Going to the Brigham...

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Supersheep

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I just found out yesterday evening that I've been scheduled to spend the month of August on Path at BWH 🙂 The elective combines AP, CP, autopsy, etc and so I understand that it will be very varied, but I was wondering if anyone knew of any basics about what to somewhat expect? Even silly little things like BWH is on the "green line" of the T? Sorry, this will be my first trip to Boston and the information that they sent and I've found so far is a little slender- guess I'm a teeny-bit nervous...

Thanks to everyone who has already put together threads on ways to prepare and I saw on one of Andy's threads a website called craigslist.org for housing... has anyone ever used anything like this before? Our community provides housing for visiting students and so they really have no idea of what to do in the city 😉

Sorry that this is kinda program/area specific (and a frequently visited one- I hope I didn't miss threads in the archives). Thanks!!
 
Well, first of all, welcome (in August that is). I know we don't have any med students rotating through this month but I heard that there may be a few next month...and I guess a sheep will be amongst them come this August.

I have never used craigslist.org to look for a place to live; although, I do remember recommending it to a few folks on SDN. That is because this is the only website I'm aware of that posts a variety of ads. Hell, I had a buyer for my bed in Ann Arbor within an hour of putting up my ad. So my impression is that there are lots of people who are looking on that website.

When you rotate at the Brigham, you will likely be shadowing a resident. For instance, you can assist on autopsies (this is where you'll probably be the most involved, but I could be wrong...heck, it's only my second day today). As for CP, I have no idea. You'll probably sit in on a bunch of signouts or attend things like microbiology plate rounds...who knows. On surgical pathology, you would probably be shadowing a resident as they gross specimens. You can hang out with us while we preview our **** too but I'll warn you, we tend to preview later in the day (since signouts are typically in the mornings and we gross in the afternoon on the surgical services). But that's really up to you. I think for your purposes, you should definitely sit in on signouts cuz that's when the attendings teach the non-attendings (i.e., us and you) the **** that needs to be learned.

Just as a warning...depending on the service, some residents will be more swamped than others. The more swamped they are, the less teaching and more passive watching you'll do. The first few months of the academic year is tricky in terms of how much residents will be able to spend time teaching you. The first year residents, like myself, are busy learning a ton of diagnostics and techniques...albeit very inefficiently. The second year residents are currently serving as trainers for the first years. But if there is one thing I've noticed already here...there is a very pervasive pro-teaching, pro-education attitude here. Rest assured, we'll do our very best to teach you whatever we happen to know when you work with us.

Lastly, with respect to the rotation, med students are encouraged to give one talk during their months with us. We have weekly "Gross/Micro" conferences on Thursday mornings. There, two residents will each give a 25 minute talk on a topic of their choice and then at the end a third resident presents a "quickie" case. So if you'd like to give a talk, you'd only have to sit up there and babble for not even a half an hour. Should be pretty easy. And we can help you with topic selection too.

OK enough of that.

Traveling in Boston...intimidating at first. But Boston is not a really big city and the public transportation system is rather simple, once you get used to it, and quite reliable. I would check out www.mbta.com if you want to familiarize yourself with the T. They have subway routes, bus routes, and schedules. I even have it bookmarked on my computer.

There are a few of us Brigham residents lurking here and perhaps they'll offer some more insight. But in any case, feel free to ask me any other questions you may have and I'll try my best to answer them.

That's all I can come up with right now. I'm going to have a beer and if some other strokes of thought enter my brain, I'll add to this post.
 
maps_subwaylg.jpg

Brigham is near the Longwood Ave stop on Green Line D. Another option is to get off at the Brigham Circle stop on Green Line E.

here's another rendition of the T subway map
BostonRail.jpeg
 
Cool! Looking foward to meeting you in August. Boston is a greast city. I was a little leery of moving here at first, but I generally love it so far. The hospital is accessible from both the D (at the Longwood stop) and the E line (at Brigham Circle). The E line stop is consideraby close to the hospital, but the D line stop is not bad at all. Also, there are several buses that go to the Brigham. Here is the webpage from the Brigham that lists the public transportation to the hospital:

http://www.brighamandwomens.org/general/directions/directions.asp#T

I'm not sure how to find a sublet for a month or so. If you're in need of finding housing, let us know - we could at least ask around the department to see if anyone has any ideas, and what previous students have done.

The Brigham is fantastic, with a strong emphasis on teaching and professional development. I'd echo what Andy says - the residents will generally be pretty busy. But, the good news is that there are lots of residents (10 AP in our class). Generally, there should be someone with whom you could work, affording you the opportunity to see many different aspects of the department. But, I can't really comment on what your day or schedule will be like, as I just started this week. 🙂 I'm not sure what CP will be like either (we are on AP for the first 2 years) - I guess it will be heme path.

