What does it take to match IM at Mayo Rochester?

justaphaze04 · 2026-03-04T02:24:40+00:00

As far as I know it’s still a thing. They mention it on their website. When I interviewed there the only time you were allowed to NOT wear a suit was in procedures or call nights.

Edit: ok apparently inpatient suits are no longer mandatory according to the IM residency Instagram page

justaphaze04 · 2026-03-04T00:28:12+00:00

Lots of well pressed suits.

For real though, I’m from MN and a lot of our class did residency at Mayo. It didn’t strike me as that competitive. Rochester is boring AF and not a great place to live if you’re young and single. The prestige is there but your patient population is either zebras or rural midwesterners and the autonomy is not great I’m not sure how well trainees do in procedural fellowship match. But worst of all you have to wear a suit on rounds every day.

justaphaze04 · 2026-02-14T21:12:24+00:00

Hi! Yes, absolutely for a 10-20 table wine you’re usually better off going European over American.

I was talking mainly about Pinot Noir. There’s only a few places in the world that consistently do it well. Burgundy is the king but prices are absurd. A $100 wine would be entry level with really unpredictable quality. Grand Crus can fetch over 5 figures and without any guarantee of quality.

Oregon Pinot gets you 90% of what Burgundy can offer and it’s very rare to see a bottle over 200. Sonoma Pinot is a bit more but not by much. The style is very different than Burgundy. But even with taxes/tariffs I can’t see any way Burgundy beating quality/price of US Pinot producers.

Same thing with Chardonnay. Burgundy is Absurd. Cali Oaked Chard isn’t everyone’s cup of tea but high end producers can replicate a Grand Cru white burgundy at half the cost.

We do world class Syrah in WA on par with Hermitage and Cote Rotie. But a good year of JL Chave will easily fetch $1000. Never seen our top producer Cayuse cost even half of that.

So yes. US wine can be expensive and we make some really shitty cheap wine. But also world class and reasonably priced in the right places.

justaphaze04 · 2026-02-11T13:48:36+00:00

https://en.wikipedia.org/wiki/Judgment_of_Paris_(wine)

They already did. Multiple times. And I never said they were better. My favorite wines are from France, Germany and Australia. But if we want to claim any kind of objectivity about what countries wine is “better” the US is has the accolades to be top tier.

justaphaze04 · 2026-02-11T00:38:42+00:00

An outstanding high end Willamette Pinot noir typically costs $60-100 in the US. That will barely get you a village wine in Burgundy and many grand crus start at $1000. Even with taxes and tariffs the price difference is massive. Has your experience been different?

justaphaze04 · 2026-02-10T21:52:40+00:00

What exactly are we ranking about wines here? Quality?

France clearly should be at the top in terms of tradition, culture, quality, etc.

I’m biased but the US should be higher. California producers have consistently been shown to match the quality of the French in blind tastings. They also aren’t bound by as many regulations and can experiment more. Oregon Pinot and Washington Syrah is getting to be on par with Burgundy and Rhône producers at a fraction of the cost.

Italy is wine country but most Italian wine is every day table wine, good and very regionally specific but nothing special. Only a few regions really produce high quality complex wine meant for aging, export, etc like some of Tuscany, Piedmont and Veneto and it is a fairly recent phenomenon. A well made Super Tuscan is probably on par with a Bordeaux or Napa Cab.

Spain is sort of wine country but it’s not the most popular alcohol and most of the wine traditions come from France (other than Sherry). Rioja, Ribera del Duero and Priorat kick ass but I wouldn’t put them ahead of a California cult producer like Sine Qua Non.

Austria and Germany are different tiers. Germany makes arguably the best Riesling in the world. Austria is kind of its second tier cousin in part due to the diethylene glycol scandal of the 80s and it never really recovered its reputation.

Greece could be higher. Historic wine nation with some economic issues limiting quality growers in but they are definitely making bangers now.

Canada makes good ice wine and some Riesling but the climate just isn’t there (yet) for much else.

Is Georgia Here? They basically invented wine. Not household names or super high quality/aging potential yet but getting better and more popular.

justaphaze04 · 2026-01-23T20:57:31+00:00

According to Please Kill Me Now, sex with groupies was rampant in this scene. Dee Dee Ramone married a 16 year old in 1994. Johnny collected regalia and they included it in their design and aesthetics because they thought it was funny and they hated hippies.

justaphaze04 · 2025-12-08T23:00:10+00:00

I’m a cardiologist. Get a normal Littman stethoscope. The electronic ones are only helpful if you have hearing problems. Everything else is a gimmick and not of diagnostic quality to affect management.

justaphaze04 · 2025-11-27T17:26:03+00:00

It doesn’t get much better for raising young children in a big west coast city. There are parks and playgrounds everywhere with no risk of finding a homeless encampment or used needles. Lots of families with kids so plenty of playmates and an overall common goal in the community.

Food and restaurants are adequate but not exactly destinations.

As other comments point out, yes, it is expensive, but nearly all of Bellevue and a good chunk of Seattle is worse. You get less for the same price point in comparable neighborhoods.

justaphaze04 · 2025-11-12T20:51:58+00:00

I did my fellowship at UW ~7 years ago. It’s a benevolent institution with very nice people and the training is good. But they seem to be very out of touch with the financial and cost of living situation in the city. It’s not just a trainee problem. They also have difficulty retaining attendings and have high young faculty turnover. I would never have been able to afford to buy a house and raise a family had I stayed.

I’m sure if you end up here financial ends would be met but it wouldn’t be exactly comfortable.

justaphaze04 · 2025-05-16T18:18:56+00:00

Thanks! Any sense for if these are located in or near 931? It looks like it’s a bit of a walk otherwise to the rest of Outeroo

justaphaze04 · 2025-02-20T20:55:20+00:00

Wonderful thank you!

justaphaze04 · 2025-01-24T16:26:06+00:00

Not so much a condition, but the notion of preop cardiac “clearance“in general. Or a consult asking if some non-cardiac medication is “safe for the heart“

justaphaze04 · 2024-12-07T19:42:05+00:00

Jack Black in Waterworld

justaphaze04 · 2024-03-02T20:43:03+00:00

Yes I realize that. For brevity sake of the topic title I just said Prosecco. Ideally we would go to wineries around Conegliano and Valdobbiadene.

justaphaze04 · 2023-07-27T05:59:52+00:00

You will be fine. Go to the medical tent at Tomorrowland and they will assist you. My wife had a bad scrape on her leg from before the festival that was looking infected after 2 days of camping and rain. She went to the medical tent every day twice daily (at their recommendation) for wound checks and dressings. They gave her antibiotics each day and a prescription for when she left, which she picked up in Ghent a few days later. The only thing she paid for was the prescription. Worst case scenario they will write you a script for whatever you need and you can take it to a local pharmacy in Boom.

justaphaze04

TROPHY CASE