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yf: 面试Flushing hospital medical center, NYC & Comments
作者:USMedEdu
发表时间:2007-12-16
更新时间:2007-12-16
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发信人: yf (fanfan), 信区: MedicalCareer
标 题: 面经三:flushing hospital medical center, NYC (by yf)
发信站: BBS 未名空间站 (Sun Dec 16 12:28:00 2007)

地理环境:处于著名的纽约flushing 地区,中国城在flushing的中心。医院离中国城
有一点路。周围没什么像样的店。不太热闹的样子。和中国城不太一样。

医院外观比较让人失望。进去也没有lobby,倒有个摊位卖过期的化妆品,有很多人围着
买。我觉得很奇怪。病人中有很多韩国人,中国人,西裔人。医院内的标志有多种语言
,中文,韩文,西班牙语。最搞笑的是医院食堂,在底楼的一个地方用低低的围廊隔出
一小块地方,食堂的菜既贵有难吃,但是居然是中国菜名,什么辣椒牛什么的,当然用
英文写的。我坐在那边吃饭,围栏外人来人往,感觉自己就像是猪圈里的一头埋头吃饭
的猪。吃完中饭到面试的房间外等着,因为面试通知上写着12:45开始面试,不要早去
。我在门外等着,保安叫我进去,他说早就有人进去了。我进去一看,已经黑压压的一
片了,顿时觉得自己很傻。

一看大概有20几个面试人,三个中国人,3-4 个韩国人,碰到了同去St. Barnaba面试
的一个韩国人,兴奋地互相打招呼。又碰到一个同去monmouth 面试的印度人,又打招
呼。交流了一下信息,大家都没拿到prematch,结论是可以forget about it 了。印度
人和非洲人也很多,坐我旁边的是一个尼日利亚人。然后PD来了,一个面目很和善的中
年妇女。做了介绍,回答了问题。还亲自帮人提行李。对他们印象大好。这个医院295
张床位,有老年科的fellowship。招14个catorgorical的10个prelim的内科住院医。他
们新成立了一个专门对中国人服务的医院中心,里面医生护士都讲国语,粤语和英语。
他们还有一个fellowship,但是acgme还没通过。病人挺多,病种也多。board passing
rate挺高的。Dr. Fisher 给他们辅导。就是kaplan video里面那个很有趣的人。Dr.
Fisher 曾经是他们的PD.他们对住院医的教育很重视,只要你想去别的医院做elective
,都可以。每天morning report, noon conference等等,吃饭都在开会时解决了,所以
食堂差一点也没关系了。毕业生出路:一大半practice去了,一小半fellowship.有个
中国哥哥很热情的为我们介绍,他很高兴就要去做hospitalist,以后hospitalist将要
成为一个fellowship,他庆幸自己可以直接作hospitalist,工资很高的,还有signing
bonus.

言归正传,我们是兵分两路,先tour医院,看了病房,还不错,lab 和影象是电子的,
order和patient note 要手工来。完了到了另一间教室,发一张卷子,就一个问答题,
为什么选这个医院,自己有什么特长合适来这里。我正好准备过,就对着自己的note
抄了一遍。然后一个一个被叫出去面试。有两个人面试你,一个是第二年的住院医,一
个是faculty.面试我的住院医是个印度mm,第一句就是tell me about yourself, only
academic side.我就说了。然后再问了几个经典问题,主要是临床经验方面。最后说你
的personal statement 和各种经历都说明你是academic的料,我们这里培养primary
care为主,你不适合来这里。我解释了半天,她好像也不信。后面等了很久来了个老教
授面试我,他就是在99年发现west nile virus encephalitis疫情的人物,只要跟着他
发几篇paper,以后infectiou disease 的fellowship就不愁了。这教授很和善,看了简
历,见到我的爱好是乒乓,就问我现在认为男子乒乓谁打得最好。我说孔令辉,他说孔
7年前得过冠军。然后评论了一番世界乒坛的古往今来。我后悔自己没有好好准备这些
。所以简历里的一点一滴都要好好准备。我瞄到前面一位印度人给我的打分,好几项5
分,但有一项2分。老教授讲完了,就说你是hem/onc的路(我都没说呢),我要叫另外
的人来面试你,坐着别动。他就把PD叫来了。PD说我手上没有你的材料,你用三个词形
容一下你自己。还问了future plan,还问了老公干吗的。然后就说you are done. 我一
头雾水的出来,其他人都跑光了。就是有一个伊拉克哥哥,提着个大箱子,找不到电梯
,转也转不出去。然后我直奔中国城,剪了头发吃了饭。半年不见得理发师还认得我。
饭菜也好吃的不得了。

这个医院看似不咋地,其实还好的,每个人都很友好。地区安全。吃住方便。给的第一
年工资5万2 ,可以在纽约生存了。要做fellowship 可以到有你想要的fellowship的医
院先elective一下,留下好印象,拿些好推荐信, 一般还是很有希望的。想直接从业
的找工作没问题。那个中国哥哥说他到加州工资是19万,我大概听错了。印象当中
hospitalist没有这么高。whatever,现在不是挂心这些的时候。但是他很高兴,很满意
就是了。

面试时碰到另外两位中国人,都没跟他们聊。祝他们好运。
他们的prelim位置很多。医院不sponsor 任何visa,只要GC和citizen.这个大家注意,
如果没有身份,就不要申请了。

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 206.53.]

