Review Detail

9.0 2 10
Florida August 14, 2007 18560
Home Student, Honest Summary
(Updated: November 30, 2013)
Overall rating
 
9.7
Staff Surgeons
 
10.0
Didactics/Teaching
 
9.0
Operating Experience
 
10.0
Clinical Experience
 
9.0
Research
 
9.0
Residents
 
10.0
Lifestyle
 
10.0
Location
 
10.0
Overall Experience
 
10.0

Program Review

Staff / Faculty / Chairman
When comparing programs one component that rotators under appreciate is the relationship between attendings and residents. This is hard to judge from spending 2 weeks on a rotation and then moving, but Miami was my home program and I really got to know this program as well as any medical student could. This program is unique in that the residents are encouraged to ‘challenge’ and ‘advise’ their attendings. Yes, usually the resident is wrong, but it is remarkable to find a program that is able to be nationally known, pumping out publications, be very competitive in terms of Step (need 245+), yet is not at all hierarchical. This is a program where the residents are truly friends with their attendings. They go to their houses for dinners, and boats for special events. There is a reason people (attendings) pick to live in Miami and that is the easy going lifestyle that they similarly bring to the program. These residents get worked hard by their instructors, but at the end of the day, its all about cohesiveness and learning. The residents are held to a high standard, and as long as they are getting the job done and developing surgical skills, everything is smooth sailing between the residents and the faculty members. A draw back to the program is the hospital staff. As seen in any major Level 1 county hospital, the nursing staff isn’t always the greatest which leads to several unnecessary pages during the day. That being said, orthopedics runs the show at this place. Other programs know it, as do the nursing staff. This is a very old program in terms of ortho, and its because of that fact that some of the more famous procedures, tools, braces and eponyms are surgeons from here. Moreover, Dr. Eismont and Dr. Conway run the show here, both are very friendly with opposite personalities. Their team has been able to recruit some of the more prestigious names in orthopedics to this program. True- trying to get older physicians to move their life to a new place is helped with the fact that South Florida is where they maybe wanted to retire at some point anyway! Either way, it’s a win for the recruited surgeon and a win for the matched residents.
Didactics / Teaching
Teaching and rotations occur essentially over 4 locations all within WALKING distance to each other. The actual campus is the second largest medical center in the US, which is awesome to not have to drive between sites when on call or going to meetings/lectures. They are: Jackson Memorial Hospital (only Level 1 trauma in the entire city), Miami Children’s (one of the top Children’s hospital in the nation), Veteran Affairs Hospital, (right across the street from JMH, unreal resident autonomy), University of Miami Hospital (Private hospital and clinics). When interviewing, make sure a program has these 4 components or else you really will be missing out. Also, the fact that these are all next to each other is very underrated. It increases quality of life in that there is no driving once you are at one of these locations, and you don’t get isolated across town from you fellow ortho guys. This fact helps build the friendship and unity unique to this program. In terms of lectures, there are 4 hours dedicated each week. I’d say they are very similar to the other programs I have experienced with the typical PowerPoint, Q&A session and periodically skills labs with reps. A nice part of these lectures vs other programs is that you can wear your normal scrubs and there will only be the lecturing attending present. This encourages a less stressful learning environment.
Operating Experience
When I was on the ortho trauma service, one of the PGY1s had his own OR room (with an attending) in week 2 of his residency. This wasn’t an everyday thing, but several times a week it is just the PGY1 and the PGY5/attending. This is of course also true very for the PGY2 and such early experience is rare these days with all the regulations. Each case is staffed by an attending, but they don’t always scrub into every case. This autonomy shouldn’t go unrecognized. It is crucial for residents to feel comfortable running their own rooms and making intraoperative choices as this is what will be expected from them during fellowships and in practice. It is also a program where the attending doesn’t have to be in the room to start a case. That might not seem like a big deal to the MS4, but it’s a huge deal to any PGY1+. This shows the amount of skill, trust and leadership these residents accrue in just a few years.
Clinic Experience
Don’t have a ton to say here, I was mostly operating every day. When my team had clinic they had me tag along with other teams to help operate. But I know there is a mix of private and public (county) clinics. There are only two rotations where you should wear scrubs to clinic which is a very nice perk. They have a very user friendly translation service that I or the residents would call for any tough translations. Also, not sure where to mention this, but the intern schedule is very favorable for the PGY1s. Since ortho runs the show at JMH, their gen surg rotations are all very manage if not easy compared to other programs. They only have 5 non ortho rotations, 1 month is used as a vacation month. Don’t pick a program based on its 6 months of non-ortho, but the way they have it set up in Miami is just one of many perks.
