1. On my interview day, I remember that one of the administrators said that professors are encouraged but not required to use NBME exams. Do people that use the school curriculum generally feel that they are prepared well for boards even if they don't supplement with a bunch of outside resources throughout pre-clinical?
MS2 - "The school curriculum will prepare you to be a good doctor (lots of info about diagnosis and management) and will also have all the high yield info for Step. I think if you wanna prepare well for Step, you’ll definitely need to use at least some outside resources. That being said, Pitt's curriculum gives everyone ample time to experiment with the curriculum and third party resources. The professors reference the relevant materials. Most of the class uses a mix of both and are quite happy."
MS2: "You’ll be hard pressed to find anyone using purely curriculum material and NOT supplement at all with outside resources. This goes for other medical schools as well. There may be some syndromes, diseases, etc. that may be mentioned in First Aid and not in the school curriculum. However, there has been recent, fervent push by all classes in the school to make our course material align well with “boards” material. One concrete step that was taken in recent years was that each course director is given a copy of First Aid and is required to go through it. This helped make sure none of the high yield topics in First Aid is missed in class. The challenge with using purely NBME exams in a non integrated curriculum is that there are not too many questions available that are purely on one subject while also covering the breadth of material required for class."
2. How much independence do students get granted as M3/M4s and do people feel pretty comfortable with Step 2 CS due to robust clinical training and enough patient responsibility?
MS-3: "The amount of independence you receive varies a lot on a case-by-case basis (ex. who your attending is, who your residents are, how well you advocate for yourself, how much they trust you, etc) - I personally feel very prepared for Step 2 CS as we start working with SPs from MS-1 year and almost every clerkship has an OSCE component to it (some are graded ex. Family Medicine and some are purely formative ex. OBGYN)."
MS-3: "I would say overall clinical training in third year is great. Things are obvs attending dependent but we get ample opportunities on core clerkships to the be the first person to evaluate patient with history/physical and present our a/p to either residents and/or attendings.
Definitely think we are well prepped for CS - Haven’t talked to a fourth year who was concerned or didn’t pass. I think our ob/gyn rotation is a bit short (4 weeks compared to 6 at other schools). But other than that peds, medicine, and sx is well represented."
3. What is a rough approximation of the med student to doc(resident, attending) ratio, and do attending's spend a good amount of time with medical students?
MS-3: "Again very clerkship/ case-by-case basis dependent, ex. when I did my dermatology rotation i was the ONLY medical student that month and I got to work with almost every attending and resident in the department. For Internal Medicine its 2 medical students, 1 senior resident, 2 interns, 1 attending, and +/- an MS-4 Acting Intern - for pediatrics it's the same layout. Family Medicine is very site dependent and I did mine in Altoona so there were maybe 10 medical students total (2 Pitt Med Students and a lot of LECOM/PECOM students) along with maybe 25 residents and multiple attendings; however we never worked directly with another medical student."
4. Do students get experience and practice in entering notes and orders?
MS-3: "Yes; a lot of practice especially on notes! Sometimes you might have to advocate for yourself to get to enter orders, but once you show you're competent, you can take a lot of stress off of your interns by entering orders/consults for them to review."
5. In general how do students feel about their clinical experience, and do they feel like they missed out on anything?
MS-3: "I have absolutely LOVED mine!! I don't feel like I've missed anything; I feel like I will be very competent and prepared as an intern once I've completed MS-4 year and in talking to friends at other medical students it becomes extremely obvious how truly lucky we are to be at Pitt Med where not only do we have our own world class children's hospital, but we have a woman's hospital where there is ~10,000 deliveries annually and you can assist with 3+ C-sections daily, as well as a VA hospital, and more satellite opportunities through UPMC than I can even count."
6. As a first year how has your experience been, and what have been the most challenging and most rewarding parts of your experience so far?
MS-1: "It's been a blast so far. Most challenging is juggling with all the opportunities that are avaialbe here - I feel like I'm changing my mind about specialty every week! Most rewarding would definitely be the friendships and professional relationships I've made here. Pitt's a top-ranked program which can sometimes breed competition, but the whole school really is a big loving community. Also P/F"