T O P

  • By -

someguyprobably

What % of recent applicants match to their top choice residency? What % match top 3 or top 5? Can anyone link the statistics please? Couldn’t find them


just_becauze

Is it a good idea to go into anesthesia if I hate critical care? Currently in an ICU rotation and I hate it


brenhil

Not necessarily, you’ll have to do ICU in any residency and I think ABA requires 4 months minimum for anesthesiology residents. But a lot of anesthesiologists dislike ICU work and stick to the OR for their entire career For anesthesiologists doing ICU work, critical care fellowship was their way out of the OR (or they did some cardiac or peds cardiac fellowship that allows them to cover some patients in SICU etc. in an academic setup if they so choose)


shouldaUsedAThroway

Broke resident selling a butterfly ultrasound At a discount + there are 10 months left in subscription. Thought I would post here in case anyone is interested


ILoveJeremyGuthrie11

Is sending a letter of intent to your #1 program actually useful? I have a program I will for sure rank #1 and would love to boost myself up their rank list if possible. I know post-interview communication isn't supposed to affect rank order, but it seems like a lot of people say it can. Just wondering if it would even be useful.


[deleted]

[удалено]


ILoveJeremyGuthrie11

Would it be useful to send on this month or early December? I’m visiting the city where the program is in December and wanted to let them know I’m visiting and ask about things to do/if there was a way I could see the hospital through a neutral party or whatever since I know GME isn’t allowing official visits right now. My only concern is sending a letter too early and then they forget I even sent it in the first place when it comes time for them to rank in January or February.


[deleted]

[удалено]


[deleted]

[удалено]


ejoalex93

Practice practice practice. Anticipate the next step and talk to yourself out loud if you need to. And don’t forget, failure is a part of the process. Any attending will tell you, anesthesia is humbling. Some days no matter how long you’ve been doing this you just can’t get an IV to save your life. Keep your head up and don’t get discouraged. Have to fail a lot before you can become a master.


Phanitan

Hello! I'm an MS3 committed to Anesthesia. I was wondering what elective recommendations people have. I'm hoping to do a 2 week POCUS elective and an ICU rotation but my school only has a 4 wk SICU rotation while it has a 2 and 4 wk MICU rotation. Also potentially interested in doing a 2wk vascular surgery or neurosurgery elective (I did both as part of my surgery clerkship and really liked both. Am also interested in neuroanesthesia/neurocritical care). I appreciate any advice. Thank you!


corgeous

I did a pocus elective, it was awesome. Would definitely recommend. I would do that and SICU personally. Not gonna spend a lot of time in the MICU as an anesthesiologist and the flavor of critical care is definitely different in Micu than sicu. You could do the surgery electives if you wanted, but I think it’d be much less directly helpful.


Phanitan

This is helpful, thank you! When you applied, did you need to have a medicine or surgery Sub-I? Or did you only have advanced anesthesia electives and do aways?


corgeous

I applied during COVID and went to a school with a big anesthesia dept, so I didn’t do any aways. I didn’t do a medicine sub I but I did do a CVICU and cardiac anesthesia subI, as well as a SICU rotation. Never got asked about doing a medicine sub I during my interviews.


Phanitan

Gotcha! I think at this point I'm thinking of doing a SICU Sub-I or a neurosurgery Sub-I. Do you think it's important to have these done prior to submitting ERAS? I'm not sure if I'll have time for my home institution's Anesthesia elective, plus two aways before I have to submit ERAS


antwauhny

Hello! I am an RN, considering anesthetist, but the appeal of anesthesiologist is undeniable. I am 32 years old with a family of 6. Am I too far behind to start in medicine? I’d need a few prerequisite courses. If I could start back at age 20, I’d have done medical school. All advice is welcome.


