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I am about to start a rotation at ARMC, does anyone have any advice for me about what to expect?
arrowhead regional med. rotation
- Thread starter shortbread9
- Start date
- Joined
- Aug 2, 2002
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Here's a year's worth of comments from COMP's student evaluation site:
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Administrative edit: ER at ARMC is pretty good...but too many students dilutes the experience...
Too many PA students....they get all the procedures because there are like 3 of them for every one of you.
Excellent rotation - Dr's Minahan, Hausman, Kwong, and Ahn are all great teachers. There is ample opportunity to perform procedures...
Because this is a county hospital, the residents will let you do a lot of procedures if you ask. You will get to do a lot of suturing, I&D, casting and other procedures.
This is a 12 hour shift, usually works 3 straight days and then get 2 days off. You have to do 2 weeks of day shift and then 2 weeks of night shift. Night shift is hard to get use to.
If you know what you are doing you can basically manage your patient the entire time they are in the ed. You are only limited by how secure you are with giving orders and how competent the nurses think you are. The big safety net is the nursing staff, they usually won't let you hurt anyone. Lots of suturing, abcesses, etc. If you want the residency you need to impress #1. Minahan (PD) #2. Kwong #3. Hausman (AssistPD). All are good guys, minahan and kwong are geniuses who are funny as heck, hausman is kinda new (as of 9/05) and I didn't get to know him too well but he doesn't like you to order very many labs/xrays. Rapid Medical Evaluation and Treatment (RMET)- fast track area sucks if you get stuck there for a whole shift but some students going into FP like that area more
The most fun rotation by far. You do 14-16 shifts that last 12 hours each. Mondays are from 7am-12pm whether you are scheduled or not, it's lecture day and you learn a great deal. Piibe, Kwong, Hausman, Minahan, Preci, Lee, and Borger are great teachers and fun to work with. Dr. Sin is very good, but doesn't teach much. I did more procedures in one week of ER than in my first 15 months of medical rotations, i.e. Lumbar taps, intubations, central lines, laceration repair, incision and drainage, paracentesis, foleys, IVs, CPR, stapling, etc. It all depends on how much you want to learn. You can sit in your pod the entire time and manage the medicine, which is exciting, and/or you can roam if your attending allows, and do numerous procedures. Ask the PAs or residents to help you with a procedure if you've never done one before.
This was a fantastic rotation, probably one of my best so far. Every attending was great-- I worked with Drs. Piibe, Kwong, Preci, Lee, Snyder, Minahan, and Pennington. The fast-pace/high-volume of the second busiest ER in the state means that you better have comfortable running shoes, but the volume leads to lots of learning and incredible pathology. Lots of trauma. I had tons of procedures, and feel quite confident in my suturing technique. The residents that I worked with were great at teaching and making sure that I had procedures. There is a fair amount of interaction with other specialties (medicine, surgery, OMFS, etc) and I feel like I learned from them as well. I had 16 shifts for the month, split evenly days/nights (7 to 7), 4 shifts on 2 shifts off. Monday morning report is mandatory, even if you are off that day, but the topics discussed are useful and interesting. Highly recommend this rotation! A few of the nurses and clerks (especially at night) were difficult to work with. Other than that-- no weaknesses.
All preceptors at ARMC ED are very approachable and extremely willing to teach. Monday mornings you will have trauma rounds to attend and then get at least 2 hours of lecture with the EM service. You will also have the opportunity to perform a wide variety of procedures including paracentesis, RSI, chest tubes and more suturing than you could possibly want. There is always something to do or learn if you are simply proactive to find it. Also, being county you of course see a lot of zebras you will probably never see anywhere else. Four 12 hour shifts can take a toll on your body, but you are able to easily rest up on your few days off. You will typically have 16 twelves throughout the month.
This was a fantastic rotation. The opportunities to see and do things was terrific. All of the attendings for the most part are nice, great people to work with. You'll have the chance to do central lines, paracentesis, suturing, and splinting. If your in the right place at the right time you can even intubate. You get ample exposure to general medicine issues, ortho issues, simple wound and surgery cases, and plenty of psych. Also, primary care issues are common too. Occasionally there might be too many students to compete with procedures for. You have to be aggressive about getting involved in trauma cases if that's what you want because usually the surgery team handles most of these. The hours can be tiring. I often worked four 12 hour shifts in a row. Night shifts are an adjustment.
