CBY1 Year Electives

[fry]

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I have a few months available for electives during my CBY1 (aka. PGY1, intern year) and I'm trying to decide which to take. Anyone have any advice on which may be beneficial for the CA1-3 years? I was thinking electives like cardiology and pulmonology would be pretty relevant. And they'll be topics that I'll be expected to know fairly well when I start my CA years. Here's a list of possible options:

Cardiology
Endocrine
Gastroenterology
General Surgery
Geriatrics
Infectious Disease
Nephrology
Neurology
Oncology
Ortho
ENT
Pathology
Pulmonary
Rad Onc
Radiology
Rheumatology

Anyone in their CA years have areas in which they wished they had a more solid foundation?

 

[PMPMD]

I have a few months available for electives during my CBY1 (aka. PGY1, intern year) and I'm trying to decide which to take. Anyone have any advice on which may be beneficial for the CA1-3 years? I was thinking electives like cardiology and pulmonology would be pretty relevant. And they'll be topics that I'll be expected to know fairly well when I start my CA years. Here's a list of possible options:

Cardiology
Endocrine
Gastroenterology
General Surgery
Geriatrics
Infectious Disease
Nephrology
Neurology
Oncology
Ortho
ENT
Pathology
Pulmonary
Rad Onc
Radiology
Rheumatology

Anyone in their CA years have areas in which they wished they had a more solid foundation?

I found cards and ENT to be useful (Pulm wasn't an option but I would have picked it if it was).

 

[okayplayer]

Cards, pulm, oto.

Otolaryngology was really an excellent CBY1 rotation for me. Lots of fiberoptic scope practice in clinic/wards. Very helpful with learning head/neck anatomy and seeing difficult airways from the surgical side of things.

 

[PMPMD]

Cards, pulm, oto.

Otolaryngology was really an excellent CBY1 rotation for me. Lots of fiberoptic scope practice in clinic/wards. Very helpful with learning head/neck anatomy and seeing difficult airways from the surgical side of things.

Yeah definitely agree w/ scope practice - I had a great ENT staff who spent a lot of time showing me scope technique. They also let me do some perc trachs.

Also, it's good to learn about the different kinds of trachs and how to manage the situation when trachs come out suddenly (especially fresh ones). At my old hospital, anesthesia would get paged to the ICUs when trachs came out because ENT took home call and was usually 15+ minutes away. Hint: make sure the patients back & neck are extended - like how the pt is positioned in the OR when the tracheostomy is initially performed. Make sure you use the obturator when replacing the trach outer cannula. If you can't get the trach tube back in, consider placing a soft suction catheter in the hole to keep it patent (if fresh trach and no ENT available). Finally, consider re-intubating from above if you can't secure an airway through the trach site.