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Floor months: 630:5Electives 8-5VAcations 3 weeks/yearOn call every 4 days on floor monthsVERY BUSY...No Downtime while on floor.
Good teaching, regular didactics, Good teachers
Life outside hospital: Definitely possible and is there and available. Its the floor months which were pain..
PRograms cherrypicks most of the residents from small foreign countries with well known Universities, hence the quality of residents is exceptional. thats what drives the program, but dont get me wrong..staff is great as well. Great teaching! Internal Medicine academic staff is one of the best..
Drawbacks: Clerical and ancillary support is horrible! For example. I filled out every MRI screening form on pts I needed MRI on.
Had to FAx things on own...Clerks are really a pain to deal with. Had to call to make appointments for patients.
Forms Forms and Forms....
Once finishes, I was ready for the world!
I will probably not chose the program again..because of work load..Its heavy...For almost two years I admitted up to 20 patients in one night as there ws no cap system...Even when cap was introduced, the program is designed in such a way, that you will cap every time...Smart chiefs..That added to filling out mri forms and faxing forms and making sure they have received it by calling them...? No more! Nurses are really incompetent and clerks -- are rude, lazy and incompetent...
Almost every one gets a fellowship--as this program is despite its faults is a strong program.
Tipical day during floor rotation: I wake up at 5 am to be in the hospital at 6 am. This is because I take some extra time to eat a good breakfast. I usually finish my progress notes before rounds. Rounds start between 8 or 8:30 am, senior staff always listen to your assessment and discuss plan with you. There is always time for teaching during rounds, specially when this is discussed with the staff at the begining of the rotation. During rounds or after finishing them, you make orders for your patients and arrange for consults if necessary. Time for procedures as well, when needed. Rounds finish around 10:30 or 11:00. Mos tof the paperwork is about orders and updating discharge summaries of the patients. Busy floors you can get new patients every day and you discharge a lot as well. Average for a busy floor is 6 patients. Some people told me 8 patients for 2-intern teams in other floors.Anyway, schedule is fine for the first year, when you are supposed to spend a lot of time in the hospital. It is always better to have sevral patients, that way you learn!Hospital respects the 80 hour thing, noon conference everyday with food provided 90% of the time.
The attending staff at Henry Ford is excellent and dedicated to teaching. Rounds typically last two and a half to three hours (depending on the number of patients on the service)and a majority of this time is spent teaching. Best way to learn during the internship is BEDSIDE!! There are general medical and subspeciality floors which allows you to see different kinds of patients, different problems, gives you a strong basis in internal medicine. There is daily noon conference (1 hour, for case reports, clinical pathologic correlation, clinical decision making, M&M, interactive lecture, intern survival series, and Grand Rounds).
If you get a car early, you're safe. Otherwise you will depend on other people to go out. This is not manhattan or chicago guys! no subway! However, with a car you are safe and can go to different places. Summer is great, good weather, outside activities, etc. You get the chance to make good friends during the internship. You can be friends with your senior residents. A lot of people willing to help out, including chief residents and senior staff. They really care about you!
Lots of IMGs.
My conclusion: I am really happy with the program. I am sure I will learn so much. The only thing is the cold weather during the winter and that it took me some time to get a car. Anyway,
Come visit! Apply soon! You are very welcome!
You are on call every 4 days, the call end at 10:00 o'clock in regular days, end at 6:00 on Sunday and it is over night on Friday and Saturday, you should be in the hospital before 6:30 am and leave by 5:00. The workload depend the floor and on the number of resident (3 or 4), you have 2-3 elective months in the 1st year, I did the radiology month it is very easy and it depend on how much you want to learn during this month .
We do teaching rounds with the staff every days, many days we have seminars and every days we have noon conference.
everyone have one day every week in the clinic ,we assigned modules to read , we have full access to all core medical journals, up to date........
the atmosphere here is very friendly , they will help you a lot in the beginning , we have a lot of IMG's in the programs from many different countries , I donít know the percentage probably>50%, actually 1st 1-2 months are the hardest the you get used to the system and start enjoying your life
I am very satisfied being here in Henry Ford Health system , some would consider it a drawback to be in area that has a relatively high crime rate , our hospital campus is very safe and you get more experience in dealing with more challenging patients
The schedule varies depending on the level of training. Our program is strictly compliant with the 80 hour rule.During the internship year, we have 8 inpatient months. On these months, we have to present not later that 6:30 to be able to see our patients, or any new patients admitted overnight by our night float. A day typically ends at no later than 5 pm, unless we're on cal. Calls are til 10 pm on weekdays, where the night float picks up the service. On friday and saturday, the calls are overnight, and on sunday, calls as interns end at 6 to 6:30 pm. Because of the ight float system that covers all floors except the intensive care units, we rarely work 80 hours a week, and actually would average 70 per week..During the elective months, there are no calls, unless we are on back up and are called to cover for a resident who could not present to work for health related issues.The second year is when we do most of our MICU months, but also many electives. The third year could include a month of MICU if we only did two during the second year, otherwise it consists of floor supervision and electives.
Faculty members are great, approachable and always available to help and guide us. And I would rate the teaching as excellent.
We have the opportunity to interact directy with faculty members, be it on electives, in the clinic or during inpatient rotations. We have the right balance, managing the patients as a team of residents, with the rounding staff (internal medicine on medicine floors or specialty staff on our specialty rotation) discussing the cases during daily teaching rounds.
