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Preliminary Year:1 month vacation (2x2 weeks)2 months electives1 month night float (2x2 weeks)2 months ICU6 months floorTypical floor day is from 7:30-4:30, and I mean I start work at 7:30 and I am out the door by 4:30.
Most faculty are very willing to teach. No "malignant" attendings. Teaching happens before rounds with new admissions, during rounds always, and sometimes after rounds. Faculty are readily available.
Didactics were ok at best, but the program is constantly making changes for the better.
Residents go out together frequently, which is facilitated by the relatively early typical work days.
Work environment is probably better than average for NYC in terms of scut. I carried average of 6 patients. I had lots of down time during the day to study for Step 3 or take naps.
Categoricals are mostly FMG and IMG. Preliminaries are mixed.
Main positive is the program director. He is a true advocate for the residents in that he frequently applies resident suggestions to the program, and strives to continuously improve the quality of training.
Main drawback is that the patient volume is high as this is the third busiest hospital in the nation. However, there are at least 100 residents, with 3 interns per team, so the work gets distributed quite well.
For preliminary residents, this program is great. No clinic means you have even more free time. Again, I was able to take day time naps and study for Step 3.
For categoricals, you will be able to manage any patient you encounter for the rest of your lives. Research is not spoon-fed, but due to the abundance of pathology the opportunities are endless.
If you want a super-cush intern year, then go outside of New York. If you want practical experience and the opportunity to take advantage of NYC, then consider this program.
Typical day starts at 7.30 when the floor residents meet with the night float residents and sign out to each other. The sign-out usually takes 30 minutes (while eating breakfast) and then the medical team briefly prerounds on the patients. The team consists of a PGY-2 and two PGY-1s; there are also medical students and rotators from other specialities; the team is suppervised by the attending physician. After the night intern presents the new admissions to the day team, the team rounds on all the patients with the attending physician. The team uses a portable computer and checks all the info about the patient on the computer - labs, x-rays, CT scans, EKGs etc on the computer and changes or adds new orders - very simple and straingt forward; no need to write written orders or search for xray films. The attending physician will teach all residents as they round on the patients and emphasize important points in the management. Often times the team will check the most uptodate info (about the particular problem) on the computer - we have uptodate and we love it. The rounds usually finish by 11.00 AM or depending on the situation. After the rounds the residents go to the noon conference to listen to a lecture and take or gather in a resident's lounge for a brief lunch. In the afternoon the residents continue to follow up on labs and other studies of the patients, they prepare discharge summaries, change orders if necessary, make phonecalls, perform procedures etc; and if they are on call they admit new patients. PGY 1 is usually responsible for the H&Ps, Progress Notes and Discharge summaries; PGY 2 is responsible for Orders and Careplans and generally oversees and distributes the work The attending physician provides supervision, teaching and writes attending's notes. The team wraps up at 4.30 PM and signs out to the team on call. The elective rotations - there are usually 2 residens and some med students rotating on an elective; say during Renal elective the residents come to work at 8.00 Am and meet with the nephrologist; the nephrologist then usually gives the residents a brief lecture. These lectures are quiet intensive especially at the beginning of the rotation. Then the nephrology teams checks in the computer if there are any consults that need to be done. The consults are distributed amongst the residents and the nephrologist. On everage a resident will see 1-3 consults per day and will discuss the case in detail with the attending. The resident will also go to the nephrology clinic 2-3x per week and will learn how to manage patients with CKD (we are very proud to be the inventors of the SHAPE UP format for CKD patients). At the end of the renal rotation every resident is very confortable with ABGs, Electrolytes, ESRD, CKD, Anemia, ARF.MICU and CCU rotations - are busy but very useful; we have very dedicated attending physicians who teach the residents a lot - by the end of the residency everyone is comfortable with Ventilators, Sepsis, Shock, MIs, Stroke, PCP pneumonia etc. This residency is very much into critical care - which everyone who wants to be a hospitalist appreciates a lot.Hours per week - on everage on medical floor rotation a resident works 6 days per week; 8 hours per day; and is on call every 4th day; on a call day a resident works 12 hours. On an elective a resident works 5 days per week; 8 hours per day and has usually 1-2 weekend calls in MICU; the MICU call is 12 hours. Workload - a medical team on everage carries 12-20 patients and the team usually consists of 4 physicians (attending + 3 residents), oncall and postcall days are bussier then precall days. A well-organized resident will be able to finish the work by 4.30 and manage to go to the gym or visit the Village in the evening.Scut-work - there is 24/7 phlebotomy at Lincoln which does all the routine bloodwork; residenst will do only occasional labs which are needed Stat (like potasium level) or labs which need expertise like blood cultures; all other labs are ordered through the computer and phlebotomy will come and do them (you can oreder labs say for the morning or for midnight etc).Procedures - I may have placed 40-50 central lines and did multiple Paracentesis, LPs, intubations etc. This is definitelly a place where you can do many procedures and become very comfortable with them.
