last minute jacobi question!

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beaudubbs

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I was just finishing up my ROL (actually already certified) when I came across a slight issue. a review of the jacobi program on scutwork.com states that the EM residents have no direct patient care responsibilities on off-service rotations. does anybody know if this is correct? while this might be a pretty sweet deal in some ways, i don't think i want for my training program. good luck submitting the ROLs peeps.
 

beaudubbs

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last time i am bumping. anybody know about how this works at jacobi (didn't ask at iview because i have never even heard of such a thing).
 

SolidGold

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I didn't interview there so I have no clue, but maybe you can email one of the residents there to get the inside scoop.
 

beaudubbs

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i know, i probably should email one of the residents. however, it is late in the game, and i have found that everyone says the same things about their home programs, minimizing weaknesses and magnifying strengths (understandable). i was hoping for a more unbiased opinion.
 

beyond all hope

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When I interviewed at Jacobi the residents would tell me about rounding in the ICU and then leaving later on that afternoon.

I can understand not wanting to go somewhere you wouldn't have direct patient-care responsibilities on off-service rotations. Then again, ICU call sucks and you don't learn that much.
 

trkd

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i know, i probably should email one of the residents. however, it is late in the game, and i have found that everyone says the same things about their home programs, minimizing weaknesses and magnifying strengths (understandable). i was hoping for a more unbiased opinion.

I bet if you emailed 3-4 residents and asked "how much patient care responsibilities do you have on off-service months?", you would get some idea. I probably wouldn't say "I heard you don't get any, true?" in which case they may get defensive and start saying the same ol' pitch. That said, less responsibility in the ICU may not be the worst thing ever.

Presumably you have, but if not, it may also be worth doing a search on jacobi on the this forum. You may find your answer. Good luck!
 

StudentDoc327

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When I interviewed at Jacobi the residents would tell me about rounding in the ICU and then leaving later on that afternoon.

I can understand not wanting to go somewhere you wouldn't have direct patient-care responsibilities on off-service rotations. Then again, ICU call sucks and you don't learn that much.



I know for a fact it was like this when Jacobi was 2-4 because they thought that you already did all the scutwork or what not you needed to in your preliminary medicine year, but I think that the policy might have changed now that they are 1-4. Im not sure though.
 

papichulodoc

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Jacobi residents definitely have direct care patient responsibility. Especially now with the transition. Most of us (while it was a 2-4 program) did all the scut work during our prelim year, but now all the interns have to get the ir share too. So, yes the first years are given call schedules and are an integral part of the team. Not having a direct care patient responsibilities when it was a 2-4 program however was an advantage. Think of it this way, most of us got that experience as prelims. The point of a senior resident doing an ICU rotation is to learn not to do scut work, as goes with all interdepartmental politics who do you think would be doing the scut work if the EM senior resident shows up for a month long rotation? Do you really think the medicine folks will let the ED resident lead a team of IM interns? In my experience at other institutions when the third or fourth year EM resident did an off service rotation, they were relegated to just above med student status. By not having direct patient care responsibilities, it is up to the resident to get what they want out of it. The policy allows you to not be "pushed around" but also gives you the freedom to be as proactive as possible, allowing you to do all the lines, tubes and procedures you'd like.
 

emmd06

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I can understand not wanting to go somewhere you wouldn't have direct patient-care responsibilities on off-service rotations. Then again, ICU call sucks and you don't learn that much.


Sorry, but I couldn't disagree more. Maybe it's my critical-care-intensive program speaking, but I have found patient care responsibilities on off-service rotations an extremely important part of my residency training thus far. Hell, I am currently post-call in the ICU, and I would still say it's a "critical" experience.

I also know Jacobi, and I don't think I'd worry about a lack of patient care responsibilities there. You get plenty of exposure to the whole Jacobi experience if you spend even 1 week as an intern on their medicine floors. I did most of my internal medicine months as a med student there. They would not prevent anyone from seeing patients or tolerate anything but complete involvement on the part of off-service rotators.
 

paramed2premed

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Do you really think the medicine folks will let the ED resident lead a team of IM interns?

First of all, thank you for all the reviews and perspective. It's been invaluable for me, especiallly as I seem to have interviewed at many of the same places.

Second, thanks for responding to this question, which also presented itself to me one day ago. leaving me with a new neurosis for the next 3 weeks.

I just wanted to add that Yale made a point of describing their CC rotations, including a 3rd year supervising role in the MICU. Might all be BS, of course.

Lastly, Jacobi is on my list regardless. I know the new PD, and it's hard for me to imagine him putting up with pretense.
 
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