Survival Guide - M4 Electives

M4 Survival Guide

Students’ comments are organized alphabetically by name of
the elective.

Keep in mind that many electives have comments from more
than one student and this explains the multiple answers listed for some of the
prompts. For answers with varying responses where it would be helpful to know what the majority of people say, I've included the number of responders in parentheses.

This is all unofficial…every attempt has been made to ensure
accuracy of responses, but there are no guarantees!

Editor's Note: Special thanks go out to Laura Warner and Robert Sedlacek (class of 2008), whose hard work started this project off. Thanks also to those who have taken the time to give feedback as well!

Colorectal Surgery

Location

Rush

# Weeks

8

Hours/week on site

61-70

Open to M3s?

?

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0

Prerequisites

Core surgery rotation

Interviewing/Step 2 flexibility 2 days off but Dr. Saclarides may allow more.  

Overnight call?

no

Work weekends?

yes

Weekend call?

no

Is there an exam at the end of the rotation

yes

Students required to give a presentation

yes

Teaching hours/day

2-3

Teaching style

Patient rounds, morning report/case conference, lecture given by attendings/residents, student presentation

Suggested reading/pocket contents

 

Structure of rotation

One on one w/residents and attendings

Amt/quality of time residents/attendings

?

Proportion of time evaluating pts alone

?

# pts evaluated/day

?

Procedures

?

Typical day

?

Usefulness for any residency (# stars/5)

?

Usefulness for this residency (# stars/5)

?

Useful for other specialties

?

Overall rating (# stars/5)

?

Recommended to other students (# stars/5)

?

Other comments

?

Emergency Medicine (Rush)

Location

Rush

# Weeks

4

Hours/week on site

31-40 

Open to M3s?

no

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

2

Prerequisites

?

Interviewing/Step 2 flexibility 2 days taken off  

Overnight call?

no

Work weekends?

yes

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

yes

Teaching hours/day

0-1

Teaching style

Lecture given by resident/attending, student presentation

Suggested reading/pocket contents

Online lecture material, no books necessary

Structure of rotation

One on one w/residents and attendings

Amt/quality of time residents/attendings

Spent most time with attendings, did not interact with residents that often 

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

>10

Procedures

A few times/wk

Typical day

8 hr shifts - had to do at least 2 overnight shifts, schedule more flexible if less students.  got to see own patients and then present to the attending.  had to do a presentation at the end and run thru a mock patient.  no exam.  lots of procedures if you're interested.

Usefulness for any residency (# stars/5)

4

Usefulness for this residency (# stars/5)

5

Useful for other specialties

Emergency medicine specifically but any specialty though because see everything

Overall rating (# stars/5)

4

Recommended to other students (# stars/5)

4

Other comments

Loved the independence.  Didn't like the lectures.

Endocrinology

Location

Rush

# Weeks

4

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0

Prerequisites

Internal Medicine

Interviewing/Step 2 flexibility They are reasonable  

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2

Teaching style

Patient rounds, lecture given by resident/attending

Suggested reading/pocket contents

 

Structure of rotation

Team-based

Amt/quality of time residents/attendings

The whole day with residents and attendings.  Teaching was great from everyone.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

4-6

Procedures

Never

Typical day

Start the day at 8 for teaching session with residents, lead by attending or fellow.  Meet at outpatient clinic at 9 and start seeing patients, independently, and then present to the attending.  Occasionally also sent on inpatient consults.  Entire team meets for rounds one time every day with the service attending - round on all our patients in the hospital.  If clinic ends early, occasional informal teaching session with the service attending.  Attendings and Fellows are great with teaching throughout your time there.

Usefulness for any residency (# stars/5)

5

Usefulness for this residency (# stars/5)

5

Useful for other specialties

Any internship.   You need to know how to manage diabetics on the wards.

Overall rating (# stars/5)

5

Recommended to other students (# stars/5)

5

Other comments

Good balance of independence and contact with the attending and fellows.  Small group but a good amount of work spread across everyone.

Pain Management

Location

Rush

# Weeks

2

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0

Prerequisites

?

Interviewing/Step 2 flexibility 1 day off  

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

0-1

Teaching style

Very little teaching

Suggested reading/pocket contents

Anesthesia secrets

 

Structure of rotation

One on one w/residents and attendings

Amt/quality of time residents/attendings

Attendings- very little time and poor quality teaching;  residents/fellows- working one-on-one and fair teaching

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

>10

Procedures

once a day

Typical day

clinic patients 8hrs a day with opportunity for many procedures.

Usefulness for any residency (# stars/5)

3

Usefulness for this residency (# stars/5)

5

Useful for other specialties

Anesthesia, PMnR,  palliative care, internal medicine

Overall rating (# stars/5)

2

Recommended to other students (# stars/5)

2

Other comments

Rotation needs oversight from course director and should include acute pain service

Palliative Care

Location

Rush

# Weeks

2

Hours/week on site

<20

Open to M3s?

No, yes?

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

4 or more

Prerequisites

?

Interviewing/Step 2 flexibility

web based modules so you could make your own schedule

only one day required to be there

 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no, yes

Students required to give a presentation

no

Teaching hours/day

2-3, 0-1

Teaching style

Web-based modules, online course and one clincial demo

Suggested reading/pocket contents

Everything was provided on-line

 

Structure of rotation

see below

Amt/quality of time residents/attendings

There was a one day required modules and discussions at Rush. The attendings were very insightful and educational.

One clinical demo morning in which faculty from all fields were present (nursing, medicine, etc)

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

0-2

Procedures

never

Typical day

Over the two weeks, there are two days where you observe with a palliative care team and then one other day for a discussion group at Rush. Otherwise, all modules were on-line, as well as discussions.

Online course with one half day clinical demo and must do 12 total hours of observation in a hospice setting

Usefulness for any residency (# stars/5)

3, 4

Usefulness for this residency (# stars/5)

4, 4

Useful for other specialties

Any time you work w/patients, most residencies

Overall rating (# stars/5)

5, 5

Recommended to other students (# stars/5)

5, 5

Other comments

It's a blow off elective but you'd be suprised. You actually will learn something and it will alter how you appraoch your patients. Overall, very little work required. It's like being on vacation. I highly recommend it.

