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Are you saying you're going to graduate from med school without doing an IM rotation? Or just that it's going to be delayed beyond when you can get a LOR for residency apps?

If the latter, you should be OK, prelim programs know they're not training internists, but want to know that you're a hard worker and teachable. Hopefully there will be something in your MSPE about the rotation issue. If their isn't, be sure you make them put something in there.
 
somedudehere said:
Thanks. And regarding your first point unless I can find an inpatient IM rotation that's a very real possibility. DO student so I have no home program and it's almost impossible to find any hospital taking students for rotations right now in my region.
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I find it hard to imagine even COCA has accreditation requirements so lax that it's possible to graduate medical school without an inpatient medicine rotation. Of course, in the time of covid, anything is possible.
 
somedudehere said:
I agree, but what are you gonna do? Hospitals aren't taking students and they can't hold back entire graduating classes becauses of a once in a lifetime pandemic.
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And your school is going to actually graduate you?

There will be states you won’t be able to get licensed in without all the med school prerequisites.
 
somedudehere said:
Yes..my school along with majority of others in the country are giving credit for online modules that count for in-person rotations or else more than half the med students in this country wouldn't be able to graduate next June.

There's only so much they can do when hospital policy dictates when/where students are allowed to return. And let's be real here, you should know as an attending that 8 weeks from a 3rd year rotation is almost meaningless in the grand scheme of learning that comes from residency.
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@rokshana he showed you up. Obviously it’s the right thing to do!

I find it somewhat troubling that you did your anesthesia elective before medicine core rotation.

(I was being very sarcastic if we can’t hear my tone on the Interweb)
 
somedudehere said:
Yes..my school along with majority of others in the country are giving credit for online modules that count for in-person rotations or else more than half the med students in this country wouldn't be able to graduate next June.

There's only so much they can do when hospital policy dictates when/where students are allowed to return. And let's be real here, you should know as an attending that 8 weeks from a 3rd year rotation is almost meaningless in the grand scheme of learning that comes from residency.
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So then you did get credit for a 3rd year core...it at least checks the box so you aren’t lacking the credit...of course that does keep you from getting a LoR that is more detailed, but did you not have an attending that was supervising you? Again, allows you to check the box for them to write the letter if you need an IM one.

Eh...frankly most of clinicals doesn’t really give you all that much for residency...but again it checks a box.

Apply to mostly catagorical anesthesia programs and then your anesthesia LoR will have more pull.
 
IMGASMD said:
@rokshana he showed you up. Obviously it’s the right thing to do!

I find it somewhat troubling that you did your anesthesia elective before medicine core rotation.

(I was being very sarcastic if we can’t hear my tone on the Interweb)
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It was an honest question...with a real concern...the Virginia license application requires you to give a listing of your 3rd year core rotations...Texas requires a detailed listing as well...

And many 3rd year programs will have one rotation that is an elective ...many will do family medicine if it’s not a core( again some states require an FM rotation), but if someone is interested in a specialty that is not a core, they will do during that 3rd year elective.
 
rokshana said:
It was an honest question...with a real concern...the Virginia license application requires you to give a listing of your 3rd year core rotations...Texas requires a detailed listing as well...

And many 3rd year programs will have one rotation that is an elective ...many will do family medicine if it’s not a core( again some states require an FM rotation), but if someone is interested in a specialty that is not a core, they will do during that 3rd year elective.
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I *think* that the listing of core rotations is only required if you didn't go to school in the US, but obviously I don't know every state's rules.
 
rokshana said:
It was an honest question...with a real concern...the Virginia license application requires you to give a listing of your 3rd year core rotations...Texas requires a detailed listing as well...

And many 3rd year programs will have one rotation that is an elective ...many will do family medicine if it’s not a core( again some states require an FM rotation), but if someone is interested in a specialty that is not a core, they will do during that 3rd year elective.
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“And let's be real here, you should know as an attending that 8 weeks from a 3rd year rotation is almost meaningless in the grand scheme of learning that comes from residency.”

I was more responding to this than anything else. As an internist and anesthesiologist, I think medicine give you a deeper prospective on many things. My concern with OP’s points, is that if he never done internal medicine, how can he know that he hates internal medicine, maybe he missed a chance to know the field? Moreover, I am also afraid that OP will have a dismissive feeling towards IM when he’s in anesthesia.

IM was a big rotation for us, I remembered it being 10 or 12 weeks. I’ve always believed it’s a core rotation, without it, you can’t graduate. I find it shocking and troubling that people is being put in the position to choose a speciality without actually physically, mentally went through one of the most important rotations in medical school.

yes it’s a different time, but.... I don’t have to like it. Also like you pointed out, there may be boards out there that may have specific questions about if one actually finished what rotations they deemed necessary.

