My comment: Best programs don't necessarily deliver best care. Care is delivered by individual caregivers (attending physiicans, fellows, residents, nurses) and they are not all excellent, even at excellent institutions. Implied here is that some "excellent" places that are renown for innovation or caring for certain populations (wealthy, celebrities) actually may not do well on overall quality metrics. On average however institutions have a culture and this affects many aspects of care.
Great picture of the Statue of Christus Consolator under the Johns Hopkins dome, in Baltimore.
A report from Dartmouth offers medical students a glimpse of the kind of doctors they're likely to become, depending where they do their residency. Twenty-three of the country's "top" teaching hospitals were compared on aspects of patient care:
- how they treat patients in their last few months of life
- how many surgical procedures they perform
- what the patient experience is like.
"Understanding variations in the way care is delivered by these institutions is important because it affects residency training and, thus, the way residents in a given program will practice as physicians."
The most prestigious hospitals are not necessarily the ones teaching the most compassionate or even the safest care. Looking at how patients are treated in the last six months of life might seem like an odd way to compare hospitals, much less residency programs, but its actually a good measure of the kind of doctors residents will learn to be, and it speaks to broader aspects of the training program.