Poison Center

Location

At Stroger in morning, then at Union Station in afternoon.

# Weeks

2

Hours/week on site

31-40

Open to M3s?

?

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1

Prerequisites

?

Interviewing/Step 2 flexibility

1 day

 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

2-3

Teaching style

Morning report/Case conference, lectures given by residents & attendings, student presentations

Suggested reading/pocket contents

Textbook is provided for you

 

Structure of rotation

see below

Amt/quality of time residents/attendings

The mornings were spent with the Toxicology fellowship group (which included attendings, fellows and residents - mostly from ED). Afternoons at Poison Center you worked with the poison center staff.

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

0-2

Procedures

never

Typical day

See previous question

Usefulness for any residency (# stars/5)

Usefulness for this residency (# stars/5)

Useful for other specialties

Any time you work w/patients

Overall rating (# stars/5)

Recommended to other students (# stars/5)

5

Other comments

Least favorite was having to bus to downtown, don't take this rotation in the dead of winter.

Pulmonary Medicine- Stroger

Location

Stroger

# Weeks

4

Hours/week on site

41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1

Prerequisites

I don't know

Interviewing/Step 2 flexibility

I don't know

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

3-4

Teaching style

Patient rounds, Lecture given by resident or attending, Morning report/Case conference

Suggested reading/pocket contents

Up-to-date

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Attendings 2-3 hrs, excellent teaching Residents 2-3 hrs, excellent teaching

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

2-4

Procedures

1x/wk

Typical day

Round on old patients, see new consults, assist with bronchs, round at 1300, finish notes by 1700. Asthma clinic Tuesday AM.

Usefulness for any residency (# stars/5)

5

Usefulness for this residency (# stars/5)

5

Useful for other specialties

critical care, internal medicine

Overall rating (# stars/5)

5

Recommended to other students (# stars/5)

5

Other comments/favorite parts of rotation

Seeing patients on your own and making recommendations. reading imaging and correlating with history and physical examination

Radiation Oncology

Location

Rush

# Weeks

2

Hours/week on site

41-50, 31-40 (2)

Open to M3s?

yes

Scheduled through OASIS?

no, yes

On Rush schedule?

yes

# other students

1

Prerequisites

none, don't know

Interviewing/Step 2 flexibility

I don't know, 2 days taken off

I took 2 days off in 2 wks 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2 (2), 0-1

Teaching style

morning report/case conference, lecture by resident/attending, student presentation, one-on-one with resident or attending when seeing a pt in clinic

Suggested reading/pocket contents

Med student guide written by past students will be emailed to you prior to starting.

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

You follow one resident and attending throughout their day. Each attending specializes in particular organ systems which they irradiate (e.g. prostate, lung, breast), and throughout the rotation you get a few days in clinic with each attending.

You are set up to work with an attending on a per-week basis, and each attending has one assigned resident working with them. You'll coordinate with the resident to determine the best way to spend your time. The attendings vary in the amount of effort they dedicate to teaching the students.

The day is spent mostly shadowing the residents. They are very willing
to teach if you ask questions. Not as much time with attendings,
although you could perhaps get more exposure if you show a particular
interest in RadOnc.

Proportion of time evaluating pts alone

25-50% (2), 0-25%

# pts evaluated/day

2-4, 0-2

Procedures

Never

Typical day

8 AM rounds till 9 AM. 9 - 12 patients in clinic or treatments or treatment planning. 12 - 1 eat lunch. 1 - 5 patients in clinic or more treatments.

Conference/lecture at 8am every day, patients seen at the clinic from 9-4 with varying schedules depending on the day. Occasionally with have tumor clinic (breast tumor clinic, chest tumor clinic, etc) in the heme/onc clinic on the 8th floor of the Pro building. Residents are relatively busy throughout the day, but since Rad Onc is very technical and advanced for a medical student, the amount of time you spend with them depends on your level of interest. You can choose to stay with the resident all day, or you can choose to sit in the work room and read all day. They let you navigate your time based on your level of interest

Each day started with a different conference at 8am. The rest of the
morning was spent paired up with a resident to see patients in clinic
and/or in radiation planning sessions. On some days, I attended
conferences in other departments related to RadOnc. There's a lot of
down time and the residents usually let us go between 2 and 4.

Usefulness for any residency (# stars/5)

2, 4, 1

Usefulness for this residency (# stars/5)

5, 5, 5

Useful for other specialties

Imperative for Rad/Onc (1 month, not two weeks). Also useful for Heme/Onc.

All IM and surgical specialties. Can be helpful for any specialty that will have oncology related patients.

I didn't think there was much value in this rotation beyond that for someone interested in RadOnc as a specialty.

Overall rating (# stars/5)

4, 3, 2

Recommended to other students (# stars/5)

4, 3, 2

Other comments

More than almost any other rotation, it's what you make of it. If you don't want to work more than 5 hours a day, you don't have to; if you want to work 10 hours, you certainly can find stuff to do.

Most everyone in the department is very nice and easy to work with, but the field is very specialize and technically advanced, leaving a larger gap between what we as medical students know or can do on the rotation. They let you determine what level you want to participate, so it can be a very uneventful, unengaging rotation if you don't take any initiative. Overall, it was good to actually see radiation treatment plans for common malignancies that I will undoubtedly see throughout my career.

The residents are really nice people and very aware that the students
don't want to sit around doing nothing. So there may not be a ton to
do, but at least you'll usually be told to go home if nothing is going
on.

Rheumatology

Location

Stroger

# Weeks

4

Hours/week on site

21-30

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

2

Prerequisites

?

Interviewing/Step 2 flexibility ?  

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2

Teaching style

Patient rounds, lectures given by residents/attendings

Suggested reading/pocket contents

None

 

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Most time with attending or fellow. Nice people. Good quality teachers.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

4-6

Procedures

a few times/day

Typical day

Half day clinic at county, 1-2 hr lunch, 1 hr lecture, then rounds in afternoon (but not always) lasting 1 hr max (service was not busy though when I was there)

Usefulness for any residency (# stars/5)

3

Usefulness for this residency (# stars/5)

4

Useful for other specialties

Rheumatology, orthopedica, PMnR

Overall rating (# stars/5)

5

Recommended to other students (# stars/5)

5

Other comments

Especially if you are interested in orthopedics, take this!  Get to do lots of aspirations/injections, very nice people, good teachers, short hours, very flexible, I recommend county over rush!