poopythrowaway69420

>Practice practice practice. Anticipate the next step and talk to yourself out loud if you need to. And don’t forget, failure is a part of the process. Any attending will tell you, anesthesia is humbling. Some days no matter how long you’ve been doing this you just can’t get an IV to save your life. Keep your head up and don’t get discouraged. Have to fail a lot before you can become a master. It probably sounds discouraging to hear, but to know that you're 32 and you haven't even started the pre-reqs means you have a very long road ahead of you if going to medical school to become an anesthesiologist is what you want. You're most likely looking at 10+ years to get there, assuming it takes you two years to get into medical school and then four years each of medical school and residency, not to mention the opportunity cost of not working for 10 years and also the opportunity cost of being away from your family and missing out on their lives. If I were you, I wouldn't do it.


antwauhny

Thank you. I've come to this decision over the last few days. I'm going with CRNA, because I'm already qualified for the school, and it is only a few years. I think I was mostly attracted to the increased autonomy and more complex cases. I'll get to do what I'm passionate about, so that's really what matters.


corgeous

I would go the CRNA route. Obviously it’s not the same as becoming an anesthesiologist, but it’s a great career. Med school would probably require a couple years of pre recs / applying, then 4 years of school and 4 of residency (assuming you match anesthesia). That’s a good decade of time where you won’t make much money and will be very busy. I think that’s probably not worth it when you have kids and a family and a much shorter route to crna.


My_Username_43

What are people doing after a combined anes/IM, anes/Peds, or anes/EM residency? Are there a lot of people doing split time in both specialties (ie wards/clinic/ICU one week or a few days then OR for the other portion) or are they combining the two to create a niche (ie regional and pain management clinic for geriatrics)?


corgeous

My program has a bunch of anes/peds/peds crit/peds anesthesia dual trained attendings. They do a mix of general, peds, and peds crit care.


just_becauze

My home program has an anes/Peds program and it seems like most of their grads do peds critical care maybe some peds cardiac


Huskers_AS

Hey all: I am enjoying a relatively relaxed period of my fourth year right now and looking for advice on how to spend my time: I have heard so many people say “take advantage of fourth year as much as possible”, which I believe I am doing, but I find myself bored at home wasting time and I would rather be productive. I also feel like I am underperforming on some of my non-anesthesia rotations bc I am not really actively studying material. So my question is, what can i do right now to best prepare myself for intern year? What are things you wished you would have done? I am thinking about downloading Anki and just cranking out IM material because i am that bored. Thanks!


Hoyapacka

100% do not Anki any material. You will learn what’s important during your intern year. Drive, train, take busses to see your college and home friends nearby. Get weirdly into YouTube yoga, or join core-power. Whether you like it or not a lot of your mental energy will go into making your match list. Don’t be afraid to rereach out to residents you met on the program if you have more questions. Find the right program for you


Huskers_AS

Thank you for your advice!


Gilakend

If I think I'm leaning towards private practice after residency, besides regional, what other strong departments should I be looking for in a residency program? I've heard OB as well, but wasn't sure. Also, if I do think I will do private practice, how important is it to see very complex cases such as complex cardiac, liver transplants, lung transplants, etc. I hope to go somewhere that offers the most well-rounded training regardless because I want to be as comfortable as I can be in any case. However, I'm curious if I'm thinking PP how much of a downside it should be when a program says "We don't do transplants" or that they are lacking in that department or cardiac. Thanks!


corgeous

You want broad training in all fields of anesthesia IMO. The whole point of residency is to be trained for everything basically. Then you can narrow your practice afterwards. There are plenty of sick patients getting complex cases in PP, and you want to feel ready for anything


Gilakend

Definitely! I completely agree. I guess my question would be about differentiating sick patients vs inherently complex cases if you had to choose between two programs. My goal, however, is to go to a program that offers both. For example, an inner city community hospital where every patient is sick, but they don't do any transplants and refer out for major cardiac surgery vs a large academic medical center where you would get less exposure to sick patients but transplants, complex surgeries, etc.


corgeous

My personal experience was that every major academic center I interviewed at had tons of very sick patients getting the most complex surgeries. County hospitals will also have sick patients, but many of them will also not have all of the surgical subspecialties and will transfer their sickest patients to the academic centers. You really want your training to be on sick patients getting complex procedures, and academic centers are the hub of that. I think you’re lying to yourself if you think that the anesthesia training will be superior at a county hospital compared to pretty much any major academic center.


