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Resident Interviews

 

Program: Case Western Reserve University

Location: Cleveland, OH

Years: 3

Class Size: 13

Resident Responding: Mike Smith, Chief Resident

Date of Response: June 2006

Visit this program's website

1. What makes your program different from other programs, or what made you choose your program? 

     Our program compared to others I've seen is profoundly clinically strong, while maintaining academic possibilities.  Our program also is very laid back and has a reputation of having good resident relations.  We are a regional trauma center, burn center, and have a very busy helicopter service.

2. Are there any major upcoming changes to your program?

     We've dropped the floor months completely (peds, medicine).  We've added rotations in toxicology.

3. Is there anything you would change about your program if you could?

     I would change peoples' misperceptions about Cleveland.

4. How much are you responsible for blood draws, putting in IVs, etc.?

     Never for IVs although if you're a decent person, you should be trying on a crashing patient while people are on other limbs. We're not "responsible" for peripheral draws but on difficult stickpatients, I've had to fem stick people for blood, etc. For awhile, "difficult sticks" would get turfed to us because the MDs had the potential to use U/S for peripheral IVs.  Now, nursing are doing U/S IVs.

5. Do you learn mostly from attendings, other residents, or textbooks? Does this vary when you do off-service rotations?

I learn mostly from the patients.  We have 30+ attendings.   The majority are good to very good.  Several are outstanding. There are a couple people who just come in and move the meat.  Still, you don't realize what these interactions teach you until late in residency.

6. How does EMed rank in your hospital's hierarchy?

Highest

7. What are the perks that your school provides (PDAs, textbooks, conference fees, meal tickets, etc.)?

Two major texts.  Conference paid to ACEP third year, any conference where you present research.  You accumulate meal money each year.

8. How do you rate your rotations outside of the emergency department?

The ICU, anesthesia rotations are excellent.  We also do an U/S rotation. 

9. What's the best elective you've done?

I did a mixed one: forensic pathology, oral surgery

10. How much does your program focus on research?

Moderate.  Not do or die, not like a total community program either.

11. What do you love and hate most about the city you're in?

Cleveland is just fine.  I hate when people assume things about it.

12. Please describe your typical month in terms of work hours and days off.

The RRC is fairly stringent about this.  20 shifts for interns, 19 for second years 18 for third years.

13. How much time do you spend off-duty with the other residents?

A lot.

14. Do you have any international experience?

Potential during electives, not formalized yet.

15. What are your plans after residency?

Academics.

16. How prepared do you feel?

Extremely.

17. Do you have any advice for current applicants, or is there anything you wish you'd known when you were applying?

Don't do complicated decision analyses.  They're worthless.  You need to satisfy three things:
     1. You have to be able to live in the place 3-4 years.
     2. You have to have your spouse live there too... without divorcing you.  (Have him/her cross places off the list with "no questions asked.")
    3.  You have to like the people you work with.
and that's IT.  It doesn't matter if you're at the place with the best "cumulative" score on your decision tree; if you hate the place you will do POORLY.

 

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