Christiana rotation

[streetdoc]

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Hi guys,
I've been looking into rotating at Christiana, but can't find any info on their website. How do I apply and what are the dates of their rotations? anyone have an idea and can point me in the right direction?
thanks,
streetdoc

 

[Pelivar]

Hi guys,
I've been looking into rotating at Christiana, but can't find any info on their website. How do I apply and what are the dates of their rotations? anyone have an idea and can point me in the right direction?
thanks,
streetdoc

Streetdoc,

We are pretty easygoing about our rotations. They start every 2 weeks, so you can come based on your schedule. For more detailed info about scheduling, how many shifts you'll work, etc. please e-mail our program coordinator, Lisa LaFontaine ([email protected]). For people trying to set up away rotations at almost any program, the program coordinator is going to be the person you need to get in touch with. Good luck and hopefully I'll see you at Christiana soon!

Pelivar

 

[EctopicFetus]

Turtle is a resident there and CS_22 rotated there I believe.. Also the US director "peksi" is on here. Have you checked the SAEM website?

http://saem.org/rotation/de.htm

 

[turtle md]

Yes I am, and anyone can pm me with questions... 🙂

 

[EM_Rebuilder]

Are any of the current residents at your program graduates of Texas Tech SOM in Lubbock, TX? I am an MSIII at Texas Tech and my student affairs department mentioned that we have sent some students up to your program.

 

[streetdoc]

Thanks guys!
They seem to have a pretty nice group of residents. I hope it works out that I can come and learn something.
streetdoc

 

[kbrown]

the contact person for the student rotation is Laurie Branner. Her email is on the website, just contact her by email, she will send you all pertinent info. Great choice for an away rotation. I did one there...loved it. If I were matching alone Christiana would have been #1 or #2 on my match list. Good luck.

 

[NinerNiner999]

Likewise - if not for Newark, I would have definitly placed it at the top. Good luck Street...

 

[Pelivar]

Likewise - if not for Newark, I would have definitly placed it at the top. Good luck Street...

99er,

Hey, you can't knock on Delaware if your living in B-more. The land of heroin and syphilis. I guess I can't knock it too much since I grew up there and will move back when I'm done residency. We are lucky to have a few good programs in the MD-DE-PA area.

 

[NinerNiner999]

99er,

Hey, you can't knock on Delaware if your living in B-more. The land of heroin and syphilis. I guess I can't knock it too much since I grew up there and will move back when I'm done residency. We are lucky to have a few good programs in the MD-DE-PA area.

Yes, we truly are fortunate (mwaah ha ha ha ha in evil style). At least the syphilis is not as common as Gonorrhea now...

 

[EctopicFetus]

MD crab vs Philly cheesesteak and philly pretzels.. IMO no contest.. and I lived in philly.. I love shellfish...

 

[peksi]

Ok, now I have to jump in here. I did'nt just live in philly I grew up in South Philly, so here we go, I am now 35 minutes to Philly and 50 to Baltimore where I live in DE. I LOVE seafood (philly=Samson Street Oyster House, + Striped Bass) and I can get that and more here in DE. Philly is undergoing a huge revitilization, that being said for tax reasons, crime etc. I still would not want to live there right now.

So the issue seems to be living in DE for some. Understood, it was an adjustent for me as well, but this really is a great place to live. I have had two fellows from NY so far who loved it, plenty of night life, young folks, and access to every and anything. Most folks when they hear of Delaware say "what state is that in"...honestly, and I reply" and you went to high school where?" This is a state of banking, corporate enterprise, technology and a drug company state up north, with farming etc, in the south of the state.