Gotta run - sleep time.
 
Thank you so very much!! Absolutely, I understand that all of the residents are extremely busy and learning their own footings at this time of the year- thank you for your suggestions on how to work with things, I really appreciate your help (just printed the maps- now I won't get quite as lost!) 🙂
 
Welcome ahead of time to the Brigham! (sorry, not a path person, but I am a fellow Brighamite). I don't really know what people do about short term housing around here, but you might want to call up the Harvard med school administration and see if they have any lists of students wanting to sublet their places for a month or so. From what I hear, though, the med school administration office is not the friendliest...

As far as the T -- the best stops to get to the Brigham are the Longwood stop on the "D" line, or the Brigham Circle stop on the "E" line. (the Green line splits into multiple lines, termed B, C, D, and E -- the trains are labeled with their respective letters). The T is really easy to get around once you figure out a few of the basics, such as the general areas each line serves and which stations the lines cross with each other. Check out the mbta website. You can get a monthly pass for the T, but you should consider ordering it ahead of time (like a week in advance), which you can do on their website.
 
geddy said:
But, I can't really comment on what your day or schedule will be like, as I just started this week. 🙂
Beware of this guy though. Total Grade A gunner. Dude had no reservations about admitting that he tried to get a head start by going into work during the holiday weekend while everyone else started on the 5th. Tisk tisk. I know what you're up to mister. Your shenanigans won't go unnoticed.

Seriously though, path rotations are fun...I think the most important thing to remember is to relax, have fun, and just let things soak in naturally.

See ya next month!
 
Yeah, these med students better not make me look bad in front of anyone or else I'll take them down. Old school style. It's really a shame, Andy, that you figured out that "going to the Cape" is actually code for "memorizing Sternberg" - watch your back, man. :laugh: :laugh:
 
geddy said:
Yeah, these med students better not make me look bad in front of anyone or else I'll take them down. Old school style. It's really a shame, Andy, that you figured out that "going to the Cape" is actually code for "memorizing Sternberg" - watch your back, man. :laugh: :laugh:
I've read that **** twice already.

oh, woops!
 
Sheep,

Glad to hear you will be dropping by. The med student rotation here is awesome. There are three major components:
1. Teaching
2. Gross/Micro
3. Watching

In terms of the teaching, you will basically have a 1 on 1 tutorial on some area of pathology everyday. Typically you are given a set of slides in advance to review along with a series of questions. The following day you review the slides with an expert pathologist in that field, typically an attending and occasionally a fellow. Often, after these sessions you will likely know more than the new (and even some of the old) residents. I certainly wish I had a Pathology experience like this.

Gross/Micro can be intimidating, but it is your one chance to show off and land a residency spot. On Thursday mornings, the whole entire department gathers to watch 2 residents each give a twenty minute talk. Since all the members of the residency selection committee will be there, this is your chance to show you are BWH material (assuming you want to come to our program). During the summer months, this conference is replaced by introductory pathology lectures. Thus, you will likely not have the chance to present. In the past, students rotating during the summer months have written a short paper instead. This is less effective in terms of showing off, but is still your chance to shine.

Watching - There is no shortage of activities to observe here in the department. If you have a specific interest make sure to announce it early, so that we can get you plugged into that service. Otherwise, just do your best to seem interested and be involved. While most of us won't admit it, we are always more impressed by medical students who are active and want to participate. Of course, you also must have some people skills and be understanding when a resident is just too swamped to let you do much or even answer all of your questions. The beginning of the year is a tough time for us as the volume of work stays the same, but the new folks are still learning.

Your best source of official information before you arrive is to contact the AP chief resident. You can call or e-mail the department to get the contact info.

Good luck. I hope you enjoy the rotation.
 
Thank you all- I have a much better understanding of what to expect and it really sounds like this will be a great opportunity to learn a lot of path and about BWH in general. That is very cool being able to preview and then go through slides with various residents and attendings specialized within that particular field, that will be extremely helpful. And no worries- there will be no need for any old-school elbow droppings or to go all WWF or anything 😉
I am really looking forward to August- see you then 🙂
 
i forgot to mention one of the best aspects of the brigham. there are a few bars nearby the hospital...i'm talking literally a few blocks away...and more than one! there's this little pizza joint/bar a few steps from my bus-stop on my way home. so easy to grab a $4 pint before hoppin' on the bus. now that's some good ****!

oh btw, read up about operating a continuum transfunctioner. (geddy, you should be able to pick up on this reference 🙂 )
 
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