I enjoyed this rotation a lot. It made me seriously think about going into ER. I got to do a lot of procedures and got to see a lot of good cases. The nurses were very helpful and I enjoyed most of the faculty. Some of the preceptors don't care as much about teaching. Fortunately, you get rotated around quite a bit with different attendings so you don't always get stuck with a work hard, teach little type attending. The hours are long but standard, usually 15 shifts per student. Don't do this during interview season--it may kill you.
Dr. Kwong, Dr. Preci, and Dr. Minahan were always willing to teach and let the students do procedures, which is great. However, not all the doctors were like that; not that they were bad role models or that they didn't want to teach, they just wanted to get the work done. Yet, if I had a question, not one of the doctors were never malignant on answering it; they were always happy to answer and give an honest answer. Also, some of the nursing were really pleasant and really nice. Some of the nursing staff were really mean and always insultive.
Learning how to do procedures, great pathology, high volume, never bored. A good rotation to have before boards. Dr. Minahan is an excellent preceptor and takes time to teach. Dr Piibe likewise. Other preceptors not interested in teaching. No orientation for accessing labs, old EKG's on computer.
Strong overall ER experience. You can be as pro-active as you want. The more you put into the rotation the more you'll get out of it. 3 days on, 2 days off. 7am-7pm or 7pm-7am shifts. Usually first two weeks you do days or nights, then switch the last two. Lectures on Monday aren't too bad. Great preceptors, R3, was great as well. Not an academicly oriented rotation and you might not get as much teaching as you like, which is true for basically every rotation at ARMC. You also don't get as much exposure to Trauam or Emergency Obstetrics, because Surgery handles most trauma, and any OB goes upstairs immediately. You are there to work. A great place to do your EM rotation though, if you are not planning on going into Emergency Medicine. You need to rotate through the dept. if you are interested in the EM residency.
---
Administrative edit: ER at ARMC is pretty good...but too many students dilutes the experience...
Too many PA students....they get all the procedures because there are like 3 of them for every one of you.
Excellent rotation - Dr's Minahan, Hausman, Kwong, and Ahn are all great teachers. There is ample opportunity to perform procedures...
Because this is a county hospital, the residents will let you do a lot of procedures if you ask. You will get to do a lot of suturing, I&D, casting and other procedures.
This is a 12 hour shift, usually works 3 straight days and then get 2 days off. You have to do 2 weeks of day shift and then 2 weeks of night shift. Night shift is hard to get use to.
If you know what you are doing you can basically manage your patient the entire time they are in the ed. You are only limited by how secure you are with giving orders and how competent the nurses think you are. The big safety net is the nursing staff, they usually won't let you hurt anyone. Lots of suturing, abcesses, etc. If you want the residency you need to impress #1. Minahan (PD) #2. Kwong #3. Hausman (AssistPD). All are good guys, minahan and kwong are geniuses who are funny as heck, hausman is kinda new (as of 9/05) and I didn't get to know him too well but he doesn't like you to order very many labs/xrays. Rapid Medical Evaluation and Treatment (RMET)- fast track area sucks if you get stuck there for a whole shift but some students going into FP like that area more
The most fun rotation by far. You do 14-16 shifts that last 12 hours each. Mondays are from 7am-12pm whether you are scheduled or not, it's lecture day and you learn a great deal. Piibe, Kwong, Hausman, Minahan, Preci, Lee, and Borger are great teachers and fun to work with. Dr. Sin is very good, but doesn't teach much. I did more procedures in one week of ER than in my first 15 months of medical rotations, i.e. Lumbar taps, intubations, central lines, laceration repair, incision and drainage, paracentesis, foleys, IVs, CPR, stapling, etc. It all depends on how much you want to learn. You can sit in your pod the entire time and manage the medicine, which is exciting, and/or you can roam if your attending allows, and do numerous procedures. Ask the PAs or residents to help you with a procedure if you've never done one before.