So I am posting some links in an attempt to stand up for the little guy, because it seems many of you were very impressed with the EM program t Christiana (one of the busiest hospitals in the country, high tech, long history, great teaching, suburban and inner city patients, happy residents,cutting edge EUS, EMS, Admin 👍 ) but can't seem to fall in love with the area. Granted this is not NY, LA, but it is not a baren waistland at all, I don't see a lifestyle compromise. Otherwise, good luck to all you SDN faithful:

General Delaware info blast page
http://www.visitdelaware.net/thingstodo.asp

Nightlife in Delaware:

Wilmington Riverfront page:
http://www.riverfrontwilmington.com/

Some of Dr. Ski's DE dinning best:
Deep Blue:
http://www.riverfrontwilmington.com/destinations/arts.html

Moro:
http://www.mororestaurant.net/index.html

Harry Seafood Grill (As stated by a friend of mine, a long time resident of Seattle said "Honestly some of the best seafod I ever had")
http://www.harrys-savoy.com/

Soffrito Italian Grill: Owner from Italy, some of the best italian food I've had in my life, and trust me I have eaten alot of itialian food and been to Italy twice)
http://www.soffrittogrill.com/index.html

Krazy Kats: Awesome food:
http://www.riverfrontwilmington.com/

Sullivan's Steak, one of the best 8 oz Fillets I have ever had in my life! Yes I've eaten at Peter Luger's, and Morton's of Chicago, and Moishe's in Montreal, oh and they have a live jazz trio that is great
http://www.sullivansteakhouse.com/

Some apartments, though many of our residents own homes or townhomes. here is where my ultrasound fellow lives.
http://www.theresidences.net/rodney_square/

And lastly you have the delaware, NJ beaches, Brandywine Creek Park (ranked 13/20 best mountain biking destinations in the US)

All right, again, I'm not a native Delawarian, but I think that there is plenty to do, a great lifestyle and maybe we as a residency need to focus a bit more on that, also interviewing during Oct, Nov Dec etc when the NE is getting into winter may play into the view of some.

I provide this for information, not argument.

Paul

 

[colforbinMD]

FWIW I love the area. Newark is a cool little college town and Wilmington ain't too shabby either.It's location to Philly, Bmore, and the beaches are all convenient day trips. Sadly I didn't get the invite from the program despite some attempted behind the scenes contacts. If your interested for next year don't let the location run you away.
And for the record even comparing Maryland Blues to a philly cheesesteak is insulting. A good crab dinner is an event. A cheesteak is just a sandwhich. Before you flame me, I lived in Philly for a while and love it. I have eaten at all the supposed great cheesesteak places. They are good. I get it. It's just a different league when you are talking about a blue crab feast.

 

[peksi]

And for the record even comparing Maryland Blues to a philly cheesesteak is insulting. A good crab dinner is an event. A cheesteak is just a sandwhich. Before you flame me, I lived in Philly for a while and love it. I have eaten at all the supposed great cheesesteak places. They are good. I get it. It's just a different league when you are talking about a blue crab feast.[/QUOTE]


I don't disagree, a philly cheesesteak has it's place, but I actually rarely eat them, I rather have a good hoagie! For the record I love crab as well, and most the crabs we get are from MD!

Paul

 

[streetdoc]

WOW, those were some great links! DE is sounding better and better! but i'm from columbia, SC where the motto should be "making the best of a bad situation..."

Christiana seems to have some great and happy residents. thanks for all the feedback.
streetdoc

 

[peksi]

I do think the residents are happy here is the TAX FREE state, and doing the Anesth/Ultrasound "Tube and Lube" (We WERE the first to coin that phrase and rotation) are very happy to do the EUS rotation during the summer, we do 2 of 4 EUS tape reviews at my house on a high def 92 inch projection screen (ok we may drink some short carbon beverages as well), have some food and a little R&R....see photo as to why.


Paul

 

[EctopicFetus]

Ahh wish I were an attending..

 

[peksi]

Yeah, I should post the images of my brother's, Porshe 911, 1997 Supra twin turbo with 600BHP, oh and the killer his 2005 Noble M400...he's an EP in private practice in AZ. And he likey the toys!

Link to 1 G Racing where he bought the Noble.
His is the indigo blue metallic!

http://www.1gracing.com/

Paul

 

[carrigallen]

I'm a student at Jefferson in Philly - I just wanted to add that Christiana is considered to be an excellent place to do an ER residency, probably better than any of the other hospitals we students do rotations in, even including TJU. One of our professors, Dr. Kolecki, recommends that students do rotations there.

