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I think it's fine for everyone to be so positive, and Emory is undoubtedly a good program, but it's important that people realize something no one seems to be mentioning: at Grady, interns and residents spend a huge and frustrating portion of their time chasing down scans and waiting on hold to set up appointments. Whether this is due to understaffing, or employee apathy, is hard to say. Also, fully 25% of "patient care" is actually devoted to securing appropriate "placement" for homeless / very unfortunate people with only bad places to go home to. You have to know this going in. I can't believe you all aren't mentioning this. It's the number one, universally mentioned frustration among the house staff. It's not a reason not to come here, but what is the point of not talking honestly about the programs? What else is the point of this web site? We can get sugar coating from the official web sites. Good luck in whatever you choose, and you will surely get great training at Emory.
A typical day at UMC varies with the rotation with house medicine and ICU medicine having the longest hours and most demanding call schedules; however, the residents have a tremendous amount of autonomy, with the attending still incredibly involved in patient care. Medical students are given as many duties as is believed they can handle with M4s truly behaving as "acting interns." There is a tremendous camaraderie among the residents and faculty and ALWAYS a positive learning environment.
The faculty are extremely supportive and interactive, and if attending medical school here, already know your name before the end of your M4 year. There is a tremendous amount of teaching related to board examinations as well as practical patient care. Typically while on house medicine there are didactic sessions every morning just before attending rounds and noon conference with lunch provided nearly every day of the week.
Again, there is a tremendous camaraderie among the residents. As a matter-of-fact it is extremely common that if a resident gets sick or has a family emergency, another resident on a less busy service volunteers to cover; many times the covering resident will appear before the team even is aware of the problem. There is definitely time for a life here if you have family or are married; unfortunately, the single scene is almost zero for single females but quite large for single males.
In conclusion this program cannot be beat. The only drawbacks are the small singles social scene. You will not get better experience than you get here, nor will you find a more diverse patient population. You are ready to practice medicine here long before the completion of you residency.
I did an elective at the MICU at Grady Memorial Hospital. The typical day starts at 7 am when the interns arrive to see their patients and write their progress notes. At 9 am the attending comes, and the rounds start. The interns present the new patients in detail and some new events about the other patients. During each month there are approximately 4 teams made by 1 PGY3 resident and 2 interns each. There is also a fellow in Pulmonary critical care who leads the 4 teams. After the rounds the 4 teams, the fellow and the attending go downstairs to see patients'new x-rays. This usually finishes near 11 am. After that the on call team begin his work and the other teams finishes their work. At noon the teams that are not on call usually attend to the noon conference where lunch is served. There usually us a review of a topic in critical care assigned previously to one of the interns by the fellow at 2:00 pm. The sign-out round usually occurs at 4:00 pm, and all the teams leave except the on-call team.
Generally, one can see the teaching during the attending rounds. The attending use that opportunity to ask and explain some doubts about individual critical patient care. The other great opportunity to learn is during calls, when you and the resident are directly responsable of the patient care. Finally, there is also good teaching during the noon conferences where well known faculty from Emory and other good places such as Harvard, Yale, etc give lectures (some of them are about Evidence-based medicine hot topics).
The environment is awesome. I felt like at home. The other interns and residents are your family and they are eager to help you everytime you need it. The program directors are also very friendly and they know each intern and resident personally. When someone made a mistake, the whole team assume the responsibility about the mistake. There is also some outdoor activities to increase this feeling like the fall retreat or the spring fling.
This programs definitively is academically strong, has an evidence-based oriented teaching and exposes interns and residents to a variety of patient population. I cannot find any drawback, except the amount of paperwork you need to do at Grady. I certainly choose Emory when I will apply to my residency training.
The cardiology elective at Emory is an awesome learning expereince.The day starts at 7 with morning confernce which is usually conducted by Dr. Hurst (cardiologist extrodinere).You round with attendings till 12.Noon conference till 1pm.anf then the afternoon to finish work.Day usually ending by 5 or so.
Emory's greatest strength has to be the awesome learning oppurtunity it provides.The staff that I ecnoutered were all exceptioal cardiologists and very good teachers.The didactic sessions in the form of morning repoer, noon conference and tuesday morning lecturs were of the highest quality.
In my one month there I could appreciate a definite feeling pf camaradrie among the residents who would go out of their way to help each other out.From what I understood the quality of life varies from servise to servise and then on which of the 4 hospitals you are rotating at.
Definately one of the programs that is gonna be high o my list for residency.
Typical day widely varies with rotation. Ward months which are generally the most labor intensive on average may be from 7-6. Expect a 12 hour work day and you won't be as disappointed. At the county hosp (Grady) much of the responsibility for patient care depends on how effeciently the service is run by the resident and their dedicated interns. YOU are the doctor. The patients ask for your advice and recommendations which is a valuble experience. This is the place where you have to roll up your sleeves and do important but time consuming errands such as an occasional lab/blood culture draw and transport to Radiology if you want it done in a timely manner. You also experience the flip-side at Emory Hosp. Here you can focus much more on patient care but the patient load 6-10 makes it just as long a day. There are regular morning report/noon conferences which are great learning opportunities. I still get amazed with the types of pathology we come across on a regular basis. As most teaching hospitals are seeing a decline in the number of paitents that they see, we consistently increase our patient volumes which mean more opportunities for hands-on learning.
The faculty here are great. Dedicated to teaching although some are better than others. For those of you interested in Pulmonary and/or Cardiology, there are daily didactics with Dr. Hurst (world renowned cardiologist) and Dr. Ingram (world renowned pulmonary physiologist) and other prominent physicians that you just can't get anywhere else. I look forward to all morning reports and am amazed every time with the rare types of pathology we see on a regular basis.
There is also a lot of dedication to evidence based medicine... didactic sessions are dedicated to critically interpreting literature and applying it at the appropriate time. We practice it too!!!
As the largest program in the country,you might expect to become lost in the shuffle, but you don't. I feel I have a good relationship with just about everyone in my class, you can always call someone up for recommendations for choosing rotations, requesting certain attendings and pointers for getting through the month. I have had really rewarding attending-resident relationships which were important for me for mentorship.
We have really nice facilities, including the county hospital which just received a facelift about 3 years ago. The access to library resources are great as well as helpful.
I think one of the most important things to mention is an attentive administrative staff. Our program directors, cheif residents, chairman are particularly dedicated to making changes and improvements to the program from a month to month basis. Which means sitting down, hearing our concerns, and making changes to make it better. They treat you as though you are an asset to the program and not just an employee.
This program stands out because of the vast patient population VA, county, university, community, geriatric settings), location in a great city, academic potential (set by you).
Drawbacks ... wish I had more elective time during my second year for research (another thing that they have changed for the incoming class). Long days.
Yes I would choose this program again if I had to do it all over. I am confident that this program will prepare me to be a competent physician. The hard work I have already been through prepares me for the next phase of private practice (where it's worse!!) and learning to practice evidenced based medicine as a rule puts me ahead of the game!!!
I would be happy to answer any questions about the program to prospective applicants!!
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Last Update: 22-May- 2013 at 04:40:44