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| Clinical Rotations Discuss issues related to the MS-III and MS-IV years, including rotations and shelf exams. | RSS: |
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#1 |
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Senior Member
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4:45am- Wake Up ( Think to myself that I'd rather stay in my warm, cozy bed for a few more hours). 11am- nearing the end of horrendously boring rounds ( Think to myself that I'd rather be at home with a bowl of cereal in front of the TV watching my favorite show). Black Weekend (on call both Sat and Sun)- looking out the window at the beautiful sunshine and 60 degree temps in January thinking to myself that I'd rather be outside. Anyone else not loving every second of your rotations?
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[ ] OB/GYN [ ] Psychiatry [ ] Family medicine [ ] Pediatrics [ ] Internal medicine [ ] Neurology [ ] Surgery [ ] Emergency medicine
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#2 | |
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Fascinating, tell me more
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#3 |
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Senior Member
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I think 3rd year has been fun except for the pimping, getting yelled at, and having to worry about evals.
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#4 |
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Senior Member
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i remember my 3rd year med school gen surg rotation - would get to the hospital to pre-round by 4am and would get home at 10:30pm - was on call q3... post-call they would let the students go home by noon post-call...
i hated it initially - then i became a robot by the 2nd week --- my apt basically became a place to brush my teeth, shower, sleep for a few hours and back to the grind... i learned more about medicine in those 2 months then the rest of the 10 months during 3rd year... it sucks - but it makes you tougher... |
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#5 |
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Space Cowboy
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That's life. Most of us have some leisure activity we would rather be doing than going in to work, if we didn't have future careers and bills and all that crap to worry about.
Overall i think it's alright, better than most people's jobs imo. |
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#6 |
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Banned
Join Date: Jan 2009
Posts: 701
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Last edited by officedepot; 04-12-2012 at 03:30 PM. |
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#7 |
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Renowned Wolf
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Is this something that just started recently in past couple of months or it's been ongoing since you started rotations?
I definitely hit the highs and the lows but when I evaluate my like/dislike for medicine, I have consistently leaned towards "like" and I take that as a sign that I don't actually hate what I do.
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PCOM 2013 |
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#8 |
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Ph.D in Clinical Meconium
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It depends on the rotation. It's not an all consuming hate when I hit a tough rotation, but more getting over the feeling of incompetence as you're being hit with pimp questions left and right.
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#9 |
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Senior Member
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I try and remind myself that 10 years of med school and residency isn't bad compared to sucking up reporting to a boss for life if I entered almost anything else.
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#10 | ||
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Emergency medicine PGY-0
Join Date: Nov 2006
Posts: 4,115
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#11 |
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Senior Member
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well unless you do PP...you will have a boss, and they will most likely be much dumberer then you are with no medical background.
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#12 | ||
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1K Member
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I really don't think 3rd yr is very high yield... So far, I've spent most of 3rd yr learning how to adapt my "presentation" & SOAP notes to different residents/attendings. Anyway, I think I'll probably learn more in 1or 2 months of intern yr than the whole of 3rd yr... I say this because I feel like I knew the most at the start of 3rd yr, fresh off of Step 1. Since then, it's just been a steady decline! What I count as knowledge is that true understanding of pathophys, pharmacology, etc. That loss of theoretical knowledge has NOT been balanced by new clinical knowledge. I've definitely lost more than I've gained. 'Cuz despite what we're told about how it's not important for us to learn how to do the "mechanics" of placing orders, calling consults... well, I actually learn a lot by learning the mechanics. Like if you prescribe ketorlac, also make sure they're on a PPI. Those little things you might not pick up on unless you're the one placing the order. Until you're forced to do it, no one cares to take the time to answer all your Qs about how to do it, why, etc. Instead of learning the mechanics, we spend a bunch of time following people around doing nothing ("rounding"), or doing scut... basically, there's a TON of useless/wasted time in 3rd yr. I think sub-Is are helpful... and maybe the 1st 2 wks of any required rotation, such as peds... but that's about it. I mean, for each major topic such as RSV, give me a lecture on it, let me see 3 or 4 cases of it.. and that should be good, don't you think? If you took all the fluff out of a rotation, it's really only a few days' worth of lecture material, then maybe 2 wks worth of (distinct) clinical exposure. It's really not instructive to do 3 wks of RSV. Nor is it instructive to struggle with a super complex transplant patient before we've even learned how to manage the bread & butter cases. But that's how my 3rd yr has been... loads of down-time, and fairly random exposure. Really inadequate exposure, in some ways. Does anyone else feel like 3rd yr could be a LOT more condensed ? I'm a little scared 'cuz I really feel like I've forgotten a lot more than I've learned...
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#13 |
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M4, Pedi in Training :)
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Depends on the rotation. Out of the ten-ish weeks I was on peds electives and gen peds, there were about 3-4 days total I didn't want to be at work. On OB, I loved the OB weeks/ hated gyn.