 

[EctopicFetus]

Sweet ride. where is he in AZ? Phoenix/Scottsdale? They must make nice $$ out there for him to get all those cars.

 

[Hard24Get]

Say, how long does it take to hear back after submitting an away app to Christiana???

Thanks!

 

[peksi]

Say, how long does it take to hear back after submitting an away app to Christiana???

Thanks!

Not really sure? We just concluded residency interviews today, so I presume you should here soon. PM me and i'll inquire.

Paul

 

[deleted109597]

Boo, no invite from Delaware this year.

 

[peksi]

Don't look at me...I think there should be an SDN box on the ERAS that should be a given invite!

 

[Hard24Get]

Not really sure? We just concluded residency interviews today, so I presume you should here soon. PM me and i'll inquire.

Paul

Hmm, I'd love to PM you and tell you my secret identity, but then you'd realize that I just submitted my app yesterday to rotate in August, and am already trying to get updates. Then you might try to stop me from coming. 😳

Thanks, though!

And to "Dr. McNinja", you seem to be doing just fine invite-wise, nevertheless.... Congrats! 😀

 

[SoCuteMD]

Don't look at me...I think there should be an SDN box on the ERAS that should be a given invite!

I'll be PMing you in August 2008, FYI 😉.

 

[peksi]

No,
not my style. Lauren and Lisa are the ones you need to speak with...remember to ALWAYS be nice to the program coordinator they often DO have veto power!


Paul

 

[SoCuteMD]

No,
not my style. Lauren and Lisa are the ones you need to speak with...remember to ALWAYS be nice to the program coordinator they often DO have veto power!


Paul

I was kidding!!! I actually spent the summer at an academic medical center with a residency program and I DEFINITELY noticed how much power she had 🙂.

 

[Hard24Get]

No,
not my style. Lauren and Lisa are the ones you need to speak with...remember to ALWAYS be nice to the program coordinator they often DO have veto power!


Paul

Tee hee... that's why I'm scrounging on SDN for time estimates - I'm never anything but nice, but I can be annoyingly persistent, so those nice ladies won't be hearing from me until at least a week has passed!

 

[Hard24Get]

Hey, fast-forward to several months later, and I have another question about Christiana. Anyone have a sense of what percentage of students get the free housing? They told me I'd find out within two weeks of the rotation, but I am wondering if I should be looking for somewhere else just in case.

Anyone know what type of 1 month housing options exist in Delaware?

 

[antiveggies]

i dont think you'll have a problem getting a place, but im not the one in charge lol. just send an email and ask who you should contact about housing, i had to remind them i needed a place to stay before i showed up. when i rotated as a student they set me up at a country inn & suites, a long term hotel place where they put the jefferson students doing rotations here

 

[ERresponsible]

I am coming out for an "audition rotation" October 29th and look forward to meeting, and hopefully working with, many of the current residents.

As a husband and dad, I would appreciate any thoughts on housing and schools in the area. Any good neighbors that I should plan on driving through between shifts?

Thanks!

 

[wook]

Hey, fast-forward to several months later, and I have another question about Christiana. Anyone have a sense of what percentage of students get the free housing? They told me I'd find out within two weeks of the rotation, but I am wondering if I should be looking for somewhere else just in case.

My info is a couple of years old...

They put me up in a real nice apartment for the month. I had 3 roomates. Wasn't bad. Great rotation, saw lots of interesting stuff.



Wook

 

[antiveggies]

I am coming out for an "audition rotation" October 29th and look forward to meeting, and hopefully working with, many of the current residents.

As a husband and dad, I would appreciate any thoughts on housing and schools in the area. Any good neighbors that I should plan on driving through between shifts?

