Jwax

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Hello all.

I'm getting ready to apply for 4th year away rotations and was hoping for a little insight on where to consider. I'm a bit of a trauma junkie so I am probably going to aim for a trauma/cc month, though we do see plenty of trauma at my home program so it isn't necessary. Right now, I'm thinking Denver, Colorado Springs, Vegas, or somewhere in New Mexico, Arizona, maybe Texas and Florida. I am mostly looking for a place that will provide a unique surgical experience in a location I'd enjoy spending a month in. Any suggestions?

Thanks.
 

MattD

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If you're interested in coming a little farther east, UAB, Emory and UT-Memphis both have pretty heavy trauma exposure.
 

BlondeDocteur

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For location and trauma, you can't beat Miami.
 

SocialistMD

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I am mostly looking for a place that will provide a unique surgical experience in a location I'd enjoy spending a month in. Any suggestions?
My suggestion is to concern yourself less with a location where you'd "enjoy spending a month" in an effort to prevent it from being a distraction and hurt your performance on your away rotation.

Denver, Dallas, Houston and Miami all have very active trauma services, as do all programs in large metropolitan areas.
 
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Jwax

Jwax

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If you're interested in coming a little farther east, UAB, Emory and UT-Memphis both have pretty heavy trauma exposure.
Memphis might be ok. I'll put it on the list. One of our trauma surgeons trained in Chattonooga (sp?) so that might make the list as well.

For location and trauma, you can't beat Miami.
Brilliant. :thumbup: I should have thought of that.

My suggestion is to concern yourself less with a location where you'd "enjoy spending a month" in an effort to prevent it from being a distraction and hurt your performance on your away rotation.

Denver, Dallas, Houston and Miami all have very active trauma services, as do all programs in large metropolitan areas.
Note that the the order of my statement was 1) unique surgical exp, 2) location. The fact is I will have some time off during the month, though it will probably be only one day a week. I'd rather spend that day each week doing something pleasurable that can't be done in Oklahoma, as in playing on the beach, white water rafting, or hiking. Whatev. I included both criteria because obviously I could just go to any major metro and get some good trauma, but do I really want to spend a month in somewhere like Detroit or NYC? No (not that there is anything wrong with these areas, just not at all into the NE). I'm also under the impression it is unwise to apply to too many aways because you will hurt feelings if you turn places down. So I'm trying narrow the playing field while still applying to enough that I get accepted to spend a month somewhere new. Make sense?
 

FaytlND

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Not exactly a "destination" location, and perhaps getting close to the NE, but one of the residents I worked with did an away at Shock Trauma. She said it was an incredible experience.
 

PointBreaker

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Makes sense, though you may not even get one day off a week on some AIs, depending on the service.

Also, what kind of unique surgical experiences are you looking for? The reason I ask is b/c the SICU rotations I've been on are mostly non-operative.

I've heard good things about shock trauma and colorado.
 

MWLucky13

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Aight,

So I am Trauma/Critical Care Junkie myself. I have spent 5 months in the ICU 4th year. 2 SICU, 2 Trauma/Trauma ICU and 1 in-system MICU.

As far as an away Trauma rotation...I spent February in Durban, South Africa in a Level 1 Trauma Unit. South Africa is an incredibly gorgeous country and has one of the highest murder rates in the world. They also lack the medico-legal issues that we deal with so I received tremendous hands-on experience (central lines, A-lines, Chest tubes, 1st assist in the OR)...Not to mention South Africa has produced some big names in the US Trauma Community (Dr. Demetriades at LAC-USC, Dr. Velmahos at Harvard, and Dr. Hirschberg (I think he's now at UCSF but used to be SUNY-Downstate).

Hands down the most-enjoyable rotation I had in medical school. There is NO malignancy, true didactic rounds.

PM me if you have questions
 
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Jwax

Jwax

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Not exactly a "destination" location, and perhaps getting close to the NE, but one of the residents I worked with did an away at Shock Trauma. She said it was an incredible experience.
Hmmm, Maryland, huh? Probably a bit too NE for me, though I was considering Maine b/c I'd love to visit the area.

Makes sense, though you may not even get one day off a week on some AIs, depending on the service.

Also, what kind of unique surgical experiences are you looking for? The reason I ask is b/c the SICU rotations I've been on are mostly non-operative.
I figure I'd probably get at least an afternoon or a day off each week; either of which is enough to go explore. I don't need a lot of time off since I'll be sans husband anyways, but just a few afternoons here and there or to lounge on the beach would be nice. We are lacking in hiking and beaches in Oklahoma. I don't really have anything particular as far as unique surgical experience in mind, I'd just like to see something different or see how things are done differently outside of OK. The burn center for OKC is in a different hospital, so that's the only thing I'd be lacking in education on so that might be doable. For our hospital, the trauma/cc rotation is spent seeing traumas as they come in, operating, and sicu management. This is pretty much my ideal.

As far as an away Trauma rotation...I spent February in Durban, South Africa in a Level 1 Trauma Unit. South Africa is an incredibly gorgeous country and has one of the highest murder rates in the world. They also lack the medico-legal issues that we deal with so I received tremendous hands-on experience (central lines, A-lines, Chest tubes, 1st assist in the OR)...Not to mention South Africa has produced some big names in the US Trauma Community (Dr. Demetriades at LAC-USC, Dr. Velmahos at Harvard, and Dr. Hirschberg (I think he's now at UCSF but used to be SUNY-Downstate).
Sounds incredible. Not sure if I can convince my husband about letting me go there for a month though. He kind of likes me and would not be excited about me visiting an area with the highest murder rates.... Thanks for the suggestion though! It would certainly be a unique surgical experience AND a great location so you definitely followed both criteria. :)
 
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Jwax

Jwax

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I believe I've narrowed it down to Denver, Miami, Memphis, and Las Vegas.

Any one recommend one place over the other? They all sound like great places as far as heavy trauma and an interesting place to live for a month. I'm really up for any of them, and I've got a few trauma docs that are willing to make calls on my behalf and I'd prefer they just had to do so for one place and not three or four.
 

Raidergate

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When I was a fourth year, I did away rotations in trauma at Memphis, Louisville and UAB. It was by far the best three months I've had in medical school.

I only took one day off in those three months, but I don't regret that at all. All three programs are great trauma programs, and great general surgery programs overall.

In fact, I ranked them 1,2,3 on my rank list and would all over again if given the chance.

Funny story, to me anyway, Kirby Bland actually came here to Louisville a couple of months ago to give one of our famous grand rounds, and I ended up being a part of a group of 8 (not surprisingly made up of several of my best friends in the program) who were told by our chairman to take him to lunch on the departments card afterwards and "have a good time before he gets on his plane."

We ended up having this huge buffet set up at the nice hotel Bland was staying at and after several bourbons, talking about funny patient encounters.

I was post call and about half drunk, so I told about this appy I'd done at about 3am that morning on a 20 something year old girl who came in wearing a "Gravedigger" football jersey with the number 69 on the jersey.

Bland had no idea who the "Gravedigger" was, who "Bigfoot" was or anything about monster truck rallies in general. At first we didn't believe him, being that he's lived in Alabama for 25 years now. He insisted, though, that he hadn't. So, we proceeded to have a half hour discussion about monster truck rallies, fried snickers bars, and livestock shows. One of the weirdest conversations I've ever been a part of.

At the end of it, Bland just stood up and said, "I've gotta catch a plane. I'm not sure what I'm going to tell Mcmasters about this." and walked off. :oops:

I don't know why I just typed all that, other than VA call is boring me to death right now.

So, to sum up, I had a great experience my 4th year, and it was totally worth it. Good luck.