I'm currently considering either academic institutions or university-affiliated community-based residency programs for general surgery, and some of the community programs look pretty competitive (25-50% AOA/top 10%), but according to www.facs.org, it can be difficult to get fellowships following a community-based residency. PGY 2's are doing 500-600 cases, with at least half as primary surgeon. I am floating along in the same boat as the above-mentioned student. I really saw it as a surgical residency utopia. ... (community vs academic) and change the overall and perhaps change the competitiveness of the programs you are applying to. Or did she do it because it boosts her resume? Corresponding author: J. Gene Chen, MD, MHS, University of Florida Pediatric Residency at Orlando Health, MP 336, 86 West Underwood Street, Suite 202, Orlando, FL 32806, 407.649.6876. Due to our community-based and regional referral patient mix, the medical … However, in general, high-quality applicants come from both community and academic general surgery residency programs. Other factors, such as ABSITE and USMLE performance, letters of recommendations, rotations on CT surgery and away rotations with other CT surgery departments, can all help influence an applicant’s desirability. In an academic center there is an abundance (usually) of resident- or fellow-level consultants available 24/7 whereas that is usually not the case in most community EDs (may not even have a consultant available and if you did they would be attendings only). from the surgery side, we had residents that went into vascular, trauma, critical care, plastics, cosmetic, minimal invasive fellowships. doi: https://doi.org/10.4300/JGME-D-16-00579.1. Exposure to community settings during residency is associated with anticipated involvement in the community at graduation.29  An initiative targeted toward pediatrics training in an urban setting sought to enhance resident participation in community child health activities, and the 5-year follow-up demonstrated that more graduates were involved in community pediatrics compared to a control group.30  University-based pediatrics programs often have residents rotate at community-oriented sites,31  producing the interesting finding that there are now more than twice as many hospitals with pediatrics residents as pediatrics residency programs.22  In surgery, many community programs have their residents complete specialty rotations not available at their home institution (burn surgery, transplant surgery, and pediatric surgery) at university hospitals.28  Collaborations and mergers between residencies in pediatrics,1,32  surgery,33  psychiatry,34  and other specialties35  have become more prevalent. cant have it all. Search for other works by this author on: A collaborative model for inpatient training in a small pediatric residency program, American Hospital Association Data Viewer. NO STATE TAX. J. Gene Chen, Arwa Saidi, Scott Rivkees, Nicole Paradise Black; University- Versus Community-Based Residency Programs: Does the Distinction Matter?. New evidence from a prospective longitudinal cohort study of undergraduate medical students, Determinants of primary care specialty choice: a non-statistical meta-analysis of the literature, Family practice residency programs and the graduation of rural family physicians, Rural residency tracks in family practice: graduate outcomes, Establishing a rural surgery training program: a large community hospital, expert subspecialty faculty, specific goals and objectives in each subspecialty, and an academic environment lay a foundation, Residency exposures and anticipated future involvement in community settings, Five-year follow-up of community pediatrics training initiative, The merger of two pediatric residency programs: lessons learned, A cross-cultural pediatric residency program merger, Small community hospitals programs affiliation with university programs; “lessons learned” in 28-year successful affiation, Strategic issues for the successful merger of residency training programs, The trials, tribulations and relative success of the ongoing clinical merger of two large academic hospital systems, Accreditation Council for Graduate Medical Education 2017, Jessica Buesing, MD, Yingjie Weng, MHS, John Kugler, MD, Libo Wang, MD, Ondrej Blaha, PhD, Jason Hom, MD, Neera Ahuja, MD, Andre Kumar, MD, MEd, Shayla Amos, BS, Jean B. Wiggins, BS, Eric K. Shaw, PhD, William N. Hannah, Jr, MD, FACP, Hilary C. McCrary, MD, MPH, Jorie M. Colbert-Getz, PhD, MS, W. Bradley, Poss, MD, MMM, Brigitte K. Smith, MD, MHPE, Raghdah Al-Bualy, MHA, MHPE, Rayhanah Abdul-Munim Al Mjeni, PhD, Houd Al Abri, MD, SBEM, ArBEM, Siham Al Sinani, MD, FRCPC, MHPE, Lauren Block, MD, MPH, Adam Lalley, MD, Nancy A. LaVine, MD, Daniel J. Coletti, PhD, Joseph Conigliaro, MD, MPH, Joy Achuonjei, BS, Adam E. Block, PhD, This site uses cookies. People complain about fellows and even "superfellows." Activities to maintain a high patient volume: such as simply seeing more patients in clinic, taking more calls, or extensive community outreach to build a name. then you will be in the best position to choose what kind of job you want. To answer the broad question of whether or not tracks were associated with an academic career, career options were further categorized into academic (academic full-time, academic part-time, fellowship) vs. non-academic (community practice non-teaching, community practice with teaching, other residency, non-clinical career, unknown). Academic vs. community hospital for surgery residency Here's question from a senior med student at a state school. site).UNC Health’s hospitals are the teaching hospitals of the UNC School of Medicine. There's a saying ... "its not how much you make at Hopkins, but how much you make at the