On medicine and psych.. much more "I could be....weeding the yard right now" thoughts. And surgery is giving ORIENTATION at 6 AM. . I can tell I'm gonna LOVE this one :vomit:
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M4 Rotations: [x]Step 2 CK - June 18 [x]Step 2 CS -June 25 [x]House Medicine Sub-I [ ]NICU [ ]Peds Wards [**University of Mississippi School of Medicine 2013** http://olemissbabydoc.blogspot.com Dear Father, You have placed me in this world as a doctor with a plan for my life. I have seen the possibilities. I now hold [my life] up to you. Take it and begin the change in me. Give me the insight and determination to follow through and become the Christian doctor you have created me to be - by your power, with your wisdom, and for your glory. Amen -Adapted from Practice By The Book |
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#14 |
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I am tired, I am weary
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I am getting infinitely more enraged and paranoid as the year goes on.
But I love seeing patients in the morning. After that it tends to be downhill, unless I have particularly funny residents. |
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#15 |
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Craving for comrades
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I feel the same way. I'm also easily bored now, which makes it hard for me to act like I'm interested on my current rotation.
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#16 |
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Duke of minimal vowels
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That occasional feeling of making the difference kept me going through the early mornings.
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I love medical school. Vaccines are one of the great triumphs of medical science. They cost little, have few side effects, are incredibly safe, and they don't cause autism. If they just made free beer, they would be perfect. Green our vaccines? They only green you will see by getting rid of vaccines or decreasing their use is the grass growing on the graves of children needlessly killed by preventable diseases. -Mark Crislip, MD |
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#17 |
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Emergency medicine PGY-0
Join Date: Nov 2006
Posts: 4,115
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#18 |
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Duke of minimal vowels
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The rare occassion where being on the team actually did some good. For example, I once caught a medication mistake that was significantly harming the patient. Another time I managed to convince the resident to order a test that changed the course of a patient's care when it returned positive. Another time, I was able to build a relationship with a psych patient that wouldn't talk to anyone about why they were in the ER. Nothing world changing, but at least not meaningless.
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#19 |
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M4, Pedi in Training :)
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One week of surgery down.
I definitely DO NOT like going into work at 4:45. |
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#20 |
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i aint kinda hot Im sauna
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being a 3rd year medical student is pretty whack only b/c of all the BS you have to do with random mandatory half day lectures and assignents and rotatsion where they make you drive to 10 different locations througout the week and yadda yadda. When I'm actually able to just show up to work and dedicate myself to my patients (like it was on my 4 weeks of electives) then i have no complaints. So i imagine 4th year will be significantly better in that regard.
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Peace in oneself, peace in the world. I dont understand why asking people to eat a well-balanced vegetarian diet is considered drastic, while it is medically conservative to cut people open. - Dean Ornish "I'm an atheist, and that's it. I believe there's nothing we can know except that we should be kind to each other and do what we can for other people." - Katharine Hepburn |
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#21 | |
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Emergency medicine PGY-0
Join Date: Nov 2006
Posts: 4,115
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Surgery and OB/Gyn hours are terrible, for sure. Just gotta lean into the wind. |
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#22 |
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Banned
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I ****ing hate it.
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#23 |
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1K Member
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I was feeling the same way this morning. Third year is kinda boring because we don't get paid and have no real responsibilities except sucking up for evals. Almost done though. Soon it all ends.
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#24 |
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only one will survive
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Nah, I hate going in sometimes, especially if it's on a rotation I don't really want to be in. I was pretty miserable going into the mornings on peds (except for the neonatology week) and even worse during surgery. Getting up and being in the hospital at 4:30 or 5 in the morning is pure torture. On Medicine even though I enjoyed the rotation there were certainly days where I was too groggy to want to come in and I certainly felt like crap during the morning, but it got better as the day went on.
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MATCHED!
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#25 |
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Junior Member
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The worst thing about M3 year is the complete and utter lack of control you have over your own life.
You can't take any time off. You can't stay in bed if you get tired. You can't call in sick (well...you can..but it's such a huge hassle to justify at my school that you might as well mainline some Nyquil and go in). You can't even PLAN future events because your schedule changes every couple of weeks and you find out about it the day before it happens. There's nothing worse than being in a high stress environment where a mistake can actually really hurt someone or even kill them, not knowing what to do or what to say. On top of that you are surrounded by the most arrogant people on Earth who feel no hesitation in humiliating you in front of your friends and are always silently judging and evaluating you. Yes I am bitter. Thanks Ob Gyn and Surgery!
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VCU/MCV Class of 2013...whoo..hoo |
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#26 | |
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Renowned Wolf
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This is why in order to matriculate at medical schools, people should be required to have worked in a, preferably, non-medical setting for at least a year before starting med school. |
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#27 |
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I am tired, I am weary
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As someone who didn't work before med school, I totally agree. Third year is a pretty big shock in terms of learning discipline and organization.
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#28 | |
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1K Member
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The gripe he has about never knowing your schedule beforehand is legit. It shouldn't be that difficult to give people their schedule for rotations several weeks in advance, yet I was never able to obtain it. Every time I tried to get my call schedule, because I wanted to go to a concert or plan a weekend away, I was told by the coordinator that "oh, we won't have the schedule until the first day." Lo and behold, we were just plugged into the set q4 schedule according to what team we were assigned. The abject laziness of these people is appalling. |
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#29 | |
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1K Member
Join Date: Jan 2008
Posts: 1,374
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#30 | |
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Member
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#31 | |
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1K Member
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Yet for some reason, that's a secret that we can't be made aware of prior to day 1 of the rotation. I mean, how ridiculous is it to show up on the first day and be told that you're taking call that night? |
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#32 | |
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Giovanni Boldini
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So yes, it can be just as bad for residents.
