Friday, October 11, 2019

Is this program right fit for you?


Applicants have been asking how is this program? So, what do you look into to find if this program is right fit for you?

All residency programs are certified by ACGME. So, all programs meet certain quality standard set by them. There are other factors you would like to look into to find how the programs are. Once you get interview, you should start researching on those programs and hopefully once you visit them and interview with them you have all your questions answered.

1. Community vs University program
Community programs are usually small and have limited specialty services and research activities. University program are affiliated with a university and may have multiple specialty service and more research programs. Some community hospital may be affiliated with university, but others may run independent programs without any affiliation.

You could still conduct research during your residency at community programs on quality improvement projects or retrospective chart reviews, writing case reports or case series. Ask faculty or residents during your interview regarding what different academic and research activities are residents involved and how does program facilitate them?

2. Number of residents/ Size of program/ Diversity
Certainly, your chance will be higher if program you are interviewing have many residency spots. Not necessarily, because the program will be interviewing more candidates. Also, program want to maintain diversity. Number of foreign graduates the program had in past may give you an idea regarding diversity in the program.

3. What do you want to after residency?
If you are planning to go for fellowship, look for programs whose graduates have very good fellowship placement rates. Programs also look for candidate with varied interest. Think it this way, if all residents in a program want to go for cardiology, it will not be possible for programs to support them to prepare for fellowship. So, programs from the beginning may want to take candidate who are interested in different specialty.

4. H1B vs J1 visa
With J1 visa, at the end of training you must go to underserved area for 3 years for a waiver job. IN special circumstances you could apply for hardship waiver. You will be eligible to apply for green card (GC) only after completing your waiver. So, with J1 you wait for at least 3 more years before you get your GC. However not all residency program offers H1B visa. You need to complete step 3 to be eligible for H1B. There are limited programs that support fellowship on H1B. So, if you plan to go for fellowship immediately after residency J1 as well might be good option for you.

5. Friends and family
Try to be around friends and family. You would need a lot of support. Being around them will increase your overall satisfaction and well being.