Why there is an pgy8? Is that resident+fellowship? My former tenant has been a practicing Emr in a local hospital for several years, he was applying a fellowship after his years of service, suppose he is successful does he have to fall back to say pgy5?
Some residencies/fellowships have built-in research years that increase the overall length of residency or residency + fellowship. Or person in a dual residency program (med-peds or EM-IM, for example) then doing a 3 year fellowship at the end of the dual residency.
For example the surgical research track at Harvard and Yale have 2 years of dedicated research built into the surgery residency. That makes those programs 7 years long instead of 5. Add a 1 year long fellowship (pediatric, colon, hand, breast surgery) and that makes 8; add a 2 year fellowship (vascular, CT) and it’s 9. It’s not uncommon for hem-onc fellowships to have 2 years of dedicated research, making the fellowship 5 years long after a 3 year IM residency.
Anyone who returns to residency or fellowship after working as an attending goes back to making a resident’s salary. (Just one more reason why second residencies are uncommon.)
(Since EM programs can be either 3 year or 4 years long, your former tenant may actually be considered a PGY 4 depending on the policies of the fellowship program.)
It’s so funny that UCSF give $900/mo housing allowance. For that money you cannot even rent a bathroom in Sf and residency at UCSF has to endure 8 years of below poverty. It was on the news yesterday a $100k salary in SF is consider at poverty level.
Nevertheless, there must be 10,000 applicants for those few positions!
Actually all residencies are required by the ACGME to include either a housing or a housing stipend as part of their resident compensation packages. UCSF just lists it separately and explicitly. Most programs just include the stipend as part of the overall monetary compensation.
The housing stipend is a hold-over from when residents were required to live on the hospital grounds. (Just like nursing students used to be required to live on the hospital grounds.) When hospitals stopped providing resident dormitories, residency programs were required to pay residents a housing stipend to make up for the loss of the free housing benefit.
The Cornell-Weill surgical residency, for example, doesn’t pay a housing stipend because the program provides apartments for its residents across the street form the hospital. Neither does Mt. Sinai which provides apartments on and off campus for all its residents
Which is precisely why they are called “residents.”
Anyone doing a fellowship in neurosurgery (Trauma/Critical Care, Stereotactic/Functional, Spine, Skull Base, Radiosurgery, Peripheral Nerve, Pediatric, Oncology, Interventional Neuroradiology, Epilepsy, Endovascular, or cerebrovascular) will be at least a PGY8
@artloversplus UCSF is most generous. Stanford gives only $500/mo, UCSD $3500 lump sum. Kaiser $1000/ year.
So don’t know how you are going to describe Kaiser housing allowance if it is true.
“Residents are eligible for a Housing Allowance, reimbursed up to $1,000 per year”. I hope & wish it is a typo instead of per month it says per year!
D2 applied for and was just accepted to do a clinical rotation with the Indian Health Service in Chinle, AZ. Chinle is on the Navajo Reservation in NE Arizona near Canyon de Chelly.
Chinle is about as rural and remote as you can get in the lower 48.
Very cool! Congratulations to D2. My daughter did a rotation with the IHS in Shiprock, NM. She loved it and learned so much. Just a few weeks ago she mentioned her Shiprock babies when a friend’s child was hospitalized with a bad case of RSV. She saw a lot of cases that progressed into bronchiolitis
out there.
New requirement for everyone planning on applying to Emergency Medicine residencies.
Starting this cycle, anyone applying for emergency medicine residencies is now required to submit a standardized video interview as part of their application.
Given that EM is the only specialty that requires a SLOE (Standardized Letter of Evaluation - pronounced like the word “slow”) and no one else seems to have jumped on that train - I have a feeling this won’t gain traction either. I bet every program thinks it has some special formula for finding the best residents and thus wouldn’t bother with this.
It’s actually kind of ironic that EM of all specialties loves these standardized modes of evaluation when they are one of the specialties where audition electives are a necessity and I’ve been told the reasoning is that EDs have such variability that programs want to see how you do in their environment or at least in something similar to theirs.
^^^ congrats to D, it’s always great to do well and put all Steps in rear view mirror.
But except for the some $27M yearly the test generates for NBME coffers just counting US students (approx $1300 x 21000 students), can someone with a straight face tell me what purpose Step 2CS serves?
It’s definitely important to make sure an FMG can function in the american medical system.
If the US schools didn’t offer more rigorous versions in house, the exam would provide a valuable bench mark for ensuring basic competency in history taking, physical exam skills, creating differentials and ordering proper workup. Additionally it tests the ability of someone to do this in a timely manner and communicate all of this in an effective way.
It’s a little chicken and eggish though in that if CS didn’t exist, would the schools still make theirs so rigorous? To make sure people do not fail CS, my school fails more than 10% of the class on our in house version (like CS, if you are in the bottom 10% overall or in any one of the 3 domains, you fail) which then requires you do a remediation before taking CS. Additionally, the SPs are more difficult for us than on CS (more hostile/sensitive, less forthcoming, etc). When my original class took it, the school only failed the bottom 5% (overall or in any one of the 3 domains). I know they have made CS more difficult in the last few years so I guess they felt the bottom 5% wasn’t a wide enough net to catch people at risk of failing.
No, there are only the 6. What texas means is they have to come and take the test and pass in order to officially enter the match. Some programs probably won’t even interview an FMG without a CS pass on file, most won’t rank without it, and even if they do rank without it, if the student fails (or I should say - doesn’t pass in time), they won’t match even if every program in the country ranked the person #1.