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Understanding the Physician Liability Insurance Crisis "In our current divisive political climate, the conversation about our health care has become less and less about what is happening between doctor and patient, and more about what individuals or groups want for themselves -- and don't want for the rest of us." - Dr. Maggie Kozel Occam's Spatula |
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#33 | |
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1K Member
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(Here, the residents always seem to have their schedule at least a few weeks ahead of time--I clearly think that's how it should be for students as well. It's a pretty simple, easy-to-fix quality of life issue. I don't know why anyone would argue otherwise.) |
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#34 | |
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Giovanni Boldini
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But when I don't get my schedule until the day before the rotation...<shrug>. I know that it's sometimes unavoidable, that everyone is busy, and it's not big enough of a deal to complain about. I have to say, though, I'm kind of surprised that the residents there know, even a few weeks in advance, when they'll be on call. That's not all that usual, based on my experience, and what my friends in other residencies say. |
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#35 | |
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1K Member
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Or, w/ night float: long call->post-call->short-call->pre-call. I mean, it's not exactly rocket science. I don't think it's unreasonable to ask for your schedule a few weeks in advance (and here, they certainly do have the schedules few weeks in advance and give them to the residents, but not the students). Do your attendings find out their schedule the morning of? |
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#36 | |
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Giovanni Boldini
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Part of the problem is is that most programs rely on a resident to make the call schedule. When you're already working 70+ hours a week, finding time to make the schedule that can accomodate once-a-week clinic, coverage of multiple hospitals, and still keep people within the hour regulations is tough. It'd be nice if the program gave that resident "administrative time," which many attendings get built into their schedule, but...<sigh>. So I imagine that it's frequently a last-minute, "burn the midnight oil" type of deal to get the schedule done in the nick of time. Other links on resident call schedules and when people find out about them: http://forums.studentdoctor.net/showthread.php?t=739324 http://forums.studentdoctor.net/showthread.php?t=710931 |
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#37 | |
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1K Member
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1. The picture is a lot different for students--it's not an overworked resident making the schedule, it's a clerkship coordinator. And, it's a lot easier making student schedules since they really just have to plug them into an already established schedule. 2. A lot of those people in those other threads were irritated that they had such late notice, with good reason. And a lot of people posted saying they got much earlier notice. I don't think I'm out of line for agreeing w/ someone who complained about never knowing their schedule beforehand. The fact that many coordinators are just too lazy to email out a schedule that's already made is just another F you on top of the sh*tcake of medical school. |
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#38 | |
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Renowned Wolf
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Comfortable, easy training makes you vulnerable and weak to handle difficult, life-threatening, stressful situations that we're bound to run into at one point or another in our career as physicians no matter the specialty we choose. |
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#39 | |
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Member
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I would be careful who you're calling lazy. Have you actually asked the clerkship coordinator what they do? They are probably not just plugging you into existing schedules. They have a bunch of other little things to coordinate for you like clinics, classes, etc. They also may not have the final list of students. And because it's probably relatively complicated, they don't want to have to deal with med students trying to switch their schedules around all the time because they want to go to a concert, which would be more possible if you have the schedule way ahead of time. This is one of the sacrifices of training in medicine. Just prepare for the fact that you might be on call the first day of the rotation. I don't think that's such a big deal. |
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#40 | |
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5K+ Member
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#41 |
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Senior Member
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#42 |
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Renowned Wolf
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#43 |
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Chillaxin
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For what it's worth, I agree with you and the poster you quoted.
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1K Member
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#45 |
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Renowned Wolf
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#46 | |
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1K Member
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The coordinator has absolutely nothing to do w/ any of this, aside from assigning me to a particular team/resident/attending and some paperwork the first day. |
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#47 |
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1K Member
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#48 |
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Gamer Doctor :D
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You can just tell the coordinator that you have a concert and have it changed. That's what someone did in my rotation.
It's not like third year is supposed to be hell lol |
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#49 |
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I am tired, I am weary
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I agree with all of you. You're all right.
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#50 | |
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only one will survive
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So for all the d-bags hating on him for being upset at the lack of control over his own life... get over yourself. I hate having no control over my own life and being surrounded by people who think they're the second coming every day for several weeks while working absurd hours was a massive drain on my sanity. |
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All times are GMT -7. The time now is 06:51 PM.



Think to myself that I'd rather stay in my warm, cozy bed for a few more hours).
Think to myself that I'd rather be at home with a bowl of cereal in front of the TV watching my favorite show).
] OB/GYN [
] Psychiatry [
] Family medicine [
] Pediatrics [
] Internal medicine [
] Neurology [
] Surgery [
] Emergency medicine


. I can tell I'm gonna LOVE this one :vomit:





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