This was a fantastic rotation, probably one of my best so far. Every attending was great-- I worked with Drs. Piibe, Kwong, Preci, Lee, Snyder, Minahan, and Pennington. The fast-pace/high-volume of the second busiest ER in the state means that you better have comfortable running shoes, but the volume leads to lots of learning and incredible pathology. Lots of trauma. I had tons of procedures, and feel quite confident in my suturing technique. The residents that I worked with were great at teaching and making sure that I had procedures. There is a fair amount of interaction with other specialties (medicine, surgery, OMFS, etc) and I feel like I learned from them as well. I had 16 shifts for the month, split evenly days/nights (7 to 7), 4 shifts on 2 shifts off. Monday morning report is mandatory, even if you are off that day, but the topics discussed are useful and interesting. Highly recommend this rotation! A few of the nurses and clerks (especially at night) were difficult to work with. Other than that-- no weaknesses.
All preceptors at ARMC ED are very approachable and extremely willing to teach. Monday mornings you will have trauma rounds to attend and then get at least 2 hours of lecture with the EM service. You will also have the opportunity to perform a wide variety of procedures including paracentesis, RSI, chest tubes and more suturing than you could possibly want. There is always something to do or learn if you are simply proactive to find it. Also, being county you of course see a lot of zebras you will probably never see anywhere else. Four 12 hour shifts can take a toll on your body, but you are able to easily rest up on your few days off. You will typically have 16 twelves throughout the month.
This was a fantastic rotation. The opportunities to see and do things was terrific. All of the attendings for the most part are nice, great people to work with. You'll have the chance to do central lines, paracentesis, suturing, and splinting. If your in the right place at the right time you can even intubate. You get ample exposure to general medicine issues, ortho issues, simple wound and surgery cases, and plenty of psych. Also, primary care issues are common too. Occasionally there might be too many students to compete with procedures for. You have to be aggressive about getting involved in trauma cases if that's what you want because usually the surgery team handles most of these. The hours can be tiring. I often worked four 12 hour shifts in a row. Night shifts are an adjustment.
I enjoyed this rotation a lot. It made me seriously think about going into ER. I got to do a lot of procedures and got to see a lot of good cases. The nurses were very helpful and I enjoyed most of the faculty. Some of the preceptors don't care as much about teaching. Fortunately, you get rotated around quite a bit with different attendings so you don't always get stuck with a work hard, teach little type attending. The hours are long but standard, usually 15 shifts per student. Don't do this during interview season--it may kill you.
Dr. Kwong, Dr. Preci, and Dr. Minahan were always willing to teach and let the students do procedures, which is great. However, not all the doctors were like that; not that they were bad role models or that they didn't want to teach, they just wanted to get the work done. Yet, if I had a question, not one of the doctors were never malignant on answering it; they were always happy to answer and give an honest answer. Also, some of the nursing were really pleasant and really nice. Some of the nursing staff were really mean and always insultive.
Learning how to do procedures, great pathology, high volume, never bored. A good rotation to have before boards. Dr. Minahan is an excellent preceptor and takes time to teach. Dr Piibe likewise. Other preceptors not interested in teaching. No orientation for accessing labs, old EKG's on computer.
Strong overall ER experience. You can be as pro-active as you want. The more you put into the rotation the more you'll get out of it. 3 days on, 2 days off. 7am-7pm or 7pm-7am shifts. Usually first two weeks you do days or nights, then switch the last two. Lectures on Monday aren't too bad. Great preceptors, R3, was great as well. Not an academicly oriented rotation and you might not get as much teaching as you like, which is true for basically every rotation at ARMC. You also don't get as much exposure to Trauam or Emergency Obstetrics, because Surgery handles most trauma, and any OB goes upstairs immediately. You are there to work. A great place to do your EM rotation though, if you are not planning on going into Emergency Medicine. You need to rotate through the dept. if you are interested in the EM residency.
- Joined
- Aug 2, 2002
- Messages
- 7,629
- Reaction score
- 381
Those were from the COMP-only eval site. I'll probably get in trouble for posting them, so if they disappear (or if *I* do), you'll know why.
I figure they were overwhelmingly positive, so why not?
I figure they were overwhelmingly positive, so why not?
