in light of the comment below, are there any other top programs that are malignant when it comes to matching Mohs or any other particular career path? talking about harvard, stanford, UCSF, penn <x1 would appreciate hearing from current residents or internals/rotators who have insight on the programs ; Harvard and UCSF are more research heavy programs. Harvard is a 2 year fellowship. Penn is strong in both reconstruction and research.
If you want to do Mohs, it can be helpful to choose a program that has a Mohs fellowship (for instance, Stanford does not). You may want to also consider that certain top programs may be less likely to want to train their own residents. For instance, I've heard UCSF sometimes prioritizes non-UCSF residents for Mohs fellowship slots - in that case, the reasoning is they'd prefer to train people who'd be less likely to stay in the Bay Area as the market is already saturated there and they don't want to train more "competition" for their own practice. That's certainly not to say that any of those top programs won't be super supportive in your application to other top programs. It's honestly probably a case-by-case thing. << that's a BS made up story. They dont care if you stay in the area. You aren't "competition" for them. If that ridiculous postulation were true, no program would train people from their home program for fear of "competition" to their practice. Ridiculous. >> the competition piece is a common concern for Mohs surgeons, so it is true.. not sure who feels so confidents its not, it is, it is well known in the Mohs field that people dont want to train their own competitoin -- certainly not all mohs surgeons, but about 50% probably feel this way including some at academic institutions<< that may be true overall but the OP was specifically saying this about UCSf and it should have been a more general statement, because it doesnt only apply to UCSF. << seems like the OP is just trying to make UCSF look bad when, in actuality, it is probably one of the most supportive programs in the top 5 for Mohs
<--That's not true at all. UCSF basically always offers to keep their residents if they want to stay. I know that for a fact. They've had plenty of years where 2/3 or 3/3 fellows were UCSF residents.
OP here. This is based off discussions with a former UCSF resident who wanted to stay at UCSF but did not match there. I have no idea what this specific residents relationship with the department was...but can you tell you this is honest and true information I discussed with said resident. UCSF is a great and supportive training program. And this person did match elsewhere at a great program. Honestly not trying to mislead anyone. << one residnet not matching at their program doesn't mean "they dont like to keep their own residents." That was likely a resident specific issue. It's not helpful when you use broad/sweeping statements. <--- OP again. The way I was explained this was this was the "culture" at UCSF for Mohs - and same logic was applied to other internal applicants that year. I also personally know my own program's Mohs fellowship director prefers not to take internal candidates - though he's very supportive of getting them matched elsewhere. His rationale is more that he prefers to bring in "new" people to the program, rather than preventing "competition", though our metro area is also admittedly saturated with Mohs surgeons and it is difficult to impossible to find a full time position. I've also heard of other programs - like Mayo Rochester for instance - highly favor internal applicants. It's an institution-specific thing.
I will second the fact that its common knowledge that many places don't want to train their competition for Mohs. I have no knowledge about which specific programs / if this applies to UCSF, but just backing up the OP in saying that this line of thinking would not be out of place as it is prevalent in the Mohs field <<To echo this, this is true for many subspeciality fellowships in many different fields. New fields that are not recognized fellowships yet often have fellows sign noncompetes today which was true for some Mohs programs 15-20 years ago (and probably still true for the some that are not ACGME). Now, most fellowships can't have official noncompetes, but they will try to pick applicants with that in mind...medicine is a business.
this is true and has actually been studied/reported in the literature. https://journals.lww.com/dermatologicsurgery/Citation/2019/10000/Micrographic_Surgery_and_Dermatologic_Oncology.15.aspx
< can't say personally that I know specifics but have definitely heard from current residents ranking non top 5-10 places higher than such prestigious places for much better environments supporting of any career path.