Thanks!

i'm not from delaware so i dont know much about the good neighborhoods, and i dont have any children so havent looked at schools lol. but we have plenty of residents with children that would be happy to talk to you about those things when you are out here.

and for anyone else interested, im an intern at christiana and would be happy to answer questions about our program

 

[Hard24Get]

i'm not from delaware so i dont know much about the good neighborhoods, and i dont have any children so havent looked at schools lol. but we have plenty of residents with children that would be happy to talk to you about those things when you are out here.

and for anyone else interested, im an intern at christiana and would be happy to answer questions about our program

How about some tips for working in your ED? 😀

 

[antiveggies]

How about some tips for working in your ED? 😀

well, i can tell you what i did and was advised by the chiefs to do when i was there as a student.
i think one of thing is to demonstrate the ability to consider the worst possible and the most likely thing a complaint can be. i made a list of 3-5 "this complaint is probably this" and 3-5 of "i have to make sure it isnt this life threatening thing". i then would write what labs/tests i would want to do on the order sheet before i presented the patient. this way you are forced to not only have a differential, but a plan on how to come to a diagnosis or r/o things. its very easy as a med student to talk to the senior, get pimped and essentially be told a gameplan, then present to an attending like it was your awesome idea. however, i think it impresses the upper years and the attendings when you show the initiative to develop a plan and idea for dispo all on your own, even if its not 100% correct. nobody expects you to be right all the time, they do like to see your thought process and initiative and hopefully improvement in these things over a month.
i was also told to try to learn on all my patients. if you want to take a few minutes to check up-to-date or google something, then that is okay. dont feel the need to move patients. even interns are only expected to see 1pt/hour. if you dont see that many but are learning a ton, then you're probably doing just fine.
other general advice is never sign out procedures, and always try to do any procedure you can. if there is a heart code going on, get over there and try to jump in on compressions. offer to call consultants on your patients, and plan to not leave right at the end of your schedule shift because you'll almost always have a few loose ends that require a little bit of overtime.
our ED is very busy, but the attendings and residents will always take the time to answer your questions and teach you something. i would say to take advantage of the skill in ultrasound our residents and attendings have, and ask them to scan things with you because the skill set at our program is among the best out there.

those the tips you had in mind or more specific?

 

[Pelivar]

I am coming out for an "audition rotation" October 29th and look forward to meeting, and hopefully working with, many of the current residents.

As a husband and dad, I would appreciate any thoughts on housing and schools in the area. Any good neighbors that I should plan on driving through between shifts?

Thanks!

As a just graduated chief, I hope I can help out a bit. The program coordinator, Lisa, has a list of places to check out for housing that she sends to all the matchies each year. Ask her for the housing list and she'll hook you up. Most of the neighborhoods are right around the hospital, so it would be easy to check out after a shift. Also the other poster was right, we have a ton of married with children residents, so they can help you out with schools and neighborhoods as well. I always appreciated questions about the area from students. In my mind this meant they were serious about coming to Christiana.

I agree with what antiveggies said about your rotation. The biggest mistake med students made for me was try to go fast and then not follow up on the patients they had seen. You should focus on quality, not quantity. Besides, nobody can tell how many patients you are seeing since their are 2-3 residents and 2-3 attendings.

Good luck and PM me with any questions.

 

[Hard24Get]

Hey, who determines the schedule at Christiana for rotating students and how does it usually go? I am supposed to show up for orientation on Tuesday and I don't know if I will be working afterward, etc. Also unsure or the parking situation/public transportation? Any input would help, thanks!

 

[wook]

Hey, who determines the schedule at Christiana for rotating students and how does it usually go? I am supposed to show up for orientation on Tuesday and I don't know if I will be working afterward, etc. Also unsure or the parking situation/public transportation? Any input would help, thanks!

My rotation was a couple of years ago and I don't remember all the specifics...

I remember getting the schedule the day of orientation. You can switch your schedule around, but need to let folks know. I did several switches so that I could interview.

I parked the first day in visitor parking, but after that parked where they had recommended (in back).

I'll defer to someone else who has done the rotation more recently for more precise and updated information.