Adolescent/Young Adult Medicine

Location

Rush

# Weeks

4

Hours/week on site

31-40, 41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0

Prerequisites

Peds

Interviewing/Step 2 flexibility

I took 2 days off, but they are flexible.

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

0-1, 2-3

Teaching style

attending contact, Patient rounds

Suggested reading/pocket contents

I didn't read anything.  You don't need any special equipment.

Packets are given to student by attendings

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

You spend all of your time with either Dr. Strokosch at the Teen clinic and with the eating disorder patients, and with Dr. Joyce at the Job Corps sites or in her office hours.  There were times when I felt I could have left earlier, but overall it was a good experience.

Great experience doing inpatient and outpatient at Rush. Really good hands on patient care at the outside clinics of job corps and teen clinic. Received the most teaching in outpatient environment. 

Quality time with attendings. Little time with residents.

Proportion of time evaluating pts alone

50-75%

# pts evaluated/day

4-6, 8-10

Procedures

A few times/day, A few times/week

Typical day

It depends on where youre scheduled to be.  On Mondays, you could have Chicago Job Corps in the morning and then teen clinic in Evergreen park in the afternoon.  Other days, you might see some private patients in the Rush clinic, have lunch with the eating disorder patients, and then go do something else.  Hours are generally 8-5.

Schedule was typically 8-4 on Rush days and 8-2:30 offsite days but long driving...joliet and southwest side of chicago.

Usefulness for any residency (# stars/5)

3, 5

Usefulness for this residency (# stars/5)

4, 5

Useful for other specialties

Pediatrics, Internal Medicine,  Ob/Gyn

Overall rating (# stars/5)

4, 5

Recommended to other students (# stars/5)

4, 5

Other comments

You do a lot of pap smears.

Adult Psychiatry

Location

Rush

# Weeks

4

Hours/week on site

<20, 41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1, >4

Prerequisites

psych core

Interviewing/Step 2 flexibility

they don’t care if you take days off as long as you tell them ahead of time

Overnight call?

no

Work weekends?

variable

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

yes

Teaching hours/day

1-3

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, Student presentations, Goldberg rounds

Suggested reading/pocket contents

Anything you used for core psych will do.  DSM-IV or pocket psychiatry green book.

Structure of rotation

Team-based, One-on-one with attendings/residents

Individual notes and patient interactions were one-on-one with resident or attending, but daily meetings with team to discuss cases.

Amt/quality of time residents/attendings

1-3 hours per day with residents and attendings.  Similar to M3 core rotation.  Rounds with Dr. Bagri 3x/week, and rounds with senior daily.  Regular interaction with residents regarding patient care.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

2-4

Procedures

never

Typical day

You see your patients (usually 2-3), drop a note in the chart, and attend "rounds" with Dr. Bagri for one hour per day. Residents do not also see your patients- you share them only with Dr. Bagri.

If one of my patients were undergoing ECT, meet at 7AM in PACU with Dr. Bagri for ECT for about 1:30 hours.  Then see patients, meet with team at 9AM.  At 10AM, rounds with Dr. Bagri for 2 days a week, otherwise additional time to see patients and write daily progress notes.  On Thursday, R1 lectures go from 8-12:30.  On Friday, Goldberg Rounds go from 8-10:30.   We see patients afterward.  Typical day goes until 3-4PM.  Occasionally, work lasts until 5-6 PM.

Usefulness for any residency (# stars/5)

3, 4

Usefulness for this residency (# stars/5)

5, 5

Useful for other specialties

medicine, Psychiatry,  Neurology,  Family

Overall rating (# stars/5)

3, 5

Recommended to other students (# stars/5)

3, 5

Other comments

Experience overall is good, but our role as M4 is poorly defined.  We act as R1-equivalents, except we are limited in our ability to make decisions for our patients.  More guidance and contact with the senior resident would have been helpful

Allergy/Immunology

Location

Rush

# Weeks

4

Hours/week on site

less than 20, 21-30, 31-40 (2)

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

3, 4 or more

Prerequisites

Internal Medicine core

Interviewing/Step 2 flexibility

2, 3, 5 days

The fellow was very understanding whenever someone needed time off.  I think you could get away with more than 2 days off.

As many days as needed (within reason of course) 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

yes

Teaching hours/day

1-3, more than 4, 2-3

Teaching style

Patient rounds, Lecture given by resident or attending, Student presentations, morning report/case conference

Suggested reading/pocket contents

None required.  Lots of good books in the Allergy conference room to use as resources for student presentations.

Structure of rotation

Team-based, One-on-one with attendings/residents

Amt/quality of time residents/attendings

We spent both clinic and teaching time with fellows. The teaching was really good. The attendings are present in clinic, but didn’t focus as much on teaching.

The majority of the time is spent with the fellows. They are all excellent. Everyone is very friendly, and really try to teach. Excellent rotation!!!!!

In clinic, we presented our patients to either a Fellow or an Attending, and they would do some teaching (sometimes for the whole group) if time permitted.  We also had daily student and Fellow lectures on the big A&I topics.  Occasionally we would get consults and talk about those issues as well.  Teaching was high-quality and I learned a lot.

I spent a good amount of time with both the fellows and the attendings.  They were all very interested in teaching. 

Proportion of time evaluating pts alone

25-50%, 50-75% (2),75-100%

# pts evaluated/day

0-2

Procedures

Never, Once a day

Typical day

4 half days of clinic per week, on average would see 1-2 patients in clinic.  Then rounds in the morning/afternoon depending on clinic schedule.

Clinic most mornings beginning at 830, with a few hours off before lectures in the afternoons that lasted 1-1.5 hours. We would round on patients, if there were any on service, after that. Most days we were done by 3 pm.

The majority of the time is spent in the peds A/I clinic at Fantus. The rest of the day is devoted to teaching. Each student is required to do one presentation for each two week block.