Faculty - motst of the attendings here are very good teachers; some of them are excellent teachers; also senior residents will quide the inters through many problems. There is a lot of bedside teaching - say about vents, interpreation of labs, xrays, CTs etc. Certain things are explained ad absurdum - I heard about the management of ARDS or ABGs probably 25x during my residency.
Teaching - formally we have noon conferences on Tuesdays, Wednesdays, Thursdays - they cover all the basic stuff from Internal Medicine. On top of than when you are on an elective you will have many minilectures from that particular speciallity almost every day. Every Friday we have a Grand Round - usually a very well known speaker comes from outside Lincoln and give us a big lecture in the Main Auditorium; the speakers are usually nationally renowned.
Debates - usually 6x per year; they are something not to miss; they are real fun - the most controversial topics are discussed (gay marriages, physician assisted suicide etc), Journal Clubs - monthly - usually done by residents who finished reasearch rotation and who prepared an appraisal of a clinical trial, Autopsy Reports - monthly - macropathology and histopatology presented by pathologist, M&M reports and morning reports - interesting cases (usually 2) admitted overnight or interesting m/m cases (usually) are discussed briefly amongst the housestaff between 8.00-9.00 AM.
Research - we have a research rotation and a research course provided by Cornell University; all residents learn the basics of biostatistics and work on some research projects and publications during the residency; many of our attendings and facutly are very dedicated to research and our research coordinator is very dedicated to help everyone with research.
Fellowships - it is not true that you cannot get into a fellowship from Lincoln; last year 9 out of 26 graduates went into fellowships including Hem/Onc; Pulmonary/Critical Care; Renal; ID; Geriatrics. We have a felloship in Hem/Onc here at Lincoln.
I have very good friends here at Lincoln, now that we are 3rd years we really appreciate our friendship and we help each other looking for jobs after the residency. Also I think there is an incresing sense of comaraderie and a lot of peer support; most of the seniour residents try to help the interns as much as they can and there are many interns who appreciate this guidence. The attendings are friendly and approchable; the program director and the faculty are exceptionally approchable and helpful; they have very good sense of humor.
Physical environment - residents have a lounge with computers, a TV set, refrigerator, microwave where they hang out. On-call rooms with beds are provided for the on-call teams. Locker rooms are provided; cafeteria is on the 1st floor; big and quite library is on the 2nd floor.
IMG - most of our residents are foreign medical graduates from different parts of the word; this makes this place very special and provides us with an oportunity to learn about each other a little more.
Life outside of work; Yes, there is life outside residency - times have changed; the myth about residency being a period of time with no life outside work is simply not true; obviosly some rotation are busier than other; but most of the time you go home at 4.30 or 5 pm and you do what you want; in the PGY1 your life is busier on the weekends but in the PGY2 and PGY3 level you have 2-3 weekends/per month for yourself or your family. You can fly back home to PortoRico and enjoy warm weather or go skiing in the Catskills.
What stands out? - if you go for an interview and say you come from Lincoln everyone will know you have had excellent training and will be able to handle any situation.
What are the drawbacks - this place is busy but if you are organized and focused you will have no problem.
Prepared once finished - many hospitals that like to hire Lincoln graduates - they know they are well prepared and used to any clinical scenario.
Would I reapply - yes.
Positives - you will love Renal, Endo, MICU, GI, ID here - teaching on these rotations is great. Negatives - Primary care clinics are busy and it will help if you speak Spanish because our patients speak Spanish a lot.
9 out of the 26 graduating residents went to fellowships in July 2006; they went into Critical Care, Hem/Onc, ID, Renal, Geriatrics. The rest of the graduates became hospitalist or do traditional medicine.
All inquiries about Lincoln Medicine Residency are welcome.
On a regular floor day we start at 7.30 am and work until 4.30 pm, on on-call days we leave at 9.00 pm( no 24 hour shifts).The time of coming and leaving is closely monitored with a time clock were you sign in and out by using your fingerprint. If there is a problem with leaving late someone (usually PD) will try to figure out if there is anything wrong(bell commission violation). Yes it is true that Lincoln is a busy hospital but once you get comfortable with computer system you should be able to leave on time.I am a 3rd year now and I am not on the floors anymore. I have mostly electives which I find extremely useful .In renal attendings are excellent, there is a lot of teaching and fun, ID is the same, geriatrics is very good as well. Everybody is approachable and easy to work with. Also we have Medical admiting resident rotation which we recently changed to one week on one off.