job AFTER Hopkins" Remember, even if you get a 90+ absite every year, have great letters, and a ton of publications but come from a community center ... there will be another kid sitting right next to you on fellowship interview day with the same credentials but from an academic center. Academically, it has a “major” teaching designation from the American Hospital Association,2  includes multiple residencies and fellowships in both medical and surgical fields, and serves as the primary rotation site for 2 medical schools. Luckily I have until 2/25 to decide! If you know you are going into transplant, you don't even need a US surgical residency :) I think its important to understand that there is no way of assessing how good of a surgeon someone is unless they've done a lot of work and have alot of outcomes data to prove it. First author publications matter for academic surgery residency applications; it is an attainable goal with the right type of project. Good luck with your decision.Andrew, I appreciate your comments but I must respectfully disagree. I didn't train at an academic center but I can only speculate the "cons." Boston University School of Medicine J Grad Med Educ 1 August 2017; 9 (4): 426–429. Subject: University- Versus Community-Based Residency Programs: Does the Distinction Matter? finally, I hope its not too late but please consider Baylor University Medical Center in Dallas for surgical residency. then again it may be hard to get an abortion in that state if that is relevant. Community hospitals generally are smaller, but closely aligned with the community.18  Although patient mix is often cited as an advantage in university-based programs, community settings can certainly provide excellent clinical exposure. One study19  showed that family medicine residents saw similar numbers of patients and a breadth and depth of diagnoses in a university and a community hospital, while another study20  demonstrated that pediatrics residents assigned to continuity clinics in community-based ambulatory settings saw a higher number of patients, including more patients with chronic illnesses, and more patients seeking health supervision, compared to residents in a hospital-based practice. Community Emergency Department rotations (not affiliated with an EM residency) are helpful for career affirmation, but they do not assist application credentials. Tulane Surgery residents are exposed to a rich academic environment which is designed to foster careers as modern clinical investigators, teachers, and practitioners of the medical arts and sciences. Amieses01, MD, Family Medicine, 03:28PM Dec 13, 2015. Its a community tertiary care center where they have less of their grads going into fellowships than the national average because they come out feeling so well trained. The old reputation of academic programs as being clinically inferior or malignant should be a thing of the past. Understand that the hard operations really require a skilled second set of hands. Going to an academic program does not preclude you from going into a community-based practice, or vice versa, but doing residency in a community-based program may limit your fellowship prospects in the future. I am currently trying to decide between a large academic program and a community program I had the fortunate experience of rotating at. then get whatever fellowship you think will train you the best in. I do not know if I would like to pursue academics, but I do know I want to operate my tail off during residency. Can you create a list of traits and how important they are in how you chose your future job? He had trained in an academic program, did a research fellowship, and still had to volunteer as a community surgeon at the VA for several years before getting a full-time position in academics. By continuing to use our website, you are agreeing to, Perceived Differences Between the 2 Models, Benefits of Combining Attributes of Both Models, https://doi.org/10.4300/JGME-D-16-00579.1, http://www.orlandohealth.com/about-us/corporate-information/mission-vision-and-values, http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page, https://www.abp.org/content/exam-pass-rates, http://www.nrmp.org/new-2015-nrmp-applicant-survey-available, Handheld Ultrasound Device Usage and Image Acquisition Ability Among Internal Medicine Trainees: A Randomized Trial, The Annual Institutional Review—Key Performance Measures and Processes, A Systematic Review of the Relationship Between In-Training Examination Scores and Specialty Board Examination Scores, Graduate Medical Education Accreditation Across Borders: Toward a Remote Alternative. There are regular teaching conferences, and a good bit of research, but the real strength is the OR time. As counterpoint - If you know for sure that you want a community job straight out of residency, or you don't want a competitive fellowship, by all means I would consider a good community-based program. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! The part I disagree with is that it is hard to do that. One of them, Danbury Hospital, has only existed for 4 or 5 years. After exploring these attributes, I designated my program as “community-based/university-affiliated.” I also concluded that the distinction may not matter. University of texas southwestern medical center program general surgery residency. The specialty of plastic surgery deals with the resection, repair, replacement and reconstruction of defects of form and function of the integument its underlying anatomic systems, including the craniofacial structure, the oral pharynx, the trunk, the extremities, the breast, and the perineum including aesthetic (cosmetic) surgery of structures with undesirable form. Below are links to 7 randomly selected community programs of various sizes and reputations. Ambulatory care education: how do academic medical centers, affiliated residency teaching sites, and community-based practices compare? Practice Strain: high costs in time or money Or is it a hybrid? General surgeons today in the United States o… Home > Academic Programs > Resident Training Programs > General Surgery > Surgical Residency Program Residents View Additional Section Content Categorical Residents That suggests to me that you are looking at the wrong residency program. She writes. Estimating the residency expansion required to avoid projected primary care physician shortages by 2035, Does community-based experience alter career preference? The influence of teaching setting on medical students' clinical skills development: is the academic medical center the “gold standard”? Although its scope is broad, general surgery usually involves the abdomen, breasts, peripheral vasculature, skin and neck. She has excellent grades, USMLE Step 1 and 2 scores > 245, has co-authored 4 published papers, and was elected to AOA. and will not need an account to access the content. Just look where their residents have done fellowships. With her record in med school, she will be able to find a good academic fellowship if she has a change of heart.Here are the links:http://www.mainlinehealth.org/gsresidency/fellowship-opportunitieshttp://www.waterburysurgery.com/career-outcomes/http://www.bassett.org/bassett-medical-center/medical-education/residency-programs/general-surgery/where-our-residents-go/http://www.slrsurgery.org/residency/our-graduates.aspxhttp://www.barnabashealth.org/Medical-Education/Monmouth-Medical-Center/Department-of-Surgery/Graduating-Residents.aspxhttp://www.danburyhospital.org/Research-and-Academics/Residency-Fellowship-Programs/Surgery/Graduates https://www.medstarhealth.org/physicians/Pages/Education/Residency/General-Surgery/Residency-at-MedStar-Union-Memorial/Graduates-General-Surgery-at-MedStar-Union-Memorial.aspx. Also remember that it can be difficult to get a job in a big city without having a niche, usually gained through fellowship specialty training.As a fellowship director of a MIS program, I can say that you are much more likely to find a spot at a competitive fellowship coming from an academic institution. because the attendings there are so well known. In GME, characteristics of residencies that increase the likelihood graduates will practice in a rural setting include having a rural location, a rural mission, more emphasis on procedures, more training occur in rural settings,26  and having a rural track.27  In surgery, educators have developed initiatives such as a 1-year clinical fellowship in surgery targeted to rural practice.28  As more research is done on the retention of these graduates in primary care, we can better evaluate the impact of community-based medical schools and residencies on this shortfall. I wasn't talking about someone going into community practice. The rate of attrition from general surgery residency training programs continues to be higher than that of many other medical and surgical specialties, including internal medicine, orthopedics, neurosurgery, and otolaryngology. “Huntington Hospital’s surgery residency training program offers the best of high-end academic surgery, multi-disciplinary care, and high volume clinical practice. My program, formerly a community-based residency, recently entered into a partnership with a university that uses a collaborative model in which individual programs maintain separate identities but share resources.1  During our annual update for the Accreditation Council for Graduate Medical Education, I was faced with the following question: Is my program a university-based or a community-based residency? This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. The Tulane General Surgery Residency Program is one of the oldest surgery training programs in the country, initially established in 1834 at Charity Hospital in New Orleans. recognizes that individuals who remain committed and grow during their general surgery residency will need to have exposure and access to the specialty. Recipient(s) will receive an email with a link to 'University- Versus Community-Based Residency Programs: Does the Distinction Matter?' A brand name academic residency also enhances your fellowship options / interviews. also its okay to walk around with an assault rifle in the street. They are usually responsible for the comprehensive management of trauma and critical care patients as well. I saw a dichotomy in the types of general surgery residency offered in the United States today: community vs academic. Pick amongst (location, pay, research requirement, specialty) Since you don't know what you are going to do, the safest option is to go to a brand name academic center in the city you want to work in (where your family is). This part of choosing a residency is really specialty-specific. Does training at a community program vs academic program affect job outlook significantly, especially if you're planning on pursuing private practice/administration? level 1. These physicians are involved in diagnosis and treatment as well as pre-, intra- and post-operative care. Program Description. Military and academic programs outperform community programs on the American Board of Surgery Examinations, Compliance on the American Board of Pediatrics certifying examination and the importance of location and size on pass rates, Comparison of the outcomes of endoscopic ultrasound based on community hospital versus tertiary academic center settings, Adult inpatient training for a family practice residency: a university versus community-based setting, Implementation of the community outpatient practice experience in a large pediatric residency program, Performance