Hey folks,
I asked Mmmcdowe a bunch of questions re: Columbia that he was kind enough to give incredibly detailed and helpful answers to. This definitely gave me a lot of great information that I didn't have before, so other people might find it useful, too. Reposting with his permission. For what it's worth, the school sounds amazing and I am totally sold
1. First question is mainly about time during first year. On one hand, it sounds like there's a lot going on extracurricularly, but on the other hand, it seems like the curricular requirements take up a ton of time. When I check the schedule for first years, it seems like people are in class 9-5 most days. What portions of the curriculum are mandatory versus optional? How do people manage this? Do they have some down time? What kind of routines do people usually put together for studying? Can you get by spending a few hours every evening and then a few hours each weekend day? Is it possible, with good time management, to take a weekend day or so a week mainly off?
During the pre-clinicals you get either 2 or 3 afternoons off a week. During the first semester, anatomy takes up two afternoons and you spend one afternoon shadowing/learning to do interviews. During second semester you start off doing three afternoons and then wean yourself down to two. During third semester you have usually 1-2 afternoons of work, but classes last til 1PM rather than 12PM so it is essentially the same. So you are always guarunteed two afternoons off, Friday is always off unless you choose to pick that as your day for shadowing/interviewing. There is definitely a significant amount of freetime built into the curriculum. I did research, theater, signing, and volunteering during my pre-clinicals. One of the strengths of the columbia curriculum is essnetially everything is nonmandatory that doesn't involve patients or the occasional quiz. This allows you to pick what works best for you and discard anything that doesn't. For example, I went to some small group/PBL sessions and some I did not. Not because they were/were not well taught. I just felt that I got out of certain topics in PBl than others due to my own learning styles. All lectures are online, which is nice since you can watch at home or rewatch them. You can also speed them up. Being an unranked pass/fail pre-clinical curriculum, this also helps manage your free time. It doesn't give you more per se, it just gives you the confidence to take advantage of it when you have it. It lets you be confident with your feelings that you have mastered a subject rather than having a little voice in your head worrying about it. Our grades haven't changed since p/f was instituted, because let's face it medical students are all type A. We are just happier, more confident type As. It is definitely possible to have your weekends almost always off. I have a friend who would study nonstop monday through friday so that she could spend weekends with her boyfriend. She definitely is on top of her material even with this system. A few hours a day is generally enough. I basically would just spend an hour per lecture and that was enough for most classes. Anatomy required a bit more, other classes required a bit less. I would just then review all of my stuff 2 days before the exam and that was adequate as well.
2. It seems like almost everyone lives in Bard first year. Are there any commuters from other parts of Manhattan? Would that be that manageable for most people? Is it still possible to make some friends? Are there days when one can just set up shop with lectures videos/notes at a cafe and work remotely instead of going to campus, or do you need to be there every day during the preclinical curriculum?
80% live in Bard first year, about 50-60% live on campus after that. Many live in the upper west side but I know people in NJ, the east side, and the financial district as well. Definitely manageable if it is a priority. Definitely can still socialize. Lots of people come down to the villages during the weekend, so in some ways you are well situated for socialization. I'm a big cafe guy myself. I did all of my studying at them and a large chunk of my lecture watching as well. Totally maneagble with discipline. I would recommend watching the lectures though, just to make sure you are hitting the important points that may or may not be stressed elsewhere. Exams are lecture based. I never rewatched lectures and didn't even return to the slides after my first run through. I focused entirely on what I had written down and what I had in books. You only need to be at school for things like mandatory small groups (no more than once a week except for when you are in psych block- occasionally two during then), for shadowing/physical exam training (also once a week, often overlaps with other required days).
3. For lack of a more specific opening question, what is life like during core clerkships?
A. How does call work? Long call? Short call? Post-call days?
B. Do you tend to get a weekend day off a week? Any days off a week? etc.
C. It seems like many of the cores can be done at affiliates. Do students get any say in that? I for one would much rather do OB and a few others at St. Luke's because of proximity-can I request that or is it totally random? What's the quality difference in terms of students' experiences? Is the affiliate thing only this year because of the curriculum switch over?
D. How does rotation schedule work? Do you lottery for picking preference and then choose from a few general schedules?
E. What's your life/day/week like in general during your crappy/easy rotations? When do you usually get in/out etc. How much didactics vs. patient care?
A and B. Varies based on block. Most blocks you have no weekend work except for one weekend at most (family medicine, much of surgery, psych, etc). Others you will be on many weekends (internal medicine). If you are on regular call (internal medicine is the only one I know, but that's due to ignorance on my part not the fact that other rotations don't have it), you tend to be on call no more than once every four days. As I mentioned, in other blocks you may only be on call once during a weekend. You don't spend the night on call except for like one weekend in OB. Otherwise your call tends to end at 10PM or whenever you finish before that. For internal medicine, you got weekends off unless you were on call or post call. If you are short call you don't stay late, you just pick up patients. If you are pre-call you don't pick up patients. All of this varies with rotation and also with hospitals (away medicine we picked up patients almost daily M-F but we got out earlier every day because of less true call and had less weekend calls). Post call you leave early or right after rounds, depending on what you are on.
C. You are able to request one specefic location for one of your rotations, except for family medicine. For family medicine everyone gets to pick their location. (St. Luke's rocks btw). After you get your schedule, you can switch up to two of your location sites with another student. So, not counting family med, you could essentially be gaurunteed three months at St. Luke's if you so desired. You can then pick a family med site as well from the wide list of locations. I'm in AZ right now doing mine on a reservation.
D. It is lottery based followed by you choosing one of the present patterns (med first then x then y), but 80% in my year got their top choice and 100% got one of their top 2. This lottery basis does not involve specific locations for a given rotation, that's what the other process of picking a site for a given rotation and switchign up to 2 with a friend is for. Noone is given more than two non-CUMC sites randomly, though you can get more based on the process of switching.
E. I've only done medicine and now I'm on family. I worked an average of about 6 days a week for medicine, 5 weeks at CUMC and 5 weeks at an away site (St. Lukes for me). I got off on average at 4 at CUMC and at 2-3 at St Lukes. I got there at about 8 for both sites. Weekends I would be allowed to leave after rounds and any pressing needs for my patients. I say I averaged 6 days because for 6 of the 10 I was on one weekend day. For 2 of the 10 I was on both days. For 2 of the 10 I was on no weekend days.
For family I work 8 to 4 or 5 M-F. I'm only required to take one weekend day of emergency medicine, but you get a weekday off in exchange. I'm actually working more than one weekend day because I want a really long weekend instead so that I can travel (ie I'm working sat and sun so that the next weekend I'm off Fri, Sat, Sun, and Mon) There is no call that does not fall within 8-5. You work one week in patient, two weeks out patient, one week ER, and an elective week here at Whiteriver.
4. Do you know anything about the shuttle between Columbia and Cornell or Columbia and the east side Columbia docs? Can students use it?
I think students can use it, but I don't know
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5. How's the summer research situation for first years? Is funding reasonably accessible to stay at Columbia and work on a project? Is it possible to have a nice, relaxing summer and still do research (I.E. work M-F 9-5 and have weekends and evenings to shadow, enjoy life etc.)?
Everyone gets funding who applies for the NIH/Columbia grant for on campus research. They had more people than ever apply in my year and everyone got it. You really pick your schedule, 40 hours a week is the rule of thumb. They are tremendously chill about it though. I would often just work more hours in fewer days so that I could travel. It is variable depending on the lab's schedule but no one is going to tax you if you don't want to be taxed. Lots of non-columbia based grants available for NYC students as well. Sloane Kettering, New York Academy of Med, etc.