Clinical base year spread out over first two years

[Ennis]

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Aside from UTMB, is anyone aware of any programs that spread out the non-anesthesia rotations from CBY over the first two years? Could you arrange something like this with a PD even if they don't formally offer it?

 

[Dwindlin]

University of Kentucky

 

[Lurch]

Uva

 

[granolabar2]

University of Rochester

 

[PMPMD]

Ccf

 

[Josh1]

For the people who are in these programs: what do you think?
What are the good and bad parts?

 

[lushmd]

I think that Penn State Hershey does this too.

 

[IDBasco]

For the people who are in these programs: what do you think?
What are the good and bad parts?

Admittedly, I haven't started my internship yet, but I think I would really rather just get it over with than drag it out over two years. Maybe someone will come along that can give you the real scoop.

 

[BobBarker]

When I interviewed 2 cycles ago, UTMB was no longer doing the split. The first year was a cush transitional in Houston, 45 miles from Galveston.

 

[DrN2O]

What's the point

 

[pgg]

What's the point

To prolong the pain of doing not-anesthesia?

I know when I was a CA1, I kept thinking, man I wish I could do a medicine ward month or some ER night shifts for a while. I miss the aroma of melena and drunks.

 

[heronmd]

CBY can include 2 ICU months and a pain month. So you could do NO ICU or pain during the intern year, substitute 3 anesthesia months for those 3 during the intern year, still do medicine, surgery, ER, etc. ONLY during the intern year, and then count the 2 ICU months and pain month you do as a CA-1 toward the CBY. That would be a spread out CBY, with 4 months of anesthesia during the intern year. The 2 ICUs and one pain as a CA-1 wouldn't feel like 'intern' rotations, would they?

 

[polar403]

When I interviewed 2 cycles ago, UTMB was no longer doing the split. The first year was a cush transitional in Houston, 45 miles from Galveston.

This cycle they said they had 4 or so spots for residents to do the split year in Galveston. The rest of the residents do the intern year in Houston.

 

[Orin]

To prolong the pain of doing not-anesthesia?

Correct me if I'm wrong, but the folks that do that, do it in the same total of 4 years, but they get to do anesthesia sooner in the PGY-1/CA-0 year and then have to make it up with some other stuff in the PGY-2/CA-1 year.

It sounds like an interesting idea. It probably helps to be exposed to anesthesia at the resident level, and then do rotations where you can see what there is to learn from these other rotations that could help you in the OR/pain clinic/etc.

Folks can be pretty insular these days, so one could make an argument that it would help to step outside of our comfort zone to see things from a different perspective. Especially if we are shifting to this "perioperative" model.

I would imagine though, that being the lower level on an off-service rotation as a PGY-2 is a chore.

 

[PMPMD]

Correct me if I'm wrong, but the folks that do that, do it in the same total of 4 years, but they get to do anesthesia sooner in the PGY-1/CA-0 year and then have to make it up with some other stuff in the PGY-2/CA-1 year.

Yup

I would imagine though, that being the lower level on an off-service rotation as a PGY-2 is a chore.

No doubt.