4 half-days of clinic a week and the other half of the day (and all of the 5th day) for presentations and rounds.  The schedule was light - generally 2-3 hours in the am and 2-3 hours in the pm.  There were a lot of students on the rotation with me, so we usually only saw 1-2 patients each at clinic.

In the morning at about 9a, you have clinic.  You finish at 11:30.  Lecture begins at 1:15 and finishes at about 3.  If any patients were on service, then you round with the attending whenever they are available.  I never stayed past 5. 

Usefulness for any residency (# stars/5)

2, 3, 3, 5, 3

Usefulness for this residency (# stars/5)

3, 4, 4, 5, 5

Useful for other specialties

Internal Medicine, Peds, anything primary care, emergency medicine.

Overall rating (# stars/5)

3, 4, 4, 5, 5

Recommended to other students (# stars/5)

5, 5, 5, 5, 5

Other comments

The fellows are excellent!!!!

Each student gave 2 presentations during the 4 weeks.  The pressure was very low key, so nothing to worry about.  The Fellows and Attendings are all awesome people and the environment is super friendly.

This is a very laid back rotation.  Its perfect if you need to study for boards or take time off for interviews.  The staff are extremely friendly and love to teach.  It's not action packed by any means but its perfect if you need a break in you schedule or a easy medicine rotation/ 

Anesthesiology

Location

Rush

# Weeks

4

Hours/week on site

31-40, 61-70, 41-50 (2)

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

2, 3

Prerequisites

?

Interviewing/Step 2 flexibility

Dr. Outly, the course director, is pretty flexible. He just wanted to know upfront which days you needed off, we each took about 2 days off.

1 day off taken

2 days off for me 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no, yes (1)

Teaching hours/day

0-2, 1-2 (2)

Teaching style

Lecture given by resident or attending, In the OR

Suggested reading/pocket contents

Dr. Outly gives us a folder with multiple topics to read about so at minimum you can just read that. You basically need your stethoscope, all other tools you get there - IV starting "kit" (It's not really a kit, it's something you and your resident will put together in the beginning of the day containing lidocaine injections, multiple sizes of IVs, tourniquet, gauze, alcohol pads, etc.)

Anesthesia secrets

The text provided is excellent and worthwhile even for students not pursuing Anesthesia.

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

You spent all day with the resident in the OR. Attendings came in periodically. Both resident and attendings taught in the OR. We had lecture once a week with the course director for a 2 hour teaching session.

They'll let you tube patients, place A-lines, IV's, etc. Lots of fun.

This was completely variable, some residents like to teach and spend the whole time doing it, some attendings are the same, others will just have you chill and ask questions as they come up - each day you work with a different resident and attending team, on occasion you'll run into the same people. Some attendings will allow you to attempt every intubation, others only the easy ones, or none...

1-2hrs attendings excellent quality 8hrs residents average quality

Anesthesia was a worthwhile rotation. The majority of teaching is hands
on by the resident and attending to which you are assigned for the day.
It also provides an excellent opportunity to place IVs and learn airway
management.

Proportion of time evaluating pts alone

0-25% (2), 25-50%. 50-75%

# pts evaluated/day

2-6

Procedures

Once a day, A few times/day (3)

Typical day

Go to the holding area, see your patient, start their IV and any other lines, go back to the OR, intubate and repeat for next case. Lot of down time, after you finish intubating till the start of the next case.

Pre-op to meet the patient, around 7:00 am. 7:10, place IV 7:20, place breathing tube in sedated patient's airway. 7:25, place A-line, if necessary. Rest of the day is yours. (Go to another room and repeat the above process, or go home.)

The day prior to coming in the OR schedule is posted and you can check which rooms and resident/attending you'll be working with - usually this is posted after 3pm. So you come in about 30min or so prior to the first scheduled surgery and find your resident to introduce yourself. You will then proceed to meet each patient prior to surgery do a focused exam and start their IV. You also help set up the room for surgery and place all leads/position the patient/ perform any other procedures such as placement of arterial lines as needed per patient and allowed by your attending/resident. You practice ventilating with mask, and then intubate the patient (if allowed). There are also opportunities about 2X per week to observe Electroconvulsive therapy, assist with placement of those patients IVs - it's a good way to do multiple IVs for practice. During the surgery, depending on how long and what type there may be a lot of down time, but you will discover that a lot goes on behind that curtain if you stay and observe - constant monitoring of vitals, Urine output, blood loss, ventilation and awareness/paralysis.

See patient in preopholding at 0700, start case and then repeat

Days consisist of shadowing an anethesia resident who is directly
supervised by an attending. In addition you attend weekly teaching
sessions directly geared to students (these are excellent). You also
attend weekly grand rounds and have the option of attending lectures
geared to the residents.

Usefulness for any residency (# stars/5)

3, 5, 5, 3

Usefulness for this residency (# stars/5)

5, 5, 5, 5

Useful for other specialties

Anesthesia, anything Surgical, Emergency Medicine, anyone interested in critical care.

General Surgery, Internal Medicine

Overall rating (# stars/5)

5, 5, 5, 4

Recommended to other students (# stars/5)

5, 5, 5, 4

Other comments

Lot of down time…all the residents and attendings are really friendly, you get to do most of the procedures.

Dr. Outly is fantastic. Some people aren't crazy about him, but I don't know why. He loves to talk about anesthesia (maybe that's why?). I dunno. This can be a blow off rotation, but it really shouldn't be. The residents are great, the attendings are awesome. Enjoyed my month.

As with any rotation you'll get as much as you want out of this one. There is a lot of opportunity to ditch if you don't want to stay around, so this can be a very easy rotation. Even if you do stay the whole day, your resident will send you home around 4pm (most residents will), so even when you work hard you'll have many shorter days.

The amount of time spent working directly with attending physicians is
impressive. Although day to day teaching is dependent on your assigned
resident, overall the teaching is very good. The text provided is worth
reading.

Cardiology - Rush

Location

Rush

# Weeks

4

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0

Prerequisites

Medicine core

Interviewing/Step 2 flexibility

I don’t know

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending

Suggested reading/pocket contents

I read absolutely nothing during this rotation.  Many people shy away from this rotation because it sounds demanding.  It is not.  I had fun, and the attendings were great.

