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Hours are very reasonable. As an intern you are scheduled to work almost entirely daytime hours, typically 6am to 6pm. As a second year, you cover the house at night, which I really enjoy, and are off almost every weekend. Third years as I understand work primarily in the office. Work hours are between 65-70/week as an intern, around 60 hours/week as a second year, and I understand it to be slightly less as a third year.As a general rule, we work well as a team together, upper levels help the interns with admissions. Really enjoy being here, cannot stress how glad I am that I matched here!
Faculty here are one of the/if not the best part of the program. They are friendly and supportive, enjoy teaching and working with us. I have been to several of their houses, and they create a very positive atmosphere for learning. They are also very knowledgeable and well respected both locally, at the state level, and nationally.
I absolutely love working with my fellow residents, we have hang outs outside of work often, and holiday parties, as well as our program sponsored 2 day off work retreat.
I am married with 3 kids as well as many pets and a moderate amount of land, and find I have a good balance of time to spend with my wife and kids. My wife is also very happy with the program and how she is treated both by other residents/their families and their attendings. She is also very satisfied with the amount of time I get at home. On top of all of this, I still squeeze in time for a couple of my most valued hobbies.
Am absolutely thrilled with this program! A friendly environment with outstanding attendings, lots of procedures, and a good balance of work and fun. I am so glad that I matched here!
As a 1st year: there are multiple different services that we rotate through as 1st years - medicine, peds, ob, ED, surgery, radiology, night float. Hours are 7 am - 5:30 pm on OB, Peds, ED; 8-9 am - 5:30 on radiology & surgery; 5:30 pm - 4 am on night float (4-5 nights/week) and variable on the medicine service - occasionally 5-6 am but at least from 7 am to 6 pm. Sometimes on medicine you can end up staying a little later, but the max number of days this can happen per week is 3. It's almost mathematically impossible to go over 80 hours/week averaged over a month. I can imagine having a really, really bad week that you hit 80 hours (I never did in my entire first year), but it just never happens 4 weeks in a row. There is no over-night call as a 1st year - the longest scheduled shift is 14 hours. As a 1st year you are the main workforce - you do the admissions and write notes on your patients. The senior residents have to see your admissions as well and supervise the orders and your note & write their own note. Things that some people would consider "scutwork" are things that are our responsibility as house docs - we have to pull the central lines, as nurses cannot do this, we do death pronouncements, and our program gets reimbursed for doing restraint checks in the BH unit. The "scutwork" that I'm doing here as a house doc is nothing compared to what I did as a medical student or as a surgical intern at another program.
The faculty here are great - they are all very enthusiastic and available for questions all hours of the day & night. I have all of their cell phone contacts and text questions or concerns any time. Different faculty have different strengths, but they are all very experienced as Family physicians. Teaching occurs all the time - when you check out patients at the office or for admissions, even sometimes in the middle of the night when you just want to go back to sleep. There is particular attention paid to evidence-based medicine guidelines. We have 9 hours of didactic teaching every week, 4 hours of which are specifically geared to your PG year level.
We are a fairly large program - 24 residents. Each PGY class bonds very quickly and there is an overnight retreat every year for each class. There are definitely people you bond more with, but there is an environment of respect that rules all our interactions. Attendings expect a lot out of us, but are again always available. I have come to view several of my attendings as friends rather than bosses, and the feeling is mutual.
We have several Canadians in the program and graduates of foreign medical schools, but all our residents are native English speakers and you'd have a hard time picking out foreign grads from american med school grads.
I definitely have a life outside of work - as 1st years, we have about 1 golden weekend a month, otherwise you have 1 day off a week. As 2nd years you have many more weekends off, but we have the opportunity for paid moonlighting on the weekend. 3rd years have most weekends off.
This is not an easy program - we work hard while we are at work, but the hours are very manageable. We have a very well rounded program and residents are prepared for diverse jobs from 100 %outpatient providers to 100% hospitalist, as well as ED work, and some OB. I would rank this program #1 if I had to choose again (actually ranked it #2 the first time around!)