Teaching in Lincoln is really good; there is a lot of bed side teaching, morning reports, noon conferences and grand rounds. Some of the attendings are exceptional and I enjoy working with them. We have computer access to anything, we have uptodate, and library where they can get any article you need. Plus the cases that you see are so diverse that with each case you will learn something.
We have research rotation were you are encouraged to prepare a manuscript, letters to the editor, or case reports; many of our residents have publications.
The camaraderie among residents is large. I made close friends and I hope that i'll have them as my friends forever. We help eachothe and we gossip :)
With attendings I don't have any problem ,all of them are extremly kind; PD (Dr Dimitrov) is the nicest PD ever, he is one of us, you can joke with him, ask for advises, you can ask for changes in the schedule and if he can help he will for sure.
Outside life... we are in NY! We go out dancing, playing pool, shopping. During my internship I've seen most of the Broadway shows, we go to movies, concerts in Central park. Every year we have Christmas party, Graduation party,picnics.But all this depends on you if you prefer to sleep that is totally up to you.
This program is unique, it is busy and is hard work sometimes but hey this is how you learn to be a good doctor. The diversity of the patients, diseases that I've never seen, procedures, computer system, and fun everything is in Lincoln. You will be prepared for everything and anything when you graduate.
We treat poor people; you'll see sadness and lack of opportunity often but you are there to help. This is the most enriching experience of my life.
Negatives: lack of fellowships; but you have so much support to get into one if you want.
I never felt that I want to leave or that I made the wrong choice , I am happy here and that's why I'm here, I am here by choice.
daily schedule depends on your R level and rotations. if it's floor starts 7:30 with sing in , you round on your patientsif not post call will do to am report which is very learning for everybody. interseting cases of floor, unit, and mortality are presented. prgram director(PD)is always present and shares her experience and excellent knowledge of medicine. then teaching round starts with the attending and usually good cases are selected to reveiwe and discuss in detail. at noon main topics are covered in conference with Q&A. since we have online medical record it takes less time to finish dischrges, daily notes, and follow about patients. even sometimes we look other interesting and academic patients from different teams easily. most ot the time the day is over by 4:30 if not on call. call schedule is q4 and we never stay 24 hrs unless for personal reasons we switched calls. weekend calls are also 12 hrs. ecept sunday which is 13.5hrs.appropriate time for personal and family life and enjoy stay in NY. your time economy is more dependent on how efficient and capable of handling difficult situation .
very helpful and knwoledgeable faculty, noon conference and grand rounds are on regular basis.
residents are very helpful and friendly to each other
many stations avilable to work program upgrades stations on regular basis.
office is very involved in resident's professional development and career planing, good mentorship, following residents progress over the year and appropriate feedbacks, always open to suggetsions and critiques.
yes i'd like to reapply
occasionally patients load but never more than cap
if a resident is serious a bout fellowship program is supporting her/him. i knw residents that PD and assitant PD made personal call for them for recommendation, upon graduation very good offers for practice,
any inquiries are welcome
My working day was as any excellent, efficient resident in the USA. start around 7.45 AM, and end @ 5 pm. # of admissions were acceptable as any other hospital in the state. During my electives I have an excellent opportunity to cover my weakness , I was enjoying my electives.. Attending were very helpful and supportive. Lincolin hospital has one of the best computer systems in the USA. You get tons of experience during your residency.
The resident will become skillful in procedures, educating patients and health care. They will demonstrate an understanding of the importance of working in concert on teams improving the quality of patient care delivered. We had enough conferences and educational opportunity.
It is a divers program and very large program, has a lot of competitions, so itís almost Impossible to have uniform relationship, but over all the resident- resident relations were acceptable. Attending-resident relations were excellent; most of the attending were very supportive. I got my Cardiology fellowship during my PGY3 rotation.
I am so proud that I finished my residency from Lincoln Hospital; I think we had an excellent Chief(Dr Soni), Excellent Program director (Dr Dimitrov), as well as nice friendly attending. I think I am ready to cover any medical work without any hesitations, and with confidence and enough experience. Currently I am doing my Cardiology fellowship in one of the most Prestigious programs in the USA, and I got an excellent evaluations from well known attending in Cardiology. I think one of my strength got it because of Lincoln Hospital. Lincoln program providing an H1 visa, which will not give a chance to get fellowship, so if you want to get into the fellowship you, should get a J1 visa. The main problem in this program is the residents who have no loyalty to their program. Lincoln Hospital Internal Medicine program is one of the best program I ever seen , and I have seen a lot.
If you want to be one of the best MD, just apply to this program.
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Last Update: 23-Apr- 2014 at 10:45:07