for the boards, fellowships, and general practice. Board passing rates are good, and those who want fellowships seem to get them, but solely because of their own efforts. Housing is a big plus--dirt cheap if you get into the Gold St building across the street. NYC is another big plus, although it is tough to enjoy it sometimes. Despite these little perks, I would find it hard to choose this program again if I had to reapply.

Intern Overall Rating: 08-Jan- 2006 Teaching: Atmosphere: Research: Schedule Let's just say that inspite of the "work hours" most interns and residents end up staying for more time, and are then blamed for it. At the end of every block you get to fill out the work hours survey and are brought to task in case you fill out the truth..... Teaching Faculty: Variable, but mostly mediocre. Teaching: Everyday. You get lunch and learn conferences and residents get to attend morning report. Quality: The teaching that takes place seems to be more to fill the requirements of the program. Most of the time the teachers lack the sincerity that makes a difference. This just reflects the underlying atmosphere of the place. Atmosphere Camaraderie: There is a distinct social line between the different resident years. Most of the time people watch their own backs. Distinctively unhealthy. Most attending-resident reltionships are cordial at the best. As a resident you do not have a sincere advocate who cares. Physical Environment: The call rooms suck and common housestaff area never gets cleaned. The coffee machine is locked up, and the tiny fridge has seen better years. At least there's a TV. The computers are old with filthy keyboards and a joke of an information system. Most of the categoricals are FMGs; only 1-2 in PGY2 and 3 are american grads. Prob cos the program fills its positions with prematches. Life outside of work: Depends entirely upon you. Conclusion The program offers subsidised housing. But there is no guarantee that you will get it. Would definitely not come back. Getting into a fellowship seems entirely dependant upon the resident themselves.