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Anastomoses is still in her pre-clinical years. Yes, you will (most likely) see combative or at least agitated patients. It happens, one of the skills is to realize when you can calm them down and when you need to just walk away.
Also, for the discussion between need for OB/peds vs no need for OB/peds, I think some exposure to it is fine, but you definitely don't need 8 weeks of OB/GYN. Even 6 weeks was a bit much. The thing is, 3rd year rotations are generally less competitive than non-3rd year rotations (besides subspecialties in IM/surgery/GYN). I think that is one of the factors in why the system hasn't changed.
I don't argue that we don't need OB/GYN or Peds exposure. I DO argue that EVERY medical school should have mandatory Rads and EM blocks, and that neuro shouldn't be a required. And there should be more electives (in 3rd year) so say someone is procedure based, they can do critical care vs anesthesia vs surgical subspecialty rotations to figure out which one they would like.
At my medical school, we do the following
12 weeks IM (8 weeks IP + 4 weeks of OP)
12 weeks surgery (3 weeks general, 3 weeks trauma/acute care, 3 weeks elective, 3 weeks cardiac/thoracic/vascular)
6 weeks peds (2 IP, 2 OP, 2 NICU)
6 weeks OB/GYN (1 L&D, 1 L&D NF, 2 Gyn OP, 2 Gyn IP/Gyn Onc)
6 weeks psych (5 IP, 1 OP)
6 weeks family (6 OP)
This leads to 10 weeks of OP primary care. All sorts of F-that come to my mind.
Here's what I would LIKE as the breakdown
IM - 8 weeks, ALL IP. 8 weeks.
Surgery - Honestly this is probably the best one. No real complaints about how they break this one up. If I was going to make it 8 weeks though, I'd say something like 2 General + 3 sub-specialty (including cardiac/thoracic/vascular if that's your thing) + 2 trauma/acute care). 8 weeks.
Peds - Get rid of NICU. As a 3rd year (at least at my hospital) the attendings don't let you touch anything, and you end up doing newborn exams in the nursery for 2 weeks. Waste of time. 4 weeks.
Psych - 3IP + 1 OP - 4 weeks.
OB/GYN - Clinic - 1 week. Gyn or GynOnc - 1 week. L&D + NF - 2 weeks.
Family Med - 4 weeks OP.
That has saved 4 + 4 + 2 + 2 + 2 + 2 = 16 weeks. Guess what? That's 4 4-week electives during 3rd year.
4th year rotations are allowed to be 4 weeks long. Why is that so taboo for 3rd year students?
Also, for the discussion between need for OB/peds vs no need for OB/peds, I think some exposure to it is fine, but you definitely don't need 8 weeks of OB/GYN. Even 6 weeks was a bit much. The thing is, 3rd year rotations are generally less competitive than non-3rd year rotations (besides subspecialties in IM/surgery/GYN). I think that is one of the factors in why the system hasn't changed.
I don't argue that we don't need OB/GYN or Peds exposure. I DO argue that EVERY medical school should have mandatory Rads and EM blocks, and that neuro shouldn't be a required. And there should be more electives (in 3rd year) so say someone is procedure based, they can do critical care vs anesthesia vs surgical subspecialty rotations to figure out which one they would like.
At my medical school, we do the following
12 weeks IM (8 weeks IP + 4 weeks of OP)
12 weeks surgery (3 weeks general, 3 weeks trauma/acute care, 3 weeks elective, 3 weeks cardiac/thoracic/vascular)
6 weeks peds (2 IP, 2 OP, 2 NICU)
6 weeks OB/GYN (1 L&D, 1 L&D NF, 2 Gyn OP, 2 Gyn IP/Gyn Onc)
6 weeks psych (5 IP, 1 OP)
6 weeks family (6 OP)
This leads to 10 weeks of OP primary care. All sorts of F-that come to my mind.
Here's what I would LIKE as the breakdown
IM - 8 weeks, ALL IP. 8 weeks.
Surgery - Honestly this is probably the best one. No real complaints about how they break this one up. If I was going to make it 8 weeks though, I'd say something like 2 General + 3 sub-specialty (including cardiac/thoracic/vascular if that's your thing) + 2 trauma/acute care). 8 weeks.
Peds - Get rid of NICU. As a 3rd year (at least at my hospital) the attendings don't let you touch anything, and you end up doing newborn exams in the nursery for 2 weeks. Waste of time. 4 weeks.
Psych - 3IP + 1 OP - 4 weeks.
OB/GYN - Clinic - 1 week. Gyn or GynOnc - 1 week. L&D + NF - 2 weeks.
Family Med - 4 weeks OP.
That has saved 4 + 4 + 2 + 2 + 2 + 2 = 16 weeks. Guess what? That's 4 4-week electives during 3rd year.
4th year rotations are allowed to be 4 weeks long. Why is that so taboo for 3rd year students?