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Team consists of 1 fellow, two to four residents, and the attending.  It's a consult service, so you roll in anywhere between 8:00 am to 11:00 am, depending on how fast you pre-round, write your notes, and then round with the attending in the afternoon.  When I started, the fellow was great.  Very good teacher, knew her stuff, didn't coddle us.  The fellow that took her place, not so good.  Constantly confused, couldn't do anything without us by her side.  Other than that, great month.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

4-6

Procedures

never

Typical day

see answer to “Amt/quality of time residents/attendings”

Usefulness for any residency (# stars/5)

5

Usefulness for this residency (# stars/5)

5

Useful for other specialties

This is a good one to take.  I wanted to know how to evaluate a pt c/o chest pain.  I'm not going into internal medicine, but I'm pretty sure there's a possibility the material was relevant.

Overall rating (# stars/5)

4

Recommended to other students (# stars/5)

4

Other comments

 

Cardiology - Stroger

Location

Stroger

# Weeks

4

Hours/week on site

41-50

Open to M3s?

no

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

3

Prerequisites

Internal Medicine

Interviewing/Step 2 flexibility

The cardiology fellow was the only one really keeping track of your days, so the fellow basically will decide which days you can take off.

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2

Teaching style

Morning report/Case conference, Lecture given by resident or attending

Suggested reading/pocket contents

I took this rotation to practice reading EKGs - "The Only EKG book you'll ever need" by Thaler is excellent (much better than Dubin's). Otherwise I just read articles off of Up-to-date as themes came up.  You will need your stethoscope and penlight (look at people's necks for JVP and JVD), Calipers will also be needed but you can get away with "poor man's calipers" just using a piece of paper to draw lines in (ask your team about it).

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Cardiology Fellow did teaching at some point during the day - although I hear this is variable depending on the fellow and attending. Some attendings do a lot of teaching as well during rounds. Each morning except for once a week there is a cardiology lecture given by one of the attendings - these are very good and meant for residents to complete gen med boards.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

0-2

Procedures

never

Typical day

We'd start with the am lecture, then meet the team when the Fellow would assign new patients to be seen, we'd see new patients and catch up with old ones then meet again to start attending rounds (different attending would schedule it at a different time). Attendings switch every two weeks so in a four week rotation you may work with as many as 3 different attendings. Residents and fellows are on a monthly schedule.

Usefulness for any residency (# stars/5)

4

Usefulness for this residency (# stars/5)

5

Useful for other specialties

Internal Medicine, Family, Surgery, Emergency Medicine, and any others that require a knowledge of reading EKGs or evaluating heart condition/tolerance for surgery.

Overall rating (# stars/5)

5

Recommended to other students (# stars/5)

5

Other comments

There was free lunch 3-4 times per week.

Dermatology

Location

Rush

# Weeks

4

Hours/week on site

31-40, 41-50

Open to M3s?

yes – only in May or June of M3 year

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1, 4 or more

Prerequisites

none

Interviewing/Step 2 flexibility

If you have a valid excuse, they'll give you the day off.  I took around 7 days off!

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

yes

Students required to give a presentation

yes

Teaching hours/day

0-2

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, Student presentations

Suggested reading/pocket contents

They give you a bunch of handouts to read.  Carry a ruler and penlight.

I just checked out a book from the library that had an atlas of pictures. I don't think you need to buy a book unless you plan on doing dermatology.

Lookingbill DP, Marks JG. Principles of Dermatology.

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

Generally, you see the patients first and then present to an attending or resident.  Most of them are very good teachers.

The attendings teach quite a bit, but they get really worked up over the format of the note, and this is really frustrating because each attending has a different format and they don't tell you until after you see a patient and already wrote on the note. One attending yells at you, so be careful. Make sure to ask about the format before you write in the notes.

I spent all day 7:30-8:30am to 5:00pm M-F working one on one with residents/attendings in clinic.  A lot of teaching is done in the exam room with the patient.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

8-10, >10

Procedures

Once a week, A few times/month

Typical day

Three days/week you have lecture early in the morning, then clinic starts around 9.  I took a short break for lunch, then afternoon clinic generally went until about 5.  If you're on consults, you might stay later because the attendings round after their clinic is over.

Get there at 8am leave around 4pm. Usually, Wednesday afternoons are off.

7:30-8:30am until 5:00pm M-F  Lunch as time allowed 12pm-1pm  There is not much down time during the day, so expect to keep up with reading evenings/weekends.  There is no call and no weekends.  Activities are derm clinic and some inpatient consult service.

Usefulness for any residency

2 of 5 stars, 5 of 5

Usefulness for this residency

5 of 5 stars

Useful for other specialties

Pretty much anything - people will always ask you about rashes.  One important thing you learn is how to describe lesions to the dermatologist you're consulting.

any primary care specialty

medicine, pediatrics, family med, pathology

Overall rating

3 of 5 stars, 5 of 5

Recommended to other students

3 of 5 stars, 5 of 5

Other comments

Be enthusiastic, do some basic reading on main derm topics, and enjoy.  The derm residents and attendings are very friendly and like to teach.

Derm was not as easy as I expected, but I had a good time because laura hoffman was super nice and was really understanding regarding all the interviews. I have a feeling that the new chiefs will NOT be that way. From what I remember, the girls who will be seniors next year are not very flexible people.

Diagnostic Radiology

Location

Rush

# Weeks

4

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

4 or more

Prerequisites

none

Interviewing/Step 2 flexibility

?

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

yes

Students required to give a presentation

yes

Teaching hours/day

1-2

Teaching style

Morning report/Case conference, lecture given by resident or attending

Suggested reading/pocket contents

book is checked out at the library

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

a lot of time, can get a lot of teaching from them if you ask questions and be pro-active

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

0-2

Procedures

never

Typical day

You rotate every two days in a different part of radiology and work with the residents reading films.  The length of the day depends on which department you're in.  You have to attend a conference at 8am and 4pm .

Usefulness for any residency

1 of 5 stars

Usefulness for this residency

4 of 5 stars

Useful for other specialties

maybe neurology, GI and orthopedics; great for reviewing chest films for wards

Overall rating

4 of 5 stars

Recommended to other students

5 of 5 stars

Other comments

?

