|
Location |
Rush |
|
# Weeks |
4 |
|
Hours/week on site |
21-30, 31-40, 41-50 (3) |
|
Open to M3s? |
no |
|
Scheduled through OASIS? |
yes |
|
On Rush schedule? |
yes |
|
# other students |
0, 1, 2 (3) |
|
Prerequisites |
Internal Medicine |
|
Interviewing/Step 2 flexibility |
variable, one student took off four days during the 4 wks, 2 days 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 |
|
Teaching hours/day |
0-2, 1-2, 2-3 |
|
Teaching style |
Patient rounds, Lecture given by resident or attending |
|
Suggested reading/pocket contents |
GFR calculator. No text necessary. There is a Rush Website for the residents with suggested readings (articles) for the core topics. Pocket med, uptodate |
|
Structure of rotation |
Team-based |
|
Amt/quality of time residents/attendings |
Spend several hours on rounds each day with residents and attendings. You are expected to see consults by yourself. As the only student I spent a lot of time with the attending, fellow and residents. Most of the day is spent rounding with the team. We would break up to see new consults and then go over them as a team in the afternoon. Morning rounds were 3-4 hours which was spent with the attending and residents. Depending on length of patient list and mood of day determined level of teaching but there was always some teaching and usually very good explanations. Mid-afternoon spent with 1 resident working up new consults then rest of after spent with attending and residents presenting new consults. This, again, was an opportunity for additional teaching. Other than pre-rounds and seeing new patients, all day was spent with the team. Teaching depended on the patients we had: lots of simple boring patients = limited teaching time, whereas few unusual patients = teaching all day. |
|
Proportion of time evaluating pts alone |
50-75%, 75-100% (2), 0-25% |
|
# pts evaluated/day |
2-4 (3), 4-6 |
|
Procedures |
never |
|
Typical day |
7-9 Pre-rounding and about 1/3 of the time starting a new consult. 9-11:30 rounding on old pts. 1130-130 seeing a new consult, sometimes lecture. 1:30 - 4ish rounding on new pts. Home About 1.5 hours to pre-round depending on number of patients (usually 3-4) then rounds for about 3 hours starting at 9am until noon to 12:30pm. New consults 1-2pm and rounds again for 1-2 hours depending on number of new consults. Out by 4pm usually. Rounds begin in the MICU at 9, but depending on your patient list pre-rounds may take over an hour. We round on all the consults (typically 20-30 patients total), breaking for lunch if necessary. In addition, new consults from overnight are expected to be seen before rounds. Lunch breaks are typically long enough to go see any additional consults from the day, and the afternoon is spent seeing any new patients as needed. |
|
Usefulness for any residency (# stars/5) |
5 (2), 3 |
|
Usefulness for this residency (# stars/5) |
5 (3) |
|
Useful for other specialties |
Internal Medicine, All except for maybe radiology. Internal Medicine and it's sub-specialties, surgery, ER Anything in primary practice/internal medicine |
|
Overall rating (# stars/5) |
4 (2), 5 |
|
Recommended to other students (# stars/5) |
5 (2), 4 |
|
Other comments |
Very team-dependent. Rotation differs very much depending on attending. Dr. Korbet makes for longer and more intense days and usually goes 7am-7pm. Dr. Rodby is much quicker and usually out by 4pm although don't expect to be able to attending noon conference. Dr. Whittier is even quicker. All are excellent teachers. The last day of the rotation is the day the residents switch services, and the med students are asked to see the entire patient list (typically students only carry 3 patients at a time) while the residents learn about the patients and pick up new consults for their first day. This was... difficult, but manageable. |