My typical day begins around 7am and ends around 5:30pm. The workload keeps you busy throughout the day, so you are not bored and are always learning. Its about 50-65 hours per week. The program works very hard not to violate work hours. Always have at least one day off per week and always have at least one full weekend off per month. Due to the work hour restrictions, when you are at work you are pretty busy.
There are noon conferences on a variety of topics everyday over lunch and one full afternoon per week is dedicated to didactic education. Teaching takes place at any and all opportunities. The faculty is always available for any questions or concerns about patients. They also love their jobs and love to teach residents. The faculty is all very knowledgable overall about all topics and they each have their specialties as well.
Every week there is one afternoon where each year group gets together to learn and catch up. All the residents get along really well. There is great teamwork, everyone is always willing to pitch in. There is life outside work, and the residents often get together for movies, bowling, trivia, etc...The hospital and clinic are both great environments. A small percentage of foreign medical graduates are in the program, they are selected carefully and are outstanding candidates.
This program is outstanding in almost every way. The faculty is always willing to be there or stand up for residents anytime. There is great pediatric experience with coverage of all of Edgewood hospital and rotations at Cinci Childrens. Many opportunities for procedures all over the hospital. Code blue team for hospital. Busy inpatient medicine service. Well rounded OB experience. OB and Sports medicine fellowships available. I would without question choose this progam again. All of the residents come out of the program with a strong knowledge base and the ability to practice in any situation from ED, to outpatient, to laborists, to hospitalists.
Work hours as an intern were consistently 75-80 hours a week minimum, with frequent violations. I was told that I was not allowed to turn my pager off on off-days. Senior residents frequently would not allow the interns to leave at their scheduled times and this led to significant fatigue. Interns would end up staying 2-3 hours over per shift, which was always 11-16 hours to start with. Even when scheduled for a clinic rotation, expect to be on call at least once a week and more if other interns have visa issues and are gone for weeks to months at a time. My workload contained a great deal of scutwork, such as pulling central lines because nurses wouldn't perform this task and checking restraints on psych patients at all hours. I received very limited help from senior residents. Expect to do all admissions and see all patients (regardless of the number) if you are the only intern on. Senior residents typically sit and watch tv while they scut you out.
Faculty was typically deficient techically with some individual exceptions. Many times I was told information that was contradicted in established literature. Faculty, including the program director could be very hostile at times. Didactics were typically average.
There was a significant amount of hostility towards the interns; it was palpable. There was also a significant amount of favortism present in this program, and this created even greater disparities in treatment of residents. Work area was adequate. Significant percentage of foreign graduates, with some language barriers. I was unable to participate in my private life in any significant manner as my schedule was so erratic.
The hands on experience at this program is respectible, but the price paid in program violations, hostile environment and lack of technical strength is difficult to justify. This program often "ruled by fear" and this made for a very stressful intern year. It is really a shame, because this was a top notch program in years past.
I'm now in my second year at St. Elizabeth's Family Practice. Our schedules changed durastically in the past year...this was a consequence of our program director bringing our hours up to par with the soon-to-be-inforced 16-hour work limit within the present 80-hr work week. We went from the interns working 60-75/week last year to now having our interns work 50-65 hours. They don't take overnight call for the majority of the year. During the final 4 months of the year, they'll do some night float (which will be 1-2 weeks/month of 5p-7a call every other night....we tried this in July with upper levels and we loved it!). In the meantime, the interns get experience by doing a 5-10 pm shift 1-2x/wk. The typical day on medicine is 6-7 am till 5-6 pm. On peds or OB, it's 7a-5:30p. Interns work 2-3 weekends a month, but it's one Sat here, both days the next, and the Sun the 3rd (for example). So not bad. 2nd years work a lot of outpatient office rotations...usually 8-9 am starts till 5 pm. We also do 2-3 nights in house a week for most months....some of that is 5-10 shifts and some is 10p-7a shifts. We average 4 overnight calls a month. We do a majority of the housework because we've got experience, knowledge, and now more energy after a laid-back first year! 3rd year is gorgeous. You do one overnight call a month! And you pick up 4 5p-10p shifts the whole year. You run the medicine service 7-10 weeks of the year (babysitting interns is fun) and most of your other time is spent in the office or on elective. Moonlighting is a whole other ballgame....you pick up extra weekend shifts as 2nd or 3rd years....and get paid extra! It's like picking up shifts outside the hospital in an ER at other programs...but here your malpractice is covered, you already know the staff, and you're working with friends!