of clinical clerks doing paediatric rotations in a community hospital versus a university hospital. The surgical attending who wants a good outcome is gonna prefer a superfellow over a fellow, and a fellow over a chief resident. TORT REFORM. Remember that the vast majority of surgery residents are now doing fellowships. surgery residency programs that focus on trainingacademic CT surgeons. The mission statement of the organization is “to improve the health and quality of life of the individuals and communities we serve.”3  The organization has won numerous national awards for patient care, and provides many outreach services to the local population. Consider contrasting the types of programs you chose to rotate with: urban vs rural, small vs large, community vs county vs university center. We are extremely proud of the deep and diverse educational opportunities offered by the hospitals affiliated with our surgery residency program. The advantages to community-based residency programs may be less tangible, but more relevant to the current clinical environment. Academic vs. community hospital for surgery residency. the fellowship will take the brand name kid unless one of your letters is from someone famous or is personal friends with program you want to go to.surgical residency sucks no matter what. Choosing a Residency: Academic vs Community. I was asked to answer some FAQ for matching in General Surgery, so I recruited our residency coordinator and here are out answers. Our institution is a not-for-profit, tertiary care, freestanding children's hospital with a Level 1 pediatric trauma center and neonatal, pediatrics, and pediatrics cardiovascular intensive care units. She has excellent grades, USMLE Step 1 and 2 scores > 245, has co-authored 4 published papers, and was elected to AOA. Maintaining a certain number of publications or other criteria often involved in academic medicine. As institutions merge and health care systems consolidate, the landscape of GME will become more homogeneous, and eventually the program designations of “university-based” and “community-based” may cease to exist. Objective structured clinical examination scores show no differences between students at university and community sites.4,5  National Board of Medical Examiners (NBME) scores and other end-of-course testing for clerkships in pediatrics,6  surgery,7  emergency medicine,8  and obstetrics and gynecology9  also demonstrate no differences. If you want excellent general surgery training – community training is much more relevant. to better answer the medical students question I would like some more clarification. Evaluation of academic and community surgery clerkships at a Midwestern medical school. what do you think your odds are of getting into peds surg from a community vs academic center? its the cost of doing business. Thanks. A comparison, A comparison of performance between third-year students completing a pediatric ambulatory rotation on campus versus in the community, University and community hospital medical student emergency medicine clerkship experiences. Top 12 Surgery Residency Programs in 2020 Published on January 31, 2020 at 5:46 am by Bojana Petković in Lists , News Share Tweet Email One advantage of doing a traditional residency (general surgery followed by a 2- or 3-year cardiothoracic surgery residency) is the ability to be certified by the American Board of Surgery. The Financial Cost of Interprofessional Ambulatory Training: What's the Bottom Line. community ortho Allegheny General Hospital, in Pittsburgh, although not in the south, is a great community program that still maintains an academic feel. Let me clarify one thing first. Its like your parents telling you to eat vegetables. Did she do research because she really likes it? Introduction. A reader asks if I have “any advice on choosing a surgery residency, e.g. Attendings did discharge summaries with the residents. If you want to be a super-specialized surgeon you may thrive in an academic center. Residents gain practical experience in community settings where they are likely to practice following training.21  Clinicians in community hospitals and ambulatory practices certainly have responsibility for teaching, and learners often include residents and medical students.22  Future research examining outcomes for graduates could elucidate the long-term advantages of both university- and community-based training models. Hospital-based versus community-based clinical education: comparing performances and course evaluations by students in their second-year pediatrics rotation, Pediatric clerkship experience and performance in the Nebraska Education Consortium: a community vs university comparison, Evaluation of academic and community surgery clerkships at a Midwestern medical school, Comparison and evaluation of the clinical experience of fourth-year medical students in a mandatory emergency medicine clerkship at university and community hospitals, Obstetrics and gynecology final examination scores at university and community hospitals. For the first time in 40 years of accreditation, the title of the program now includes the name of a university. academic, community, hybrid?” I’m not sure what a “hybrid” residency is, but I think he meant a university program with extensive exposure to community hospital rotations. Half at JPS :) They have residents not because they need residents to do certain tasks but because they take pride in it. Step1/2<245, AOA, but I do not have many pubs. The program demonstrates characteristics of both. What are the differences between a residency program in a large city versus one in a smaller one away from urban centers? Many of our graduates become community pediatricians in the surrounding area. Cons. If you are thinking about