Digestive Diseases

Location

Rush

# Weeks

4

Hours/week on site

31-40, 51-60

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 2

Prerequisites

Internal Medicine

Interviewing/Step 2 flexibility

2 days off taken 

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no, yes

Teaching hours/day

2-3

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending

Suggested reading/pocket contents

?

Structure of rotation

Team-based

Amt/quality of time residents/attendings

We would see the attendings just during rounds or procedures.  Most of the attendings are fantastic and they teach a lot during rounds.  We saw the fellows more often, and they were very good with helping us figure out what the diagnosis was and what needed to be done.

Busy service, teaching occurred each day but they were long days. There is a lot of time with the residents/attendings. 

Proportion of time evaluating pts alone

75-100%, 50-75%

# pts evaluated/day

2-4

Procedures

A few times/month, never

Typical day

Half of my time was spent on the GI service and half on hepatology.  We would generally see our old patients and new consults in the morning, and then round in the afternoon.  In between, I would watch scopes.

Busy day, occasional down time of an hour or two. Always off for lunch. The day runs late depending on the attending and residents. Start at 7 or 8am, ends between 4 and 7pm. 

Usefulness for any residency (# stars/5)

3, 3

Usefulness for this residency (# stars/5)

5,4

Useful for other specialties

Internal medicine, general surgery

Overall rating (# stars/5)

5, 3

Recommended to other students (# stars/5)

5, 3

Other comments

The hours can be long, which might be annoying if you're not that interested.

Emergency Medicine - Stroger

Location

Stroger

# Weeks

4

Hours/week on site

31-40 (2)

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

no

# other students

4 or more

Prerequisites

Medicine, Ob/Gyn, Peds, Surgery

Interviewing/Step 2 flexibility

schedule is flexible as long as you work 15 shifts

Overnight call?

no (1), yes (1)

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

yes

Students required to give a presentation

no

Teaching hours/day

2-3, 1-2

Teaching style

Morning report/Case conference, lecture given by resident or attending , clinical skills lab

Attendings teach after you staff each patient with them, time permitting of course

Suggested reading/pocket contents

The clerkship director provides a textbook that he wrote for reading during the clerkship.  Pocket contents:  notebook, penlight, trauma shears, stethoscope.

The black Pocket Emergency Medicine in your coat, Dr. Sherman (course
director) wrote a book that that you use for the exam ("Roadmap to
Emergency Medicine")

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

Directly present to attendings, can present to residents first to sharpen presentation for attending.  Both teach a lot.

You are assigned to one attending per shift and you report solely to that attending.  Its a great one on one experience

You spend your entire 8 hour shift with one attending. They teach
depending on the time and their personality. Most teaching is in the
form of EM pearls but occasionally you'll get a big talk on one subject
(usually during night shifts). The time spent with the attendings are
good ways to get your EM letter of rec (most want 2+ shifts with them
for a letter though).

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

6-8 (2), 8-10

Procedures

A few times/day, a few times/wk

Typical day

Shifts are 8 hours:  8a-4p, 4p-12a, 12a-8a.  You work 15 shifts for the 4 weeks.  Start with sign-out from previous team.  As the student you see new patients and present directly to attending who sees patient with you and asks you what labs/tests you want to order.  There really is no down time, you are moving all the time depending on what team you are on.  Red is critical patients, green is ortho, sutures etc, blue is everything in between.  Lectures for students Mon/Tues 12:30-3:30 and for residents 8-11 Wed and 8-10 Thurs.

Start with sign-out board rounds by the team leaving, you then start
picking up new patients (the residents monitor the left over patients
that were seen by the previous team) and present them to the attending.
Then repeat until the end of your shift (8 hours).

Usefulness for any residency (# stars/5)

5, 4

Usefulness for this residency (# stars/5)

5, 5

Useful for other specialties

EM, IM at least.  Any specialty.

Overall rating (# stars/5)

5, 5

Recommended to other students (# stars/5)

5, 5

Other comments

This is a well-balanced elective with lectures, procedure labs, and clinical time.  Procedure labs include ultrasound, splinting, slit lamp, suturing, common ED procedures, EKG interpretation, and simulation lab.  Plus you get to hang out in the resuscitation rooms for the really sick patients.  Entire rotation is very hands-on and lots of opportunities to learn from patients and attendings.  I can't say enough good things, but I am biased toward it!

This is a great rotation, especially if you are interested in EM. The
program and many attendings there are nationally/internationally known.
It is a good way to get letters of rec for EM. It also helps during the
residency interview process because the program and its population is
well know across the country, so if yo do well here it translates to
other busy, urban programs. If you are thinking about EM, do one
rotation here and at least one somewhere else to get a sense of what
type of ED setting you would like to train in for residency.

Emergency Medicine - Northwestern

Location

Northwestern Memorial Hospital

# Weeks

4

Hours/week on site

31-40

Open to M3s?

no

Scheduled through OASIS?

no

On Rush schedule?

yes

# other students

4 or more

Prerequisites

All the cores except neuro.

Interviewing/Step 2 flexibility

They would just schedule you to work around the days you needed off. You just need to do 16 shifts during the 4 weeks.

Overnight call?

no

Work weekends?

yes

Weekend call?

no

Is there an exam at the end of the rotation

yes

Students required to give a presentation

yes

Teaching hours/day

1-2

Teaching style

Morning report/Case conference, Lecture given by resident or attending, Student presentations

Suggested reading/pocket contents

They provided a book for us to read throughout the month, basically asked us to read the respective chapters prior to the weekly lectures. We had 3-4 hours of lecture on one afternoon per week.

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

Equal amounts of time were spent with the senior resident and attending for that shift (each shift had a different team, and you were assigned to 1 of 4 areas in the ED). You are in charge of entering all orders - there is a lot of autonomy in this rotation and responsibility...

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

6-8

Procedures

A few times/week

Typical day

Shifts were 8 hours, morning, evening, night shifts, any day of the week (incl. weekends).  You would assess patients as they came in, doing a focused history and physical - depending on patients' condition you'd have to rush on to get the attending to see the patient. This is an adult ER only, so no peds exposure during this rotation, however I saw EVERYTHING else, including a delivery in the ER... (this is not very common though.) You will also do suturing, casting, and less common procedures like joint taps, paracentesis, dental nerve blocks and others. You'll read a lot of X-rays/CT scans and EKGs.