Research Opportunities
While many, not all places, have one dedicated research rotation, University of Miami is unique in that they incorporate two dedicated research blocks into their curriculum. Certain attendings are research machines and pump out papers. This is great for residents because if they are able to be published, they get paid time off to attend the various conferences. They also have a new biomechanics lab which is very cool and they are proud about.
Residents
Clearly one of the strongest components to Miami Orthopedics Ortho Nation as they say. They have 35 residents, 34 male, 1 female. The girl is one of the cooler girls in all of orthopedics. I don’t know why more girls don’t want to come to Miami, I don’t necessarily blame them, but bro-ing out is one of the reasons we picked orthopedics in the first place right? Miami ortho lives up to this hype while still being a premier training site. That being said, none of the guys are douchy, rocking graffic Ts, or feel the need to be super jacked. They are just as normal as other places I rotated. Many of them rock cowboy boots actually and went to SEC programs. They have guys from all over: California, Texas, of course Florida, New York, New Jersey, Virginia, Chicago, South Carolina, Georgia, UK, St. Louis, New Orleans, Michigan, etc. It was cool to see all these different personalities really mesh. I felt that other programs formed clicks, but these guys all like hanging out when they get time.
Lifestyle
I don’t know if any program that can top UM in this category. Even if you want a small town feel, you can get this here but with the perks of a major city. Guys who matched here that hardly swam in the open ocean are now legit divers (scuba and free), same argument for guys who never owned golf clubs and now can shoot in the 90s. Having several guys from Miami also allows them the chance to have guys with parents that own awesome boats. These guys are able to go out with their gfs and wives (or dudes trip) to do some deep sea fishing for an afternoon. There are two areas where most of the residents live, South Beach (actually pretty normal in most areas, family oriented) and Brickell (just South of downtown, high rises). Regardless of where they live, they all can get into a beach chair in just 15 mins. The beaches in Miami are actually pretty awesome, clean, long sand bar, mild size waves, not a ton of D bags on the beach. A few more things- people WILL come visit you. This city has everything, a smaller or land lock city simply can’t compete with it in terms of entertainment over 5 years in the same spot. In addition, if going out is your thing, then you are in one of the top 2 nightlife cities in America. Every huge name entertainer will play here at some point during your 5 years, usually several times. For sports, the 4 major groups are here and your home team will be here at some point. Of note, the pay scale has increased about $1200 each year since 2011. Currently it is about $51k for PGY1 and $59k for a PGY5. You don’t have to be a partier to enjoy Miami, but in the times you do go out, you will have an absolute blast.
Location / Housing
Most residents live in South Beach or an area called Brickell. Right now Brickell is in a HUGE construction boom. There are 46 active projects, most going 24/7 actually. This is great for future residents as it will slash housing prices and provide many brand new options. The majority of the guys live in high rises, which you get used to after a while. Miami is having a huge makeover and adding so many new buildings, shops restaurants and entertainment. Once married or serious GF, the guys will move to a nice area of town that is close to the undergrad. Fun fact about that, UM undergrad is not at all like what we think it is based on ESPN 30 for 30, it is small (9k), expensive ($44k/yr), prestigious, and has unreal talent attracted from all over the country.
Limitations
Not sure how much of a hindrance this is, but of note is the program is officially Jackson Memorial Hospital. Yes you rotate at 3-4 other hospitals, but their paychecks are issues by the county. The reason for this is based on an old old lawsuit and the max awarded via malpractice. If they officially go through JMH there is a limit of $250k/case, vs if they were University of Miami there is no limit since it’s a wealthy private institution. Also, while some might enjoy the male driven nature of the program, some girls might not enjoy this, and so it’s a continual cycle of guys that match here. Again, might be a pro or a con.
Overall Rotation Experience / Conclusion
So of course I loved this program. I couples matched and ended up elsewhere (of course I blame the girlfriend, jk…), but I still wanted to give love to the program that really treated me and my fellow rotators with a ton of respect and responsibility. Rotating here is something I would highly encourage, they take them as late as February I think and might be flexible on dates if you email Carmen Fuente, she is the person that runs the show, and is like a second mom to all of the residents. I encourage you to break out of your comfort zone when ranking places, it is only 60 months of your life, you’ll likely never have the chance to move somewhere totally different for a finite period like you have the chance now. If you have never been to Miami, then come take a look, this place has all ends of the spectrum and is a great place to learn, live and work.

Qualification

I rotated as a medical student at this program
Date of Rotation
January 2014
MR
Top 100 Reviewer
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