Columbia/Cornell Rotation

[ndlaxplayr]

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Can anyone who has rotated at the columbia/cornell EM program for a month speak about their experience? How were the hours? How was the teaching? How was the interaction between you, the residents, and the attendings?
Thanks

 

[a_ditchdoc]

I did an EM sub-I at Columbia/Cornell. I don't recall exactly the hours required, but they were not incredibly taxing. The Presbyterian experience was an urban inner city environment. You have all of the patients typically found in that environment, with an exception of lots of trauma, something I found to be the norm in NYC. People just don't seem to shoot each other like they used to. I have to say that I really enjoyed the rotation and I was given lots of autonomy for a fourth year student. The attendings and residents, with very few exceptions, were excellent. An effort was made to teach me at all times and I was taught by those both on and off service, without asking. I was treated as a member of the team and given patients with higher acuity than I anticipated. If you show you can do it, they will, for the most part, allow it with supervision. The teaching, during lectures, was the best I have had anywhere. It was the most organized, and generally had the best speakers, of any rotation I did.

Cornell. Unfortunately, I wasn't a huge fan of Cornell. It was in more of an upscale neighborhood although sick patients were the norm and accidents presented commonly. The attendings were generally not as approachable, and I found at least one to be a bit "snotty" and ebrupt, if you'll forgive the juvenile term. One attending was my favorite however, and the residents there, from all specialties, were awesome. The autonomy at Cornell was nothing like that at Columbia and we were not allowed to document in the charts. This made having students a chore for many of the attendings as they had to document everything for you. It was much easier to do everything themselves. I spent more time waiting to present than I did seeing patients. I swear I saw some of the attendings ducking me, so they wouldn't have to pick up the extra work. It is unfortunate, and perhaps unfair to blame this on the attendings. Hopefully they have resolved this issue and the Cornell experience will be better.

Overall the expereince was great, one that I would recommend to anyone. If you have any more questions, feel free to pm...

ditch

 

[Pinner Doc]

I'm a student at Columbia- just wanted to point out that another reason you may not see so much trauma in the ED up here is because we're not a level 1 trauma center. (Apparently, the ED and the operating rooms have to be in the same building for that to be the case.)

Our peds ER, however, IS.... for what that's worth.

I'm hoping to do the Columbia/Cornell thing in July. If anyone gets set up with that schedule as well, let me know!

 

[roja]

If you want to see trauma in NYC, you will need to pick a level 1: Jacobi, NYU, Lincoln, St. Luke's (and oh, no, I don't have a bias there... 😉 ) You can also go out to Downstate in brooklyn (where I did my NYC EM sub-I)

The great thing about doing a rotation in nyc is that all the PD's know each other... They are familiar with those that write LOR, so if NYC is a place you want to be, getting one LOR from the city works throughout the city. If you have questions about St. Luke's or Downstate, feel free to PM me. (I can't speak much about NYP because they didn't have a program back in my day...)

 

[a_ditchdoc]

Heyyy! One offhanded comment and you change pictures?

To the OP. If you are interested in any rotation in NY, I cannot speak for the rest of them, but St lukes has a pretty sweet setup (Plus you get to meet the Green Fairy). The attendings and residents were all very laid back, and the volume and acuity kept you busy. Noone I encountered was "Stuffy". They alow you a great degree of autonomy and you work one on one with attendings. The team concept they have works extraordinarily well. As for nursing staff, they were more friendly than the staff at the Columbia rotation in general...it was more of a team sport there. One of the friendliest residency programs I encountered with the happiest residents (my number one choice in the match...🙁 )For more info just pm me.

 

[sleepymed]

Right now emergency medicine is my number one career choice, but EM is not a required clerkship at my school, so this will be my first true exposure. Due to scheduling issues, I need to be in New York to do my Emergency Medicine Sub-I and I also need to do it during the July 30th-August 24th block. I had initially registered for the Cornell/Columbia Sub-I because the commute somewhere farther seemed like too much of a hassle. However, if there is a significant teaching difference, then I can suck it up and bear it. In terms of general teaching. friendliness of the environment, and good LOR how would you compare the Cornell/Columbia vs. Lincoln vs. Methodist vs. Queens programs.

Thanks,

sm

 

[roja]

This is just my .02 but out of the list you provided, I would say it goes like this: lincoln, NYP, methodist, queens. Mostly because of the acuity, perceptions, etc. Lincoln is more well known across the country and you will be very busy.


and a_ditchdoc, it wasn't just you. 😉

 

[el chivo]

Roja or other NYC EMed experts--

Have you guys heard anything about people's experiences doing away rotations at Jacobi?

Where would you steer a West Coast med student to do a rotation who wants to end up at an academic emergency program in NYC?

Much thanks

-- a West Coast med student who wants to end up at an academic ER program in NYC

 

[aequanimitas]

Roja or other NYC EMed experts--

Have you guys heard anything about people's experiences doing away rotations at Jacobi?

Where would you steer a West Coast med student to do a rotation who wants to end up at an academic emergency program in NYC?

Much thanks

-- a West Coast med student who wants to end up at an academic ER program in NYC

In broad and liberal generalizations:

County/Knife&Gun club: I like Downstate and Jacobi equally and would pick one or the other over Lincoln.

Overall great eperience: Bellevue & SLR in Manhattan, Methodist in Brooklyn. I personally also think NYH Queens would be great, if you can make the commute; they are a VERY young program, but they see very diverse patients and pathology.

There are many other excellent programs in NYC and metropolitan area, those are just what came to mind on the spot.

If you are _truly_ set on going to NYC, and depending if your home institution already have an EM rotation, or if you have the time in your schedule, you might consider doing two rotations in NYC. For example, if you rotated through Downstate or Jacobi or Bellevue, then rotated through SLR (or reverse order), you would have gained a lot of valuable perspectives: 3 versus 4, county versus not, academic or not, etc. Plus, you certainly would have committed yourself--in the minds of the PDs--that you want to be in NYC. This will be helpful and should pay dividends. Of course, if you don't have the time or simply don't want to do two away rotations, that's certainly fine and don't sweat it. Doing one away at your region of choice is enough.

Regardless, this confirms what you already know--doing an away in the region you want to be in is very helpful.

Best of luck!

 

[el chivo]

In broad and liberal generalizations:

County/Knife&Gun club: I like Downstate and Jacobi equally and would pick one or the other over Lincoln.

Overall great eperience: Bellevue & SLR in Manhattan, Methodist in Brooklyn. I personally also think NYH Queens would be great, if you can make the commute; they are a VERY young program, but they see very diverse patients and pathology.

There are many other excellent programs in NYC and metropolitan area, those are just what came to mind on the spot.

If you are _truly_ set on going to NYC, and depending if your home institution already have an EM rotation, or if you have the time in your schedule, you might consider doing two rotations in NYC. For example, if you rotated through Downstate or Jacobi or Bellevue, then rotated through SLR (or reverse order), you would have gained a lot of valuable perspectives: 3 versus 4, county versus not, academic or not, etc. Plus, you certainly would have committed yourself--in the minds of the PDs--that you want to be in NYC. This will be helpful and should pay dividends. Of course, if you don't have the time or simply don't want to do two away rotations, that's certainly fine and don't sweat it. Doing one away at your region of choice is enough.

Regardless, this confirms what you already know--doing an away in the region you want to be in is very helpful.

Best of luck!

thank you . . .