Internship start delay

[ninjagaiden9876]

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Was curious how much would starting Medicine Internship in August instead of June (when orientation starts) would affect me?

 

[psychbender]

Why are you starting late? Starting internship late will cause you to start everything late. You will be off-cycle with your residency start/stop, as well as any potential fellowship afterwards. While I know many people who started slightly off-cycle (usually due to returning to residency from GMO spots), it is still something that you should try to avoid, if at all possible.

Additionally, you will be behind your fellow interns during the steepest part of the learning curve, and miss out on the basic indoctrination/socialization/we-are-the-Borg assimilation that starts during those two weeks of orientation/in-processing.

 

[bleeker10]

Isn't another potential problem the ability to take boards after residency? From what I've gleaned, some boards are only offered a 1-2 times a year and if you aren't done with residency you have to wait to take them. Not only are you not board certified as an attending, but you are also not getting board certified pay.

 

[dwb8p]

Isn't another potential problem the ability to take boards after residency? From what I've gleaned, some boards are only offered a 1-2 times a year and if you aren't done with residency you have to wait to take them. Not only are you not board certified as an attending, but you are also not getting board certified pay.

That's already the case with certain specialties. Ortho doesn't let you take your part II board exam until 20 months after graduating residency. Radiology is now 15 months after.

 

[bleeker10]

That's already the case with certain specialties. Ortho doesn't let you take your part II board exam until 20 months after graduating residency. Radiology is now 15 months after.

Right but in ortho you can still take part I (written boards) after you graduate. The reason you wait so long is because it is oral boards based off the patients you have out of residency

 

[dwb8p]

Right but in ortho you can still take part I (written boards) after you graduate. The reason you wait so long is because it is oral boards based off the patients you have out of residency

I guess my point is that you still aren't board certified for quite a while after finishing residency, during which you can't draw BC pay. So the OP's delay in training won't necessarily put him at much of a disadvantage when it comes to obtaining BC compared to his peers, depending on specialty.

 

[Gastrapathy]

August would let you take IM boards but overall its a terrible idea. The internship learning curve is steep and by August, the other interns know the hospital and can work relatively efficiently. You'll be perceived as the slow one. They decide who will go straight-through in November and you've totally shot yourself in the foot for that too.

 

[backrow]

Agree with all the other posters that it really puts you behind the curve. As an intern on rotations you are really evaluated in comparison to the other interns you are on with. If it's September and you are still trying to figure out how to work the computer system well and it takes you twice as long to round it will be perceived that you are slow and inefficient. Half the staff will have no clue you only showed up a week or whatever before or wouldn't care anyway so you end up in as the "bad" intern.

I've seen it happen personally and it's no fun for anyone. Obviously there are very valid reasons to not show up on time, but avoid it if you can. You could potentially mitigate the damage by doing several rotations at your future hospital as a 4th year so you already have some of the hospital specific information down before showing up.

 

[Perrotfish]

August would let you take IM boards but overall its a terrible idea. The internship learning curve is steep and by August, the other interns know the hospital and can work relatively efficiently. You'll be perceived as the slow one. They decide who will go straight-through in November and you've totally shot yourself in the foot for that too.

There's no need to freak the poor guy out. You don't learn to work the hospital, you learn to work each individual floor of the hosptial seperately, and each new rotation is so different from the last that you might as well be brand new. You look just as lost when you start your mandatory Ob/Gyn month after your wards month as you do if its your first rotation.

We're all the slow one.

 

[backrow]

There's no need to freak the poor guy out. You don't learn to work the hospital, you learn to work each individual floor of the hosptial seperately, and each new rotation is so different from the last that you might as well be brand new. You look just as lost when you start your mandatory Ob/Gyn month after your wards month as you do if its your first rotation.

We're all the slow one.

Totally disagree, well not totally, but there is a lot of "hospital knowledge" that transfers between rotations and if its your first say ward rotation and everyone else's second or third rotation then you are going to struggle in comparison.

Intern year sucks enough, you don't want to make it harder than it has to be if it is avoidable

 

[ninjagaiden9876]

Ods after medschool. That's my reason.
Time to do many rotations as 4th year.
Thanks for everyone's response, always enlightening.