Wook

 

[Hard24Get]

Hey, I missed this post somehow! Thanks for this! At my home rotatio we were definitely expected to cough up our own plan, so that should help. What do you mean by "offer to call consultants on your patients". Don't you have to (when it is indicated, of course)? 😕

Any and all tips are welcome! 😀

well, i can tell you what i did and was advised by the chiefs to do when i was there as a student.
i think one of thing is to demonstrate the ability to consider the worst possible and the most likely thing a complaint can be. i made a list of 3-5 "this complaint is probably this" and 3-5 of "i have to make sure it isnt this life threatening thing". i then would write what labs/tests i would want to do on the order sheet before i presented the patient. this way you are forced to not only have a differential, but a plan on how to come to a diagnosis or r/o things. its very easy as a med student to talk to the senior, get pimped and essentially be told a gameplan, then present to an attending like it was your awesome idea. however, i think it impresses the upper years and the attendings when you show the initiative to develop a plan and idea for dispo all on your own, even if its not 100% correct. nobody expects you to be right all the time, they do like to see your thought process and initiative and hopefully improvement in these things over a month.
i was also told to try to learn on all my patients. if you want to take a few minutes to check up-to-date or google something, then that is okay. dont feel the need to move patients. even interns are only expected to see 1pt/hour. if you dont see that many but are learning a ton, then you're probably doing just fine.
other general advice is never sign out procedures, and always try to do any procedure you can. if there is a heart code going on, get over there and try to jump in on compressions. offer to call consultants on your patients, and plan to not leave right at the end of your schedule shift because you'll almost always have a few loose ends that require a little bit of overtime.
our ED is very busy, but the attendings and residents will always take the time to answer your questions and teach you something. i would say to take advantage of the skill in ultrasound our residents and attendings have, and ask them to scan things with you because the skill set at our program is among the best out there.

those the tips you had in mind or more specific?

 

[turtle md]

Lauren is the one to see about the student schedules. You can wait until you arrive, but be ready in case you have a shift the 1st day. You will have an orientation, then get your schedule. Any questions, PM me and I'd be happy to answer them...

The real test will be to ID me when you get here. If you can, then bonus... 🙂

 

[antiveggies]

Hey, I missed this post somehow! Thanks for this! At my home rotatio we were definitely expected to cough up our own plan, so that should help. What do you mean by "offer to call consultants on your patients". Don't you have to (when it is indicated, of course)? 😕

Any and all tips are welcome! 😀

not every place wants the medical students to call the consultants, and not all consultants are pleased to be talking to a medical student. or an intern for that matter lol.
i was just trying to say to offer to do that, because its something we do many times a day and if you arent talking to the specialists, then you are missing out on a big part of the EM daily experience. as far as i know we encourage med students to call the hospitalist, specialist, etc. but turtle can correct me if i'm wrong.
just like coming up with your own game plan before talking to the resident is important, so is coming up with how you should present to another doctor over the phone. i feel the best way to learn that skill is to actually do it, not just muse how you would probably do it. so take the opportunity to do all the things you'll be expected to do in less than a year when you begin residency!

oh, and for all the scheduling type stuff. just call or email lauren, she's very nice. no sense stressing about if you're going to work the first day or not, just ask 🙂

 

[Hard24Get]

Thanks, guys, I will do my best to uncover your secret identities (while protecting mine) 😀

not every place wants the medical students to call the consultants, and not all consultants are pleased to be talking to a medical student. or an intern for that matter lol.
i was just trying to say to offer to do that, because its something we do many times a day and if you arent talking to the specialists, then you are missing out on a big part of the EM daily experience. as far as i know we encourage med students to call the hospitalist, specialist, etc. but turtle can correct me if i'm wrong.
just like coming up with your own game plan before talking to the resident is important, so is coming up with how you should present to another doctor over the phone. i feel the best way to learn that skill is to actually do it, not just muse how you would probably do it. so take the opportunity to do all the things you'll be expected to do in less than a year when you begin residency!

oh, and for all the scheduling type stuff. just call or email lauren, she's very nice. no sense stressing about if you're going to work the first day or not, just ask 🙂