发信人: puh80 (jim), 信区: MedicalCareer
标 题: Re: 面经三:flushing hospital medical center, NYC (by yf)
发信站: BBS 未名空间站 (Sun Dec 16 14:23:12 2007)

Interesting comments, a few inputs:
1)flushing is good one comparing to other NY programs, in terms of working
load and location, esp for CMGs.
2)Hospitalist range is 16-24w/yr with benefits these days. 19w is about
average, but not enough for CA considering living cost.
3)Clinical training is the strongest in NY comparing to most, if not all, of
the other places in US. Thanks to its large pt flow and working intensity.
I did it in NY and personally I believe it is far more superior to the one I
received in Peking Union hospital in 80s and also more pathologies than
west coast/southwest. More importantly, majority of the attendings are
competent both clinically and scientifically, since they all trained locally.
4)Fellowship program pay more attention to the future academic potentials.
But if you decide to practice only, they are all the same. Plus, small
private groups tend to prefer more patient-management oriented fellows.
These kinds of the groups are the most sought by us, I believe.
5)The orders of advantage index to be matched: connection>>young age>>score>
or =female>good looking guys>relevant background>PhD>papers>= "naked'old
man???
sadly, the decision makers are normally dirty old men.
6)Above all, the chance is minimal if one doesn’t get prematch in NY
programs after IV. This is different world, believe or not.

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.191.]

发信人: yf (fanfan), 信区: MedicalCareer
标 题: Re: 面经三:flushing hospital medical center, NYC (by yf)
发信站: BBS 未名空间站 (Sun Dec 16 15:59:38 2007)

我觉得flushing挺好的。补充一句,他们14个categorical 的位置,4个match,10个
prematch.大概1-2周之后email发prematch.面试425人。如果没拿到prematch,悬了。
prelim我不知道有没有prematch.有兴趣的人可以查一查。flushing比起其他纽约的医
院的确工作量小一点。
hospitalist 以后可能会成为一个fellowship,从96年到2004年,内科的trend,
hospitalist 从1.2%(总的在市场上内科人数)增加到15.几%,而primary care 却大幅
下降。其他科人数变动不大。除了nephrologist人数少下降,intensive care 稍下降
。有兴趣的话我可以转一篇内科trend的paper.
所以hospitalist是最近快速发展的一类医生。他们主要就看in patient。5day on, 5
day off. 有的医院7 day on, 7day off. ON 的时候从上午8点干到下午8点。不值夜班
。但是他们很多人很早就走了。OFF 的时候就连着休息。我跟的几个hopitalist见习的
时候觉得他们工作很轻松的。有的hospitalist受雇于private practice group,有的好
像是受雇于医院。primary care 医生就是看out patient比较多,自己开业。in
patient 和out patient 的区别就是前者病的更重。practice 里面有很多学问,请过
来人有空给大家讲讲。我们搞科研多的人,国内当过医生的人这方面都不太懂。里面一
些保险公司的事情挺搞的。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 206.53.]

发信人: puh80 (jim), 信区: MedicalCareer
标 题: Re: 面经三:flushing hospital medical center, NYC (by yf)
发信站: BBS 未名空间站 (Sun Dec 16 16:35:37 2007)


Each person has diff opinion regardless whatever we are talking. As a
veteran IM physician, personal experiences are:

Pt is always the best teacher, the book stuff are nearly useless when you
are facing someone really sick. Let’s say, one came to you with coma or
shock, without any info available. I have seen so many pathologies in 3 yrs,
much more than my 8 yrs exp in shoebox hospital. Many of them are so
bizarre. The reasons I think NY is better based on:

1)Pt numbers. 8 millions people in NYC, which constitute diverse pathologies
and extremely high working load. I have no precise No for other places. But
I had IV many yrs ago in a big Boston program, one intern told me he had
only one admission for the week. What a Bxx! I was trained in Stan many yrs
back, and also knew more or less there. I also knew some other places
outside NY, interns/residents sleep after 12 on most of the calls. It is
even unthinkable in NY! Our residents are taking care of 80+ patients when
on call.

2)Diverse physicians. Many of them are highly experienced IMGs from all over
the world. From them I also learnt a lot. For instance, I had one intern
colleague who was Oxford trained and former dept chairman in a major
university outside US. He was a visiting prof in UCLA, with tons of good
publications before his residency. It is more fun to work with some people
with enriched life experiences, maybe I am old too??

3)Working intensity. It is nearly brutal, and inhumane. Each time, I had
more than one pt to access, started all the things needed by myself, which
including labs/imaging,EKG reading/IV fliud/intubation and ventilator
management/consults coordination, which take enormous efforts and hrs.
However, I believe it is the key for a person to be a competent physician.
Strictly speaking, nearly 30% my admissions met ICU criteria, but just few
of them really transferred, they all ended up with our hands. As a former
attending in Union hospital, I realized this is precisely what our residency
training lacking. In another word, incapable of functioning independently
and effectively, due to lousy training.

4)Enormous ICU procedures, which also important for good clinicians. You
will have far better pictures about your pt once you managed them from the
beginning to the end, from head to bottom.

5)If apply the working load/pt number cap regulations, I bet at least half
of the NY programs constitute the violation and should have been closed.
Thus, having gone through this arduous training, it is almost impossible for
someone to be non-competent.

6)Finally, I didn’t deny many other places are also good, or better than NY.
I am just talking my own feeling through my limited experiences in
residency, certainly shouldn’t be generalized. However, the most important
thing I obtained from NY program is the Self-Confidence. I have no
hesitation to tell anyone who needs medical assistance by saying "I can help
you and make you fell better".

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.191.]

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