what is the difference between selective and elective?

[zoner]

anybody know?

also, what is considered as Sub- internship - medicine?

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[cabinbuilder]

anybody know?

also, what is considered as Sub- internship - medicine?

Core selelctive generally means you have to pick a rotation that is a branch specialty off of a core rotation:.

So a core rotation would be Internal Medicine.
A core selective would be: nephrology, GI, cardiology, oncology, rheumatology, because all those specialists did a fellowship after the IM residency.

An elective is anything you are interested in that you may not get exposure to or a chance to do a second rotation in something you really liked. Derm, Pathology, The coroner's office, Neurosurgery, radiology (IR) Ophtho, MFM, NICU, neonatology, Podiatry


Sub-I just means you are doing an audition rotation as a fourth year medical student and would be expected to function on the level of the interns in the hopes you could potentially match there in the specialty you are looking at.

 

[zoner]

so then why does Western distinguish between sub-internship-medicine and electives during M4? Why not just say 8 electives instead of 1 sub-internship-medicine and 7 electives?

also, for selective rotation, can you rotate in say another kind of surgery specialty?

thanks for the info

edit: edit: ah, i think i got it. Is it to distinguish between selective and elective since once you are in M4 besides the core rotation of EM, it's all auditioning anyways?

 

[411309]

when you add an S to elective you get Selective.

 

[HalfListic]

so then why does Western distinguish between sub-internship-medicine and electives during M4? Why not say 8 electives instead of 1 sub-internship-medicine and 7 electives?

thanks for the info

edit: edit: ah, i think i got it. Is it to distinguish between selective and elective since once you are in M4 besides the core rotation of EM, it's all auditioning anyways?

while this is true...different schools actually use selective to represent different things. From my interviews I heard and read selective used a few ways, ranging from what you described to being an earlier elective to being not really an elective at all, but a suggestion from the institution. Im not really sure selective is as concrete a term as elective.

 

[MedPR]

so then why does Western distinguish between sub-internship-medicine and electives during M4? Why not just say 8 electives instead of 1 sub-internship-medicine and 7 electives?

also, for selective rotation, can you rotate in say another kind of surgery specialty?

thanks for the info

edit: edit: ah, i think i got it. Is it to distinguish between selective and elective since once you are in M4 besides the core rotation of EM, it's all auditioning anyways?

Because during a sub-I you are functioning as an intern, not as an M4.

 

[cliquesh]

An elective can be anything you want. As cabin builder said, it can be dermatology, rad onc, peds, EM, a medical mission, etc. it can be anything.

A selective is, well, more selective. At my school we have a medicine selective and a surgical selective. For the medicine selective, you can do anything that falls under internal medicine, such as general internal medicine, heme/onc, cards, pulm, and so on. For the surgical selective you can do anything that falls under surgery, such as general surgery, orthopedics, urology, ent, neurosurgery, and so on.

A sub internship is just general internal medicine, but it is suppose to be a little different than your ms3 rotation. A medicine sub internship is a general internal medicine rotation where you expected to operate at a higher level with more responsibility. However, it usually ends up being just another month of general internal medicine that is no different than your ms3 rotation.

That is how the sub internship works at my school. If you could pick any speciality to do your sub internship in at western then it would be basically Be another elective. At my school it is always general internal medicine.

 

[MedPR]

An elective can be anything you want. As cabin builder said, it can be dermatology, rad onc, peds, EM, a medical mission, etc. it can be anything.

A selective is, well, more selective. At my school we have a medicine selective and a surgical selective. For the medicine selective, you can do anything that falls under internal medicine, such as general internal medicine, heme/onc, cards, pulm, and so on. For the surgical selective you can do anything that falls under surgery, such as general surgery, orthopedics, urology, ent, neurosurgery, and so on.

A sub internship is just general internal medicine, but it is suppose to be a little different than your ms3 rotation. A medicine sub internship is a general internal medicine rotation where you expected to operate at a higher level with more responsibility. However, it usually ends up being just another month of general internal medicine that is no different than your ms3 rotation.

That is how the sub internship works at my school. If you could pick any speciality to do a sub internship in at western then it would be basically another elective. At my school it is always general internal medicine.

Just to provide another point of view, Cincinnati Sub-I is done on a team with one less intern than all the other teams. So either they are making that team's interns work more, take on less patients, or really are making the M4 responsible for as much as an intern.

 

[cabinbuilder]

Of course every school is different. LECOM didn't have an Internal Medicine Sub-I so that is a different term for me.
Here are the current rotations for LECOM:

Third Year Rotations
•Internal Medicine I, II, III
•Surgery I, II
•Obstetrics/Gynecology
•Family Medicine (including Healthcare Management III)
•Pediatrics
•Core Selective
•Elective I, II
•Psychiatry/Behavioral Health
•Vacation (4 weeks)

Fourth Year Rotations
•Emergency Medicine I, II
•Medicine Selective
•Primary Care Selective
•Surgery Selective
•Ambulatory Medicine I, II (including Healthcare Management IV)
•Rural/Underserved
•Elective I, II, III
•Clinical Competency Development
•Vacation (4 weeks)

 

[MedPR]

Of course every school is different. LECOM didn't have an Internal Medicine Sub-I so that is a different term for me.
Here are the current rotations for LECOM:

Third Year Rotations
•Internal Medicine I, II, III
•Surgery I, II
•Obstetrics/Gynecology
•Family Medicine (including Healthcare Management III)
•Pediatrics
•Core Selective
•Elective I, II
•Psychiatry/Behavioral Health
•Vacation (4 weeks)

Fourth Year Rotations
•Emergency Medicine I, II
•Medicine Selective
•Primary Care Selective
•Surgery Selective
•Ambulatory Medicine I, II (including Healthcare Management IV)
•Rural/Underserved
•Elective I, II, III
•Clinical Competency Development
•Vacation (4 weeks)

Lecom only gives three electives for fourth years?

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[cabinbuilder]

Lecom only gives three electives for fourth years?

Sent from my SGH-T999 using SDN Mobile

You don't think that is enough? You can split them into 2 week blocks too if you want. With the three selectives you have to come up with rotations to fill those slots too so it's actually 6. I personally had trouble trying to fill them all by the end because I was burned out.

 

[MedPR]

You don't think that is enough? You can split them into 2 week blocks too if you want. With the three selectives you have to come up with rotations to fill those slots too so it's actually 6. I personally had trouble trying to fill them all by the end because I was burned out.

I have no idea if it's enough or not .

From what I've been reading about other curriculums I thought the norm (if one exists) was 3-4 required rotations/sub-i, then the rest of the time for electives/aways/vacation/step 2 prep.

 

[cabinbuilder]

I have no idea if it's enough or not .

From what I've been reading about other curriculums I thought the norm (if one exists) was 3-4 required rotations/sub-i, then the rest of the time for electives/aways/vacation/step 2 prep.

If you look at LECOM 4th year there are really only 4 required, the 2 months of ER and 2 months of ambulatory medicine. All the rest you have to pick and figure out yourself what rotation to do. The rural/underserved can be any specialty it just has to fit the criteria. You can do as many of those rotations as away and you pick whichever you want to do a sub-I in for what residency your looking into since that would be your audition rotation.

I did not have any time for step II prep, you have to decipline yourself to work on it throughout the year. They don't give you special time off for that.