3rd year rotations hours

[AnonymousDo]

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Hey guys,

I know this is going to vary widely from rotation to rotation and even from different hospitals, but I'm just curious what your daily schedules were like on different rotations. Did you get weekends off? What are the hours like? Do you get any days off?

- Thanks in advance

 

[W19]

7am to 4-5pm except OBGYN where it can be 6-7pm. The OBGYN department can also be malignant.

Psych was the best... 8am - 2pm

No weekends at my school...

 

[FindMeOnTheLinks]

IM 6am - 4 or 5pm, till ~8pm if on call (q5). Usually work 1 weekend day every other weekend. Guaranteed 1 day off per weekend.

 

[doyouhaveaflag]

This is great, I'm interested to see how this differs between schools.

Definitely depended on the rotation, but even within rotations, depended on the service and even the attending. My experience was:

Worked 6 days per week on:
Surgery: 5a to 6 or 7p; one "24" hour shift per week (more like 26 or 28 hours)
IM: 6 or 7a to between 4 and 9p (usually 5 or 6p); several overnight shifts required; hours much shorter on our subspecialties week and ICU
Neurology: 7a to 4p; several call shifts required (to 9pm)
OB/gyn: 6a to 4 or 5p on surgical service; 8a-5p on clinic week; 7a-7p on labor hall day; 7p-9a on labor hall nights
Peds: 6a to 6p on inpatient; 8a to 5p on clinic weeks (5 days a week); 7a to 4p on newborn nursery

Worked 5 days per week:
Family med: 8a to 5p
Psych: 8a to between 2 and 4p
Emergency: 8hour shifts (had to do a certain number of day, swing, and night shifts in 4 weeks, but we got to schedule them)

 

[Redpancreas]

Hey guys,

I know this is going to vary widely from rotation to rotation and even from different hospitals, but I'm just curious what your daily schedules were like on different rotations. Did you get weekends off? What are the hours like? Do you get any days off?

- Thanks in advance

OB/GYN
7-7 on LD
9-4 GYN clinic
7-6 GYN
6-2 GYN/ONC
-----------------
Neuro 7-4
Neuro ICU 7-2
-----------------
Psych:
Crisis: 9-1
Clinic: 9-12
-----------------
IM:
Floors: 7-3, Sunday off
Hospitalist Shadow: 9-3
Elective: 7-12
Night Float: 7 PM- 9 AM
-----------------
Family:
Clinic: 8-5:30
-----------------
Pediatrics:
Floors: 6-4
Clinic: 9-3 (but most were half days)
2 ED shifts
Newborn: 7-4
------------------
Surgery:
4-2 pm: precall
4-next day 11am
One day off a week
-------------------
Elective was Cardiology:
Floor Consults: 7-3
Cath lab: 7-12
CICU: 4-4 (volunteered to do this but wasn't given as much responsibility as I felt I could have been)

I personally liked the challenge of IM floors and cards even if lots of work was busy-work, and the hours I felt were the most balanced and most reasonable for all the rotations. I only wish I was given more responsibility on floor. FM Ws also happy with good hours and learnt a lot. L&D is perhaps the worst thing of all third year. You are there 7-7 with nothing to do but be in-the-way without responsibilities and learn nothing and when you try to study, you're distracted by gossip at the L&D station where you're expected to be even if you're doing nothing. GYN/ONC on the other hand was one of my favorites but I wish I could have helped more. GYN was meh because we basically just pre-OP'ed and watched operations with no real patients. GYN clinic was meh, kinda like family but did not feel comfortable with the population and physical exam in general. Surgery was more hours than even L&D but a 100x better and my second favorite after IM floors because of the fact that the residents treated us like family and even if they had high expectations, it was tough love. The second worst after LD was probably Newborn nursery because it was the same thing for every baby and all we'd do was bili checks. Neuro was almost as balanced as IM and ICU was super interesting as well. Psych was a joke and felt like it wasn't even a rotation.

 

[mcloaf]

This is great, I'm interested to see how this differs between schools.

Definitely depended on the rotation, but even within rotations, depended on the service and even the attending. My experience was:

Worked 6 days per week on:
Surgery: 5a to 6 or 7p; one "24" hour shift per week (more like 26 or 28 hours)
IM: 6 or 7a to between 4 and 9p (usually 5 or 6p); several overnight shifts required; hours much shorter on our subspecialties week and ICU
Neurology: 7a to 4p; several call shifts required (to 9pm)
OB/gyn: 6a to 4 or 5p on surgical service; 8a-5p on clinic week; 7a-7p on labor hall day; 7p-9a on labor hall nights
Peds: 6a to 6p on inpatient; 8a to 5p on clinic weeks (5 days a week); 7a to 4p on newborn nursery

Worked 5 days per week:
Family med: 8a to 5p
Psych: 8a to between 2 and 4p
Emergency: 8hour shifts (had to do a certain number of day, swing, and night shifts in 4 weeks, but we got to schedule them)

My school had more or less identical hours.

 

[Mad Jack]

Surgery: 5a-5p or later, sometimes as late as 7p, plus a few call shifts that are 18+ hours
IM: 7a-5p, though next year they are making it 7a-7p 6 days per week (medical students will have the same schedule as residents). Also two weeks of 7p-8a nights.
Psych: 8a-3p inpatient, 8a-5p outpatient/adolescent/addiction days
OB/Gyn: 9a-5p office days, 6a-6p OR days, plus two to three 24 hour call shifts that could run into your day shifts, resulting in crazy long 36 hour shifts
FM: 8a-7p four days a week
Peds: 7a-3p inpatient, 9a-6p outpatient

I feel like I'm forgetting something, but off the top of my head, that's it.

 

[Mad Jack]

Oh, and I pretty much got weekends off aside from a few call days and random makeup days because of weather and such.

 

[W19]

Surgery: 5a-5p or later, sometimes as late as 7p, plus a few call shifts that are 18+ hours
IM: 7a-5p, though next year they are making it 7a-7p 6 days per week (medical students will have the same schedule as residents). Also two weeks of 7p-8a nights.
Psych: 8a-3p inpatient, 8a-5p outpatient/adolescent/addiction days
OB/Gyn: 9a-5p office days, 6a-6p OR days, plus two to three 24 hour call shifts that could run into your day shifts, resulting in crazy long 36 hour shifts
FM: 8a-7p four days a week
Peds: 7a-3p inpatient, 9a-6p outpatient

I feel like I'm forgetting something, but off the top of my head, that's it.

You probably forget neuro or don't have it. I don't have neuro either by itself, but my school incorporates 2 wks of outpatient neuro into our 12 wks IM.

 

[Mad Jack]

You probably forget neuro or don't have it. I don't have neuro either by itself, but my school incorporates 2 wks of outpatient neuro into our 12 wks IM.

Neuro isn't a core rotation at my school.