COMP-western: What are hours for third year rotations like??

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

swiftly

Junior Member
10+ Year Member
5+ Year Member
15+ Year Member
Joined
Oct 18, 2005
Messages
13
Reaction score
0
COMP-western: What are hours for third year rotations like?? (ie specific number of hours for surgery, peds, ob/gyn, etc...)
 
Bump

I'm curious about this too.
 
It depends. It really does vary substantially. Depends on the hospital, specialty, attending, resident, etc. For example, I know someone who works ~15 hrs/week on IM where others can spend close to 90 hrs/week on their IM rotation. You'll find this high degree of variability at every medical school across the country. However, generally your busier rotations will tend to be Surgery, OB-Gyn, and Medicine.
 
Arrowhead Medicine is 6AM to approx 4PM depending on how many patients are on your service. Call is q4 and can last till noon the next day. Thursday calls obviously are the best (weekend and half of Friday off) whereas Saturday calls suck (No weekend at all).

Arrowhead Surgery is approx 4-4:30AM till 5PM depending on how much floor work you have thereafter. Call is approx q7 (four/month), but can vary since there really is no regimented call schedule. Therefore you can have as crappy as q3, or as relaxed as q7. This is by far the busiest rotation hours-wise, but it was also the most fun.

Arrowhead Peds...well there is currently a change in staffing going on there right now so I really can't say how it's going to be once you're on rotations. For right now, it depends on which service in Peds that you're on. Newborn is two weeks, 8-2, with one person staying till 5 thereafter. Peds Wards is 6AM to 3-5PM with the same setup with one person staying. THERE IS NO CALL. Clinic is where the brunt of your work will come from. there it's 8-5 and God help you if you leave earlier. It's not gonna happen.

Arrowhead OBGYN- Haven't had it yet, so this is based on word of mouth. There is no order since patient turnover is super high. If not in Surgery, Labor & Delivery, or Prep, you are in clinic. There are short calls and night float is the only time that requires you to be there overnight. It's busy from day one. Could you imagine doing a Pap smear when you have no idea what you're looking for.

So that's the short rundown for at least Arrowhead, probably the best hospital in our schools choice of rotations to learn.

Hope it helps.
 
Leemer pretty much hit it on the head with Arrowhead. I should know, I was an intern there last year. Arrowhead is pretty hard for students in terms of hours, but I think you'll learn a lot. I remember seeing the students on surgery doing 30 hours. Your 3rd year rotations will really depend on where you rotate at.

As a med student, I went to Arizona for 6 months and had some rotations where I was out by 12 noon and really didn't get that much out of it, then I came back to CA and finished off. I was at CHOC my first month back and had my butt kicked b/c I wasn't ready for a hardcore allopathic rotation.

I know there is that temptation to pick the easy rotations and just coast through. I would not suggest it, it's going to catch up with you eventually... whether it be in internship or residency. As for me, I only had one rotation at Arrowhead as a student. I did several at Rancho Los Amigos. One at Downey. But I avoided Long Beach Pacific or Montclair. I just didn't think they were very high quality. If you're 3rd year, you should be in the midst of trying to find rotations for 4th year. I suggest finding sites with established residencies that are used to teaching. Rotations with the private hospitals or docs are hit or miss. What sucks is that you don't have the advantage of having that website where the different rotations were critiqued. If you have any questions, you could ask me.

Happy hunting!
Eric
 
How does Q3/Q7 work? Is it on-call every 3 or 7 shifts, respectively? Or per number of days?
 
bananafish27 said:
How does Q3/Q7 work? Is it on-call every 3 or 7 shifts, respectively? Or per number of days?

Actually the call schedule was more along the lines of wherever you could fit in four calls in a four week block and have it be semi-fair to everyone. You could have as long as seven days of a gap between call nights or as compact as three days from your prior call night. You have to also arrange it so your post call day doesn't conflict with your attending physician's day for clinic duty. Therefore, taking all of those things into account, the frequency of call can be variable between q3-q7.

Hope that explains it.
 
Top