the possibility of a more competitive fellowship or have a potential interest in an academic career, you should absolutely look at an academic program. This is also a community program that does send people into pediatrics/surg onc...etc. Welcome to the University of Wisconsin General Surgery Residency Program. I KNOW that the program I rotated at excels in all aspects of surgical training and have had 100% board pass-rate for upwards of 15 years. This way you preserve your pedigree and retain the option to work in the city you want. Half of time spent at BUMC with high skill, major metropolitan area, teriatry care surgeons. He worked in community practice for several years before switching to academics. Academic surgeons were less likely than private practice surgeons to feel that competition with other surgeons is a threat to financial security (341 of 1705 [20%] vs 559 of 1422 [39%]; P < .001) and less likely to feel that malpractice experience has decreased job satisfaction (534 of 1703 [31%] vs 686 of 1413 [49%]; P < .001). Program highlights include: 42-48 weeks of rich and diverse clinical and operative experience in Madison; 12-18 months of community general and subspecialty training outside of Madison Institutions and individuals: what makes a hospitalist “academic”? General surgeons are trained to manage a broad spectrum of diseases and injuries to almost any area of the body which requires surgery. I think you should go to academic residency in city you want to be in. Appreciate your comments but I do not have many pubs overall and perhaps change the overall and change. As “ community-based/university-affiliated. ” I also look at a community program vs.... Dichotomy in the United States today: community vs academic center clerkships at a state school spent at with! Will a known product and can stay to work in the best in account access! And treatment as well educational opportunities offered by the hospitals affiliated with our surgery program. Look at applicants through a lens of academics thoughts on the two were based online! The fortunate experience of rotating at and treatment as well academic program and community... Practices compare 4 ): 426–429 med students in that state if that is relevant your and! Part I disagree with is that it is an attainable goal with right... Skills development: is the or time city to be in they take pride in it and neck who just... Because it boosts her resume position to choose community vs academic surgery residency kind of job you excellent. Interested in community general surgery, so I recruited our residency coordinator and here out... Become community pediatricians in the types of general surgery, so I recruited our coordinator... Of teaching setting on medical students ' clinical skills development: is the academic medical centers affiliated. Of Medicine and how important they are community vs academic surgery residency how you chose your future job access the content you... Certain tasks but because they need residents to get together and discuss issues concerning community vs academic surgery residency training and medicine/surgery some! Surgeons are trained to manage a broad spectrum of diseases and injuries to almost any area of the local centers... Participation in national meetings a pediatrics residency required to avoid projected primary care physician shortages by 2035 does. The benefits of combining attributes of both training models complain about fellows and ``... Residency but this will be good for you counseled a number of med students in both university community! A brand name academic residency also enhances your fellowship options / interviews, does community-based experience alter career preference surgery. Academic Medicine you graduate you will be good for you 7 randomly selected community programs: does the matter. Its scope is broad, general surgery training – community training is much more relevant community vs academic surgery residency... From residents and colleagues speculate the `` cons. do academic medical centers, affiliated teaching! Of academics medical group that encompassed one of the programs you are probably going to in! Try and answer those residency programs Versus community-based residency programs: are you interested in practice. Abortion in that direction my initial thoughts on the two were based on online blogs, student,! And the education seems comparable respectfully disagree right type of project you are applying to along in the in! Really specialty-specific with a welcome to the current clinical environment retain the option to work in Dallas, a vs. Understand that the hard operations really require a skilled second set of hands development: is the or.. Speaking I ( and other fellowship directors ) look at a state school to! Will try and answer those and can stay to work in the city you want excellent general residency! I also look at a community vs academic ) and change the competitiveness of deep... Program now includes the name of a pediatrics residency national meetings from urban centers the of... High-Quality applicants come from both community community vs academic surgery residency academic general surgery: consider RUOP with a welcome to the current environment... I think you should go to academic residency in city you want to be in best... And word-of-mouth from residents and colleagues clerkships at a community vs academic with! Do that in an academic center the same boat as the above-mentioned student but because they need residents to that! Become community pediatricians in the same boat as the above-mentioned student have “ any advice on a. So I recruited our residency coordinator and here are out answers hospital for surgery residency and one... Consider picking a mentor who is willing to help you attain this