Didactics happen daily, at noon where we have a conference. Lunch is provided during all of these lectures. Weekly grand rounds with guest expert speakers and monthly journal clubs are also on the curriculum.
We also have weekly continuity clinic where we are exposed to the outpatient population.
I can say that the level of exposure is excellent; we have one of the largest MICU of the country, and we are part of a large medical group serving a population of different socieconomic background. We therefore see the disease in their entire spectrum. I have not finished my residency yet but I can be assured that by the end of my trainig, I will be comfortable managing most of the cases that I will see.
The atmosphere is great! So far residents have interacted very well with each other. We have residents from different backgrounds: USA, Latin America, the middle east, India. Bonding quickly but cultural exchange too.
At the same time, our faculty memebers are very approachable. We have a resident advocacy committee, a team of residents elected by their peer, whoo meet monthly with the chief residents as well as the progam director. Those meetings are a time when we can discuss any subjecs that the residents feel needs to be addressd by the faculty, and also a time to plan social events. We have various social events planned around the year that faculty members attend, like a welcome lunch to the new interns, a summer picnic, a new year/holidays party in december, as well as the graduation party. Furthermore, residents often plan social gatherings, karaoke nights, dinners and nights out. These social activities srengthen the camaraderie among us.
The key to having a life outside of residency is time management. Being efficient, you will have the time to attend to your trainig responsibilites (doing research, presenting to your duties, etc..) as well as having a life outside of residency. I have been able to manage my life outside of work even during my internship year. There is a gym close to the hospital for those who like to work out, most residents join as the price is very affordable. Residency is no vacation, and there is not way for it to be so, but I as well as my colleagues and friends have been able to maintain that balance between work duties and personal life.
I can say that our program allows us to be confident and solid physicians. It provides a great training for people who want to pursue a career in primary care, as well as the ones among us who like to further specialize. We actually are exposed to all the subspecialty fields during our inpatient as well as elective rotations. Many of us like to actually stay for our fellowships at Henry Ford, and people who want to discover new horizons have no problems matching in their desired specialties. Depending on their interest, some have joined private practices, others have joined academic institutions and some even stay as faculty members at Henry Ford!!
I have not finished my training yet, but I am pretty confident that I will be ready and well prepared at the end of my residency.
I would definitely chose our program again if I had to reapply.
Only a few months down the road, I cant love this programs schedules any better. Categoricals have 8 floor months which includes a month of CICU, a month of vacation. An official average day starts at 6:30am and ends at 5pm. We have night floats and MICU but not as an intern.Calls: Overnight calls are only on Fridays and Saturdays, calls during any other weekday is a short call, ie untill 10pm. Our program is extremely strict about duty hours set by ACGME. Everyone invovled, from the Program director to the senior level residents are extremely strict about this, there has not been a single day so far where Ive had to stay a minute over the required times.ScutWork : Absolutely Zero. Constatnly improving computer based patient database system makes our job that much more easier. Workload: On most floors there is a large inflow of patients regularly. As an intern we carry around 6 to 7 patients. We cap at 7 patients on a call day. After getting used to the system the workload is never burdensome. Routine duties include admiting patients, H&P, daily notes, discharges. Rounds with staff begin at 8 am sharp. depending on the day, rounds last untill 10 -10:30. Most staffs sit down after rounds for 30 mins teaching sessions if you request them to. We finsh of urgent works between rounds and noon conferences. Noon conferences are mandatory for interns. The rest of the day is to complete pending works and if on call admit new patients.
Learning oppurtunities : PLENTY! All staffs make their best efforts to teach. We have defined curriculums for each rotations as well, which the staff in conjunction with the senior resident goes over. The focus is always on Evidence Based Medicine. Proactive senior residents can always chase down staffs and make them teach more.
Noon Conferences are on everyday. Includes everything you may see at all programs. The CMR's are extremely proactive at making these sessions highly interactive. If you think noon conferences are for a quick nap, forget it! Lunch is provided on most days though :)
Inaddition to didactics, conferences etc. we gather alot of our educational experience on the floors. Unlike many other places Interns and residents are given complete independence. The hospital is resident run. As interns we formulate our assessments and plans and go over with a senior resident. Staffs merely make sure blunders arent made. This way we get complete confidence in paient management right form the start. Needless to say we get to see common, catastrophic and rare diseases of all spectrum.
If all of this isnt enough to learn, then we have a month of CSIM. A month completely dedicated to education without anyform of patient care responsiblities. At our state of the art simulation center we get trained for most procedures and skills required as an intern, etc..
This is a large program. As a result we get AMG's & FMGs from all around the world. Everyone gets along well on a professional level. All attendings are approachable at all times. And yes life outsidework is great. As I said you will find enough time, besides calld days, to have fun.
In conclusion, I would choose this program without hesitation if I had to re apply. Besides the obvious disadvantage of being at Detroit, I cant anything else negative about the program. After only a few months as an intern I have gained enough confidence of my training, and I am positive that the rest my training is going to make me strongeer. One of the biggest plus of the program are the Fellowships and at most times Internal Candidates are taken frequently. Most Residents end up going for Fellowships as well, including the higly competetive ones.
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