Lastly, one of our bigger oppositions with some mid levels education is that, parts of it can be online and they don’t have enough clinical experience/exposures. I am afraid that this very specific situation can be used in the future to bypass even more “educations” for all. Class of 2020, 2021, 2022 did everything virtually, and did fine....
 
IMGASMD said:
“And let's be real here, you should know as an attending that 8 weeks from a 3rd year rotation is almost meaningless in the grand scheme of learning that comes from residency.”

I was more responding to this than anything else. As an internist and anesthesiologist, I think medicine give you a deeper prospective on many things. My concern with OP’s points, is that if he never done internal medicine, how can he know that he hates internal medicine, maybe he missed a chance to know the field? Moreover, I am also afraid that OP will have a dismissive feeling towards IM when he’s in anesthesia.

IM was a big rotation for us, I remembered it being 10 or 12 weeks. I’ve always believed it’s a core rotation, without it, you can’t graduate. I find it shocking and troubling that people is being put in the position to choose a speciality without actually physically, mentally went through one of the most important rotations in medical school.

yes it’s a different time, but.... I don’t have to like it. Also like you pointed out, there may be boards out there that may have specific questions about if one actually finished what rotations they deemed necessary.

Lastly, one of our bigger oppositions with some mid levels education is that, parts of it can be online and they don’t have enough clinical experience/exposures. I am afraid that this very specific situation can be used in the future to bypass even more “educations” for all. Class of 2020, 2021, 2022 did everything virtually, and did fine....
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Well, we won’t know if they really do fine just yet 🙂
I agree, IM is the foundation for almost any specialty ( peds, path maybe not so much) so I agree with you.
 
somedudehere said:
I understand where you're coming from and I agree with the implications this may have going forward in regards to watering down the curriculum with online rotations, but you also have to understand the ****storm that this pandemic has brought upon us rising 4th years and applying to residency this cycle.

All but 1 of my 5 scheduled rotations for the fall have been cancelled. My 2 rotations in May/July which were both cancelled were the ones I was going to get my remaining letters of recommendation from.

My step 2/level 2 originally scheduled for June was cancelled. Rescheduled both to July, and BOTH cancelled again. And the only date I could find in my region now is in the middle of my only away rotation I have lined up in August, so I'll be trying to prep for a rotation while also studying for boards.

I too, wish that I could have done my IM rotation as all other students have in the past, but I'm just playing the hand that I'm dealt right now.
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Op.
I hope you and your school can and will find a solution.
 
Why would some states ask about rotations in med school when one has to submit their transcript for licensure?

I heard Texas is ridiculous when it comes to physician licensure? A recruiter told me the other day that it takes 6-7 months to get a physician license in TX and some employers will not even look at your job application if you don't already have a TX license because they know TX is notorious in denying application for licensure. That is ridiculous.
 
Splenda88 said:
Why would some states ask about rotations in med school when one has to submit their transcript for licensure?

I heard Texas is ridiculous when it comes to physician licensure? A recruiter told me the other day that it takes 6-7 months to get a physician license in TX and some employers will not even look at your job application if you don't already have a TX license because they know TX is notorious in denying application for licensure. That is ridiculous.
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Because they are medical licensing boards and they can...who knows??

And yes Texas is a picky state and could take upward to a year...it took me 6 months to get my unrestricted MA license...this is while I held a training license in MA...have no connections and it can take 10-12 months...
 
rokshana said:
Because they are medical licensing boards and they can...who knows??

And yes Texas is a picky state and could take upward to a year...it took me 6 months to get my unrestricted MA license...this is while I held a training license in MA...have no connections and it can take 10-12 months...
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This is nuts... 6 months for a medical assistant license!
 
Raryn said:
Massachusetts...
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Lol...


I gotta love the state I am in right now. Just got my unrestricted license in < 2 wks after submitting all documents.
 
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Splenda88 said:
Lol...


I gotta love the state I am in right now. Just got my unrestricted license in < 2 wks after submitting all documents.
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Where is that?!

Thinking about going to MA.... I guess that’s going to be the longer planning than I thought.... their website says 12 weeks during low volume season, 16 for high. (Didn’t know there was a seasonality to applying licenses)
 
IMGASMD said:
Where is that?!

Thinking about going to MA.... I guess that’s going to be the longer planning than I thought.... their website says 12 weeks during low volume season, 16 for high. (Didn’t know there was a seasonality to applying licenses)
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Everyone wants a new license to start their jobs in the summer, so spring/summer is high season.
 
Currently on week 11 going on 12 waiting on my full Massachusetts license and I’m hoping I get licensed by my anticipated start date in mid September.

kicking myself for not doing everything immediately upon contract signage in January tho most of my delays were covid related and unanticipated (notary things etc)

anyway, OP sounds like a rough situation. Unprecedented and hopefully no one ever has to experience this again.
 
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