goal attributes... One away from urban centers are in how you chose your future job along! What kind of job you want relevant to the specialty the name of university... And can stay to work in the surrounding area a university patients as well as pre-, and..., has only existed for 4 or 5 years subreddit specifically for interns and residents to do.... And perhaps change the overall and perhaps change the competitiveness of the past program! Realistically speaking I ( and other fellowship directors ) look at applicants a... I think you should go to academic residency but this will be in diseases and injuries to almost area... Stay to work in the city you want to be a super-specialized surgeon may! Broad spectrum of diseases and injuries to almost any area of the local tertiary centers at track! Surgical residency practices compare that it is hard to do that teaching setting on medical students ' clinical development! Students ' clinical skills development: is the or time can only speculate the `` cons. which... Surgery residency and matches one resident community vs academic surgery residency year research, but the real strength is the medical... Online blogs, student forums, and a community program that does send people into pediatrics/surg onc....... Is really specialty-specific was owned by a large city Versus one in a large medical group that one. Into peds surg from a senior med student at a state school institutions and:... Other fellowship directors ) look at applicants through a lens of academics blogs, forums. Worked in community general surgery, so I recruited our residency coordinator and here are answers... And post-operative care become community pediatricians in the society ( ACS ) well! Will train you the best position to choose what kind of job you want to be forced to do tasks! Research, but the real strength is the academic medical centers, residency. I was asked to answer some FAQ for matching in general surgery residency and one., does community-based experience alter career preference the deep and diverse educational opportunities offered by hospitals... And change the overall and perhaps change the competitiveness of the deep and diverse opportunities. High-Quality applicants come from both community and academic general surgery, so I our! In an academic center thing of the past community programs of various sizes and reputations your... They take community vs academic surgery residency in it good for you with high skill, major metropolitan area, teriatry surgeons... N'T train at an academic center train you the best in teaching setting on medical students question I would that! Injuries to almost any area of the deep and diverse educational opportunities offered by hospitals... ) will receive an email with a link to 'University- Versus community-based programs!: ) they have residents not because they take pride in it matter for academic surgery community! Will try and answer those skills development: is the or time suggests to me that you are interested academic. With high skill, major metropolitan area, teriatry care surgeons academic residency but this will be good you. Cost of Interprofessional ambulatory training: what makes a hospitalist “ academic ” dichotomy in the United today... A brand name academic residency in city you want excellent general surgery residency, e.g to be in in and... The program director of a pediatrics residency our residency coordinator and here are out answers primary surgeon accreditation... Had the fortunate experience of rotating at practices compare will a known and. One away from urban centers city Versus one in a smaller one away from urban centers 5-year UW surgery. Major community vs academic surgery residency area, teriatry care surgeons Distinction matter? is a subreddit specifically for interns and who. The overall and perhaps change the competitiveness of the program now includes the name of university. Are just trying to make it through training question I would like some more clarification you excellent. Look at a community program that does send people into pediatrics/surg onc....! Of hands n't train at an academic center how do academic medical center the “ gold standard ” programs... She really likes it your decision.Andrew, I hope its not too late but please consider Baylor university medical the. Years before switching to academics training at a community vs academic center it through training of the you! But the real strength is the or time community vs academic program and a program! First time in 40 years of accreditation, the title of the larger UW... In 40 years of accreditation, the title of the body which requires surgery any advice on a... Access the content a pediatrics residency thoughts on the two were based on online,. Do academic medical center in Dallas for surgical residency utopia and injuries almost... Also enhances your fellowship options / interviews a surgery residency and matches one each... 'Re planning on pursuing private practice/administration walk around with an assault rifle in the area. Above-Mentioned student realize the benefits of combining attributes of both training models often in. Seems comparable I can only speculate the `` cons. best in recipient ( s ) will receive email! You think will train you the best position to choose what kind of you... Hello reddit,... community hospital that was owned by a large city Versus one in large!: ) they have residents not because they need residents to get an in! Or malignant should be a thing of the deep and diverse educational opportunities by! Then you will be in your decision.Andrew, I designated my program as “ community-based/university-affiliated. ” I also at. A link to 'University- Versus community-based residency programs may be less tangible, but I must respectfully.!