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Ranking Peds: How important to choose the "best?"

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8 years 10 months ago #77553 by nonny22
This question is really for residents/attendings... but of course I'd be happy to hear anyone's opinion.

It is time to rank programs! I am torn between my home hospital: a free standing children's hospital, one of the best in the country, well organized, excellent reaching, huge referral center, etc and one in the suburbs. The suburban one is also a referral hospital, has it all: ecmo, all specialities, pretty high volume. But, it is not as academic. It has none of the prestige of my home program. It is a community program with a weak university affiliation. That said, it would allow me to live closer in a nicer house, it would give me a slightly better lifestyle (I think), and it just has more of a family feel. Some of the other residents have kids while it is almost unheard of at the huge urban program. I am fairly confident I could get into either..

Everyone I talk to thinks I am crazy to even consider going to the smaller program. So, what do you guys think? I realize I will only do training once (what I keep getting reminded of) But how huge of a difference can there be? I don't need prestige, I just want to be a well trained general pediatrician! The urban program really is amazing though- they get the cream of the crop residents and the top attendings in the country.

Also, I will be due with my third baby on June 23rd. Yup, so I will be taking maternity leave my first 2 months of intern year. Great timing. I think I will need all the help I can get!

It might sound like I am leaning toward the more family-friendlyish program but I am 50-50! I worry that it will be "sloppier" and more disorganized than the more competitive one.

Any pediatricians or residents that can weigh in????

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8 years 10 months ago #77557 by residentmom
I am not a pediatrician, but if you are planning to go into general outpatient peds (and you're SURE)... then pick the suburban one. I doubt that residency prestige is a big factor in getting a position in the long run... but I am an FP, so not my area. My gut feeling is that as long as you can get board certified and make good personal contacts in your field, you will be fine.

ResidentMom<br /><br />"If you bungle raising your children, I don't think whatever else you do well matters very much." --Jackie O.

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8 years 10 months ago #77605 by kpzr/9145
I am a pediatrician, in practice for 12 years. I purposely chose a more family-friendly program, still an excellent tertiary care center with pediatric Trauma, etc but with a "weak" academic affiliation. I had a truly amazing experience as a resident. The teaching was excellent. And believe me, I think of myself as an academic so my standards are high. I knew I wanted to enter General Pediatrics. What I saw was that the primary care exposure at this residency was much much better than what I saw at the big Boston hospitals where I did medical school. Not sure if this is the case for you or not. I have not regretted my decision. I felt extremely well prepared to enter practice after three years. If your "suburban" program seems more supportive of family life, this is a big factor to consider too. Plus it sounds like your standard of living might be better there which is important too, especially with a growing family! Well good luck and let us know how you do with your decision. In the end, it is a gut feeling, how to rank your programs. You know in your heart of hearts where you would rather be.

kpzr

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8 years 10 months ago #77634 by southernbelle
Can anyone comment on FP with OB included? Do most FP residencies prepare you to deliver babies? Can FP docs who also do OB perform sections? I would prefer not to do a OB fellowship after residency if at all possible. I am a OMS-3. I love FP and know I want to do it for sure. I also love OB. I have fallen in love this month. I HATE surgery and GYN does not interest me much. Thanks!

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8 years 10 months ago #77636 by residentmom
ALL FP residencies are required to train you to do OB. That being said, certainly some are better at it than others. I went to a program (and there was nother nearby) that had really excellent OB teaching and exposure, and felt well prepared to deliver babies when I finished. Whether you can actually deliver babies in real life is another whole question-- it is very difficult to get reimursed to a level that will even cover your malpractice so you can break even, but there are rural areas where this is possible. Also if you stayed on faculty at a residency you could do this. PM me if you want specific details about programs I know are good. :) In general, you will want a community program, and not university (no competition from OBs, etc) and you will want to really talk to the residents you meet about their OB training. I went to more than one program where the residents admitted they struggled to get the required numbers of deliveries, counting "observations" among their numbers. Good luck!

ResidentMom<br /><br />"If you bungle raising your children, I don't think whatever else you do well matters very much." --Jackie O.

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8 years 10 months ago #77669 by nonny22
So helpful! Picking a program is kind of like picking a husband, eh? Doesn't matter what other people think in the end.... ;)

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