Usefulness for any residency

5 of 5 stars

Usefulness for this residency

5 of 5 stars

Useful for other specialties

Emergency, General Surgery, Anesthesia, Medicine, Family, OB/Gyn, Radiology

Overall rating

5 of 5 stars

Recommended to other students

5 of 5 stars

Other comments

Northwestern is an excellent ER residency program for those interested in ER, however it is a 4-year program so only bother doing this away rotation if you are interested in 4-year programs in ER. Otherwise, if this is just an elective without interest in ER, you can do your ER rotation at Cook Co. and get the same experience.

Hematology

Location

Rush

# Weeks

4

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1

Prerequisites

?

Interviewing/Step 2 flexibility

Very Flexible

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2

Teaching style

Patient rounds, Lecture given by resident or attending

Suggested reading/pocket contents

?

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Long rounds but valuable teaching throughout.  Lots of downtime if you need to work on applications etc.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

0-2

Procedures

never

Typical day

10AM - 5PM.  Rounding depends on attending preference (morning or afternoon).  It is a consult service so you just take turns with the team seeing inpatient consults all day.  Daily afternoon attending lectures.  Pharm Rep lunch 1-2 times/wk.

Usefulness for any residency

4 of 5 stars

Usefulness for this residency

4 of 5 stars

Useful for other specialties

Medicine

Overall rating

4 of 5 stars

Recommended to other students

4 of 5 stars

Other comments

You get a lot of autonomy which is very satisfying.

Infectious Disease - Rush/Stroger

Location

Rush and Stroger

# Weeks

2 weeks each at both Rush and County (4 wks total)

Hours/week on site

41-50 , 61-70

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

4 or more

Prerequisites

Medicine core

Interviewing/Step 2 flexibility

?

Overnight call?

no

Work weekends?

yes

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

3-4

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending

Suggested reading/pocket contents

Sanford Antimicrobial Guide

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Spent rounds with attendings.  Depending on the attending, could be 3-4 hours a day.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

2-4

Procedures

A few times/week

Typical day

Pre-round on patients in the am, take consults throughout the day, the round at end of day with attending. Usually at the end of the day you see new patients and the sickest patients.

Usefulness for any residency

3 of 5 stars

Usefulness for this residency

3 of 5 stars

Useful for other specialties

Internal Medicine

Overall rating

3 of 5 stars

Recommended to other students

3 of 5 stars

Other comments

 

Infectious Disease - Stroger

Location

Stroger

# Weeks

4

Hours/week on site

51-60, 31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1

Prerequisites

medicine

Interviewing/Step 2 flexibility

2-3 days

Overnight call?

no

Work weekends?

yes (2)

Weekend call?

no (1), yes (1)

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

0-1, 1-2

Teaching style

Patient rounds, Morning report/Case conference, Lectures by attending/residents

Suggested reading/pocket contents

Neuro equipment; Sanford guide;
you are given info about medications; read about opportunistic infections and HIV medications and complications

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Most of the day; great teaching

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

2-4

Procedures

never, a few times/wk

Typical day

Pre-round, round, see new consults; case conference; usually 1-3 hours
of down time; done by 3 on non-call days, by 6 on call days

Usefulness for any residency (# stars/5)

4, 5

Usefulness for this residency (# stars/5)

5

Useful for other specialties

All specialties because of the focus on relevant antibiotics.

Overall rating (# stars/5)

3, 5

Recommended to other students (# stars/5)

3, 5

Other comments

It is very busy but you learn so much. The patients are complicated. Almost as if you are functioning as a sub-I.

Infectious Disease and Public Health (Preventive Medicine department)

Location

Illinois Department of Public Health

# Weeks

2

Hours/week on site

31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1

Prerequisites

none

Interviewing/Step 2 flexibility

I don't know but it's flexible

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

yes

Teaching hours/day

0-1

Teaching style

Lecture given by resident or attending, Student presentations

Suggested reading/pocket contents

None.  You can check out the IDPH website for info if you want to do something before you start.

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

Approximately 1 hr/day with attending.  The rest of the time is filled with meetings, conference calls, independent study and work on your project/presentation.

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

0-2

Procedures

never

Typical day

As an M3 on a 2 wk rotation hours were 9-5 at the ILDPH.   I was given an office to share with another student where we had internet access to research our projects and a phone for the multiple daily conference calls with the Springfield DPH and the CDC. There are also occasional meetings and field trips. I went to the Quarantine center at O'Hare Airport one day and observed a restaurant inspection on another.  Each student is assigned a project or outbreak (if you are there for 4wks) and you must present something at the end of the rotation.  I submitted my work for possible publication at the end of the 2wks.  If you do this as a 4th year and/or a 4wk rotation you have much more flexibility as it seems you do about the same amount of work but over twice the amount of time.  

Usefulness for any residency

4 of 5 stars

Usefulness for this residency

5 of 5 stars

Useful for other specialties

Any with Research Component, esp. Preventive Med, Infectious Disease, Medicine, Family Medicine.

Overall rating

5 of 5 stars

Recommended to other students

5 of 5 stars

Other comments

I really enjoyed this rotation but it clearly isn't for everyone.  For me, sitting in an office reading, writing and doing research was a welcome and enjoyable break from the floors.  Dr. Conover is very accommodating.  I told him I was more interested in Public Health Policy than the ID aspect of the rotation so he gave me the freedom to work on writing practice guidelines for IL docs.

Interventional Radiology

Location

Rush

# Weeks

4

Hours/week on site

51-60, 41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 1

Prerequisites

none

Interviewing/Step 2 flexibility

they're flexible

Attendings are very flexible and understanding

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

1-2, 0-1

Teaching style

Morning report/Case conference, they teach during procedures

Suggested reading/pocket contents

I didn't read anything. You don't need anything in your pockets because you'll always be wearing scrubs.

Squire's Radiology The Interventional Radiology Survival Guide

Structure of rotation

One-on-one with attendings/residents

Amt/quality of time residents/attendings

I took the rotation when the fellows were new, so most of the teaching was focused on getting the fellows up to speed. But the attendings were good teachers, and I would expect that later in the year the fellows would be the same way.