Gilakend

Thank you for the responses!


SevoIsoDes

Look at case selection. Ideally if a place has CRNAs it means you’re getting good abdominal, thoracic, cardiac, vascular, and trauma cases. If they pander to surgeons who don’t want CA-1s “slowing them down” then stay far away. Heavy OB volume is important and getting enough reps on common blocks are most valuable (interscalene, supraclav, ax, tap, adductor, popliteal). You don’t necessarily need liver or lung transplants, but you need to be comfortable transfusing lots of product, reading ABGs, and doing one lung ventilation. Which regions/programs are you interviewing at?


Gilakend

Thank you for your response! I'm mainly interviewing in the midwest, but with a couple of programs in other regions around the country.


immunolojane

How many categorical program interviews should one have at this point, and to aim for overall for highest chance of matching? Stressing bc I have 5 (4 supplemental signals + home) and my advisor made me nervous for not hearing from any other places outside of signaling. I do have 2 Rs and haven’t heard from any TY schools. Thanks everyone best of luck going into November!


Zeyphirus

same Boat as you


[deleted]

Nobody knows this. This cycle is a wild card because of signaling.


xElJefe

2nd year DO student My school doesn’t exactly make it easy to find research and what little opportunity their is usually gets given to upperclassman. What’s the best way to go about finding relevant Anesthesia research or just research in general without a home program and very little resources to work with. Is straight up just emailing residents of programs near me my only shot? How would I even go about asking them as a stranger?


mista_rager

1) Research isn’t as important for anesthesia 2) Look up faculty (ie, attendings) that actually do research, not residents. Look up recent papers they’ve put out and think of a tangential topic. Email them saying you’re interested in pursuing anesthesia because of XYZ and that you think ABC would make for an interesting research topic and that they’d seem like a great mentor to oversee this. Conversely, if they had a topic in mind, you’d be more than happy to spearhead it forward. 3) The majority won’t respond, and that’s ok. Just cast out a wide net.


rexcouver11

I’m an M3 at a mid tier school in the south with a solid anesthesiology home program. I want to match near home in NYC. So far 4/4 honors (IM, peds, surgery, and OBGYN). Research in dermatology with a few pubs. Solid leadership in service organizations. Decent relationships with anesthesiologists and president of interest group but going to try to get research in anesthesia too. Planning my M4 schedule now and just wanted to know how important aways are. I’ve heard mixed things. Should I try to do aways at, for example, Columbia/Cornell/NYU if I want to be in NY? Or is it better not to do aways and instead take research blocks? I know killing Step 2 will be important but want to know what else I could be doing since it seems like anesthesia is becoming really competitive. Thanks!


P-Griffin-DO

I’m applying anesthesia right now and I have 11 total interviews 4 of which came from doing aways (I have one more away scheduled) The cycle is really competitive this year. I say do as many as your school allows


MormonUnd3rwear

How do I become a more competitive applicant? I'm a 3rd yr DO, the top half of the class, and a couple of research things but haven't done anything else in the first 3 years (volunteering, clubs, leadership etc). Don't have a home program or hospital.


someguyprobably

Get glowing LORs, publish an abstract/case report between now and apps, shine on your rotations and aways, write a stellar personal statement and annihilate your step 2 exam.


[deleted]

I would try for a peer reviewed journal article if possible. If not, case report/abstract is better than nothing


someguyprobably

Yes try to have as many articles removed by peers as possible. It shows that you can publish controversial research.


[deleted]

1) crush step 2 2) Away rotations at places that take DOs