Our faculty loves to teach. I personally have tempted the Gods and called them late at night and they're happy to help instruct or bounch ideas off of. They're looking to hire another staff in the next year, but they cover the job well in the meantime.
We get hands on instruction during medicine rounds, office visits, and in FOCUS (a 4-hr didactic session we do once a week with the other 7 members of our class). We also have noon conference daily...the room is next to the cafeteria (where we never ever ever pay for food...which is outstanding after being treated like crap as a med student).
I love my classmates. We have a high proportion of singles (or no kids) in my class so we go out a good amount (or take turns hosting grill out or game night). We do a retreat every year as a class that the office pays for (2 days...ropes courses are fun...play games and goof off). Some classes have more families with kids, and they do playdates or other activities that focus less on alcohol, so that's nice as well.
We get free tickets to Bengals and Reds games (not for the staff or faculty...just for residents!) and they're great seats. 20 or so rows behing the goal at Bengals, and 2nd row of 2nd tier at Reds games! So we take advantage of that. And I personally have managed to find a significant other after starting up here despite my crazy schedule (which was the old intern schedule) last year. So that's a big plus :)
We are not FMG-haters. We currently have 7 out of 28 residents. We rank good people. We are all for applicants with good grades, good schools, and good connections. But we don't rank people who can't relate to patients and other residents. And we want people who are fun to hang out with. So we rank based on those criteria more than where you trained. As someone who used to fear FMG's (my med school's family med program had terrible ones...it scarred me), I've had my mind changed since coming here!
I ranked this program #1 and to this date I don't regret it. I love the staff here. Karen, Arin, and Linda in the front office are my unofficial moms up here. The office is going through changes (we'll have Epic running as of January!) but everyone is working to make it a pleasant experience.
Drawbacks used to be the crappy schedule all 3 years. Now it's more 2nd year being painful....but that's not all bad. First year now eases you in to being a doctor. And 3rd year provides a lot of time for finding a job and polishing off your technique.
Pluses include the focus on practice-management. We have an office manager who pairs with our program director to teach office management throughout your training. First year, you learn to code your office visits. It sounds scary, but it's so easy once you do it for a few months! Then you learn about coding hospital visits. Then during 3rd year they teach you how to set up a practice, find a job, read a contract, etc. That's something a lot of programs can't or don't offer.
We also have hired a clinical pharmacist this past year who spends 4-5 half days in our office and is available by phone whenever we need her. She types up med cheatsheets, goes thru messages and charts to find medicine issues or improvements, and gives advice on difficult patients. We also have an office manager who helps patients get set up for med assistance programs, which is wonderful.
And we have a sports medicine track that's getting bigger. We're learning to focus your rotation schedule to allow coverage of local football or basketball games (we cover 2 high schools and one college). We go to conferences in 2nd and 3rd year (covered by the hospital!). We will soon have a fellowship set up (working on it every day!). And we do sports med lunches and journal club. We continue to find more opportunities every day. And our ortho and sports med physicians are wonderful and love to teach. We've had recent grads do fellowships in the area as well.
Our program has filled up the local fp offices for the past 30-odd years with our graduates. It's amazing the respect they yield in the community. People don't leave here in need of more education but they leave with an ability to respect ongoing education and learn how to fit it into their life. I can't imagine not feeling confident when I finish in 18 months.
Our hospital is private. So we don't do as much indigent work as university programs. It's also got Magnet Nursing Status...which means it's where nurses wanna work. That's a big plus, because we get the best and brightest! We don't even have LPNs here...just RN and above! With CNAs around to help keep them sane. It's great. Our Labor & Delivery is big and will be expanding soon thanks to the recent purchase of 2 other hospital in the area (St. Lukes)...we will expand L&D and also go to a level 3 NICU.
No program is without issues. And no resident goes thru residency without some strife. But they make you better. I've had tough times in the past 18 months, but I love my program. I'm proud to say I'm from my program. And no, I wouldn't change my rank list today if I had the option.
I would happily welcome any questions about this program. Ask away!
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