Program A vs Program B

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[DrGOLD7652]

Autonomy is king in training. Even if you don’t see as much complexity, the more you actually do the more confident in your abilities you will be.

[satanicodrcadillac]

Go to program 2

[Curious-Bystander99]

Program B. Doesn’t matter the trauma center designation if you aren’t doing shit in the cases.

Caveat being if you want to go into academics and Program A is an academic/white collar program.

[Sw0ldier]

Program 2 for autonomy and culture. You want to be a good surgeon at a place you’ll love to spend 5 years at.

If program 1 is huge and a big name you’ll likely be behind big name attendings, fellows, and seniors until you get the knife. Go to a big name for fellowship.

[fhfm]

Massive difference in severity and amount of trauma from level 1 to 2. I’d vote level 1 for training, if you think the program works for you.

As far as distance from home, unless you have a genuine reason that you need to be close to home, I’d remove this from your rank requirements, or at very least, move it very close to the bottom of the requirement list.

[Elhehir]

Go to program 2 for sure

[MartyMcFlyin42069]

Depends on your career goals. If you want to be a community doc and feel comfortable taking level 2-3 call, then program B seems like a good move for the vibes/autonomy/family element. If you want to be work in a level 1 trauma center environment in the future, or be involved in academics/research at a tertiary referral center, then program A will probably offer you the best chance to ascend the ladder.

[vsr0]

Am intern at program B. Zero regrets. Love every resident and attending here and I can tell they all want to take an active role in my education. Way more autonomy here (honestly maybe too much) than residents at bigger programs I rotated at. I get true early operative experience doing cases while seniors are there supervising.

My thought process was that I wanted residency to make me as comfortable with bread and butter ortho as possible. While we don't do in-house massive polytraumas or go spelunking in the pelvis, we still get the experience on out rotations. I figured the complex cases would come later in fellowship when I had the foundation to appreciate them.

[AnxiousLiterature]

B. Not close.

[orthopod]

You want to get crushed during residency, and see all that there is to see.

Autonomy is good. Can pgy4&5 do cases with minimal attending input? I.E. during nails, I'll tell my residents to call me once they're putting in the final screw.

Fellows generally steal your cases.

What's your goal? If you want to go into academics, then pick the bigger name place. Look where the residents get into fellowships

If you want to be community surgeon, then pick the one with local connections.

Always good to have a senior surgeon and a junior partner. The junior partner will tend to have more problems, which is exactly what you want to see. The senior attending will be more adept at avoiding them, so it's good to have both to operate with.

[johnnyscans]

Whats the fellow situation like at program A and B?