Speaking of 4th year, I'm actually kinda confused about how it works, since you have so much elective. 3rd year you are pretty much going through rotations non-stop from July til June, right? Then 4th year starts... and what? I read a post somewhere about a 4th year who had just taken 6 months of vacation??? Bizzare.
Anyways, that's for you, Wizard, since you like to ramble on incessently (as you said). That ought to give you something to ramble about.
Thanks! It's looking like today might be filled with much typing. Blast me not keeping any food in my apartment!
Since I'm an MS 1, I'll preface by stating that this is conjecture. While many I've spoken to say that MS 4 is the most expensive vacation they've ever taken (this may have been said here on SDN, dunno), our school's time requirement (i.e. time spent on the proverbial "clock") is similar to the third year with time off allotted to do interviews for PGY. You will take your step 2 sometime that year, but it will be your choice as to whether or not you report it to residency programs.
The ambulatory and rural are the only mandatory spins as far as I know, and the hummingbirds who whisper in my ear say that you do get some say in where you do your rural. If your clinical years are in Tulsa, then you can also drive down here for some selectives (say if you are interested in something competative and want to do research in OKC).
You can do as much as 3 months away if, for instance, you want to impress a residency program in another state. No more than three selectives can be in the same specialty. You can also do sub-internships ("sub-I's") which are a little bit more like PGY-1 whereby you can learn more about admitting and intern-type stuff, or you can treat it more like a vacation and wait until you're getting paid before you subject yourself to the pace. Much like the senior year of high school, your grades won't matter, and a lot of your recommendation letters should already be lined up.
It is during MS 4 when you can more freely insult the deans in inappropriate emails (long yet still funny story) without as much fear of repercussion. Just don't draw the ire of surgical attendings.
During MS 1 and 2, there is plenty of time to get to know your classmates and stuff; and the party scene is essentially an extension of Norman's greek life if you want to participate in it. Once you cross over that step 1 hurdle, however, we all scatter like roaches with the lights on. Crickets chirping on the MS 3/4 discussion boards, nobody answers their emails anymore, only an inkling show up for interest group meetings (and even then, it's because they are the officers). MS 3 is particularly raunchy because that is where you will hit your core shelf exams. Most traditional 4-year schools have nearly identical MS 3 spin schedules. Methinks it is a lotto as to what order you take them. Also, Tulsa is completely optional. Nobody is forced to move.
So, in sum, you learn most of what you will need for step 2 during MS 3. MS 4 is a transitional sort of year in which you really nail down what you want to do for the rest of your medical career. As such, they make it flexible for you. It is at this time when you will actually see some of the beautiful smiles of your friends return.
😀
So hopefully I've successfully rambled enough for now. I'll be here all day folks..... Maybe I should go create some random drama on allo. Who can I rile up today? Law2Doc and njbmd have been pretty benign lately, but it's fun to mess with those MCW students who are on here even more than me.