Proportion of time evaluating pts alone

0-25%

# pts evaluated/day

8-10, 2-4

Procedures

A few times/day, A few times/wk

Typical day

I would get there at 7 and watch/assist with procedures all day. I would typically leave around 6 or 7. There was a good variety of procedures, and it was very hands-on. You're standing around in lead all day, though, which can be tiring.

Arrive at 7:30am to prep for cases/review radiographs, scrub in for procedures/observe cases, consent patients for procedures, attend vascular surgery/interventional radiology conferences, sometimes attend diagnostic radiology noon lectures

Usefulness for any residency (# stars/5)

3, 1

Usefulness for this residency (# stars/5)

4, 5 

Useful for other specialties

Surgery, radiology

Any radiology specialty

Overall rating (# stars/5)

4, 4

Recommended to other students (# stars/5)

5, 3

Other comments

 

Maternal-Fetal/High-Risk

Location

Rush

# Weeks

4

Hours/week on site

61-70, 71-80

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 1

Prerequisites

Core OB/Gyn

Interviewing/Step 2 flexibility

2

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

variable

Teaching hours/day

1-4

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, Student presentations

Suggested reading/pocket contents

Burrow/Duffy - Medical Complications of Pregnancy.

All you need the fourth year is one book that has questions for the step II CK.

Structure of rotation

Team-based.  Service is a senior resident, and you. (And attendings during rounds, of course.)

Amt/quality of time residents/attendings

The way it is structured you spend 95% of your resident time with a single resident (the 3rd year on antepartum) which allows you to really get into a rhythm with that resident.  You spend the large majority of your day working with that resident.  2 days a week the resident has clinic and you can tag along.  Also, Thursdays the third year is in charge of L&D, and you get to help run the board, while also pretty much covering antepartum yourself.  Attending time: Every day you spend about 1-2 hours on rounds, rounding with 2 different attendings (one for non-high risk patients, one for high risk patients).  Every day is different attendings as they rotate coverage.  Also, 2-3 days a week you meet with a different attending for lecture.  These can sometimes get blown off if things are too busy, but Dr. Pombar's Friday lecture is usually very consistent, and he has you do a short weekly presentation on an assigned subject, and will then ask you questions.

Proportion of time evaluating pts alone

25-50%, 50-75%

# pts evaluated/day

4-10

Procedures

Once a day, A few times/day

Typical day

Come in around 5:45-6:00am, gather vitals and pre-round.  Go over info with resident.  Add any new patients and their data to the list.  Go to board rounds at 7:30-8:30.  Round with attendings (usually finishes up by 11:00).  Take care of any floor responsibilities and/or patient care things.  Eat lunch.  Continue to take care of floor responsibilities, and admit any patients coming to service.  Cover any C-sections from antepartum.  Some afternoons will consist of either clinic or ultrasound clinic with Dr. Pombar.  Not much downtime.  Day usually finishes by 5:30-6:00.  However, if you are still there at 6:30, you'll be expected at 6:30 board rounds.

Lots of ultrasounds.  Can spend time in OR if interested.  Rotation is pretty chill.  Attendings are the best.

Usefulness for any residency

3 of 5 stars, 5 of 5

Usefulness for this residency

3 of 5 stars, 5 of 5

Useful for other specialties

OB/Gyn, Family Medicine, Internal Medicine

Overall rating

5 stars

Recommended to other students

5 stars

Other comments

Great rotation.  Not easy, but a lot of teaching/learning.  Great people to work with.

This is a good one to do.

Medical Genetics

Location

Baylor

# Weeks

4

Hours/week on site

31-40

Open to M3s?

?

Scheduled through OASIS?

no

On Rush schedule?

yes

# other students

1

Prerequisites

?

Interviewing/Step 2 flexibility

I took 2 days off to interview.

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

more than 4

Teaching style

Patient rounds, Lecture given by resident or attending, conferences, clinic

Suggested reading/pocket contents

Plenty of time to read during the day while on the rotation. No need to buy any books as the department has plenty to borrow!

Structure of rotation

Team-based

Amt/quality of time residents/attendings

90% of the time with Genetics fellows who were all friendly and eager to teach. 20% of the time with attendings on rounds or in clinic - also very eager to teach.

Medical ICU - Rush

Location

Rush

# Weeks

4

Hours/week on site

41-50, 31-40

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 1

Prerequisites

Medicine

Interviewing/Step 2 flexibility

2 days taken, more if you ask fellow

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no

Teaching hours/day

2-3

Teaching style

Patient rounds, Lecture given by resident or attending

Suggested reading/pocket contents

Medicine blue book, stethoscope...

Structure of rotation

Team-based

Amt/quality of time residents/attendings

Spent approximately 3-4 hours with attendings each day and spent most of the day with the residents.  Great teaching!!

Mornings were great for teaching. We often discussed management
questions on rounds, chest x-ray rounds were really helpful to learn a
systematic way of reading CXRs, attendings and fellows were great about
lecturing on most important topics in critical care.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

0-2

Procedures

A few times/week, a few times/month

Typical day

7:30 pre-round, 8:30-9:15 NRCU rounds, 9:15-10:00 chest x-rays and teaching by fellows, 10-12 micu rounds, 12-1 medicine lecture in ab dick, 1-4 finish up patient stuff, admit new patients, sign out rounds

Pre-round from 7:30 to 8:30, start rounds at 8:30 and finish maybe
around 11. Rest of the day is pretty laid back - work up a new patient,
read, or help residents. Sign-out rounds by 4pm. I usually left right
after sign-out.

Usefulness for any residency (# stars/5)

4, 5

Usefulness for this residency (# stars/5)

5, 5

Useful for other specialties

medicine, neuro, anesthesia, surgery, radiology, ER

Overall rating (# stars/5)

5, 3

Recommended to other students (# stars/5)

5, 4

Other comments

I was bored a lot, but I did learn quite a bit of vital information.


Medical ICU - Stroger

 

Location

Stroger

# Weeks

4

Hours/week on site

41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

2

Prerequisites

internal medicine

Interviewing/Step 2 flexibility

they're flexible

Overnight call?

no

Work weekends?